UPMC Pinnacle

Network Plan

1. Goals and objectives of the proposed network

UPMC Pinnacle is a pioneer not-for-profit healthcare system, dedicated to providing and improving the health and quality of life for the people of Central Pennsylvania since 1873. UPMC Pinnacle was created as a community-based, physician-led health care system serving the greater Harrisburg, Pennsylvania metropolitan area. A proven leader in medical innovation, UPMC Pinnacle is a nationally recognized leader in providing high-quality, patient-centered healthcare services in central Pennsylvania and surrounding rural communities. Its more than 2,900 physicians and allied health professionals and approximately 11,000 employees serve a 10-county area at outpatient facilities and eight acute care hospitals with 1,360 licensed beds: UPMC Carlisle, UPMC Community Osteopathic, UPMC Hanover, UPMC Harrisburg, UPMC Lancaster, UPMC Lititz, UPMC Memorial, and UPMC West Shore. The not-for- profit system anticipates caring for more than 1.2 million area residents in FY 2018.

In 2017 Harrisburg Magazine's readers (over 50,000) voted UPMC Pinnacle as "Simply the Best Hospital". This and numerous other awards of recognition can be seen on the company's website; www.UPMCPinnacle.org.

Our goal of the Healthcare Connect Program is to connect all the remote sites to the hospital's information systems to provide a central source for patient information. Connecting the clinics to the hospital's network allows the clinics to access all of its resources including primary EMR applications, current and next generation information services.

2. Strategy for aggregating the specific needs of health care providers (HCPs), including providers that serve rural areas, within a state or region

Most of the remote clinics are small, so providing a separate EMR application for each site would not be cost effective, and would make the sharing of this information with other health care providers difficult. By sharing the hospital's resources, each clinic and remote site will have access to a much broader array of information services. 3. Strategy for leveraging existing technology to adopt the most efficient and cost- effective means of connecting those providers

The clinics already have network equipment to interconnect PCs and printers. By using high speed connections and standard network equipment, the UPMC Pinnacle Group Consortium will be able to connect the PCs and printers in the remote offices to the hospital's existing network. This will allow access to servers and applications in the hospital as well as cloud based applications available on the internet. The hospital already has an extensive network of leased facilities, which interconnect connects the hospitals and remote clinics.

4. Discussion of how the broadband services will be used to improve or provide health care delivery

The Data Center is located at 205 South Front Street, Harrisburg, Pennsylvania 17104. The hospital and clinics have direct access to the internet for cloud based services and dedicated access for such services as radiology and patient records. Remote locations are connected using a combination of DS 1s, DS 3s, dark fiber, PRI, Centrex lines and high speed Ethernet connections. This network will support applications such as:

• Interactive video conferencing and telemedicine. • Streaming video for distance learning and continuing education. • Enabling medical record queries from multiple sources. • Transmission and receipt of imaging files. • Web-based collaboration tools for meetings and peer-to-peer consultation and interaction and for hospital administration. • Access to internet based resources for staff and patient education.

The hospitals and all clinics and locations will benefit from these high speed connections. Facilities will be upgraded and expanded, as needed for growth and new services beyond what's mentioned above.

5. Discussion of previous experience in developing and managing health IT (including telemedicine) programs

Ray Peske, System Manager, Telecommunications for UPMC Pinnacle and Consortium Leader will oversee this project.

A project management plan outlining the project's leadership and management structure (a work plan, schedule, and budget)

• Ray Peske will be the project Manager. • Schedule: - Bid process to last 28 days with earliest contract selection date on the 29th day - Implementation of service is expected to take place within 60 days of the Allowable Contract Selection Date

• Budget: -Telecommunication Services - Annual Cost ~$750,000.00 -65% of these costs will be covered under the Healthcare Connect Fund, while the remaining balance will be paid out of the hospital's income. Sites that are participating in this consortium are:

HCP Site Name HCP Address NO. 13662 J C Blair Health Systems 1225 Warm Springs Ave., Huntingdon, Pennsylvania 16652 25450 Fulton County Medical Center 214 Peach Orchard Rd, McConnellsburg, Pennsylvania 17233 25542 Pinnacle Health Family Care 300 Bretz Ct., Newport, Pennsylvania 17074 Newport 25546 Pinnacle Family Care Millersburg 1000 Evelyn Drive, Millersburg, Pennsylvania 17061 48090 Pinnacle Health Imaging, Walnut 850 Walnut Bottom Raod, Carlisle, Pennsylvania Bottom 17013 51808 Pinnacle Health Brady Hall Data 205 South Front Street, Harrisburg, Pennsylvania Center 17104 51828 UPMC Pinnacle Harrisburg 111 South Front St., Harrisburg, Pennsylvania 17101 53165 UPMC Pinnacle West Shore 1995 Technology Parkway, Mechanicsburg, Pennsylvania 17050 53167 UPMC Pinnacle Community 4300 Londonderry Road, Harrisburg, Pennsylvania Osteopathic 17109 55596 UPMC Pinnacle Carlisle 361 Alexander Spring Road, Carlisle, Pennsylvania 17015 55597 UPMC Pinnacle Lancaster 250 College Avenue, Lancaster, Pennsylvania 17603 55599 UPMC Pinnacle Memorial 325 South Belmont Avenue, York, Pennsylvania 17405 55857 Heart of Lancaster Regional 1500 Highlands Drive, Lititz, Pennsylvania 17543 Medical Center 55860 UPMC Pinnacle Hanover 300 Highland Avenue, Hanover, Pennsylvania 17331 55901 Hanover Medical Group - 300 West King Street, Littlestown, Pennsylvania Littlestown 17340 55902 Quarryville Family Medicine 13 East 2nd Street, Quarryville, Pennsylvania 17566 55903 Memorial Family Medicine at 200 Bailey Drive Suite 101, Stewartstown, Stewartstown Pennsylvania 17363 60610 Memorial Family Medicine of 55 Old Farm Rd, Shrewsbury, Pennsylvania 17361 Shrewsbury