FREEMAN HEALTH SYSTEM NETWORK PLAN

1. Goals and objectives of the proposed network

Freeman Health System is a not-for- profit healthcare network headquartered in Joplin, Missouri in the far southwest corner of the state at the intersection of Interstate Highways 44 and 49. FHS serves the city of Joplin with its population of over 50,000 and the surrounding area in southwest Missouri, northwest Arkansas, southeast Kansas and northwest Oklahoma that includes more than 450,000 people.

Freeman is a three-hospital system with 460+ beds providing comprehensive healthcare and behavioral health services. The health system is comprised of Freeman Hospital West, Freeman Hospital East, Freeman Neosho Hospital, Ozark Mental Health Center and numerous clinics and doctor facilities. The medical team of more than 300 physicians representing 60 specialties uses state-of-the art techniques, best practices, and technologies to provide live-saving care close to home. With more than 4,500 employees, Freeman Health System is the largest employer in Joplin and the premier healthcare provider in the area and offers the close-in community access to comprehensive healthcare resources.

As a teaching hospital, Freeman provides medical students and resident doctors the opportunity to study with some of the most knowledgeable and dedicated physicians in the country. Freeman is a member of the regional Osteopathic Postdoctoral Training Institution and an affiliate of Oklahoma State University College of Medicine. Freeman sponsors graduate medical education training in four residency programs: Emergency Medicine, Ear, Nose, and Throat, Internal Medicine and Psychiatry.

U.S. News & World Report ranked Freeman No. 4 in the state of Missouri for a third consecutive year for 2014-2015. In addition, Freeman was recognized among the U.S. News & World Report Best Hospitals in Southwest Missouri and received special designation in seven high-performing specialties, including diabetes and endocrinology, gastroenterology and gastrointestinal surgery, geriatrics, nephrology, neurology and neurosurgery, orthopedics, and pulmonology.

Sites that are participating in the consortium are:

HCP Site Name HCP Address NO. 12767 FHS Heart & Vascular Institute - Parsons 1902 South US Highway 59, Parsons , Kansas 67357 15584 Freeman Clinic at Nevada Regional Medical Center 800 South Ash Street, Nevada, Missouri 64772 17114 Freeman Clinic of Anderson 510 Park Street, Anderson, Missouri 64831 17115 Freeman Clinic of Baxter Springs 322 East 11th Street, Baxter Springs, Kansas 66713 17118 Freeman Health - Lamar Family Care 307 West 11th Street, Lamar, Missouri 64759 17119 Freeman Neosho Hospital 113 West Hickory Street, Neosho, Missouri 64850 17121 Freeman Physicians Group of Pittsburg 1201 E. Centennial Dr, Pittsburg, Kansas 66762 17122 Freeman Clinic of Carthage 719 West Centennial Ave., Carthage, Missouri 64836 25090 Freeman Hospital West 1102 W. 32nd St., Joplin, Missouri 64804 38068 FHS Heart & Vascular Institute - Miami 30 B St. SW, Miami, Oklahoma 74354 38069 Seneca Family Medicine 1606 Olive Street, Seneca, Missouri 64865 38072 Freeman Carthage Occumed 1500 South Case Street, Carthage, Missouri 64836 45771 Freeman Orthopaedics & Sports Medicine – Pittsburg 100 N. Pine St., Pittsburg, Kansas 66762 45773 FHS Heart & Vascular Institute - Grove 1101 East 13th St., Grove, Oklahoma 74344 49534 Freeman Health Business Center 3220 S. McClelland Blvd., Joplin, Missouri 64804 49550 Freeman Hospital East 932 E. 34th St., Joplin, Missouri 64804 65031 Freeman Rehabilitation Services - Neosho 204 N. Lincoln St., Neosho, Missouri 64850 66477 Freeman Midwest Internal Medicine 608 Willard St, Frontenac, Kansas 66763 71075 FREE - Community Health Clinic of Southeast 401 Woodland Hills Blvd, Fort Scott, Kansas - Fort Scott Clinic Kansas 66701

Our long range vision of Freeman Health is to enable a set of standard telehealth connection services that will interconnect throughout the region and facilitate any healthcare location in the nearby state to share one or more telehealth services with any other healthcare location in the regional and ultimately to share on a national level.

This RFP addresses the telecommunications and network maintenance to interconnect the main hospital and data center and the remote hospitals and multiple clinics and doctor’s offices in the area as described Background and Goals Section. 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. 2. 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, Freeman Health 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. 3. Discussion of how the broadband services will be used to improve or provide health care delivery

The Data Center is located in the Freeman West Facility. All the hospitals 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 various combination of circuits; including but not limited to, DS1’s, Ethernet, MPLS and high speed internet. 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.

4. Discussion of previous experience in developing and managing health IT (including telemedicine) programs Gary Dieckhoff, the Director, IT Operations and Consortium Leader will oversee this project Mr. Dieckhoff has 26 years of experience working in IT, with all those years in IT management positions all of which were in health care. 5. A project management plan outlining the project's leadership and management structure (a work plan, schedule, and budget) • Gary Dieckhoff, the IT Communications Manager, 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 ~ $300,000 -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.