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Mercy Healthcare - Network Plan

1. Goals and objectives of the proposed network

Mercy Health (formerly Catholic Health Partners) is a not-for-profit health care system headquartered in Cincinnati, . It is the largest health system in Ohio and one of the largest nonprofit health systems in the . Mercy Health employs more than 32,000 employees in more than 450 health facilities, including 23 hospitals in Ohio and . It is the 4th largest Employer in Ohio.

Mercy Health serves seven markets: Cincinnati, Toledo, Youngstown, Lima, Lorain and Springfield in Ohio and Paducah in Kentucky. The major markets are Cincinnati and Toledo.

Mercy Health began serving Cincinnati neighborhoods for more than 160 years ago and has expanded to multiple award-winning hospitals that provide access to leading physicians, advanced technology, experienced and compassionate caregivers, and a wide range of care. Services include care for all aspects of life from maternity to senior care, primary and specialty care physician practices, outpatient centers, social service agencies and fitness centers to a variety of outreach programs.

The Main Hospitals in the Cincinnati area are:  Jewish Hospital  Mercy Hospital Anderson  Mercy Hospital Fairfield  Mercy Clermont  Mercy West Hospital

Mercy Health was named one of the Top 15 Health Systems in the Nation by Truven Health Analytics (2013 and 2014). Anderson Hospital and Fairfield Hospital are rated among the 100 Top Hospitals in the nation by Truven Health Analytics (2014). Fairfield Hospital is rated nationally among the Top 50 Hospitals for Cardiovascular Care by Thomson Reuters (2011).

Toledo is the other major area served by Mercy with a seven hospital system and a preferred provider of healthcare services for the 20-county area in and Southeast .

The Main Hospitals in the Toledo area are:  Mercy Hospital of Defiance  Mercy Hospital of Tiffin  Mercy Hospital of Willard  St. Anne Mercy Hospital  St. Charles Mercy Hospital  St. Vincent Mercy Medical Center  St. Vincent Mercy Children's Hospital

The goal of this 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 NextGen information services.

The long range vision is to enable a set of standard telehealth connection services that will interconnect throughout the region and facilitate any healthcare location in the state to share one or more telehealth services with any other healthcare location within the region and ultimately to interconnect with other health care providers on a national basis.

This RFP addresses the telecommunications and network maintenance to interconnect the main hospitals, the data centers and the multiple clinics and doctor’s offices in the area. This includes: bandwidth for general Internet connectivity, voice, data circuits for sending and receiving medical billing information, files and/or images to and from remote locations, medical administration and telemedicine.

2. Sites that are participating in this consortium are:

HCP NO. HCP Name HCP Address 12352 Lourdes Hospital 1530 Lone Oak Road Paducah, Kentucky 42003 12661 Mercy Memorial Hospital Urbana 904 Scioto Street Urbana, Ohio 43078 15452 Marcum and Wallace Memorial Hospital 60 Mercy Court Irvine, Kentucky 40336 16085 Mercy Health Partners (Defiance) 1404 East 2nd Street Defiance, Ohio 43512 16087 Mercy Health Partners (Willard) 110 East Howard Street Willard, Ohio 44890 16628 Mercy Health Partners (Elmore PT) 3105 State Hwy 51 South Elmore, Ohio 43416 16629 Mercy Health Partners (Felton) 486 West Perry Street Tiffin, Ohio 44883 16631 Mercy Health Partners (Nieset) 202 Mansfield Street New Washington, Ohio 44854 16632 Mercy Health Partners (Shiloh) 21 West Main Street Shiloh, Ohio 44878 16633 Mercy Health Partners (Willard Wellness) 1510 Conwell Avenue Willard, Ohio 44890 17110 Mercy Health Partners - Tiffin (St. Lawrence 45 St. Lawrence Drive Dr) Tiffin, Ohio 44883 17776 Saint Rita's - Delphos 1800 East Fifth Street Delphos, Ohio 45833 17777 Saint Rita's - Putnam County 601 US Route 224 Glandorf, Ohio 45848 17825-2 Mercy - The Heart Institute - Oxford 110 North Poplar Street Oxford, Ohio 45056 18046 Wapak Womens Center 1015 S. Blackhoof Street Wapakoneta, Ohio 45895 18051 Grand Lake Cancer Center of WCO 900 Haveman Road Celina, Ohio 45822 25831 Saint Rita's - Putnam County Outpatient 101 Putnam Rehab , Ohio 45875 26055-2 Wellington Orthopedic / Mercy Health 5151 Morning Sun Road Oxford, Ohio 45056 30750 Mercy Primary Care Wellington 508 Dickson Street Wellington, Ohio 44090 30751 Catholic Health Partners - Greenwich Family 65 W. Main Street Medicine Greenwich, Ohio 44837 31369 Mercy Cancer Center at Tiffin 40 Fair Lane Tiffin, Ohio 44883 31372 Mercy Family Practice of Sardinia 7109 Bachman Road Sardinia, Ohio 45171 31379 Mercy Health Clinic I (inside Marcum & 62 Mercy Court Wallace) Irvine, Kentucky 40336 31380 Mercy Health Clinic II 105 Main Street, Irvine Kentucky 40336 31382 Georgetown Family Medicine 4881 State Route 125 Georgetown, Ohio 45121 31383 Mercy Medical Associates Hillsboro 1121 North View Drive Hillsboro, Ohio 45133 31385 Mercy Medical Center 154 Health Partners Circle Mount Orab, Ohio 45154 31386 Mercy Urbana Wound Care Center 1430 U.S. 36 Urbana, Ohio 43078 31387 Mercy Pediatric Associates 433 W. Market Street Tiffin, Ohio 44883 31390 Mercy Primary Care LaGrange 105 Opportunity Way LaGrange, Ohio 44050 31391 Mercy Surgical and Urology Specialists 27 St. Lawrence Drive Tiffin, Ohio 44883 31392 Mercy Willard Hospital 1100 Neal Zick Road Willard, Ohio 44890 31393 St. Joseph ER and Diagnostic Center 476 South Main Street Andover, Ohio 44403 31793 Catholic Health Partners - Mercy Napoleon 1426 North Scott Street Clinic Napoleon, Ohio 43545 31796 Catholic Health Partners - Excel Sports 191 Community Drive Medicine and Rehabilitation Urbana, Ohio 43078 31797 Catholic Health Partners - Spencerville 107 North Canal Street Physicians Clinic Spencerville, Ohio 45887 31799 Catholic Health Partners - Orthopedic & 900 Scioto Street Surgical Specialists Urbana, Ohio 43078 31800 Catholic Health Partners - South Urbana 1300 U.S. 68 Medicine Urbana, Ohio 43078 31802 Catholic Health Partners - Family & Sports 110 Selhorst Drive Medicine Ottawa, Ohio 45875 31804 Catholic Health Partners - Elmore Radiology 3105 South State Route 51 Elmore, Ohio 43416 31805 Mercy Medical Associates Lawrenceburg 606 Wilson Creek Road Lawrenceburg, 47025 31806 Catholic Health Partners - Yellow Springs 716 Xenia Avenue Family Medicine Yellow Springs, Ohio 45387 31807 Catholic Health Partners - Mercy Surgical 218 Myrtle Avenue Specialists Willard Willard, Ohio 44890 31808 Catholic Health Partners - Mercy Medical 1025 Grand Avenue Clinic of Lee County Beattyville, Kentucky 41311 31809 Catholic Health Partners - Columbiana 225 East State Route 14 Cardiology Columbiana, Ohio 44408 31810 Catholic Health Partners - Mercy Heart 150 Health Partners Circle Institute Mount Orab, Ohio 45154 31811 Catholic Health Partners - Lyon County 97 Lakeshore Drive Medical Care Kuttawa, Kentucky 42055 31813 Catholic Health Partners - Mercy OB/GYN 2495 West Market Street Associates Tiffin, Ohio 44883 31815 Catholic Health Partners - Mercy Medical 749 Irvine Road Clinic of Powell County Clay , Kentucky 40312 32146 Catholic Health Partners Mercy dba Excel 1450 East US Highway 36 Sports Medicine & Rehabilitation Urbana, Ohio 43078 32479 Catholic Health Partners - Marcum & 1100 Richmond Road Wallace - Mercy Primary Care Irvine, Kentucky 40336 32941 Saint Rita's Medical Center - Mercy 1100 Defiance Street Rehabilitation at YMCA Wapakoneta, Ohio 45895 32950 Catholic Health Partners - Mercy Health 1344 Seneca Avenue Partners Clinic Dr Hedges Tiffin, Ohio 44883 33000 Catholic Health Partners - Mercy Defiance 1400 East 2nd Street Clinic II Defiance, Ohio 43512 33125 Catholic Health Partners - Mercy Well Child 204 Patrick Avenue Pediatrics Urbana, Ohio 43078 37994 SFM-Seaman Family Medicine (Adams 17862 State Route 247 County Family Medicine) Seaman, Ohio 45679 39854 Catholic Health Partners - Mount Orab 621 West Main Street Medical Center Mt. Orab, Ohio 45154 44790 Mercy Allen Medical Center 200 W Lorain Street Oberlin, Ohio 44074 44886 Mercy Primary Care Plymouth 25 Spring Street Plymouth, Ohio 44865 44887 Mercy Health - Oberlin Primary Care 319 W Lorain St. Oberlin, Ohio 44074 44888 Mercy Medical Associates 10541 Harrison Avenue Harrison, Ohio 45030 44889 Cardiologist of Clark and Champaign 900 Court Street Counties of Urbana (CCCC of Urbana) Urbana, Ohio 43078 47786 Harrison Medical Center 10450 New Haven Road Harrison, Ohio 45030 48098 Mercy Health Orthopedics and Sports 421 S Locust Street Rehabilitation Oxford, Ohio 45056 48443 Mercy Willard Occupational Health 1509 S. Conwell Avenue Willard, Ohio 44890 49128 Mercy St. Vincent Medical Center 2213 Cherry Street Toledo, Ohio 43608 49129 Mercy Regional Medical Center 3700 Kolbe Road Lorain, Ohio 44053 49130 St. Elizabeth Boardman 8401 Market Street Boardman, Ohio 44512 49131 St. Rita's Medical Center 730 W. Market Street Lima, Ohio 45801 49132 Springfield Regional Medical Center 100 Medical Center Drive Springfield, Ohio 45504 49146 Mercy Hospital Anderson 7500 State Road Cincinnati, Ohio 45255 49148 Mercy Health - West Hospital 3300 Mercy Health Boulevard Cincinnati, Ohio 45211 49149 Mercy Health - Clermont Hospital 3000 Hospital Drive Batavia, Ohio 45103 49150 Jewish Hospital 4777 East Galbraith Road Cincinnati, Ohio 45236 49151 Mercy Hospital Fairfield 3000 Mack Road Fairfield, Ohio 45014 49152 Saint Elizabeth Youngstown Hospital 1044 Belmont Avenue Youngstown, Ohio 44504 49153 Mercy Saint Anne Hospital 3404 West Sylvania Avenue Toledo, Ohio 43623 49154 Mercy Saint Charles Hospital 2600 Navarre Avenue Oregon, Ohio 43616 49155 Saint Joseph Warren Hospital 667 Eastland Avenue Southeast Warren, Ohio 44484 49160 Mercy Health - Blue Ash Data Center 4600 McAuley Place Cincinnati, Ohio 45242 49162 Mercy Health - Toledo Business Office 2200 Jefferson Avenue Toledo, Ohio 43604 49163 Mercy Health- Business Office Youngstown 250 Federal Plaza East Youngstown, Ohio 44503 49164 Mercy Health Springfield Business and Data 1 S. Limestone Street Center Springfield, Ohio 45502 49165 Mercy Health - Corporate Business Office 615 Elsinore Place Cincinnati, Ohio 45202 49275 Mercy Health - Business Office Youngstown 1343 Belmont Avenue Information Technologies Youngstown, Ohio 44504 49546 Mercy Health - Corporate Office 1701 Mercy Health Place Cincinnati, Ohio 45237 49559 Lourdes Pain Management Center 1710 Highway 121 H Bypass Murray, Kentucky 42071 49560 Mercy Primary Care - Benton KY 83 Wellness Way Benton, Kentucky 42025 49633 MercyHealth Document Management 1401 Summit Street Solutions Toledo, Ohio 43604 49790 Mercy Health - Florence Technology Center 7190 Industrial Road (Data Center) Florence, Kentucky 41042

3. 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. 4. 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, Mercy Healthcare 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 Hospital and remote clinics. 5. Discussion of how the broadband services will be used to improve or provide health care delivery

There are multiple Data Centers in the Mercy Healthcare network. 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 mostly a combination of ISDN PRIs and high speed Ethernet internet 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. 6. Discussion of previous experience in developing and managing health IT (including telemedicine) programs Ken Sullivan, Corporate Director, Information Technology and Consortium Leader will oversee this project. Ken Sullivan, is director of IT, and has been involved in IT services and projects for 14 years 12.5 with Mercy Health

7. A project management plan outlining the project's leadership and management structure (a work plan, schedule, and budget)  Ken Sullivan, Corporate Director, Information Technology and Consortium Leader, will be the project Manager.

 Schedule: - Bid process to last 28 days with earliest contract selection date on the 29th day

 Budget: -Telecommunication Services - Annual Cost ~ $4,000,000. -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.