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About

About Tufts Medical Center demanding greater value from the healthcare dollar. healthcare the from greater value demanding is that reform environment ahealth in position lower-costhigh-quality, advantageous an profile is year. to for afull center this achieve medical Our satisfaction patient for Compare website also gives us England. New in one only the and country the in 13 only of one Consortium, HealthSystem star academic medical center by University high-cost competitors. our than to better or is equal that care delivering Tufts show consistently MC data quality and cost maintaining a lower cost while ratings experience patient and provider— region’s the Tufts as is recognized MC value and convenient for patients. is both strategy own their in patients more totreat able are institutions partnering our in hospital any of patients treating Tufts resulted in has regularly MC strategy Our partnerships. thriving through to community care the secondary distributing and downtown Boston in care advanced and complex most the providing on focus for Children Hospital Floating and Center Tufts 415With Medical beds, value providers in eastern . research each year. Tufts MC is of part abroad network of high-quality, for School of Medicine and conduct million $50 in research. We are the principal adult and pediatric teaching hospital and conducting groundbreaking basic, clinical, and public policy engaged in advanced patient care, teaching tomorrow’s physicians, adult hospital and achildren’s hospital in downtown Boston. We are Tufts Medical Center is arenowned academic medical center with an the highest percentage of the sickest achieving outstanding quality, safety, safety, quality, outstanding achieving cost-effective We are ranked as afive- as We ranked are ; the only Boston academic academic Boston only ; the . Government reviews of . Government for Massachusetts for Massachusetts . In addition, . Inaddition, four stars . This . This The The service in healthcare. service and innovation of Tufts years leading MC 220 2016 England; marks New in facility healthcare first the was institution, original our Dispensary, Boston The partners. and peers as community the in hospitals center, and physicians we value and medical academic accessible approachable, an We culture. as are internal known of our out borne is community the in approach collaborative Our Medical Center. Hospital; BIDMC:Beth Israel Deaconess Medical Center; BMC:Boston MGH: Massachusetts General Hospital; BWH: Brigham& Women’s 0.0 0.9 0.3 0.6 1.8 1.2 1.5 Index—Appendix B”—CHIA Tufts MC Source: FinalFY14 Acute Hospitals Data Book: “Case Mix Case MixIndex 2014 BWH MGH (Latest Data(Latest Available) BIDMC BMC

KEY STATS

Beds: 415 Residency and fellowship programs accredited by the Accreditation Council for Graduate Medical Education: 43 Residents and Fellows: 452 Tufts University School of Medicine student rotations: 900 to 1,000 Employees: 5,000 Employed Physicians: 580 Physicians in NEQCA: 1,800 Operating Revenue: $915.1 million Discharges: 17,572 Emergency Room Visits: 43,612 Clinic Visits: 351,145 Research Portfolio: $50 million

FY 2015 figures

TRAINING TOMORROW’S PHYSICIANS Tufts Medical Center has a rich tradition of educating the next generation of physicians and physician-scientists. We are the principal teaching hospital for Tufts University School of Medicine (TUSM), and each year we train about 450 residents and fellows in 43 programs approved by the Accreditation Council for Graduate Medical Education. All full-time physicians at Tufts MC and Floating Hospital for Children hold faculty appointments at TUSM, and 17 of TUSM’s 19 department chairs reside at Tufts Medical Center. Our physicians are regularly recognized among Boston’s top doctors and are sought-after experts in their fields nationally and internationally. The physicians are actively engaged in teaching and mentoring. Our partnership with TUSM, our highly complex patient population, and our connection with community affiliates provide a diverse, hands-on experience for aspiring doctors and for physicians seeking advanced specialization. DixvilleNotch

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NEW HAMPSHIRE DRIVING VALUE IN HEALTHCARE Berlin Composite Relative Price Percentile of Boston Academic The Value of Our Academic Medical Center Medical Centers Commercial Hospital Payments, 2014 and Physician Network 93 89 Healthcare is no longer about who spends the most; it’s about who delivers the highest quality of care while valuing 68 patients’ and employers’ healthcare dollars. Massachusetts 64 data show that tiered network plans, where patients are 63 59 rewarded for choosing lower-cost providers, are growing; consumerism is increasing, and employers and payers are demanding greater efficiency and effectiveness. Tufts MC and our NEQCA physician network consistently deliver the highest quality of care at a lower cost, putting us in the best Boston Medical Tufts Medical Beth Israel Lahey * Massachusetts Brigham & position for patients and employers. Center Center Deaconess General Hospital Women’s Medical Center Hospital University HealthSystem Consortium’s Quality and * Lahey: teaching hospital category. Accountability Study ranks Tufts MC among the top 20 Source: CHIA Annual Report Series: Relative Price Health Care Provider Price Variation in Massachusetts Commerical Market, February 2016 AMCs in the nation for efficiency.

We Are Distinguished by Our High Quality Tufts Medical Center has received numerous distinctions for high-quality care, including: ▶▶University HealthSystem Consortium 5-star academic ▶▶National Association of Epilepsy Centers’ Level 4 89 medical center (AMC) rating: only 13 of 102 AMCs Comprehensive Epilepsy Center received this recognition and no other AMC in Boston or ▶▶Level 1 for adult and pediatric care is 5-star ▶▶Tufts Medical Center’s primary care offices in Quincy, ▶▶Hospital Compare: only AMC in Boston to achieve 4-stars Framingham, and Boston have all been recognized 95 for Patient Experience for a full year as Patient-Centered Medical Homes (PCMH) with a ▶▶ 93 Hospital Compare also gives us four stars for the way our Level III status from the National Committee for Quality 3 doctors and nurses communicate with patients, and how Assurance (NCQA) NH Circle Health/Lowell likely patients are to recommend us for care ▶▶Our NEQCA physician network outperforms nearly all General Hospital ▶▶In 2015, Boston Magazine named 82 of our physicians in other networks in the region: Lowell 45 specialties to its “Top Doctors” list 93 95 NEQCA: A Leader in Healthcare Quality ▶▶Blue Cross Blue Shield Blue Distinction Center + Total 3 Melrose/Wakefield Wellforce Members Hospital value designation in: 2 NEQCA 68 Melrose Lawrence Memorial • Cardiac care • Bariatric surgery 59 Medford Hospital LGH PHO 55 495 95 190 • Hip and knee replacement • Spine surgery 47 Boston Hallmark Health 45 90 Tufts Medical Center/ 290 ▶▶Truven Health Analytics named us one of the nation’s 50 Top 42 Quincy Floating Hospital Tufts University Score Cardiovascular Hospitals, one of only 15 teaching hospitals with residency programs to receive this designation Norwood 24 3 ▶▶The American Stroke Association Gold Plus and Target Atrius NEQCA PCHI Steward BIDCO Lahey 495 95 Stroke Awards and the American Heart Association Network SCORE Award Source: MHQP HEDIS Quality Peer Group Score All Measures 2014 (Latest Data Available) RI

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6 Tufts MC is a 5-Star UHC Hospital. One of only Fall River Hyannis 13 in the country. The only one in New England. DixvilleNotch

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NEW HAMPSHIRE Berlin PARTNERSHIPS THAT WORK Tufts Medical Center and Floating Hospital for Children have a long history of partnering with providers in the community to ensure the best care is delivered where the patient needs it most. Almost half of the care provided by Tufts MC and Floating Hospital physicians is delivered in community settings. We have developed partnerships with community hospitals that bring our specialists into pediatric units, ICUs, special care nurseries, operating rooms, and more to provide advanced care locally. Our specialists and community hospital partners also have developed outpatient clinics, allowing adults and children to see oncologists, heart failure specialists, kidney specialists, surgeons, orthopedists, and other academic physicians close to home. This approach has been successful for our community partners and Tufts Medical Center physicians for Tufts MC and Floating Hospital for Children. Our partner in Wellforce, , provide almost half of their care in has had increased volume and case mix since the community. selecting Tufts MC as its preferred AMC. Tufts MC has seen a more than 40% increase in tertiary

89 patients from LGH’s service area.

95 THE WELLFORCE A Far-Reaching 93 3 NETWORK Network

NH Circle Health/Lowell Wellforce, an organization General Hospital founded by Tufts MC and Circle

Lowell Health, is designed to bring 93 95 together hospitals, physicians 3 Melrose/Wakefield Wellforce Members and other providers to succeed Hospital 2 NEQCA Melrose Lawrence Memorial in the evolving healthcare reform Medford Hospital LGH PHO environment 495 95 190 Hallmark Health 90 Boston Tufts Medical Center/ 290 New England Quality Care Quincy Floating Hospital Tufts University Alliance (NEQCA), a network of more than 1,800 physicians with Norwood 24 a more than 10-year history of 3 495 95 transforming the way physicians care for patients

RI A five-hospitaldistributed pediatric network reaching 3 across eastern Massachusetts with hospitalists, neonatologists 6 Fall River Hyannis and specialists seeing patients in Brockton, Lowell, Lawrence, Cape Cod and MetroWest The Power of Wellforce A HISTORIC APPROACH TO In October 2014, Lowell INNOVATION AND SERVICE General Hospital (part of Tufts Medical Center’s proud and distinguished tradition Circle Health) and Tufts began in 1796, when a group of public-spirited Bostonians Medical Center brought established the Boston Dispensary as the first permanent together the strengths medical facility in New England, one of the first in the nation. of their two high-quality, lower-cost hospitals to form The Boston Dispensary’s founders funded vouchers that Wellforce. Wellforce is substantially different than other enabled the city’s poor to receive medical care; one of the health systems in Massachusetts. We are a collective of original vouchers signed by Paul Revere can be seen today at value-driven, independent-minded healthcare providers the Massachusetts Historical Society. who recognize that the key to better, more affordable Floating Hospital for Children was established in 1894 as a healthcare is a well-supported clinician-patient relationship. hospital ship, sailing in Boston Harbor until moving to land Wellforce focuses on innovations in care integration, population permanently in 1931. Over the years, physicians and nurses health management, access and operational excellence so our at Floating Hospital, the Boston Dispensary and the other clinicians can concentrate on their patients. Wellforce provides institutions that ultimately formed Tufts Medical Center were members with the benefits of scale and members maintain responsible for a variety of innovations in care. These significant autonomy. Many systems are too centered around included creating the first baby formula (now marketed as their academic medical center (AMC). Wellforce is unique in Similac® ); the first definitive test for syphilis, still in use today; that it is a partnership of mutual respect among hospitals and and the first growth hormone treatment. providers in the community and an AMC.

New England Quality Care Alliance For more than 10 years, Tufts Medical Center and the physicians of NEQCA have worked side by side to improve healthcare in Massachusetts. The more than 1,800-physician network began in 2005 as a partnership between Tufts Medical Center and Primary Care LLC, a physicians group located on the South Shore of Massachusetts. Tufts MC is the preferred academic medical center for the network which stretches from the Merrimack Valley to the South Coast region. NEQCA is a leader in helping physician practices of all sizes manage change, build population health capabilities, control costs, and improve the quality of patient care. NEQCA is among the highest- quality networks in Massachusetts, ranking ahead of Lahey, Partners, Steward, and Beth Israel Deaconess, according to the latest data from Massachusetts Health Quality Partners. ▶ ▶ ▶ ▶ ▶ ▶ osteoarthritis. of symptoms the intreating chi tai of efficacy to the disease heart and cancer of basis molecular the from ranges portfolio research annual million $50 Our inception. our since almost patients of lives the to improve research in engaged have been Children for Hospital Floating and Center Tufts Medical GROUNDBREAKING RESEARCH GROUNDBREAKING ▶ ▶ ▶ ▶ ▶ ▶ training, mentorship, and a multi-institutional network to conduct clinical trials. trials. clinical to conduct network amulti-institutional and mentorship, training, innovative research environment where investigators resources, access consultations, and acollaborative by creating health Tufts on into CTSI research impact Health. translates of Institutes National the from agrant with (CTSI), Institute 2008 in Science established Translational of and Tufts Clinical are part Tufts and University Center Tufts Medical decisions. coverage Medicare on and interventions health of cost-effectiveness the on kind, of their largest the databases, known widely maintain and built economists health Center Tufts Medical progressing to diabetes. from pre-diabetes stop Dcan vitamin whether to trial study alarge, multi-center leading are by grant, afive-year, NIH million $40 supported researchers, Center Tufts Medical malformations. of brain fetal outcomes the baby, of the predict to MRI and using detect health and lifelong the on obesity maternal of impact the exploring utero in treatment, and diagnosis prenatal in innovation driving are fetus. Researchers developing her and amother between interplay biological the on focus (MIRI) aunique has Institute Research Infant Center’s Mother Tufts Medical devices. circulatory-support evaluating and developing and failure, torelevant heart muscle heart the within pathways signaling pressure, blood high aging-associated disease, cardiovascular in sex differences are exploring scientists MCRI pressure. blood high and death cardiac sudden failure, heart atherosclerosis, as such diseases cardiovascular (MCRI) studies Institute Research Cardiology Center’s Molecular Tufts Medical (NIH) funding. of Health Institutes National receiving top 10% the of institutions all is among Center Tufts Medical 800 Washington Street, Boston, MA 02111 MA Boston, Street, Washington 800 www.tuftsmedicalcenter.org/choose

10152 0616 About Tufts Medical Center

About Tufts Medical Center