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A High Quality, Low Cost Hospital and Healthcare Solution for the Sustainability of the Long Island College Hospital Community STATE UNIVERSITY of NEW YORK REQUEST FOR PROPOSAL X002539 February 3, 2014 February 7, 2014 Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 1

Introduction of Offerors Strategic Partnership: Large networks of clinically integrated physicians  Chinese Community Accountable Care Organization  4/1/2012 - Approved as one of the first ACO approved under the Medicare Shared Savings Program  1 of 7 ACOs nationally to receive interim payment of shared savings (out of 114 ACOs approved in 2012)  > 12,000 assigned Medicare Beneficiaries  Eastern Chinese American Physician IPA  Established in 2004  Over 210 physician members Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 2

Introduction of Offerors CCACO and ECAP Membership Profile  50% PCPs to 50% Specialists  Specialty Services Include but not limited to: Cardiology, Oncology/Radiation-Oncology, OB/GYN, Ophthalmology GI, Endocrinology, Rheumatology, ENT, Surgery, Podiatry, etc.  CCACO/ECAP physicians maintain independent hospital affiliations/credentials include: LMC, Downstate, LICH, NYU, Maimonides Medical Center, BI, Mount Sinai, Columbia Presbyterian….  Commitment to Quality ( NCQA Recognition, Meaningful Use, PCMH0  Diabetes Recognition Program  Nearly 70 physicians achieved NCQA Diabetes Recognition Program by via a grant funded by the New York State Health Foundation  Patient Centered Medical Home (PMCH) Certification  30 practices are PCMH certified, Level 1 - Level 3  Additional 10 in process of obtaining certification Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 3

II. Sustainability Plan for a Viable LICH: Hospital Operational Vision Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 4

LICH Sustainability Plan Hospital Operational Vision  Establish a not for profit Article 28 hospital with local community physician leadership (“debt free” hospital facility)  Provide high quality, low cost care to Brooklyn’s residents via an efficiently operated, “right-sized” community hospital.  Will consult with stakeholders to provide full service community hospital. Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 5

IIB. Sustainability Plan for a Viable LICH: Management Vision Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 6

LICH Sustainability Plan: Management Vision  Management team lead by community-based, physician owned and operated organizations that understand the changing landscape of healthcare  Healthcare reform – change is a must!  Alignment with key hospital executives experienced in daily operations and finances/economics of hospital operations Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 7

IIC. Sustainability Plan for a Viable LICH: Academic Vision Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 8

LICH Sustainability Plan: Academic Vision  Maintain academic affiliation with State University of New York/Downstate to provide medical and/or dental residency training programs via clinical rotations and clinics throughout LICH campus Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 9

III. Distinctive Advantages and Strengths Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 10

Our Strengths & Advantages  Experienced healthcare professionals  Local Presence and Relationships  Large network of clinically integrated physicians located in Brooklyn, Manhattan & Queens practicing in all specialties  Large patient base to support hospital admissions and utilize services, many living in Brooklyn  Collaborative relationships with local community leaders, community stakeholders and healthcare providers  Expertise in management of successful ACO and IPA Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 11

Summary of Proposal  Vision to rebuild a high quality, efficient hospital  Experienced healthcare professionals dedicated to improving the overall healthcare of the LICH community  Commitment to collaborate with local community leaders, community stakeholders and healthcare providers to meet the health care needs of the community Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 12

SUNY RFP – Long Island College Hospital Meeting the 5 Key Objectives 1. Assist Downstate in exiting the provision of clinical services at the LICH campus. 2. Operation of a health care facility or health services on all or part of the LICH campus, consistent with the health care needs of the community. 3. Continuation of an academic affiliation with Downstate 4. Sale of the Property at no less than the current market values and satisfaction of liabilities attendant to such Property. A proposal to purchase less than all the Property will be considered provided it meets the objective of satisfying the liabilities attendant to all the Property. 5. Encourage collaborations among interested parties that will make use of the entire LICH campus to benefit the community, including but not limited to the provision of health care services CCACO/ ECAP LI CH Vision = 100% Alignment with 5 Key RFP Objectives Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 13

Thank you! Chinese Community Accountable Care Organization & Eastern Chinese American Physicians IPA Offering A High Quality, Low Cost Hospital Solution for the Sustainability of LICH (RFP X002539) 14