Kaiser Permanente HealthConnect - EHR and SNOMED

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Health Informatics New Zealand

Andrew M. Wiesenthal, MD, SM Associate Executive Director, The Permanente Federation

Health & Medicine Economy & Finance

Kaiser Permanente HealthConnect ,[object Object],[object Object]

About Kaiser Permanente ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* 2006 revenues

About Kaiser Permanente HealthConnect™ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Scope of KP HealthConnect Care Delivery Core Outpatient Inpatient Scope of KP HealthConnect Suite Scheduling Registration Clinicals Billing Scheduling Admission, Discharge and Transfer Clinicals Billing Pharmacy Emergency Department Operating Room Health Plan Web Access Portal Ancillaries Referral & Utilization Management Finance Lab Radiology/ Imaging Others (immunizations, EKG, dictation) Outpatient Pharmacy Claims Processing Membership/ Benefits Benefits Accumulation Pricing System Data Warehouse / EDR Enterprise Data Repository Capital Planning General Ledger Financial Reporting

KP HealthConnect Delivers the KP Promise Quality Our Patients Can Trust ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Personal & Convenient Service ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Affordable Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object]

Progress to Date ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conformance to Standards ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Standardized Vocabularies vs. ICD and CPT ,[object Object],[object Object],[object Object],[object Object],[object Object]

How Does it Work? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Does it Work? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Does it Work? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why do it This Way? ,[object Object],[object Object],[object Object],[object Object]

What are the Problems? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Chart Elements are Encoded Chief Complaint Vital Signs Allergies Health Risks

Medications are Encoded Prescribed at our pharmacy Patient reported

Documenting Review of Systems with Encoded Elements

Documenting Physical Examination with Encoded Elements

Granular Encoding in Medication Ordering

Documentation can be Structured into Historical Flows

In the End… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DATA

What Has this Meant for Kaiser Permanente’s Members? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Kaiser Permanente HealthConnect - EHR and SNOMED

4. Scope of KP HealthConnect Care Delivery Core Outpatient Inpatient Scope of KP HealthConnect Suite Scheduling Registration Clinicals Billing Scheduling Admission, Discharge and Transfer Clinicals Billing Pharmacy Emergency Department Operating Room Health Plan Web Access Portal Ancillaries Referral & Utilization Management Finance Lab Radiology/ Imaging Others (immunizations, EKG, dictation) Outpatient Pharmacy Claims Processing Membership/ Benefits Benefits Accumulation Pricing System Data Warehouse / EDR Enterprise Data Repository Capital Planning General Ledger Financial Reporting

10.

11.

12.

13.

14. What Does it Look Like?

15. Key Chart Elements are Encoded Chief Complaint Vital Signs Allergies Health Risks

16. Medications are Encoded Prescribed at our pharmacy Patient reported

17. Patient “Snap Shot”

18. Documenting Review of Systems with Encoded Elements

19. Documenting Review of Systems…

20. Documenting Review of Systems…

21. Documenting Physical Examination with Encoded Elements