Mark Laothavornwong Spring 2008 Business Strategy

Transferring initial 1,500 patients Missing data Missing data New Kaiser renal transplant program Contracted kidney transplant centers

Plan oversight No significant planning to handle 1,500+ patients Short of staff in all level: administration, management, data coordinator, and staff with experience in a renal transplant program. Availability of renal specialists & surgeons In 2005, Kaiser performed 56 kidney transplants while UCSF performed 136 transplants.

Plan oversight

No significant planning to handle 1,500+ patients

Short of staff in all level: administration, management, data coordinator, and staff with experience in a renal transplant program.

Availability of renal specialists & surgeons

In 2005, Kaiser performed 56 kidney transplants while UCSF performed 136 transplants.

Administrative errors/Poor planning Lack of good communication while transferring patients (the change about what to expect in the new program) Hire only one person to collect and one to process all patients’ records Not updated the wait list database at UNOS that the patients had moved from UC to Kaiser, so they kept waiting. Necessary medical records were missing or incomplete from paper records. As a result, UNOS can’t register and match patients with kidney donors (hundreds++).

Administrative errors/Poor planning

Lack of good communication while transferring patients (the change about what to expect in the new program)

Hire only one person to collect and one to process all patients’ records

Not updated the wait list database at UNOS that the patients had moved from UC to Kaiser, so they kept waiting.

Necessary medical records were missing or incomplete from paper records. As a result, UNOS can’t register and match patients with kidney donors (hundreds++).

Kaiser shut down the facility in 2006 and transferred 2,313 patients back to the UC.

Kaiser shut down the facility in 2006 and transferred 2,313 patients back to the UC.

Soft start or Joint venture with UCD or UCSF instead operate by itself Update data accurately with UNOS ( United Network of Organ Sharing) Team up with Donate Life California to increase organ donations and registry signups. Coordinate with California’s Department of Managed Health Care (DMHC) when patients have HMO problems.

Soft start or Joint venture with UCD or UCSF instead operate by itself

Update data accurately with UNOS ( United Network of Organ Sharing)

Team up with Donate Life California to increase organ donations and registry signups.

Coordinate with California’s Department of Managed Health Care (DMHC) when patients have HMO problems.

Joint Venture Resolve HMO problems Organ Donations Trial: 200 patients instead of 1,500

Add more data collectors & processors. Collect data from UC by using Microsoft SQL 2005 or HealthConnect™. Note: Today, they can use SQL 2008 or Microsoft’s health vault.

Add more data collectors & processors.

Collect data from UC by using Microsoft SQL 2005 or HealthConnect™. Note: Today, they can use SQL 2008 or Microsoft’s health vault.

Highly sophisticated health information system Integrate the clinical record with appointments, registration, billing, laboratory, radiology, and pharmacy A complete health care business system that will enhance the quality of patient care (Before Health Vault)

Highly sophisticated health information system

Integrate the clinical record with appointments, registration, billing, laboratory, radiology, and pharmacy

A complete health care business system that will enhance the quality of patient care (Before Health Vault)

Eliminate waste associated with paper medical records and missing medical records Increased efficiency for office and emergency room visits Reduction in unnecessary office visits Elimination of duplicate labs and tests

Eliminate waste associated with paper medical records and missing medical records

Increased efficiency for office and emergency room visits

Reduction in unnecessary office visits

Elimination of duplicate labs and tests

When transferring, conduct a transition plan that includes all steps necessary. Set up weekly meetings with UCD, UCSF, UNOS and DMHC to report progress. Provide the right that patients can choose to receive a transplant from UCD or UCSF or Kaiser. Set up a complaint system department (alternative).

When transferring, conduct a transition plan that includes all steps necessary.

Set up weekly meetings with UCD, UCSF, UNOS and DMHC to report progress.

Provide the right that patients can choose to receive a transplant from UCD or UCSF or Kaiser.

Set up a complaint system department (alternative).

Questions?

Questions?