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KP in American Healthcare System

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Given by Murray Ross,Vice President and Director Kaiser Permanente Institute for Health Policy,

Given by Murray Ross,Vice President and Director Kaiser Permanente Institute for Health Policy,


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  • The potential impact of a connected community for healthcare delivery seemed intuitive but remained largely unproven.
  • Transcript

    • 1. Murray N. Ross, Ph.D. VP, Kaiser Foundation Health Plan Director, Kaiser Permanente Institute for Health Policy Kaiser Permanente: Transforming Care Through Technology Netherlands/Cisco San Jose February 15, 2011
    • 2. Discussion outline
      • U.S. health care “non-system”
      • Kaiser Permanente
        • By the numbers
        • What integration means
      • Using health IT to transform care
        • Engaging our members
        • Supporting our clinicians
      • Expanding knowledge along three dimensions
        • Person, panel, population
    • 3. The U.S. health care environment
      • We mix all possible ways to:
      • Provide coverage
      • Finance coverage
      • Pay providers
      • Deliver care
      • Govern insurance and delivery
      • Regulate insurance, delivery
      Health reform changes and builds on this non-system!
    • 4.
        • Organization
        • 8.8 million members
        • 14,000+ physicians
        • 166,000+ employees
        • 35 hospitals
        • 431 medical offices
        • $44b revenue (2010)
      Kaiser Permanente: who we are
        • Services (2008)
        • 36.7 million DOVs
        • 129 million Rx filled
        • 550,000 surgeries
        • 1.1 million mammograms
        • 1.6 million CRC screens
      Kaiser Permanente Medical Program Kaiser Foundation Health Plan* Kaiser Foundation Hospitals* Permanente Medical Groups
    • 5. What does integration mean?
      • Shared responsibility for program success
        • KP “owned” jointly by physicians, health plan, and labor
        • The “MEMO” relationship
      • Integration along multiple dimensions
        • Between financing and medical care
        • Along the health/illness continuum
        • Across health care providers
        • Over time (Kaiser babies become Medicare members)
      • Functional specialization
        • Physicians practice medicine, nurses care for patients
        • KFHP execs manage finance, administration, marketing
    • 6. Knowledge key to successful integration
      • Invested $3+ billion in electronic medical record
        • Real-time, continuous access to information on visits, lab and radiology reports, immunizations, medications, allergies
        • All caregivers directly connected for decision support
      • Data and evidence support performance
        • Focus on individual care AND population health
        • Systems orientation drives performance improvement
        • Technology assessment, comparative effectiveness research, clinical guidelines
        • Evidence gathering: clinical trials, registries, best practices
    • 7. Caring for the whole member
      • Caring for the whole member proactively addresses needs for:
        • Chronic conditions care
        • Lifestyle, behavior change
        • Prevention
       Diabetes  Coronary Artery Disease  Dyslipidemia  Hypertension  Tobacco Use  Diet Chronic Conditions Prevention   Colorectal cancer screening  Immunizations  Diabetes  Coronary Artery Disease  Dyslipidemia  Hypertension  Tobacco  Chronic Conditions Chronic Conditions Prevention Prevention  Breast & Cervical cancer screening  Colorectal cancer screening  Immunizations Lifestyle / Behavior Lifestyle / Behavior Lifestyle / Behavior Exercise 
    • 8. KP’s e-care evolution
      • E-Health Management: including blood pressure, blood glucose, respiratory peak flow, weight measurement, “virtual care” using video and audio cast, and online health assessments
      • E-mail your doctor
      • View lab test results online
      • Refill prescriptions online
      • Schedule/cancel appointment online
      • Select a physician online
      • View your health record
      • Drug/health encyclopedia
      • Healthwise Handbook
      • Facility/staff directory
      • Link to other Web sites
      Impact on Quality and Care Experience General Information Personalized Information Care
    • 9. Engaging patients: My Health Manager
      • Secure view of EHR:
        • View lab results, immunizations, allergies, past office visits
      • Interact with care team:
        • E-mail my doctor, complete a HRA
      • Convenient transactions:
        • Refill prescriptions, manage appointments, act for a family member
      • Educational opportunities:
        • Links to health & drug encyclopedias, online behavior change programs
    • 10. Patient engagement in online care
      • Over 3 million registered users in 2009
              • 61.7 million site visits
              • 21.7 million My Test Results viewed
              • 8.6 million E-mail My Doctor messages
              • 6.8 million prescription refills ordered
              • 185,000 submissions to online behavior health programs
              • 1.8 million online appointment requests
    • 11. Screen shot of KP HealthConnect
    • 12. Panel support with KP HealthConnect TM
    • 13. Screen shot of panel support tool
    • 14. HEDIS Measures 2009
      • NCAL SCAL HI NW CO GA MAS OH
      • Breast Cancer Screening
      • Childhood Immunization Status
      • Chlamydia Screening in Women
      • Antidepressant Medication Management, Acute Phase
      • Antidepressant Medication
      • Management, Continuation
      • Diabete--BPControl – 130
      • Diabetes--Neuropathy
      MARKET RANKING WITHIN REGION 1 1 1 1 1 1 1 1 2 2 1 1 1 1 2 3 1 1 1 1 1 1 1 1 1 1 1 1 1 2 6 1 1 1 2 1 2 1 1 1 1 1 1 3 4 1 1 1 1 1 1 1 6 7 1 1 1 Based on HEDIS 2009 Commercial results and NMR Competitors. Leading in preventive and clinical measures
    • 15. For more information
      • Murray N. Ross, Ph.D.
      • Vice President, Kaiser Foundation Health Plan, Inc.
      • Director, Kaiser Permanente Institute for Health Policy
      • One Kaiser Plaza, 22nd Floor
      • Oakland CA 94612
      • Office: 510-271-5691
      • Email: [email_address]
      • IHP Website: http://www.kpihp.org/