Health record


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  • Introduce self briefly
  • Health record

    1. 1. Kaiser Permanente HealthConnect Online Greater Baltimore Medical Center Maryland HIMSS Conference Jay (Tom) Rorick, M.D. Baltimore Area Medical Director Proprietary – Kaiser Permanente
    2. 2. Overview <ul><li>1. Before the EMR </li></ul><ul><li>2. The beginnings at Kaiser </li></ul><ul><li>3. Exam Room Computing </li></ul><ul><li>4. 2005 – EPIC deployment and </li></ul><ul><li>5. Aug 2006 – My Chart – the patient begins to interact with their medical record </li></ul><ul><li>6. Questions </li></ul>
    3. 3. Kaiser Permanente Mid-Atlantic States <ul><li>500,000 Members </li></ul><ul><li>900+ Physicians </li></ul><ul><li>32 Sites of Care </li></ul><ul><li>100 x 50 mile area of coverage </li></ul><ul><li>North of Baltimore to South of DC) – Woodlawn to Woodbridge/Annapolis to Ashburn </li></ul><ul><li>Nationally – 8 regions, 8 million members </li></ul>
    4. 4. The Beginnings <ul><li>Use of homegrown EMR since 1992 </li></ul><ul><ul><li>Initially a way to view schedule and get some lab data </li></ul></ul><ul><ul><li>1996 – became an electronic referral entry system </li></ul></ul><ul><ul><li>Gradually expanded to add progress notes, internal messaging, and other features </li></ul></ul><ul><ul><li>Prior system menu driven and highly intuitive </li></ul></ul><ul><li>Didn’t talk to lab systems, radiology systems, business systems </li></ul><ul><ul><li>No transfer of data outside of system and no electronic patient access but any provider could access any patient’s records </li></ul></ul><ul><ul><li>Reached limit of ability to expand </li></ul></ul>
    5. 5. KP Blue-Sky Vision
    6. 7. Exam Room Computing <ul><li>1. Introduced in 2003 </li></ul><ul><li>2. Allowed patient to share in data, see what the provider was entering and ordering </li></ul><ul><li>3. Very high patient satisfaction </li></ul><ul><li>4. Major change for providers </li></ul>
    7. 8. Change Management
    8. 9. What is Kaiser Permanente HealthConnect? <ul><li>Kaiser Permanente HealthConnect </li></ul><ul><ul><li>More than just an electronic medical record </li></ul></ul><ul><ul><li>The development and deployment of a highly sophisticated information management and delivery system </li></ul></ul><ul><ul><li>A program-wide system that will integrate the clinical record with appointments, registration and billing </li></ul></ul><ul><ul><li>A complete healthcare business system that will enhance the quality of patient care and support the KP Promise </li></ul></ul><ul><ul><li>It is ultimately an national program that will allow access to any member’s record no matter what region they are seen in. </li></ul></ul>
    9. 10. KP HealthConnect - Benefits <ul><li>Integration </li></ul><ul><ul><li>Single, comprehensive medical record includes past visits, lab results, radiology reports, immunization records, medications and allergies </li></ul></ul><ul><li>Clinician Access </li></ul><ul><ul><li>24/7 complete access to patient information </li></ul></ul><ul><li>Patient Access: On-line access to medical records and service </li></ul><ul><ul><li>Email physicians </li></ul></ul><ul><ul><li>Refill prescriptions </li></ul></ul><ul><ul><li>Review lab results </li></ul></ul><ul><ul><li>Research health information </li></ul></ul><ul><ul><li>Appointment scheduling </li></ul></ul>
    10. 11. KP HealthConnect - Benefits <ul><li>Efficiency: </li></ul><ul><ul><li>Physicians can provide medication, order lab work, radiology and provide referrals from single system at point-of-service and eliminate redundant entry </li></ul></ul><ul><ul><li>Improved advanced care planning (simple registries, reminder systems, protocols, etc.) </li></ul></ul><ul><li>Safety: </li></ul><ul><ul><li>System alerts support patient care by catching abnormal results, negative trends, patient history, chronic problems, and drug/procedure combinations </li></ul></ul><ul><li>Coordination: </li></ul><ul><ul><li>Complete medical information is available across sites of care </li></ul></ul><ul><ul><li>Deliver similar “KP Experience” across the program </li></ul></ul><ul><li>Decision Support: </li></ul><ul><ul><li>Shared decision-making technologies </li></ul></ul><ul><ul><li>Chronic disease management models </li></ul></ul>
    11. 13. Alerts based on either current data or history
    12. 17. <ul><li>Kaiser Permanente HealthConnect Online </li></ul>
    13. 18. KP Blue-Sky Vision
    14. 19. Web Access for Members
    15. 20. Overview of KPHC Online Features <ul><li>Additional View Only </li></ul><ul><ul><li>Your Immunizations </li></ul></ul><ul><ul><li>Your Ongoing Health Conditions </li></ul></ul><ul><ul><li>Your Eligibility and Benefits </li></ul></ul><ul><ul><li>Your Allergies </li></ul></ul><ul><ul><li>Request an Update to Your Medical Record </li></ul></ul><ul><ul><li>Your Past Office Visit Information </li></ul></ul><ul><ul><li>Your Future Appointments </li></ul></ul><ul><ul><li>Your HealthCare Reminders </li></ul></ul><ul><li>Email Your Doctor </li></ul><ul><li>Your Lab Test Results </li></ul><ul><li>Act for a Family Member (proxy) </li></ul><ul><li>Your Flowsheets </li></ul>
    16. 21. Your ongoing health conditions
    17. 22. Your allergies
    18. 23. Your immunizations
    19. 24. Your lab test results
    20. 25. Lab test result details
    21. 26. Link to Health Encyclopedia
    22. 27. Past Office Visit Detail
    23. 28. Future Appts Detail
    24. 29. Contact your physician’s office
    25. 30. Received Messages
    26. 31. Your eligibility & benefits
    27. 32. New Feature – Your Flowsheets <ul><li>This week we have initiated the ability for the patient to enter home monitored blood pressure data into their chart for their physician to see. </li></ul><ul><ul><li>We will soon introduce the ability to enter data for blood sugar, weight management, peak flow, and others. </li></ul></ul><ul><ul><li>Abnormal entries automatically message the healthcare team </li></ul></ul>
    28. 33. Overview of KP Health Connect Features Cont. <ul><li>For security purposes, members must register to use the secure features on </li></ul><ul><ul><li>As with all the other secure features on (like prescription refill) to use these new features members will need to be registered on the Web site. Within 4-7 days of registering, members will receive a password via US Mail and will have full access to all of the secure features on the Web site. </li></ul></ul><ul><li>Who can use KP HealthConnect Online </li></ul><ul><ul><li>Adult members over the age of 18 </li></ul></ul><ul><ul><li>Adult members acting on behalf of a child / family member up to the child’s 13 th birthday </li></ul></ul><ul><ul><li>Teens (from the 13 th birthday to the 18 th birthday) will have limited access </li></ul></ul><ul><ul><ul><li>Allergies, Immunizations, Secure Messaging </li></ul></ul></ul>
    29. 34. Our Experience <ul><li>53,400 unique visitors to KPHC Online features (approximately 10% of total MAS membership) cumulative as of February 2007 </li></ul><ul><li>15,200 unique visitors to View Your Lab Results in February 2007 </li></ul><ul><li>Average of 8,000 unique visitors to E-mail Your Doctor YTD 2007 </li></ul>
    30. 35. A Member’s Experience <ul><li>Yesterday morning I went in for a routine lab work-up to monitor my cholesterol. </li></ul><ul><li>By lunchtime that same day your system forwarded the lab results to me . </li></ul><ul><li>Then shortly thereafter, my physician, … contacted me with an online message (I was notified by email that the online message was sent) with further advice and clarification of the how to better secure continuing health care support. </li></ul><ul><li>WOW! This is well done! I am impressed. </li></ul>
    31. 36. A Member’s Experience <ul><li>Your system is so much better than the piecemeal, inefficient methods being used by other health care providers. </li></ul><ul><li>As a typical male, I do not go out of my way to see to my health care needs. However, your easy-to-use, efficient, and timely digital system for communicating with me, one of your members, has helped me overcome the inertia I typically experience in seeking and following health care advice. </li></ul>
    32. 37. Future Enhancements <ul><li>Health History Questionnaires </li></ul><ul><ul><li>Can be used before an appointment to submit useful data to the provider </li></ul></ul><ul><li>Direct Scheduling </li></ul><ul><ul><li>Allows members to book appointments directly via </li></ul></ul><ul><li>View Medications </li></ul><ul><ul><li>Allows members to view their medications at any time. </li></ul></ul><ul><li>Your Health Summary </li></ul><ul><ul><li>Provides members with a convenient, printable summary of their health information. </li></ul></ul><ul><li>Alerts </li></ul><ul><ul><li>Provides members automatic reminders to let them know when they have upcoming appointments, soon to be due or overdue health reminders, new lab test results and / or new / unread messages. </li></ul></ul>
    33. 38. The Transformation of Healthcare