Murray N. Ross, Ph.D. VP, Kaiser Foundation Health Plan Director, Kaiser Permanente Institute for Health Policy Kaiser Per...
Discussion outline <ul><li>U.S. health care “non-system” </li></ul><ul><li>Kaiser Permanente </li></ul><ul><ul><li>By the ...
The U.S. health care environment <ul><li>We mix all possible ways to: </li></ul><ul><li>Provide coverage </li></ul><ul><li...
<ul><ul><li>Organization </li></ul></ul><ul><ul><li>8.8 million members </li></ul></ul><ul><ul><li>14,000+ physicians </li...
What does integration mean? <ul><li>Shared responsibility for program success </li></ul><ul><ul><li>KP “owned” jointly by ...
Knowledge key to successful integration <ul><li>Invested $3+ billion in electronic medical record </li></ul><ul><ul><li>Re...
Caring for the whole member <ul><li>Caring for the whole member proactively addresses needs for: </li></ul><ul><ul><li>Chr...
KP’s e-care evolution <ul><li>E-Health Management:  including blood pressure, blood glucose, respiratory peak flow, weight...
Engaging patients:  My Health Manager <ul><li>Secure view of EHR: </li></ul><ul><ul><li>View lab results, immunizations, a...
Patient engagement in online care <ul><li>Over 3 million registered users in 2009 </li></ul><ul><ul><ul><ul><ul><li>61.7 m...
Screen shot of KP HealthConnect
Panel support with KP HealthConnect TM
Screen shot of panel support tool
HEDIS Measures 2009 <ul><li>NCAL  SCAL  HI  NW  CO  GA  MAS  OH </li></ul><ul><li>Breast Cancer Screening </li></ul><ul><l...
For more information <ul><li>Murray N. Ross, Ph.D. </li></ul><ul><li>Vice President, Kaiser Foundation Health Plan, Inc. <...
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KP in American Healthcare System

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  • The potential impact of a connected community for healthcare delivery seemed intuitive but remained largely unproven.
  • KP in American Healthcare System

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

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