- Kaiser Permanente is deploying the Epic electronic health record system across its integrated health care delivery network, which includes 32 hospitals, over 430 medical offices, and serves 8.5 million health plan members. - The deployment, called Kaiser Permanente HealthConnect, is the largest civilian implementation of an electronic health record in the world. - HealthConnect uses standardized clinical vocabularies like SNOMED-CT and LOINC to encode patient data, which enables improved clinical documentation, decision support, and analysis of outcomes and costs.

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

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

22. Free Text is also Possible

23. Encoding Allows for Alerts

24. Granular Encoding in Medication Ordering

25. …Also Allows for Alerts by Drug Name…

26. …Or Drug Class

27. Orders Can be Associated with Diagnoses

28. Documentation can be Structured into Historical Flows