1. Integration of mHealth into the Health Care
System: People, Process & Technology
eHealth Week
May 15, 2013
Hal Wolf
Senior Vice President and Chief Operating Officer
The Permanente Federation, Kaiser Permanente
© 2013 The Permanente Federation, LLC

2.  Largest nonprofit health plan in U.S.
 Largest private deployment of EHR
 9 million members
 16,000+ physicians
 172,000+ employees
 Serving 9 states and the
District of Columbia
 37 hospitals
 611 medical offices
 $47.9 billion annual revenues*
Largest Integrated Health Care System in U.S.
Kaiser Permanente’s mission is to provide high-quality, affordable health care
services and to improve the health of our members and the communities we serve.
* 2011 Operating Revenue
2

3. …and accountability across the care continuum.
Primary
Prevention
Secondary
Prevention
Acute
Care
Chronic Care
Technology Allows a Systematic Approach
3

4. INFORMATION
GAP
GAP
GAP
TIME
AMOUNT
DATA
CLINICAL UTILITY
KNOWLEDGE
Source: Michael N. Liebman, PhD, Executive Director Windber Research Institute
EHRs Offer Foundational Data
4

5. Emphasis Must be on Prevention & Population
Care
 EHRs can move vertically integrated care toward clinically
integrated care
• Disease Registries
• Improved Pathways of Care
• Improved Demand Management
• Targeted Patient Goals Toward Prevention
• Population Care Management Tools
5

6. One Example:
Patient Population Tools - Reducing Care Gaps
6
6

7. Closing the Operations (O)-Gap
The Clinical Ecosystem
7
Process Technology /
Infrastructure
• Clinical Operations
• Administration
• Health Plan
• Legal
• Compliance
• Clinical Systems
• IT Infrastructure / Systems
• Facilities
People
• Physicians
• Nurses
• Other Care Providers
Patients

8. Change Management
8

9. Engaging and Empowering through Mobile
Wellness Content
KP Mobile KP Preventive Care Every Body Walk!
Hopp2IT Mix It Up Thrive Across America
9

10. Telemedicine
Telecare
Teleconsultation
Televisit
Telemonitoring / home monitoring / remote patient monitoring
Mobile health or m-health
Virtual care
“When I use a word…it means just what I choose
it to mean – neither more nor less.”
- Humpty Dumpty to Alice
Lewis Carol (Through the Looking Glass)
10

11. Convergence of Health Engagement
11
Outside/Social
Telehealth
- B to C
- B to B
Convergent Medical
Terminology (CMT)
Digital Health
- B to C
- C to C
kp.org
- B to C
Pop Care
- Internal
- Moving to B to C
CDS
- Internal
Call Centers
- B to C
Health Information
Exchange (HIE)
- B to B
- Some B to C
Member
Data
Mem-
bership
Claims
Lab
Pathol-
ogy
Phar-
macy
Appts
Sched-
ulingKPHC
Prov-
ider
Out-
reach
Activity
Radiol-
ogy
Immun-
izations
Hos-
pital

12. 12
Bio Med Devices

13. 13
Digital Health

14. Thank You
Hal Wolf
Sr. Vice President
& Chief Operating Officer
The Permanente Federation
Kaiser Permanente
hal.wolf@kp.org