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Using Kaiser Permanente HealthConnect™ to Transform Primary Care Delivery Ruth Brentari, MHA Director, 21 st   Century Care Collaborative Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals Health Informatics New Zealand | 29-31 October 2007
About Kaiser Permanente Integrated health care delivery system 8.7 million members 156,000+ employees Serving 9 states and the District of Columbia 13,000+ physicians Nation’s largest nonprofit health plan * 2006revenues 32 hospitals and medical centers 416 medical offices  $35* billion annual revenues
Kaiser Permanente HealthConnect™ The world’s largest civilian deployment of an electronic health record Lab Radiology/ Imaging Others  (immunizations,  EKG, dictation) Outpatient  Pharmacy Health Plan Claims Processing Membership/ Benefits Benefits  Accumulation Pricing System Web Access Portal Data Warehouse / EDR Enterprise Data Repository  Ancillaries Referral & Utilization Management Finance Capital  Planning General  Ledger Financial Reporting Care Delivery Core Outpatient Inpatient Scope of KP HealthConnect Suite Scheduling Registration Clinicals Billing Admission, Discharge and Transfer Health Information Management Clinicals Billing Pharmacy Emergency Department Operating Room Health Information Management
Regional Deployment Status  Launched Scheduled for Launch No Launch Date Identified K E Y         Member Access on kp.org Inpatient Practice  Mgmt (hospital billing, ADT, chart tracking) Inpatient Clinicals (EMR, ED, OR,  decision support) Ambulatory Practice Mgmt (scheduling, registration, billing) Ambulatory Clinicals (EMR, decision support tools)  Three sites live (complete Q2 2008)  (except scheduling w/chart pull Rolling out  (complete Q4 2007) S. California  Two  sites live (complete Q1 2010)  Rolling out  (complete Q2 2008) N. California  2008   Northwest   Mid-Atlantic States   Ohio  2008   Hawaii   Georgia Complete one partner hospital Complete in one partner hospital   Colorado
Physician Ambulatory Charting
Nursing Inpatient Plan of Care Navigator
The Look of kp.org  Direct access to KP HealthConnect Online features bundled under the header:  “ My health manager” Launch: Nov 2007
21 St  Century Care Innovation Project  Background The primary drivers of this work:  Primary Care Sustainability  KP HealthConnect Value Realization This project is done in partnership with the Institute for Healthcare Improvement (IHI) and in full participation or our labor partners
Our Vision for the Future: “Blue Sky” Integrated & Leveraged Secure and seamless transitions   Customized Home as the Hub
Primary Care Transformation: 21 st  Century Care Innovation Project The Care Team’s work  designed to needs of population Creating a patient-centered Relationship – Based Care Focus Supporting Total Panel Ownership   Offering alternatives to 1:1 face-to-face office visits   Collaborative care planning
Offering Alternatives  to Traditional Office Visits Telephone Visits Systematic offering Rely on the members’ preference and at their convenience Bridge to building secure messaging experience Builds capacity in the care team Other Alternatives Secure Messaging/eVisits Group Visits (woman, child)
Access – “Touches” – Member view Use of the phone creating capacity
Service  Telephone Appointment Surveys (summer ’06) Key Findings: Satisfaction with the phone visit is high  (77% rated 9 or 10 on 10 point scale).  People like having this option. Preference for a phone visit or an office visit is situational for the member  (and for the clinician).  Satisfaction with the phone visit is driven by convenience and relationship factors not by the member’s demographics Source: TAV phone survey conducted by National Market Research,  June – September, 2006. 150-250 surveys per team were completed. Overall Satisfaction with Phone Visit:  All Facilities
Total Panel Ownership – with KP HealthConnect
Using Kaiser Permanente HealthConnect™ to Transform Primary Care Delivery
Using Kaiser Permanente HealthConnect™ to Transform Primary Care Delivery
Access – “Touches” Source: Clarity Warehouse. Report run by: National Analytical support. Note: Telephone includes TAVs and telephone encounters.  Increasing capacity to touch more of patients on the panel
Collaborative Care Planning  – with KP HealthConnect
 
Collaborative Care Planning  Panel Survey conducted late Spring 2007   Denotes statistical significance above the control groups Teams that have worked in Collaborative Care planning are showing results in engagement, but not yet in member confidence/activation
Contact Information 21 st  Century Care Innovation Collaborative Ruth Brentari [email_address] KP HealthConnect Communications Director Holly Potter [email_address]

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Using Kaiser Permanente HealthConnect™ to Transform Primary Care Delivery

  • 1. Using Kaiser Permanente HealthConnect™ to Transform Primary Care Delivery Ruth Brentari, MHA Director, 21 st Century Care Collaborative Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals Health Informatics New Zealand | 29-31 October 2007
  • 2. About Kaiser Permanente Integrated health care delivery system 8.7 million members 156,000+ employees Serving 9 states and the District of Columbia 13,000+ physicians Nation’s largest nonprofit health plan * 2006revenues 32 hospitals and medical centers 416 medical offices $35* billion annual revenues
  • 3. Kaiser Permanente HealthConnect™ The world’s largest civilian deployment of an electronic health record Lab Radiology/ Imaging Others (immunizations, EKG, dictation) Outpatient Pharmacy Health Plan Claims Processing Membership/ Benefits Benefits Accumulation Pricing System Web Access Portal Data Warehouse / EDR Enterprise Data Repository Ancillaries Referral & Utilization Management Finance Capital Planning General Ledger Financial Reporting Care Delivery Core Outpatient Inpatient Scope of KP HealthConnect Suite Scheduling Registration Clinicals Billing Admission, Discharge and Transfer Health Information Management Clinicals Billing Pharmacy Emergency Department Operating Room Health Information Management
  • 4. Regional Deployment Status  Launched Scheduled for Launch No Launch Date Identified K E Y         Member Access on kp.org Inpatient Practice Mgmt (hospital billing, ADT, chart tracking) Inpatient Clinicals (EMR, ED, OR, decision support) Ambulatory Practice Mgmt (scheduling, registration, billing) Ambulatory Clinicals (EMR, decision support tools)  Three sites live (complete Q2 2008)  (except scheduling w/chart pull Rolling out (complete Q4 2007) S. California  Two sites live (complete Q1 2010)  Rolling out (complete Q2 2008) N. California  2008   Northwest   Mid-Atlantic States   Ohio  2008   Hawaii   Georgia Complete one partner hospital Complete in one partner hospital   Colorado
  • 6. Nursing Inpatient Plan of Care Navigator
  • 7. The Look of kp.org Direct access to KP HealthConnect Online features bundled under the header: “ My health manager” Launch: Nov 2007
  • 8. 21 St Century Care Innovation Project Background The primary drivers of this work: Primary Care Sustainability KP HealthConnect Value Realization This project is done in partnership with the Institute for Healthcare Improvement (IHI) and in full participation or our labor partners
  • 9. Our Vision for the Future: “Blue Sky” Integrated & Leveraged Secure and seamless transitions Customized Home as the Hub
  • 10. Primary Care Transformation: 21 st Century Care Innovation Project The Care Team’s work designed to needs of population Creating a patient-centered Relationship – Based Care Focus Supporting Total Panel Ownership Offering alternatives to 1:1 face-to-face office visits Collaborative care planning
  • 11. Offering Alternatives to Traditional Office Visits Telephone Visits Systematic offering Rely on the members’ preference and at their convenience Bridge to building secure messaging experience Builds capacity in the care team Other Alternatives Secure Messaging/eVisits Group Visits (woman, child)
  • 12. Access – “Touches” – Member view Use of the phone creating capacity
  • 13. Service Telephone Appointment Surveys (summer ’06) Key Findings: Satisfaction with the phone visit is high (77% rated 9 or 10 on 10 point scale). People like having this option. Preference for a phone visit or an office visit is situational for the member (and for the clinician). Satisfaction with the phone visit is driven by convenience and relationship factors not by the member’s demographics Source: TAV phone survey conducted by National Market Research, June – September, 2006. 150-250 surveys per team were completed. Overall Satisfaction with Phone Visit: All Facilities
  • 14. Total Panel Ownership – with KP HealthConnect
  • 17. Access – “Touches” Source: Clarity Warehouse. Report run by: National Analytical support. Note: Telephone includes TAVs and telephone encounters. Increasing capacity to touch more of patients on the panel
  • 18. Collaborative Care Planning – with KP HealthConnect
  • 19.  
  • 20. Collaborative Care Planning Panel Survey conducted late Spring 2007 Denotes statistical significance above the control groups Teams that have worked in Collaborative Care planning are showing results in engagement, but not yet in member confidence/activation
  • 21. Contact Information 21 st Century Care Innovation Collaborative Ruth Brentari [email_address] KP HealthConnect Communications Director Holly Potter [email_address]