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8/7/2019 Kaiser Permanente KP HealthConnect, Terhilda Garrido
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HIT Transformation / Analytics National Quality & CareDelivery Excellence
HARVESTINGVALUE
Kaiser Permanente
KP HealthConnect
Terhilda GarridoVP Health IT
Transformation/AnalyticsMarch 7, 2011
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About Kaiser Permanente
Integrated health caredelivery
3 Organizations in one: Health insurer, hospital system, physicianpartnerships 8.6 million
members
165,000 employees
Serving 9 states
and DC
14,000 physicians
Nations largest nonprofithealth plan
36 hospitals and medical centers
430+ medical offices
$40.3 billion annual revenues (2008)
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3
Data Warehouse / EDR Enterprise Data Repository
Membership/
Benefits
Claims
Processing
Benefits
Accumulation
Pricing System
Outpatient
Pharmacy
Lab
Radiology/
Imaging
Others(EKG, dictation)
General
Ledger
Capital Planning
Financial
Reporting
Ancillaries
Outpatient
Scheduling
Registration
Clinicals
Billing
Health Information
Management
Inpatient
Admission,
Discharge & Transfer
Health Information
Management
Clinicals
Pharmacy
EmergencyDepartment
Operating Room
Billing
Scope of Kaiser PermanenteHealthConnect
Web Access Portal / kp.org
Health PlanCare Delivery Core
Finance
Referral&
Utiliza
tionMan
ag
ement
KP HealthConnect
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The After Visit Summary an exampleof consistent, reliable care services
What were my vital signs?
What instructions did the
doctor give?
Heat or ice? How long will it take to
recover?
What tests were ordered?
What medications wereordered?
Past Visit Information
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55 Copyright Kaiser Permanente
Patient portal Successfulwith patients!
3.4 million registered users52 million sign-ons
10 million secure emails
25 million tests viewed
6.8 million Rx refills orders
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Patient portal Effectiveness
Efficiency /conveniencePatients who use secure e-mail:
Are 7% to 10% less likely to schedule routineoffice visit1
Make about 14% fewer phone contacts
Those who book appointments online are up to50% more likely to keep them
Quality of Care In a matched-control analysis published in HealthAffairs, secure email was associated with a 2.0 to6.5% improvement in performance on HEDISmeasures, such as glycemic (HbA1c),cholesterol, and blood pressure screening andcontrol2
Patient Satisfaction85% rated encounters 8 or 9 on a 1-9 scale3
1 Zhou, Yi Yvonne; Garrido, Terhilda; Chin, Homer; Wiesenthal, Andrew; Liang, Louise, Patient access to an electronic health record with secure messaging: impact on primary care utilization, The American Journal of Managed Care, Vol 13:418-
424, July 2007.
2Zhou, Yi Yvonne; Kanter, Michael H; Wang, Jian J; Garrido, Terhilda, Improved Quality at Kaiser Permanente Through E-Mail Between Physicians and Patients, Health Affairs, Vol 29, No 7 (2010); 1370-1375.
3 Internal KP study, Harvesting Value: Early Findings from Kaiser Permanente HealthConnect presented to Center for Information T herapy by T Garrido, C Serrato, J Oldenburg (1/15/2008)
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Patient Empowerment
Consumers and Health Information Technology:A National Survey2010 California HealthCare Foundation
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PHR Registration by Age
KP MyHealth Manager registration by age
The online population is made up of older members
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White/
non-
Hispanic
42%
Hispanic
31%
Asian/PI
12%
Black
12%
Other
3%
Not Registered for PHR Registered for PHR
Black
8%
Asian/PI
14%
Hispanic
16%
White/
non-
Hispanic
59%
Other
3%
KP MyHealth Manager Registration byRace / Ethnicity
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Patient Empowerment
Populations
with less
education
benefit more
from a PHR
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Increased operational efficiencies& cost-savings
A nationwide survey conducted in 2010 by the California HealthCare
Foundation found that people with a household income of less than $50K andalso people with an education that is lower than a college degree feel moreconnected to their MD with the use of personal health records whencompared to all users of PHR.1 These groups also reported that they askedmore questions than they would before the use of PHR to a greater extentthan all the users of PHR.
This has large potential benefits because HIT seems to offer more to thesetraditionally underserved populations, which could potentially equalize healthoutcomes. This, coupled with the survey finding that Latinos, AfricanAmerican men, and Asian Americans show more interest in healthapplications than all adults in the United States, could mean that there ismuch opportunity in HIT.
1Undem, Tresa. Consumers and Health Information Technology: A National Survey. Publication.California HealthCare Foundation, Apr. 2010. Web.http://www.chcf.org/~/media/Files/PDF/C/ConsumersHealthInfoTechnologyNationalSurvey.pdf
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Beginning of KP journey.
We are beginning work to:
understand the nature of theeDisparities
understand how to bridge anddiminish those gaps
understand how populations at risk
can best be served by HIT
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