HIT Transformation / Analytics – National Quality & Care Delivery ExcellenceHARVESTING VALUE

Kaiser PermanenteKP HealthConnect

Terhilda GarridoVP Health IT Transformation/AnalyticsMarch 7, 2011

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About Kaiser Permanente

Integrated health care delivery3 Organizations in one: Health insurer, hospital system, physician partnerships

8.6 million members

165,000 employees

Serving 9 states and DC

14,000 physicians

Nation’s largest nonprofit health plan

36 hospitals and medical centers

430+ medical offices

$40.3 billion annual revenues (2008)

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Data Warehouse / EDR Enterprise Data Repository

Membership/Benefits

Claims Processing

Benefits Accumulation

Pricing System

OutpatientPharmacy

Lab

Radiology/Imaging

Others(EKG, dictation)

GeneralLedger

Capital Planning

Financial Reporting

Ancillaries

Outpatient

Scheduling

Registration

Clinicals

Billing

Health Information

Management

Inpatient

Admission,

Discharge & Transfer

Health Information

Management

Clinicals

Pharmacy

Emergency

Department

Operating Room

Billing

Scope of Kaiser Permanente HealthConnect®

Web Access Portal / kp.org

Health PlanCare Delivery Core Finance

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KP HealthConnect

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The After Visit Summary – an example of 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 were

ordered?

Past Visit Information

55 © Copyright Kaiser Permanente

Patient portal – Successful with patients!

•3.4 million registered users

•52 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 routine office visit1

Make about 14% fewer phone contacts Those who book appointments online are up to

50% more likely to keep them Quality of Care

In a matched-control analysis published in Health Affairs, secure email was associated with a 2.0 to 6.5% improvement in performance on HEDIS measures, such as glycemic (HbA1c), cholesterol, and blood pressure screening and control2

Patient Satisfaction 85% 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 Therapy by T Garrido, C Serrato, J Oldenburg (1/15/2008)

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Patient Empowerment

Consumers and Health Information Technology:A National Survey©2010 California HealthCare Foundation

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PHR Registration by Age

KP MyHealth Manager registration by ageThe online population is made up of older members

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White/ non-

Hispanic42%

Hispanic31%

Asian/PI12%

Black12%

Other3%

Not Registered for PHR Registered for PHR

Black8%

Asian/PI14%

Hispanic16%

White/ non-

Hispanic59%

Other3%

KP MyHealth Manager Registration by Race / 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 and also people with an education that is lower than a college degree feel more connected to their MD with the use of personal health records when compared to all users of PHR.1 These groups also reported that they asked more questions than they would before the use of PHR to a greater extent than all the users of PHR.

This has large potential benefits because HIT seems to offer more to these traditionally underserved populations, which could potentially equalize health outcomes. This, coupled with the survey finding that Latinos, African American men, and Asian Americans show more interest in health applications than all adults in the United States, could mean that there is much 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 the ‘eDisparities’• understand how to bridge and diminish those gaps• understand how populations at risk can best be

served by HIT