Kaiser Permanente San Diego Kaiser Permanente San Diego Medical Center Community Benefit will generally not consider funding requests from: international, social or recreational clubs,

Kaiser Permanente San Diego Community Benefit Workshop March 11, 2014

Shreya Sasaki, Senior Community Benefit Manager [email protected] kp.org/sandiego

Copyright © 2014 Kaiser Permanente

mailto:[email protected]

Copyright © 2014 Kaiser Permanente, Slide 2

AGENDA 10:00 a.m. to 10:20 a.m. Registration and Networking – Please introduce yourself to other non-profit partners in attendance!

10:20 a.m. to 10:30 a.m. Welcome and Introduction to Kaiser Permanente – Rodger Dougherty, Senior Director of Public Affairs and Brand Communications

Mission, Vision, and Strategy 10:30 a.m. Community Benefit Purpose – Sam Totah, Chief Operating Officer

Care Management

10:35 a.m. Community Benefit Presentation – Shreya Sasaki, Senior Community Benefit Manager

11:15 a.m. to 11:30 a.m. Q & A, Adjourn – Shreya Sasaki, Senior Community Benefit Manager

KAISER PERMANENTE HISTORY

1933: Dr. Sidney Garfield established a prepayment health plan for workers building an aqueduct in the California desert.

1938-45: Henry Kaiser persuades Dr. Garfield to set up a prepaid group practice plan for workers and their families, first at the Grand Coulee Dam construction site, then during World War II at Kaiser shipyards in California and Washington.

1945: The Kaiser health plans are opened to the public in California, Oregon, and Washington.

Kaiser Permanente History

Kaiser Permanente by the Numbers

7 regions serving 8 states and the District of Columbia

More than 9 million members More than 17,000 physicians and 175,000

employees (including 49,000 nurses) 37 hospitals (co-located with medical

offices) 618 medical offices and other outpatient

facilities 68 years of providing care

Our Markets and Membership

Mid-Atlantic Region Washington, DC Maryland Virginia 482,000 members

Georgia Region 234,000 members

Colorado Region 540,000 members

Northern California Region 3.4 million members

Hawaii Region 225,000 members

Northwest Region Portland, OR Vancouver, WA 484,000 members

Southern California Region 3.6 million members

Legend

KP San Diego Enrollment Area North Subarea Central Subarea East Subarea South Subarea KP Medical Office Buildings

Palomar Medical Center (PMC)

Palomar Health Downtown

KAISER PERMANENTE SAN DIEGO

KAISER PERMANENTE - A TRUE PARTNERSHIP

Health Plan Members

Kaiser Permanente defines the integrated model of health care

financing and delivery through its unique partnership among three

entities.

Kaiser Foundation Hospitals

Permanente Medical Groups

Kaiser Foundation Health Plan

The Kaiser Permanente Model

Kaiser Permanente – a True Partnership

Kaiser Foundation Health Plan &

Hospitals

Regional Permanente Medical Groups

Regional Health Plan & Hospitals

The Permanente

Federation, LLC

Articles of Federation

Kaiser Permanente Partnership

Group

Medical Service

Agreements /MOUs

Partnership in San Diego Health Plan/Hospital

Senior Vice President Area Medical Director

CAO

National Level

Regional Level

Local Level

Office visits and

procedures

Surgeries

Pharmacy costs

Focus on prevention Lower overall costs

More of the right care Lower treatment costs

Chronic condition management

Wellness services

Right medications

Preventive screenings

IMPROVED MEMBER HEALTH

Kaiser Permanente Integration

Sam Totah, Pharm. D. Chief Operating Officer

Kaiser Permanente



GOALS FOR TODAY

2) Present a summary of the 2013 Kaiser Foundation Hospital – San Diego Community Health Needs Assessment (CHNA) and Implementation Strategy Plan

3) Provide an overview of the 2014 Kaiser Permanente San Diego Community Benefit Grants Program

1) Share in-kind resources and tools available

Resources and Tools Available


Health Education Materials

Nutrition

Physical Activity

Diabetes

Mental Health

Heart Health

Sexual Health

Hypertension

Cancer

Tobacco

Prenatal

Community Benefit Health Education Resources Evidence Based Train the Trainer

Programs Healthier Living Falls Prevention Pediatric Weight Management



Providing Educational Theater Programs

Since 1985, Kaiser Permanente has reached millions of students ages 5 through 18 with messages of health through educational theater programs and workshops.

Thriving Schools launched!

• Weight of the Nation • Weight of the Nation Kids

Engaging Staff and Physicians

KP Cares is Kaiser Permanente’s internal website, non profit 501 c 3 organizations can post one time or ongoing volunteer opportunities. An electronic form must be completed with pertinent

information regarding the volunteer opportunity.


Use of Kaiser Permanente Conference Rooms

Kaiser Permanente’s conference rooms are available for use by non profit 501 c 3 organizations.

Good for one time meetings Requirements: application, proof of 501 c 3, listing of board of

directors, letter on letter head, naming Kaiser Permanente as an additional insured.


Kaiser Permanente Child Health Program

Kaiser Permanente Child Health Program (CHP) is a Community Benefit (CB) program that provides a Kaiser Permanente premium subsidy to lower your child’s monthly payment amounts associated with: Enrollment in the KP CA Platinum 0/20 health coverage plan Enrollment in the DeltaCare® USA Plan 85 for Children Paper based application and applications must be received by

March 31, 2014. http://info.kaiserpermanente.org/html/child_health_plan/index.html


http://assessment.communitycommons.org/kp/

Center for Applied Research and Environmental Systems (CARES)

Value to external partners

CHNA Data Platform




Summary of the Kaiser Foundation Hospital Community Health Needs Assessment and Implementation

Strategy Plan

A data driven process to identify health needs, conducted in collaboration with the Hospital Association of San Diego and Imperial Counties and Institute for Public Health, San Diego State University.

CA SB697 and Affordable Care Act (ACA) requirements

Conduct a CHNA every three years

Key new ACA requirements

Prioritize needs with community input

Adopt a hospital "Implementation Strategy," (a written workplan), to meet community health needs identified through the CHNA

Explain a rationale for priority needs that will not be addressed

Other prescriptions for CHNA methodology and public distribution

KFH/HP Board of Directors approval for Implementation Strategy and attached to Schedule H

Community Health NEEDS ASSESSMENT (CHNA)

CHNA Framework

CHNA Advisory

Workgroup

Data from Multiple Existing

Sources

Health Experts & Health Leaders

Community Members

Results

Methodology Flow Chart Analyzed hospital discharge data using

SpeedTrack/CUPID & other data sources

Identified top 15 Health Conditions, Analyzed CHIS data, & Created Briefs on

top 15 conditions.

Identified vulnerable communities using Community Need Index from Dignity Health

Conducted Health Expert & Health Leaders Surveys

Conducted 5 Key Informant Interviews

Conducted 5 Community Forums

Step 1 Analyze Secondary Data Sources

Step 2 Identify Health Conditions Affecting Hospitals

Step 3 Identify Vulnerable Communities

Step 6 Identify & Prioritize 3-5 Health Conditions and/or Health

Drivers

Step 5 Collect and Analyze Primary Data Sources

Step 4 Identify Health Drivers

Conducted literature reviews and utilized KP.org to come up with 26 common health

drivers

15 Health Conditions • Lung Cancer • Mental/Behavioral Health • Obesity • Prostate Cancer • Skin Cancer • Unintentional Injury • Cervical Cancer (KFH-SD) • Chlamydia (KFH-SD) • HIV (KFH-SD)

• Acute Resp. Infections • Asthma • Back Pain • Breast Cancer • Cardiovascular Disease • Colorectal Cancer • Dementia/Alzheimer’s • Diabetes (Type II) • High Risk Pregnancy

Identify and Prioritize Health Conditions

Top 4 Conditions when combining data from all primary and secondary data sources

1. Obesity 2. Cardiovascular Disease 3. Diabetes (Type II) 4. Mental/Behavioral Health

Kaiser Permanente Selected Needs Selected Needs: Access to Health* Cardiovascular Disease Mental/Behavioral Health Obesity Type 2 Diabetes Broader Health Care**

Delivery System Needs *Driver **Program Wide

Criteria for Selecting Needs: Need KP assets Magnitude Severity Disparities Feasibility Ability to leverage existing

partnership and opportunities

Kaiser Permanente San Diego 2014 Community Benefit Grants Program


Community Benefit Grants Program Eligibility To be eligible for a Kaiser Permanente San Diego Medical Center Community Benefit grant, an applicant organization (or fiscal agent), must currently operate as one of the following types of organizations: 501 (c)(3) tax-exempt organization with a 509 (a) designation

indicating that the organization is not a private foundation 501 (c)(19) 501 (c)(8) or 501 (c)(10) operating under a lodge system and only if

used solely for charitable purposes and serving the general community

A local, state, or federal government agency, including any of its subdivisions that perform substantial governmental functions


Community Benefit Grants Program Eligibility In addition, organizations must: Provide direct services to disadvantaged and/or underserved populations

that address funding priorities identified in the Kaiser Permanente San Diego Medical Center Community Health Needs Assessment

Provide services within the geographic boundaries of Kaiser Permanente San Diego Medical Center's service area, which includes communities within the County of San Diego.

Must be in “Good Standing” by submitting all required documents, progress (if required), and/or final reports in a timely manner for all previous Kaiser Permanente grants. (Refer to previous grant documents to confirm deadlines). Organizations with overdue documents, progress, and/or final reports will be deemed non-responsive and are not eligible to apply.

Must not request support related to health care reform related activities.


Community Benefit Grants Program Restrictions

Kaiser Permanente San Diego Medical Center Community Benefit will generally not consider funding requests from: international, social or recreational clubs, or for the following: Sports teams and tournaments (e.g., golf, tennis, walks, and runs) Individuals Religious purposes Partisan political activities Endowments or memorials Capital building Core operating support (except for community health centers) Re-granting purposes to other organizations Community Benefit grants will not be awarded for activities, events, or programs organized or

solely sponsored by alcohol, tobacco, or pharmaceutical companies. We generally do not provide grants for academic research, capital campaigns, event sponsorships (including community health fairs), or political campaigns.


Community Benefit Grants Program Dates March 31, 2014 Letter of Inquiry Application Released April 25, 2014 Letter of Inquiry Due Week of May 19, 2014: Notification of Declination of Letter of Inquiry

OR Invitation to Submit Full Grant Application Week of June 16, 2014: Grant Applications Due August 2014: Notification of Grant Decline or Award Project Period: September 2014 – September 2015 Grant Checks Mailed: August 2014

WEB BASED APPLICATION PROCESS


Community Benefit Grants Program: Areas All proposed projects should address vulnerable populations. Examples of vulnerable populations include: those under 250% of the federal poverty guidelines, homeless, uninsured and underinsured, or populations that face health disparities based on race or ethnicity, gender, age or disability. Please review the 2013 KFH-San Diego Community Health Needs Assessment for information on disparity related data based on health need. Priority will be given to projects being implemented in the high need areas, as measured by the Community Need Index (CNI), of San Diego County. Please review the 2013 KFH-San Diego Community Health Needs Assessment for more information on the CNI.


Community Benefit Grants Program: Areas

Need: Cardiovascular Disease – Prevention of this disease through healthy eating and active living or management of this chronic condition. Need: Obesity – Prevention or reduction of this condition through healthy eating and active living. Need: Type 2 Diabetes – Prevention of this disease through healthy eating and active living or management of this chronic condition. Need: Mental/Behavioral Health – Preventing or managing symptoms of this illness. Copyright © 2013 Kaiser Permanente, Slide 40

Community Benefit Grants Program: Amounts

Community Health Centers: Average Grant Amount - $32,806 Range – $10,000 to $45,000 Number of Grants - 16 Other Non Profit Organizations: Average Grant Amount - $14,600 Range - $5,000 - $45,000 Number of Grants - 26


Community Relations Sponsorship and Board Placement

Tana Lorah, Community and Government Relations Manager


Questions?

American Journal of Managed Care, 2012

Documents

Kaiser Permanente San Diego Kaiser Permanente San Diego Medical Center Community Benefit will generally not consider funding requests from: international, social or recreational clubs,