Kaiser PermanenteKP HealthConnect, Terhilda Garrido

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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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

Documents

Kaiser PermanenteKP HealthConnect, Terhilda Garrido