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Leveraging IT to Transform HealthAcademyHealth Delivery System Meeting – Transforming Health and Health Care
June 21, 2013
Amy Compton-Phillips, MDAssociate Executive Director, Quality, The Permanente FederationKaiser Permanente
© 2013 The Permanente Federation, LLC
About Kaiser Permanente Nation’s largest non-profit health plan
Integrated health caredelivery system
9+ million members
17,000+ physicians
49,000+ nurses
172,000+ employees
Serving 9 states and the District of Columbia
37 hospitals
611 medical offices
$$50.6 billion operating revenue*
Scope includes ambulatory, inpatient, ACS, behavioral health, SNF, home health, hospice, pharmacy, imaging, laboratory, optical, dental, and insurance
*Source: 2012 Kaiser Permanente press release
Mid-Atlantic Region
Georgia Region
Colorado Region
Ohio Region
NorthernCalifornia Region
Hawaii Region
Northwest Region
SouthernCalifornia Region
2
IT’s Role in Health Transformation – Knowledge
Traditional Paradigm:
What We Know(Research, Lit Review,
Guidelines)
How Well We Do It(Data Systems and
Workflows)
Enhancing What We Know
(Big Data and Advanced Analytics)
New Paradigm:
3
Tracking
IT’s Role in Health Transformation – Tools
Individual Patient
Performance
Physician & Group
Outreach
Inreach
Primary Care
Specialty Care
4
Hypertension Control Rate KPNC, 1958 to 2012
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53
1958Thiazides available
19951st KP Guideline
1960 1970 1980 1990 2000 2010
2012
87%
19771st JNCReport
2001, 1stData Collection
35.7%
Transformation – The Importance of Data and Systems
6
Since Year 2000:
• 30.4% reduction in mortality from CVD
• 42.2% reduction in mortality from stroke
•Heart Disease + Stroke mortality dropped below cancer mortality
Sidney S, Jaffe M, Nguyen-Hyunh M, et. al. Circulation. 2011; 124: A13610
The Permanente Medical Group, Inc. • Supported by Quality and Operations Support
Transformation – Saving Lives
7