Transcript Expanding the functionality of kp.org

Patient Centered Care on
the Internet
Anna-Lisa Silvestre
Vice President, Online Services
Internet Services Group
January 2005
KAISER PERMANENTE
About Kaiser Permanente
 Integrated health care
delivery system
 8.4 million members
 11,000+ physicians
 134,000 employees
 8 regions serving 9 states and D.C.
 30 hospitals and medical centers
431 medical offices
$22.5 billion annual revenues
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KAISER PERMANENTE
A Prepaid Integrated Delivery System
With Aligned Incentives
• Social Purpose
• Quality Driven
• Shared
Accountability for
Program Success
Permanente
Medical
Group
• Integration along
Multiple Dimensions
• Prevention & Care
Management Focus
Health Plan
Members
Kaiser
Foundation
Hospitals
Kaiser
Foundation
Health Plan
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KAISER PERMANENTE
Kaiser Permanente Partnership
Permanente
Medical Group
Kaiser Foundation
Health Plan
&
Hospitals
• Common Vision
• Exclusivity
• Joint Governance & Decision-Making
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KAISER PERMANENTE
Our Mission
To provide high quality, affordable
health care services and to
improve the health of our
members and the communities we
serve.
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KAISER PERMANENTE
10 Clinical Priority Areas
Clinical Area
KP Members
with this Condition
Asthma
141,000
Coronary Artery Disease
256,000
Depression
411,000
Diabetes
577,000
Heart Failure
Cancer
Chronic Pain
Elder Care
Obesity
Self Care
94,000
25,000 new cases/yr
~1,000,000
917,000
~25% of adults
8.4MM
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KAISER PERMANENTE
Population Management:
More than Care & Case Management
Targeting
Population(s)
Redesigning
Processes
Measurement of
Outcomes & Feedback
Level 3
Intensive
or Case
Management
Assisted
Care or Care
Management
Usual
Care with
Support
Highly
complex
members
Level 2
High risk
members
Level 1
70-80% of a
CCM pop
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KAISER PERMANENTE
Strategy: Make it easier to do
the right thing...
• Identify the right thing
– Define evidence-based medicine
– Identify successful practices
– Leverage measurement to guide performance
improvement
• Make the right thing easier
–
–
–
–
Embed guidelines within systems to support practice
Implement effective and innovative models of care
Support teams of professionals to care for members
Leverage technology to support population-based care
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KAISER PERMANENTE
KP is implementing new care
and business systems
Web Access Portal
Care Delivery Core
Ancillaries
Health Plan
Scope of KP HealthConnect Suite
Outpatient
Scheduling
Inpatient
Scheduling
Outpatient
Pharmacy
Membership/
Benefits
Registration
Registration
Lab
Claims
Processing
Clinicals
Clinicals
Billing
Pharmacy
Radiology/
Imaging
Others
(immunizations,
EKG, dictation)
Billing
Emergency
Department
Benefits
Accumulation
Pricing
System
Data Warehouse / EDR Enterprise Data Repository
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Our Internet Presence
Kaiserpermanente.org serves 6 audiences
– 10 million visits per year
– 800K registered members
– 1.5 million refills per year
– 25% of all employer self service transactions
– over half of all individual and family plan enrollment
applications
KP.org homepage
Current functionality - Members
• Rx Refill
• health education classes
• appointments requests • preventative guidelines
(automated in Ncal)
• download forms & brochures
• MD directory
• how to use KP services
• facility directory
• travel coverage
• nurse and pharmacist • change address
advice
• FAQs
• discussion groups
• secure mailbox
• featured health topics • national & local news
• contact member services announcements
• ID request
Current functionality - Purchasers
• Existing employers
• Prospective employers
• enroll member
• benefit & coverage
summary (by business
• term member
line)
• change demo
• request quotes
• view, download & pay bill
of KP - why
• forms & brochures downloads • description
to buy us
• contact acct manager
• contact sales rep
• employer newsletters
• Kaiser on-the-job
• marketing materials order
•
national Acct description
• gateway “your company pages”• apply for coverage
• Senior Advantage info
•
tour site for members &
• About KP
accounts
• secure mailbox
• covered zip codes
• Facility and MD directories
• covered zip codes
Current functionality - Prospective Member
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Choices for:
Personal Advantage
Senior Advantage
Group members
Federal members
Quest
Child Health Plan
STEPs
•
Individual also has:
•
•
•
Apply on line automated in CA
Instant Quote
benefit summary
secure mailbox
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Selecting a health plan
Why join KP
Glossary
About KP - history, programs, quality
Facility directory
MD directory
covered zip codes
Featured health topics
Medical and Rx encyclopedia
contact for assistance
Medicare also has:
benefit summary
guide to 65+ coverage
Current functionality - Broker
• coverage & benefit info
• apply for coverage
• senior advantage info
• form & document library
• order enrollment materials
• create your own marketing
•
•
materials
request a quote (online in
California)
broker newsletter
• contact sales representative
• covered zip codes
• facility directory
• MD directory
• how to become a broker with
•
KP
preview and gateway to
customer account services
Current functionality - News Media
• current news releases
• new release archives
• media kit
• physician columns
• KP history, structure, facts
• executive biographies
• quality standards
• community involvement
• tour member site
• media contacts
• speakers bureau
• facility directory
Current functionality - Job Seekers
Link to KP Jobs
Members homepage
Make appointments
Prescription Refill
Health encyclopedia
Drug encyclopedia
Healthy lifestyle programs
Facility directory
Contact Member Services
Medical staff directory
Links to MD
Homepages
NCAL Physician homepages
Links to
kp.org
Choose a physician online
Shared Medical Record
• Lab test results
• Your future appointments
• Eligibility and benefits
• Contact your physician's office
• Your ongoing health conditions
• Your immunizations
• Request change to your medical record
• Your allergies
• Past office visit information
• Account Summary
• Make Appointments
• View Medications
Lab test results
Lab test result details
Problem list
Current medications
Eligibility & benefits
Past office visits
Past office visit details
Contact your physician’s office
Members homepage