Kaiser Permanente

KP HealthConnect

Terhilda Garrido
VP Health IT
Transformation/Analytics
March 7, 2011

HARVESTING
VALUE
HIT Transformation / Analytics – National Quality & Care
Delivery Excellence
About Kaiser Permanente

 Nation’s largest nonprofit

health plan
 Integrated health care
delivery
 8.6 million
3 Organizations in one: Health insurer, hospital system, physician
partnerships

 14,000 physicians members

 165,000 employees
 Serving 9 states
 36 hospitals and medical and DC
centers
 430+ medical offices
 $40.3 billion annual revenues (2008)
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Scope of Kaiser Permanente
HealthConnect ®

KP HealthConnect
Web Access Portal / kp.org
Ancillaries Care Delivery Core Health Plan Finance

Referral & Utilization Management

Outpatient Inpatient Membership/ General
Outpatient
Benefits Ledger
Pharmacy Scheduling Admission,
Discharge & Transfer
Registration Claims Capital Planning
Lab Health Information
Processing
Clinicals Management Financial
Radiology/ Clinicals
Benefits Reporting
Imaging Billing Pharmacy
Accumulation
Others Health Information Emergency
Department
(EKG, dictation) Management Pricing System
Operating Room
Billing
Data Warehouse / EDR Enterprise Data Repository

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The After Visit Summary – an example
of consistent, reliable care services
Past Visit Information

 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?

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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

5 © Copyright Kaiser Permanente 5

Patient portal – Effectiveness
 Efficiency /convenience
 Patients 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.
Zhou, 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.
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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 age

The online population is made up of older members

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KP MyHealth Manager Registration by
Race / Ethnicity

Not Registered for PHR Registered for PHR

Other
Black 3% Black Other
12% 8% 3%
White/
Asian/PI
Asian/PI non-
14%
12% Hispanic
42%
White/
non-
Hispanic Hispanic
16% 59%
Hispanic
31%

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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.
1
Undem, 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

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