Closing Session from Day 1 of WHIT:
|4:45 pm -|
Using the EHR to transform Care Delivery
Kaiser Permanente viewed this as a one shot opportunity.
"the Future is here, it's just not evenly distributed" - William Gibson
The Kaiser numbers:
166,000 employees (41k nurses)
36 medical centers
431 medical office buildings
36 medical centers.
$42B Operating revenue
The vision for the future: "Blue Sky"
- Consumer centric
- Home as the hub
- Secure and seamless transitions
- Integrated and Leveraged
Warm handoffs - Care is a human process
Member drives customization - KP responds
- World largest Private sector EHR deployment
- $4B to implement plus 10 years of maintenance
- In and Out patient clinical care
- Practice management
- Online access to a tethered PHR.
Introduction of KP HealthConnect in to Hawaii in 2005
Between 2006-2007 saw:
- Office Visit drop by 26.2%
- Primary Care - 25.3%
- Specialty Care -21.5%
KP had to build their own clinical content to support evidence based medicine.
The Importance of Patient Engagement:
over 80% of medical issues are self-diagnosed and self-medicated.
Kp.org and MyHealthConnect
Patients like to:
- email doctor/specialist/Primary care team
- View lab results
- refill prescriptions
- Act for a family member
>50% of members are engaged online with their health
47% of members 65 and over are using online services. so it is in line with the general population.
3Million registered users.
21.7M test result views
6.8M prescription refills
HealthConect was NOT an IT Project.
Fundamental redesign of daily work is required.
Kaiser is looking at realtime consultations - leveraging remote specialists.
Question from Ryan Tarzy (HealthLine) What's next for Kaiser?
- Better integration
- More focus on home based support
- Better patient support - especially for patients with chronic conditions
- Continuing to add specialized clinical content (e.g oncology, cardiology)