Kaiser%20Permanente

1
(No Transcript)
2
Kaiser Permanente
3
Kaiser Permanente At-a-Glance

• Nations Largest not-for-profit Integrated
  Healthcare Delivery System
• Would be 60 on Fortune 500
• 9 States and the District of Columbia
• Nearly 8.7 million members
• Labor Management Partnership
• 32 Medical Centers

4
Kaiser Permanente At-a-Glance

• gt 421 Medical Offices
• gt 14,000 Physicians
• gt 159,000 Employees
• gt 558,000 Surgeries/year
• gt 91,000 Deliveries/year
• gt 129 Million Prescriptions/year
• gt 36 Million Doctor Office Visits/year

5
Kaiser Permanente
6
2007 Southern California Wildfires

• Location Southern California Santa Barbara
  County to the US-Mexico Border
• Dates October 20 November 9, 2007
• Burned area 500,000 acres
• Fatalities 14
• Injuries At least 70

7
Kaiser Permanente
8
Kaiser Permanente Activities

• Emergency operations established
• Provided broad communication to staff via the
  Hospital Incident Command System (HICS)
• Instructed to check the Staff Hotline
• Established Labor Pool under the HICS model
• Redirected staff from closed facilities to
  operating facilities
• Prepared to receive 22 patients from evacuated
  medical centers and Skilled Nursing Facilities

9
Kaiser Permanente Activities

• National Healthcare Continuity Management staff
• Deployed to San Diego Medical Center Hospital
  Command Center
• Established national support for increased demand
  for pharmaceuticals, medical supplies, lab
  services, courier services, and extraordinary
  policy development and approval
• Continuously monitored and tracked fire activity
  close to and impacting our medical facilities
• Used hotel rooms previously booked for
  conferences to transfer healthy moms, babies, and
  stable patients
• Cancelled elective surgeries, meetings and
  patient education classes

10
Protecting Healthcare DeliveryExpanding the
Continuity Function
Healthcare Continuity Management (HCM)
Business Continuity Management (BCM) Foundation
Development Implementation Systematic Planning
Risk Assessment
Threat Assessment Management (TAM) EOC
Management Threat Policy Development Integration
Measured Response
Share Best Practices
11
Integration of Planning and Response
12
Ongoing Risk Mitigation
Clinical
Smallpox Vaccination Policy and Tools
Public
Facilities
Policy
SARS
Bioterrorism Response Plan
Facilities
Anthrax
Smallpox
Communication
Healthcare
Community

Continuity
Linkages
Anthrax Policy and Tools
Education
Management
Pandemic
Community
West Nile
Influenza
Linkages
Virus
SARS Resource Toolbox
Team Deployment
Supply
Legal
Chain
Managers Toolbox Pandemic Influenza
People/
HR
Healthcare Risks
Risk Mitigation Tools
Work Group Activity
13
Kaiser Permanente
14
Electronic Health Record System KP
HealthConnect

• Epic Systems Corporation
• Highly-sophisticated information management and
  care delivery system designed to enhance the
  quality of patient care
• Integrates electronic medical records with
  appointments, registration and billing to provide
  access to comprehensive member and medical
  information from a single system
• Launched in December 2003
• Will link all Kaiser Permanente facilities across
  the nation and provide patients, members,
  physicians and other authorized health care
  providers with online access to clinical
  information 24/7

15
Electronic Health Record System KP
HealthConnect

• More than 2.3 million Kaiser Permanente members
  currently use My Health Manager to perform
  several online health management tasks. Members
  can
• Send an email to their doctor
• Make appointments
• Order pharmacy items
• View lab test results
• Act on behalf of a family member
• View information from past visits

16
Revolutionizing Our Healthcare System

• At Kaiser, experimentation with new technologies
  like KP HealthConnect occurs at the Sidney R.
  Garfield Health Care Innovation Center in San
  Leandro, Calif. Kaiser opened the facility in
  2006 to test such new technologies as a
  videoconferencing system linking health care
  professionals to patients in their homes.

17
Revolutionizing Our Healthcare System

• Dr. Yan Chow, a pediatrician with Kaiser,
  demonstrates a videoconferencing system that
  would allow doctors to speak with patients in
  their homes.

18
KP HealthConnect During the Wild Fires

• As our facilities opened and closed due to fires,
  patients were successfully diverted to open and
  available medical facilities
• Receiving physicians, nurses, and other clinical
  staff could successfully access relevant medical
  records for health history, lab results, current
  prescriptions, etc.
• Physicians working from home or other remote
  locations could
• Check their in-baskets (and those of their peers
  and covering RNs)
• Renew prescriptions
• Check lab results
• Call patients and direct them to open facilities
• Conduct telephone triage for future appointments,
  prescriptions, lab tests, etc.

19
Kaiser Permanente
20
KP HealthConnect Disaster Planning
Aha Moment Electronic Health Records Should be
Part of Disaster Planning
Benefits Realization
Benefits Realization
OptimizationLeveraging system to achieve
transformation
Cascaded to Medical Centers Regions
Integration with other initiatives business
systems
Incorporated into Natl BCP Program
Stabilization Stabilizing what we have deployed
Exercised During Natl Drills
Briefed Senior Leadership
Deployment/Rollout
21
KP HealthConnect Sample Infrastructure Design
Production Disaster Recovery data
center data center
22
KP HealthConnect Downtime Policies Procedures

• Established downtime policies and procedures
  include
• End users training in downtime procedures before
  go-live
• Formal notification procedures to alert of
  downtime and resumption to normal workflows
• Routine tests to provide end users with the
  essential patient information such as downtime
  Medical Record Numbers (MRN) and Hospital Account
  Record (HAR) numbers, and printed materials so
  that usual tasks can be performed during downtime

23
KP HealthConnect Business Continuity Ownership

• Who needs to be involved? Everyone!
• Technical representatives
• Admitting and scheduling
• Nurse and physician champions
• Pharmacy
• Interface and ancillary systems
• Executives and steering committees
• Revenue cycle
• Trainers
• Others

24
KP HealthConnect Business Continuity Ownership
(continued)

• Downtime protocol are validated by the executive
  level as it has significant implications for
  patient safety and operations
• An owner or point person is appointed to head up
  Business Continuity Planning
• Downtime committees
• Update policies and procedures
• Make key decisions regarding protocol
• Coordinate organization and planning efforts

25
Electronic Health Records of the Future

• Kaiser Permanente and Microsoft Corp partnered in
  a pilot program that will allow Kaiser Permanente
  members to store their personal health data
  securely within an online site managed by
  Microsoft
• The Kaiser Microsoft partnership allows for the
  transfer of prescription information, test
  results and other health data from KP
  HealthConnectTM to Microsoft's Health Vault
• Patients can control what information they want
  to store, where, and who has access to it