Clinical Content and
Web Access Innovations
February 2, 2005
Louise Liang, MD
Senior Vice President
Quality & Clinical Systems Support
About Kaiser Permanente
• Nation’s largest nonprofit
health plan
• Integrated health care
delivery system
• 8.2 million members
• 11,000+ physicians
• 130,000 employees
• 8 regions serving 9 states and D.C.
• 30 hospitals and medical centers
• 431 medical offices
• *$25 billion annual revenues
* 2003 revenues
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© 2005 Copyright Kaiser Permanente
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About Kaiser Permanente HealthConnect
Our new program-wide system integrates the clinical record with
appointments, registration and billing to enhance the quality of patient care.
Web Access Portal
Care Delivery Core
Ancillaries
Health Plan
Outpatient
Pharmacy
Membership/
Benefits
Lab
Claims
Processing
Radiology/
Imaging
Benefits
Accumulation
Scope of KP HealthConnect Suite
Outpatient
Scheduling
Inpatient
Scheduling
Admission, Discharge
and Transfer
Registration
Clinicals
Clinicals
Emergency
Department
Pharmacy
Operating Room
Others
Billing
(immunizations,
EKG, dictation)
Billing
Pricing
System
Data Warehouse / EDR Enterprise Data Repository
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The Role of Clinical Content
Clinical content delivers the best evidence and support that
Kaiser Permanente medicine has to offer, through the
technological tools within KP HealthConnect.
It gives clinicians easy access to rigorous, evidence-based
content at the point of care and provides tools and templates
to assist frontline practitioners in the documentation,
diagnosis, treatment and management of patient health care
needs.
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Clinical Content
Evidence-Based
Evidence-BasedMedicine
Medicine
Workflow
Workflow Models
Models
Convergent
Convergent Medical
Medical Terminology
Terminology
Charting
Charting Tools
Tools
Decision-Support
Decision-Support Reminders
Reminders and
and Alerts
Alerts
Drug
Drug Alerts
Alerts
Patient
Patient Self-Care
Self-Care Guidance
Guidance
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How KP Clinical Content is Developed
z
Population care management experts, including the Kaiser
Permanente Care Management Institute, lead interregional
content development.
z
Expert clinicians and regional representatives involved in
all stages of development and testing.
z
Frontline users validate usefulness and usability.
z
Legal, safety and regulatory requirements addressed.
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Clinical Content at Work
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Benefits of Clinical Content
z
Provides decision-support tools that can lead to improved
care delivery and patient safety.
z
Creates a foundation for providing evidence-based care
throughout Kaiser Permanente.
z
Puts the collective knowledge of Kaiser Permanente and
medical literature at the clinicians’ fingertips.
z
Optimizes efficiency by providing templates for
documentation and orders that support clinician workflow.
z
Enables research on outcomes of care.
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Web Access
Members Can Actively Participate in Care
Expanded Online Access for Members
Access medical record
Care Delivery Core
Scope of KP HealthConnect Suite
www.kp.org
Member Web Portal
Make/change appointments
Send messages to doctor
Check lab results
Outpatient
Scheduling
Inpatient
Scheduling
Admission, Discharge
And Transfer
Registration
Clinicals
Clinicals
Emergency
Department
Pharmacy
Access health Information
Review eligibility & benefits
Operating Room
Billing
Account Summary
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Billing
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Member Access
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Messaging Feature
z
Most members use secure messaging appropriately.
z
The volume received is directly related to how much
clinicians encourage patients to email.
z
Most members send short and to-the-point messages
within the context of an established relationship.
*Based on experience at Kaiser Permanente, CyberKaiser, RelayHealth, and Group Health Cooperative.
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Provider/Affiliate Can Access Critical Patient Information
Care Delivery Core
www.kp.org
KP Provider Portal
Scope of KP HealthConnect Suite
View medical record
Outpatient
Inpatient
Request appointments
Scheduling
Scheduling
Admission, Discharge
And Transfer
Send messages to doctors
Registration
Clinicals
Clinicals
Emergency
Department
Check lab results
Pharmacy
Referrals
Operating Room
Review eligibility & benefits
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Billing
Billing
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Benefits of Web Access
z
For Patients/Members
– Members can actively participate in their own care at their
convenience
– Visibility to their own medical record/history
– 24/7 online access to high-quality information and services
z
For Physicians and Clinicians
– Online referrals/eligibility
– 24/7 access to decision-support tools
– 24/7 access to critical patient information
– Expanded opportunities for collaboration and information sharing
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