Transcript Slide 1

Leveraging Primary Care & Population Health
Management to Create Value:
Lessons from Kaiser Permanente
Donna Lynne, Executive Vice President Kaiser Foundation Health Plans
March 5, 2015
Agenda
Kaiser Permanente
Primary Care Best Practices
Discussion
Fourth Agenda
Fifth Agenda
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Kaiser Permanente: Today
 9.6 million members
 $55 billion revenue
 174,500 employees
 17,500 physicians
 48,300 nurses
 648 hospitals, medical offices & other
facilities
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What Makes Kaiser Permanente Unique
 Partnership between health plan &
medical groups
 Health plan & delivery system
 Physicians are paid a salary
 Focus on wellness, preventive care &
prevention
 Patient-centered medical home
 Early adopter of electronic medical
records
 Recognized for high quality
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KP in relation to US health plans
 5th largest health plan in US
 Only one in top 5 that is NOT in all 50
states
 Only top 5 plan with “integrated delivery
system.”
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Integrated Care = Care at its best
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Health happens where you live, work, play and pray
Society
Neighborhood/
Community
Home/School/Work
Individual/
Family
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Drivers of Health Care
Personal
Behaviors
40%
Environmental
& Social
Factors
20%
Family
History/
Genetics
30%
Medical
Care
10%
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Primary Care Best Practices
 Collaborative Cardiac Care Service
 Care Management Team Program
 Behavioral Health “iCOT”
 Life Choices
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Collaborative Care Cardiac Service (CCCS)
Look
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Primary Care Best Practices
 Collaborative Cardiac Care Service
 Care Management Team Program
 Behavioral Health “iCOT”
 Life Choices
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Care Management Team Program
Patient
Primary Care
CMT (Care
Management Team):
RN, CPS, CDE
PMT (Prevention
Management Team):
MAs
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Primary Care Best Practices
 Collaborative Cardiac Care Service
 Care Management Team Program
 Behavioral Health “iCOT”
 Life Choices
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Improved Care Outcome Tool - iCOT
 Behavioral Health Questionnaire
– Completed by adult patients
– Completed at each individual therapy visit in mental health, chemical
dependency and psychiatry
 Provides “picture” of progress
 Help guide with treatment decisions
 Utilizes patient motivation for behavior change
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Primary Care Best Practices
 Collaborative Cardiac Care Service
 Care Management Team Program
 Behavioral Health “iCOT”
 Life Choices
15 July 20, 2015
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Life Choices
What is Life Care Planning?
 Life Care Planning is a systematic member centered approach to
advance care planning.
 An organized process of communication to help individuals
understand, reflect upon and discuss goals for future health care
decisions in the context of their values and beliefs.
 When the process is done well, it has the power to produce a written
plan that accurately represents the individuals’preferences and
thoroughly prepares others to make health care decisions consistent
with these preferences.
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Meeting Patients Where They Are At
Emails with Dr.
1 million patient emails
17 July 20, 2015
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Phone Visits
Video Visits
Completed 200,000
“scheduled” telephone
visits.
Video visits for
follow up care
© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Discussion/Questions