Winning in the New World: Integrated Systems of Care & Population Care Management Ronald L....
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Transcript of Winning in the New World: Integrated Systems of Care & Population Care Management Ronald L....
Winning in the New World: Integrated Systems of Care & Population Care ManagementRonald L. Copeland, MD, FACS, Chief Diversity and Inclusion OfficerDaniel N. Edmonds, MHSA, Vice President, National Sales Operations and Performance
2 April 21, 2023
Kaiser Permanente at a Glance
• Largest nonprofit health plan in the U.S.
• Largest integrated care system in the U.S.
• Largest private deployment of an electronic health record in the world
• Serving California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia, Washington, and Washington D.C.
• 9.1 million members
• 37 Hospitals
• Almost 600 Medical Office Buildings
• More than 174,000 employees
• Over 16,000 physicians
• $50.6 billion operating revenue
MissionTo provide high-quality, affordable health care services and to improve the health of our members and the communities we serve
VisionTo be a leader in Total Health by making lives better
StrategyTo be a leader in providing high-quality, affordable health care through our integrated care delivery system, focused on advanced technology and Total Health
Community Benefit Is FoundationalFor over 65 years, KP has been committed to the health andwell-being of our members and the community. The reach of our effort goes beyond the walls of our facilities. And the impact we make touches the lives of individuals and families, both today and for generations to come.
Advancing Our Mission
Goal: Workforce That Reflects Our Communities
Employees
- Membership data as of Dec. 2012
- Workforce/Health Professions data as of June 2013 - Physician data as of Sept. 2013, except NWPMG as of Dec. 2012
6
Kaiser Permanente’s Diversity & Inclusion Strategy
April 21, 2023
WorkforceOptimize diversity at every level and
create inclusive environments
MarketplaceProvide compelling value and great service for
our diverse membership and communities
CareProvide best care and service for all populations to
eliminate disparities and create equity in our communities
Supplier Diversity/ Community PartnershipsBuild equity through businesses and jobs and
promote diverse and thriving communities
We will continue to be a leader in diversity with a comprehensive strategy that is woven throughout our organization and our strategic imperatives.
Zero Disparities
Zero Gaps in Representation
Personalized Communications
for All
Join “Billion Dollar Roundtable”
7
Winning in the New World
Winning as a Health Plan or Insurer
Winning with Members and Patients
Winning with Physicians and
Providers
What will be required to win customer business in a post-reform environment?
8
Winning as a Health Plan or Insurer
Customer Engagement
9
Winning as a Health Plan or Insurer
Access (Convenience)
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Winning as a Health Plan or Insurer
Brand Relevance
Kaiser Permanente Care Management Institute
Focus on PeopleFocus on Systems Focus on Disease
Total Health & Obesity Prevention
Population Health
Elder Care
Improving Specialty Access
Clinical Guidelines
Clinical Library
Evaluation & Analytics
Clinical and Operational Improvement
Cancer Care
Integrated Behavioral Health
12
Transformation SpacesHigh potential / high value tactics – we can improve care across our entire landscape of
settings and strategies – to provide the right care at the right time in the right place.
KP
Care Settings
Technology Enabled
Care Settings
Community
Care Settings
Acute, Urgent & Emergent Care Encounters
Ambulatory Care Encounters
Population Care Encounters
GeriatricED
TelemedicineRemote
Monitoring
Self CareSystem
Mobile Apps
Hospital & ED
Clinic
Home
Everywhere
Call Centers / KP.OrgCare / CaseManagement
AutomatedCare Mgt
Continuum of Care
Community
Social Networking
Internet CareCommunities
Care Transitions
PalliativeCare
Assisted LivingRounding
Geriatric Specialty
Deployment
GeriatricMed Home
SNF Rounding
Self CareKP.org
Hosp atHome
ClinicalOnboarding
Primary CareHome Visits
CommunityParamedicine
IntegratedMember
Assistance
Access to Community
SocialServices
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Extend the Delivery System
Empower M
embers and Caregivers
13 April 21, 2023
“RespectingChoices”
Integrated Complex Care
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Winning with Physicians and Providers
Physician Led Systems of Care
Infrastructure Enables
Performance
Culture of Collaboration & Accountability
The Permanente Federation
Electronic Medical Records
Decision Support Tools
Healthcare Disparities
April 21, 2023
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Winning with Members and Patients
Convenience: Care Anywhere
Affordability
Integrated Systems of Care
Telemedicine
Wellness and Prevention Strategies
Systematic Approach to Translation and
Interpretation Services
Technology for Enhanced Connectivity
April 21, 2023
16
Our Dream
— Sidney R. Garfield, MD, Co-Founder, Kaiser Permanente
“Our dream was to create by incorporating the principles of group practice, prepayment, and integrated facilities, so stimulating a form of practice that our doctors would be inspired to outperform ‘private’ practice in service and do so without the incentive of fees.”
April 21, 2023
Questions?