Winning in the New World: Integrated Systems of Care & Population Care Management Ronald L....

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Winning in the New World: Integrated Systems of Care & Population Care Management Ronald L. Copeland, MD, FACS, Chief Diversity and Inclusion Officer Daniel N. Edmonds, MHSA, Vice President, National Sales Operations and Performance

Transcript of Winning in the New World: Integrated Systems of Care & Population Care Management Ronald L....

Page 1: Winning in the New World: Integrated Systems of Care & Population Care Management Ronald L. Copeland, MD, FACS, Chief Diversity and Inclusion Officer Daniel.

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

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2 April 21, 2023

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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

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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

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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

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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”

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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?

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Winning as a Health Plan or Insurer

Customer Engagement

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Winning as a Health Plan or Insurer

Access (Convenience)

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Winning as a Health Plan or Insurer

Brand Relevance

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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

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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

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“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

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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

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Questions?