Recovery and Resiliency: Supply ChainOther “Aha’s” • Executive contact lists maintained and available • Build supply continuity into contract (e.g. out option for non-supply)

Recovery and Resiliency: Supply ChainSkip Skivington, Vice President of Operations

| © Kaiser Permanente. All Rights Reserved.2

Kaiser Permanente At-a-Glance

One of the nation’s largest not-for-profit integrated healthcare delivery systems

Would be ~ 55 on Fortune 500

9 States and the District of Columbia

Over 8.8 million members

Labor Management Partnership

35 Medical Centers


Kaiser Permanente At-a-Glance

> 450 Medical Offices

> 15,100 Physicians

> 164,000 Employees

> 558,000 Surgeries/year

> 91,000 Deliveries/year

> 128 Million Prescriptions/year

> 36 Million Doctor Office Visits/year


Protecting Healthcare Delivery Expanding the “Continuity” Function


Healthcare Continuity Management Oversight Group

Executive Oversight Group

Clinical Workgroup Community Linkages Workgroup

Legal Workgroup Public Policy Workgroup

Communication & Education Workgroup

Facilities Workgroup People Workgroup Supply Chain Workgroup

Finance Workgroup Pharmacy Workgroup

IT Workgroup MSSA Workgroup

| © Kaiser Permanente. All Rights Reserved.6 September 14, 2011



Protect as many people as possible - regardless of where supplies are geographically located at any point in time.

Supply Chain Workgroup Case Study: H1N1 2009


KP Supply Chain Workgroup made up of 32 Materials Directors from Hawaii to Washington, D.C.

Fast Fact:


Supply Chain Workgroup Lessons Learned

Critical Item Management

Supplier Management

Government Engagement

Other “Aha’s”

• Identification upfront

• Standardization across sites

• Inventory reporting and visibility

• Approved substitutes in advance

• Better safety stock quantification and monitoring

Clinical Workgroup Integration




Supplier Management


Other “Aha’s”

• Supply Chain Workgroup Leader key member

• Validated key assumptions and calculations for demand and usage

• Alignment on clinical practice

• Standardization of key risk mitigation strategies (e.g. N95s)

• Alignment on key regulation interpretation





Supplier Management


Other “Aha’s”

• Executive contact lists maintained and available

• Build supply continuity into contract (e.g. out option for non-supply)

• Validation of alternative suppliers and/or channels

• Agreement on reporting needs and frequency

• Alignment of message





Supplier Management


Other “Aha’s”

• Stronger partnership with Environmental Health & Safety department

• Advance planning and alignment on approach

• Visibility / flexibility to segment supplies

• Standardization of response





Supplier Management


Other “Aha’s”

• Communicate, communicate, communicate!

• Practice makes perfect

• When the chips are down, don’t panic

• Shared purpose solves many problems



Vaccine Doses Administered: California

• H1N1: 792,650Northern California 465,000Southern California 327,650

• Seasonal Flu: 2.1 millionNorthern California 1.1 millionSouthern California 1 million


Call Center - Algorithms


Portable air filtration system deployed to create additional isolation rooms

Portable air filtration system deployed to create additional isolation rooms

Kaiser Permanente H1N1 Influenza Response Photos

Interior – Influenza Triage Tent at the Walnut Creek Medical Center

Interior – Influenza Triage Tent at the Walnut Creek Medical Center

Influenza Triage Tent at the Richmond Medical CenterInfluenza Triage Tent at the Richmond Medical Center


Questions

Skip SkivingtonVice President of OperationsProcurement & SupplyKaiser PermanenteEmail: [email protected]: 510-625-4801

Documents

Recovery and Resiliency: Supply ChainOther “Aha’s” • Executive contact lists maintained and available • Build supply continuity into contract (e.g. out option for non-supply)