Health record

Kaiser Permanente HealthConnect OnlineGreater Baltimore Medical Center

Maryland HIMSS Conference

Jay (Tom) Rorick, M.D.Baltimore Area Medical Director

Proprietary – Kaiser Permanente

TM Kaiser Permanente Proprietary© 2004 Copyright Kaiser Permanente

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Overview

1. Before the EMR

2. The beginnings at Kaiser

3. Exam Room Computing

4. 2005 – EPIC deployment and KP.org

5. Aug 2006 – My Chart – the patient begins to interact with

their medical record

6. Questions


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Kaiser Permanente Mid-Atlantic States

500,000 Members

900+ Physicians

32 Sites of Care

100 x 50 mile area of coverage

North of Baltimore to South of DC) – Woodlawn to

Woodbridge/Annapolis to Ashburn

Nationally – 8 regions, 8 million members


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The Beginnings

Use of homegrown EMR since 1992

– Initially a way to view schedule and get some lab data

– 1996 – became an electronic referral entry system

– Gradually expanded to add progress notes, internal messaging,

and other features

– Prior system menu driven and highly intuitive

Didn’t talk to lab systems, radiology systems, business

systems

– No transfer of data outside of system and no electronic patient

access but any provider could access any patient’s records

– Reached limit of ability to expand


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KP Blue-Sky Vision


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Exam Room Computing

1. Introduced in 2003

2. Allowed patient to share in data, see what the provider

was entering and ordering

3. Very high patient satisfaction

4. Major change for providers


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Change Management


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What is Kaiser Permanente HealthConnect?

Kaiser Permanente HealthConnect

– More than just an electronic medical record

– The development and deployment of a highly sophisticated

information management and delivery system

– A program-wide system that will integrate the clinical record with

appointments, registration and billing

– A complete healthcare business system that will enhance the

quality of patient care and support the KP Promise

– It is ultimately an national program that will allow access to any

member’s record no matter what region they are seen in.


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KP HealthConnect - Benefits

Integration

– Single, comprehensive medical record includes past visits, lab results, radiology reports,

immunization records, medications and allergies

Clinician Access

– 24/7 complete access to patient information

Patient Access: On-line access to medical records and service

– Email physicians

– Refill prescriptions

– Review lab results

– Research health information

– Appointment scheduling


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KP HealthConnect - Benefits

Efficiency: – Physicians can provide medication, order lab work, radiology and provide referrals from

single system at point-of-service and eliminate redundant entry

– Improved advanced care planning (simple registries, reminder systems, protocols, etc.)

Safety: – System alerts support patient care by catching abnormal results, negative trends, patient

history, chronic problems, and drug/procedure combinations

Coordination: – Complete medical information is available across sites of care

– Deliver similar “KP Experience” across the program

Decision Support: – Shared decision-making technologies

– Chronic disease management models


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Alerts based on either current data or history


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Kaiser Permanente

HealthConnect Online


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KP Blue-Sky Vision


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Web Access for Members


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Overview of KPHC Online Features

Additional View Only

– Your Immunizations

– Your Ongoing Health

Conditions

– Your Eligibility and Benefits

– Your Allergies

– Request an Update to Your

Medical Record

– Your Past Office Visit

Information

– Your Future Appointments

– Your HealthCare Reminders

Email Your Doctor

Your Lab Test Results

Act for a Family Member (proxy)

Your Flowsheets


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Your ongoing health conditions


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Your allergies


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Your immunizations


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Your lab test results


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Lab test result details


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Link to Health Encyclopedia


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Past Office Visit Detail


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Future Appts Detail


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Contact your physician’s office


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Received Messages


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Your eligibility & benefits


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New Feature – Your Flowsheets

This week we have initiated the ability for the patient to

enter home monitored blood pressure data into their chart

for their physician to see.

– We will soon introduce the ability to enter data for blood sugar,

weight management, peak flow, and others.

– Abnormal entries automatically message the healthcare team


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Overview of KP Health Connect Features Cont.

For security purposes, members must register to use the

secure features on kp.org

– As with all the other secure features on kp.org (like prescription refill) to use

these new features members will need to be registered on the

kaiserpermanente.org Web site. Within 4-7 days of registering, members will

receive a password via US Mail and will have full access to all of the secure

features on the Web site.

Who can use KP HealthConnect Online

– Adult members over the age of 18

– Adult members acting on behalf of a child / family member up to the

child’s 13th birthday

– Teens (from the 13th birthday to the 18th birthday) will have limited

access

• Allergies, Immunizations, Secure Messaging


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Our Experience

53,400 unique visitors to KPHC Online features

(approximately 10% of total MAS membership) cumulative

as of February 2007

15,200 unique visitors to View Your Lab Results in February

2007

Average of 8,000 unique visitors to E-mail Your Doctor YTD

2007


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A Member’s Experience

Yesterday morning I went in for a routine lab work-up to monitor my

cholesterol.

By lunchtime that same day your system forwarded the lab results

to me.

Then shortly thereafter, my physician, … contacted me with an

online message (I was notified by email that the online message

was sent) with further advice and clarification of the how to better

secure continuing health care support.

WOW! This is well done! I am impressed.


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A Member’s Experience

Your system is so much better than the piecemeal,

inefficient methods being used by other health care

providers.

As a typical male, I do not go out of my way to see to

my health care needs. However, your easy-to-use,

efficient, and timely digital system for communicating

with me, one of your members, has helped me

overcome the inertia I typically experience in seeking

and following health care advice.


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Future Enhancements

Health History Questionnaires

– Can be used before an appointment to submit useful data to the provider

Direct Scheduling

– Allows members to book appointments directly via kp.org

View Medications

– Allows members to view their medications at any time.

Your Health Summary

– Provides members with a convenient, printable summary of their health

information.

Alerts

– Provides members automatic reminders to let them know when they have

upcoming appointments, soon to be due or overdue health reminders, new

lab test results and / or new / unread messages.


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The Transformation of Healthcare

Health & Medicine

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