Posts Tagged ‘kp.org’

Janet HealthConnect’s debut at Health 2.0 meets Information Therapy

April 28th, 2009 | Popularity: 22%
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Growth and Development of kp.org

I would like to start, rather than end this post, with huge thank you’s to:

Allan Rogers, MD, Kaiser Permanente’s National HealthConnect Team
Susan Campbell-Hartzell, Kaiser Permanente Internet Services Group

Without their help, Kaiser Permanente would not have been able to demonstrate kp.org, I’ll explain why.

We got the call (or rather, e-mail) a week before the Health 2.0 meets Information Therapy Conference in Boston, the premier event for the health care startup community (and which Kaiser Permanente is a Flagship Sponsor of): Would Kaiser Permanente be able to demonstrate KP HealthConnect and kp.org, connected to live servers, to this room of 450 health care patients, companies, and other leaders?

Piece of cake, we said. Except for the live server part. Even though this was the requirement of demonstrations at Health 2.0, we would not be able to do things this way, but it was still a lot of work, I’d like to assure everyone!

We only had a week to put together an integrated demonstration. A demonstration that was to last no longer than 3.5 minutes.

Now, I definitely believe that if you can demonstrate something in 10 minutes, you can do it in 3; the challenge is deciding what not to show in a health system that is so comprehensive in the way it does everything, not just health information technology. We also wanted to make this relevant next to really great work completed by Google Health and HelloHealth.

With several script revisions, test system password resets, and stocking of fictional patient records in a fictional system (i.e. one totally separate from the system patients, doctors, and nurses use every day), we created a few weeks in the life of Janet HealthConnect.

What we thought was best was to think about the things that Kaiser Permanente brings to Health Information Technology that complements Google, HelloHealth, and the entire Health 2.0 community. One of the biggest things that Kaiser Permanente brings is adoption – it’s good at this and it wants to share its expertise.

If Kaiser Permanente is demonstrating the future of health care in its medical centers, hospitals, and where its members live, work, and play today, this community is demonstrating the future of the future, and that’s why we need each other.

With that in mind, I asked Anna-Lisa Silvestre, VP of Online Services to serve as her letter turner. Kate Christensen, MD, the Medical Director of kp.org, was also close by as well. In the demonstration I prompted Anna-Lisa for several facts about the adoption of My Health Manager.

  • When Janet logged in to My Health Manager, Anna-Lisa told the audience that 47,348,917 other visitors had logged in in 2008
  • When Janet sent a secure e-mail to her personal physician, Dr. Rogers, Anna-Lisa told the audience that 6,078,838 other e-mails were also sent in 2008
  • When Janet reviewed her HbA1c result, Anna-Lisa told the audience that 16,773,273 other results had been reviewed by patients online in 2008
  • When Janet accessed the Health Encyclopedia to learn more about the HbA1c test, Anna-Lisa told the audience that 3,975,230 other visitors had in 2008
  • When Janet booked an appointment online with Dr. Rogers, Anna-Lisa told the audience that 1,403,870 other appointments were booked online in 2008, and that these appointments were more likely to be kept.

We then joined Janet HealthConnect’s physician, Allan Rogers, MD, opening Janet’s incoming e-mail. This was a great place to point out that Kaiser Permanente’s maturity with a comprehensive electronic health record has created a focus less on optimizing the acute care visit in the EHR, more on the In Basket as a central place for multispecialty care coordination.

Dr. Rogers then demontrated some of the efficiencies created by the KP HealthConnect team which allowed him to review the patient’s care snapshot right in the In Basket, and then to respond to Janet’s message with full decision support available.

In this portion of the demonstration we showed capabilities beyond sending messages – messaging is designed as an activity that promotes the personal physician-patient relationship with the right information in every encounter.

We quickly stepped through the in person visit, ending with the After Visit Summary, which we used to demonstrate the commitment to service quality, in that AVS use is measured and tracked to ensure a great experience with every encounter.

I closed the demonstration with a screen shot of a patient list, which showed that there may be many Janet HealthConnects, or populations of patients with chronic illness, that can be monitored as a group and cared for by teams, right within KP HealthConnect.

Our final slide is the one pictured above, where Anna-Lisa made the announcement to the audience that My Health Manager adoption has surpassed 3 million members.

So the the things we wanted to show that health information technology can and should do (and has done at Kaiser Permanente) are:

With special thanks to the Health2.0 meets Information Therapy team for their support and to the entire Health2.0 community for being supportive, and critical. This is where innovation comes from!

Three Million People Now Using Kaiser Permanente’s Personal Health Record | Kaiser Permanente News Center

April 27th, 2009 | Popularity: 14%
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Demonstrating “today” at The Sidney R. Garfield Health Care Innovation Center

December 2nd, 2008 | Popularity: 33%
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I am here in Oakland, California, and having completed my first presentation about Kaiser Permanente’s work in health care information technology, I have now done my first live demonstration of Kaiser Permanente’s work, at the Sidney R. Garfield Health Care Innovation Center, in Oakland, California.

Just as with the presentation, I was a little nervous about the demonstration. Unlike the previous health information technology environment I was a part of, this one is between 10 and 100 times as vast, and I wanted to respect the work of the experts who were involved in making it happen.

And, the experts have done great work – I looked at a specific aspect of Kaiser Permanente’s care, highlighted in this television advertisement, that has resulted in a 30% lower death rate from cardiovascular disease among Kaiser Permanente members relative to other Californians. Kaiser Permanente, by the way, has funded expansion of this program to patients outside of Kaiser Permanente through its Community Benefit work.

The demonstration was attended by other Kaiser Permanente experts and members of the national media, to see “today” and “tomorrow.” And there’s lots of tomorrow happening here, because the reality is that there are still very few organizations that are at this maturity level of electronic health record use.

I’m including some photographs below, and I am supported in sharing them here, just as the innovation will be shared. There’s a fully simulated hospital ward, ambulatory medical center, and even a patient’s home (because that’s where the hub of good health should be). A lot of what is being developed here will find its way to patient care inside of, and outside of Kaiser Permanente. A lot of it already has. From reading Sidney Garfield’s writings, this is by design. Enjoy and feel free to let me/us know what you think.

Visitor count for major social networking sites – are health portals far behind?

October 27th, 2008 | Popularity: 16%
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Health 2.0 – 4 letters and some Photos Too

October 23rd, 2008 | Popularity: 30%
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Here are my photos, with a tiny bit of emphasis on the DC contingent (click any to see larger)

It’s hard to keep up with the energy here. In March, 2008, the motto (thanks to Susannah Fox), was “7 words.” This time, we seem to have become more efficient, and the motto is “4 letters,” and the driving 4 are “H-T-M-L” coined by Anna-Lisa Silvestre, VP of Online Services for Kaiser Permanente.

Why? Because during the consumer engagement demonstrations, Anna-Lisa’s team prepared the user experience based on static HTML to demonstrate the look and feel, rather than a dynamic demonstration. The others did not fare as well. But that’s okay with me – doing live demonstrations are never easy, and I trust that the organizations involved are going to do great work. I’ve had worse happen on stage – it happens. Perfection is not expected, just the ability to fix mistakes quickly.

I was asked yesterday about the energy level, and my answer is based on comparison to meetings which are of people working to help other people (clinicians, doctors, nurses). This gathering is of people who are working to help people just like them, and who are empowered enough to know what is needed. It’s very stimulating for me, and it should be stimulating for our health system. There is so much more we can do for patients that we aren’t doing, yet.

One more 4 letter word – Jane Sarasohn-Kahn (quoted in the New York Times today) mentioned to me that on our panel yesterday that the doctor, the patient, and the health economist did not disagree when it came to talking about Health 2.0, when it might be expected that we should. I have been saying that the killer app of Health 2.0 is “listening to people” but I like that Jane said:

In Health 2.0, “Love is the Killer App.”

“You have the information and I look out for you” – ONC Visits Kaiser Permanente West End Medical Center, Washington, DC

December 17th, 2007 | Popularity: 19%
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Eytan-Onc-2007Presentation: Office of the National Coordinator Shop Floor Tour, Ted Eytan, MD

These were the words of Mark Snyder, MD, Associate Medical Director, Information Technology, Mid-Atlantic Permanente Medical Group, as he demonstrated a new paradigm of information sharing using a simulated medical record, taking the record (represented by a notepad) out of his hands, and placing it in a member’s hands. This happened during a “process walk” that we set up to show the workflow of secure e-mail in a medical practice, at Kaiser Permanente’s West End Medical Center, in the heart of Washington, DC.

The visit came about because I was asked to provide information to the Office of the National Coordinator (ONC) about Group Health Cooperative’s work in adopting secure e-mail as part of care across the State of Washington. Since I am a believer of Genchi Genbutsu through the work I have been doing in LEAN, I invited the group to “come and see for yourself,” and they did.

With assistance from the staff at Kaiser Permanente’s West End Medical Center, including Medical Center Chief Doug VanZoeren, MD, I presented the Group Health Health Profile, an electronic health risk appraisal linked to an electronic health record, along with data about adoption of our patient portal, MyGroupHealth. Mark Snyder followed with information about Kaiser Permanente’s HealthConnect project and associated personal health record, kp.org. He indicated that 100,000 of Kaiser Permanente Mid-Atlantic’s members have signed on to the system, giving it a steeper adoption curve than even Group Health as Mark pointed out, since it is has been on the scene for less time. It is now fully operational, though, and forging ahead with features like direct booking of primary care appointments.

» Read more: “You have the information and I look out for you” – ONC Visits Kaiser Permanente West End Medical Center, Washington, DC