The impact of eHealth on Healthcare Professionals and Organisations: The Impact of ICT at Kaiser Permanente

The impact of eHealth on Healthcare Professionals and Organisations: The Impact of ICT at Kaiser Permanente

• 1.
  The Impact ofICT at Kaiser Permanente Andrew M. Wiesenthal, MD, SM Associate Executive Director The Permanente Federation
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  What is KaiserPermanente? •Nation’s largest nonprofit health plan •Integrated health care delivery system •8.6 million members •14,000+ physicians • 156,000+ employees •Serving 9 states and the District of Columbia •36 hospitals and medical centers • Approx. 430 medical offices • $40 billion annual revenues
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  Kaiser Permanente HealthConnect •Project initiated in February 2003 • Deployment began in December 2003 • Ambulatory deployment completed in April 2008 • Inpatient deployment completed in March 2010 • KP is essentially paperless across the continuum • Standards-based • HL7, SNOMED-CT, LOINC, RxNORM, DICOM, etc.
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  Everything is Changing •Relationship between professionals and members is altered • 3.5 million (and growing) use portal • Labs, messaging, appointments, questionnaires, decision support • Relationships among professionals is altered • Team care includes everyone (MDs, nurses, pharmacists, receptionists • Consultations are real-time • No clinical decisions are made without data
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  Tantalizing Examples • Pharmacists care for diabetics • Receptionists order mammograms • Nephrologist prevents dialysis • Colon cancer screening by mail • One third of touches are secure messages • Hospitals are built without record rooms • Real time health information exchange with the Veterans Administration system