Key thoughts insight into Kaiser: o Kaiser as a model for other systems o Technology as an enabler o Integration is key o Access and Prevention.are platforms they can grow from Key future directions o Multiple Partnerships for EHR access o Develop comparative effectiveness partnership with AHRQ o Focus on community-based programs Weakness of the future strategy o Dependence on government funding for future progress.
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
The team grasped the two most important core concepts: 1. Kaiser is a provider organization, not an HIT vendor, and 2. For Kaiser, HIT is a means to an end rather than an end in itself.
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from previous)
The team also understood that Kaiser has been able to leverage its very considerable investment in HIT into measurable improvements in patient care outcomes. They were also spot-on in describing the support Kaisers HIT platform has provided for evidence based medicine. Finally, they did identify the leading role the organization is prepared to play in health care reform.
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from previous) I was very pleased to hear the teams thoughts on working with AHRQ in support of CER—they get a very large gold star for raising this point. Let me turn to what raised questions in my mind. It would have been nice to hear a bit about how Kaisers installation of the Epic EHR package over the past several years supports and drives the PHR (My Health Manager).
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from Previous)
Kaiser is one of the very few organizations in the country that has actual PHR users and the team might have spent a few moments talking about why that is. There was a mention of the partnership with Microsoft, but no mention of why that partnership exists or whats in it for Kaiser Permanente. Both are very important strategic issues for Kaiser.
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from previous)
The team also made mention of the fact that there are new EHR competitors entering the market and this is a challenge for Kaiser—I would have liked to heard about the line of reasoning the team used to draw that particular conclusion. Finally, the statement at the end regarding doctors who would join Kaiser rather than invest funds in an EHR installation would have benefited from a bit more elaboration.
Kaiser is a closed system; therefore, you are not leveraging potential strategic partners. You have decided to create your own e-prescribing system (spending your own resources on it) instead of partnering with someone like us (Allscripts) that already has a great system
We do value strategic partnerships, as demonstrated by our recent partnership with Microsoft. However, the reason we have our own e-prescribing system is because we seek to provide the best possible care to our patients, and we believe our system is most compatible with that goal.
You mention doing new things, which sets your presentation apart from the others. However, where is the revenue stream in the AHRQ project and community service? Anything that is a new product or revenue stream? Anything beyond your current customers? Very nice presentation, easy to understand.
The funding for expansion of community programs would come from Prevention and Wellness fund of about $1 bil, which was part of the American Recovery and Reinvestment Act
The funding for AHRQ project would come from $1.1 bil allocated to Comparative Effectiveness Research under the American Recovery and Reinvestment Act. AHRQ doesn't have long time to distribute the funds, and we believe it would be most effective for them to invest in organization with large EHR database and significant research capabilities, like Kaiser Permanente.
You mention that technology can reduce healthcare disparities, but what about technology disparities. There are rural health clinics that do not have internet, how do you prioritize?
Thank you for you comments. We believe that all of us should engage in community, industry and cross-industry partnerships to bring the benefits of technology to rural areas.
Great capture of Kaiser's mission, vision, and values. Also, great background info. We are all for the partnership you propose in your current strategies. Your strengths put you in a position to fully utilize the developing health information technologies, and your use of dates in your future strategy is wise. As you rightly focus on implementation of EHR, you do not speak to how we can transform the industry itself to provide patients with the best health IT possible.
Thank you for your comments. Our focus is actually not on implementing EHRs, which we have already accomplished, but on developing new forms of research using EHRs and conducting comparative effectiveness research, which will transform the industry by promoting evidence-based medicine and more efficient delivery of care.
rosenkranswa 2 years ago
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
The team grasped the two most important core concepts: 1. Kaiser is a provider organization, not an HIT vendor, and 2. For Kaiser, HIT is a means to an end rather than an end in itself.
DrAlemi 2 years ago
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from previous)
The team also understood that Kaiser has been able to leverage its very considerable investment in HIT into measurable improvements in patient care outcomes. They were also spot-on in describing the support Kaisers HIT platform has provided for evidence based medicine. Finally, they did identify the leading role the organization is prepared to play in health care reform.
DrAlemi 2 years ago
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from previous) I was very pleased to hear the teams thoughts on working with AHRQ in support of CER—they get a very large gold star for raising this point. Let me turn to what raised questions in my mind. It would have been nice to hear a bit about how Kaisers installation of the Epic EHR package over the past several years supports and drives the PHR (My Health Manager).
DrAlemi 2 years ago
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from Previous)
Kaiser is one of the very few organizations in the country that has actual PHR users and the team might have spent a few moments talking about why that is. There was a mention of the partnership with Microsoft, but no mention of why that partnership exists or whats in it for Kaiser Permanente. Both are very important strategic issues for Kaiser.
DrAlemi 2 years ago
From Kim D. Slocum, FHIMSS, President, KDS Consulting, LLC
(Continued from previous)
The team also made mention of the fact that there are new EHR competitors entering the market and this is a challenge for Kaiser—I would have liked to heard about the line of reasoning the team used to draw that particular conclusion. Finally, the statement at the end regarding doctors who would join Kaiser rather than invest funds in an EHR installation would have benefited from a bit more elaboration.
DrAlemi 2 years ago
Comment removed
DrAlemi 2 years ago
A few thoughts from the Allscripts team:
Kaiser is a closed system; therefore, you are not leveraging potential strategic partners. You have decided to create your own e-prescribing system (spending your own resources on it) instead of partnering with someone like us (Allscripts) that already has a great system
HESY566 2 years ago
From Kaiser:
We do value strategic partnerships, as demonstrated by our recent partnership with Microsoft. However, the reason we have our own e-prescribing system is because we seek to provide the best possible care to our patients, and we believe our system is most compatible with that goal.
HESY566 2 years ago
From Kaiser:
Thank you for your comments.
HESY566 2 years ago
From McKesson:
You mention doing new things, which sets your presentation apart from the others. However, where is the revenue stream in the AHRQ project and community service? Anything that is a new product or revenue stream? Anything beyond your current customers? Very nice presentation, easy to understand.
HESY566 2 years ago
From Kaiser:
The funding for expansion of community programs would come from Prevention and Wellness fund of about $1 bil, which was part of the American Recovery and Reinvestment Act
HESY566 2 years ago
From Kaiser:
The funding for AHRQ project would come from $1.1 bil allocated to Comparative Effectiveness Research under the American Recovery and Reinvestment Act. AHRQ doesn't have long time to distribute the funds, and we believe it would be most effective for them to invest in organization with large EHR database and significant research capabilities, like Kaiser Permanente.
HESY566 2 years ago
From McKesson:
You mention that technology can reduce healthcare disparities, but what about technology disparities. There are rural health clinics that do not have internet, how do you prioritize?
HESY566 2 years ago
From Kaiser:
Thank you for you comments. We believe that all of us should engage in community, industry and cross-industry partnerships to bring the benefits of technology to rural areas.
HESY566 2 years ago
From Microsoft:
Great capture of Kaiser's mission, vision, and values. Also, great background info. We are all for the partnership you propose in your current strategies. Your strengths put you in a position to fully utilize the developing health information technologies, and your use of dates in your future strategy is wise. As you rightly focus on implementation of EHR, you do not speak to how we can transform the industry itself to provide patients with the best health IT possible.
HESY566 2 years ago
Thank you for your comments. Our focus is actually not on implementing EHRs, which we have already accomplished, but on developing new forms of research using EHRs and conducting comparative effectiveness research, which will transform the industry by promoting evidence-based medicine and more efficient delivery of care.
HESY566 2 years ago