You are previewing Connected for Health: Using Electronic Health Records to Transform Care Delivery.
O'Reilly logo
Connected for Health: Using Electronic Health Records to Transform Care Delivery

Book Description

Kaiser Permanente has implemented the largest nongovernmental electronic health record in the world, serving more than 8.6 million Kaiser Permanente members. Called KP HealthConnect, its impact on patient care outcomes, efficiency, safety, and patient engagement and satisfaction already is of intense interest throughout the health care industry. In this volume, Louise L. Liang, MD, who led the massive KP HealthConnect implementation, collects lessons learned from the organization's successful deployment strategy and highlights ways in which the new technological tools are changing and improving - the health care provided to patients and the operations and culture of the organization.

Advance praise for Connected for Health

"Health care transformation requires leadership and innovation. Connected for Health clearly shows there is no shortage of either at Kaiser Permanente. This is a must read for policy makers and practitioners as the lessons are of critical value if we are to achieve quality, affordable care for Americans."

—H. Stephen Lieber, president and CEO, Healthcare Information and Management Systems Society

"Connected for Health shares what Kaiser Permanente has learned so far in tapping the vast potential of electronic health records to improve care and expand the frontiers of medical research. It is a journey that should be of great interest to policy leaders in the United States and around the world."

—Karen Davis, president, The Commonwealth Fund

"This book is destined to become an important part of the critical dialogue on what reforming our health care system really means."

—James J. Mongan, MD, Professor of Health Care Policy and Social Medicine, Harvard Medical School

"Connected for Health shows how KP HealthConnect is facilitating great team-based care, getting quality right every time, getting patients activated, and freeing caregivers to connect as true healers with their patients."

—Margaret E. O'Kane, president, National Committee for Quality Assurance

"Effective implementation and use of health information technology is critical to improving the quality, safety, and affordability of health care. This book provides a great opportunity for others to learn from Kaiser Permanente's pioneering efforts."

—Janet M. Corrigan, president and CEO, National Quality Forum

Table of Contents

  1. Cover Page
  2. Title Page
  3. Copyright
  4. CONTENTS
  5. Dedication
  6. ACKNOWLEDGMENTS
  7. THE EDITOR
  8. FOREWORD
  9. INTRODUCTION
    1. The Long Journey to KP HealthConnect
    2. Forging a Common EHR Solution—and a Unified Organization
    3. Overview of Contents
  10. KAISER PERMANENTE HEALTHCONNECT: A PRIMER
    1. Functionalities
    2. KP HealthConnect Users
    3. PHR Functionalities
    4. Clinical Decision Support
    5. Quality Improvement
  11. SECTION ONE: SETTING THE COURSE
    1. CHAPTER ONE: OPPORTUNITY AND STRATEGIC LEADERSHIP
      1. Introduction
      2. New Leadership, New Vision
      3. Start with the End in Mind
      4. Structure, Process, and Strategy
      5. Acting in a New Way
      6. Eye on the Prize—Value Realization
      7. Lessons Learned
  12. SECTION TWO: LAYING THE TRACKS
    1. CHAPTER TWO: IMPLEMENTATION THROUGH COLLABORATION
      1. Introduction
      2. Keys to Successful Organizational Change
      3. The Collaborative Build
      4. From Design to Implementation
      5. Conclusion
      6. Lessons Learned
    2. CHAPTER THREE: PHYSICIAN LEADERSHIP AND ENGAGEMENT
      1. Introduction
      2. The Key Physicians
      3. Involving Physicians in Creating the Blue Sky Vision
      4. Vendor Selection
      5. Physician Leader Training
      6. Clinical Content
      7. Implementation
      8. Post-Implementation
      9. Initial and Ongoing Roles
      10. Conclusion and Lessons Learned
    3. CHAPTER FOUR: NURSING LEADERSHIP AND IMPACT
      1. Introduction
      2. Involving Nurses from the Outset
      3. Preparing Nursing Leaders for the EHR
      4. Practice Change Innovations
      5. Staff Satisfaction and Engagement
      6. Conclusion and Lessons Learned
    4. A CASE STUDY: DEPLOYING KP HEALTHCONNECT IN COLORADO
  13. SECTION THREE: HARVESTING VALUE
    1. CHAPTER FIVE: MAKING IT MATTER
      1. Part One: Value Realization
      2. Part Two: Reassessing the Quality Agenda with KP HealthConnect
    2. CHAPTER SIX: MANAGING THE HEALTH OF POPULATIONS
      1. Part One: Fulfilling the Promise of Population Care Management
      2. Part Two: Proactive Care Management for Primary Care Physicians
      3. Part Three: Bringing Care Management to Specialty Groups
    3. CHAPTER SEVEN: REDESIGNING PRIMARY CARE WITH KP HEALTHCONNECT
      1. Introduction
      2. The Hypothesis—Building Capacity
      3. Physician Perspectives on EHR-Enabled Primary Care Redesign
    4. CHAPTER EIGHT: MAKING HEALTH PERSONAL
      1. Introduction and Background
      2. Creating a Patient Portal into the EHR
      3. Adoption and Usage
      4. Special Issues
      5. Lessons Learned
    5. CHAPTER NINE: IMPROVING PATIENT SAFETY
      1. Part One: Introduction
      2. Minimizing Unnecessary Variation
      3. Refocusing on Systems Versus Individuals
      4. Approach and Principles
      5. Practical Applications
      6. Specific Patient Safety Initiatives
      7. Managing Unforeseen Risks
      8. Part Two: Select Patient Safety Initiatives with KP HealthConnect
      9. Conclusion
    6. CHAPTER TEN: SUPERCHARGING RESEARCH THROUGH KP HEALTHCONNECT
      1. Introduction
      2. EHR-Enabled Population Research
      3. Moving from Retrospective to Prospective Research
      4. Three EHR-Enabled Research Case Studies
      5. Conclusion
  14. SECTION FOUR: FUTURE DIRECTIONS
    1. CHAPTER ELEVEN: KP HEALTHCONNECT AND THE ARCHIMEDES MODEL
      1. Introduction
      2. Why a Mathematical Model Is Needed
      3. The Archimedes Model
      4. A Vision for the Future
      5. Conclusion
    2. CHAPTER TWELVE: THE DIGITAL TRANSFORMATION OF HEALTH CARE
      1. Introduction
      2. Unleashing the Power of Computerized Data
      3. Glimpses of the Tip of the Iceberg
      4. Moving Beyond the Data Vacuum
      5. Forging a Connected World
      6. Realizing the Blue Sky Vision
      7. The Future of Computer-Supported Care
      8. Conclusion
  15. Appendix: Select Publications About KP HealthConnect
  16. References
  17. INDEX