Presenter Disclosures

Transcription

1 Creating the Future of Health Care Unleashing the Power of Teams and HIT The 25 th Annual National Forum on Quality Improvement in Health Care December 11, 2013 Marilyn Chow, RN, PhD, FAAN Vice President, National Patient Care Services, Kaiser Permanente Dean Fredriks, PharmD Director of Clinical Pharmacy Services, Kaiser Permanente Presenter Disclosures Marilyn P. Chow, RN, PhD, FAAN Vice President, National Patient Care Services, Kaiser Permanente No conflicts to disclose Dean Fredriks, PharmD Director of Clinical Pharmacy Services, Kaiser Permanente No conflicts to disclose 2 1

2 Session Objectives Identify how to develop effective care teams that can leverage advanced health information technology Explain how teams can use health information technology to accelerate their ability to transform care and become skilled in process improvement Apply core principles and learnings of technology-supported care teams in their own organization 3 About Kaiser Permanente Northwest Region Northern California Region Southern California Region Hawaii Region Colorado Region Nation s largest non-profit health plan Mid-Atlantic Region Georgia Region Integrated health care delivery system 9.1 million members 16,000+ physicians 174,000+ employees (including 48,000+ nurses and 8,682 pharmacy) Serving 8 states and the District of Columbia 38 hospitals More than 600 medical offices 93 million Rx per year $50.6 billion operating revenue* Scope includes ambulatory, inpatient, ACS, behavioral health, SNF, home health, hospice, pharmacy, imaging, laboratory, optical, dental, and insurance *Source: 2012 Kaiser Permanente press release 4 2

3 Kaiser Permanente: An Integrated Care Delivery System Member/Patient Permanente Medical Groups Kaiser Foundation Hospitals Kaiser Foundation Health Plan 5 Kaiser Permanente cancer care patient, Pauline Willems 6 3

4 Share a story that illustrates how care is delivered in your organization 7 It's far more important to know what person the disease has than what disease the person has. -- Hippocrates 8 4

5 Coordinated, Patient-Centered Care Health Educator Primary Care Physician Registered Nurse Pharmacist Specialist Medical Office PATIENT Case Manager Hospital Mental Health Home Health Skilled Nursing Facility In-reach Outreach 9 5

6 The Information Age of Health Care Industrial Age Model of Care One patient at a time Only know about patients who appear in your office No use of IT Limited use of extenders Information Age Model of Care Accountability for panel/population Transparency Use of EMR, registries, internet Team care (including patient and families) Moving care out of doctor s office 11 What are your assets? Map the resources available to you. 12 6

7 2011 American Association of Colleges of Nursing, American Association of Colleges of Osteopathic Medicine, American Association of Colleges of Pharmacy, American Dental Education Association, Association of American Medical Colleges, and Association of Schools of Public Health. 13 Team-Based Care: Expanded Roles for Patients Connected Care Leveraging IT to empower patients Patient- and Family-Centered Care Shared Decision-Making Video Ethnography Shadowing Patient Advisory Councils Rounding for Outcomes 7

8 Team-Based Care: Expanded Roles for Nurses Patient-centered medical home model Nurse-run clinics SmartCare strategy Patient room of the future Transitional Care Model NKEplus KP Painscape KP MedRite Team-Based Care: Expanded Roles for Technology Technologies to improve workflow Time-saving and communication technologies Chronic condition management and prevention Telehealth technologies New forms of care 8

9 Team-Based Care: Expanded Roles for Pharmacy Anticoagulation Care Oncology Transitional Care Medication Therapy Management Cardiovascular Risk HIV, Hepatitis C Renal Pain Coordinated, Patient-Centered Cancer Care Interventional Radiologist Pharmacist Medical Oncologist Chemotherapy Nurse Social Worker Pain Specialist Radiation Oncologist PATIENT Health Educator Nutritionist Surgical Oncologist Palliative Care Physician Scheduler Research Nurse 18 9

10 "We need to move from a team of experts to an expert team." 19 Team-Based Care: The Oncology Team & BEACON National protocols Chemotherapy, Nursing notes Team workflow Order entry & review Patient assessment Chemotherapy verification and preparation/double check Administration/double check & patient: bar code match Post chemo follow-up Documentation Team proximity 10

11 How do you envision care in the future being different?

12 Storyboard Example 1. Start with where you are 2. End with where you want to be 3. In the middle, think about how you can leverage your assets to get from 1 to Share your story during report out. Thank You 24 12