# Presentation: 118081

## Electronic Health Records for Personal Health Management

- 3rd National Prevention Summit
- October 25, 2005
- Washington DC

- Paul Wallace MD
- Care Management Institute
- Kaiser Permanente
- _[Paul.Wallace@kp.org](mailto:Paul.Wallace@kp.org)_

## About Kaiser Permanente

-  Integrated health caredelivery system
-  8 Regions Serving  9 States and the District of Columbia
-  8.3+ million members
-  Over 12,000 Physicians
-  Over 130,000 Employees
-  30 Hospitals and Medical Centers
-  431 Medical Offices

**About Kaiser Permanente**

-  Nation’s largest nonprofithealth plan – Founded 1945

- Large investments in Research and HIT
-  **All employees and their families **
**are KP members**

**Notes:**
We are a large system that offers many benefits to our members, especially in terms of convenience and economies of scale. 

## Prevention and Health as a Strategic Priority

## HIT Support : The EHR in the Physician’s Office

**HIT Support : ****The EHR in the Physician’s Office**

- BMI as a
- Vital Sign

- Alerts and
- Reminders

- Charting
- And Decision
- Support

## Engaging the patient

- “Rules of the Game” model
- “Skin in the game” model
- Tiered co-pays
- Coinsurance
- High Deductible Health Plans
- Tiered networks: hospitals, specialists, PCPs
- Consumer Directed Plans
- “Brain in the game” model
- Healthy lifestyles, wellness activities
- Self management for acute and chronic conditions
- Shared decision making
- Web-based decision support tools

## The Patient at the Center of Care

## Direct to the Patient: Opportunities to Support and Integrate Care

- Asthma Featured Health Topic
- from the pull-down menu

- Announcement about
- asthma

## Asthma Featured Health Topic: Connecting to Information

- Información en español

- Links to evidence-based content, and Health
- Encyclopedia

- Reviewed by subject matter experts

## Managing Your Asthma:Connecting to Appropriate Actions

**Link to Asthma **
**Triggers tool**

**Physician**
**Follow-up**

**Link to**
**asthma action plan**

**Self**
**Management**

## Managing Your Asthma:Connecting to Appropriate Actions

**Link to Asthma **
**Triggers tool**

**Physician**
**Follow-up**

**Link to**
**asthma action plan**

**Self**
**Management**

## Managing Your Asthma:Connecting to Appropriate Actions

**Link to Asthma **
**Triggers tool**

**Physician**
**Follow-up**

**Link to**
**asthma action plan**

**Self**
**Management**

## Direct Links with Care and the Delivery System

- Online and In person appointments
- Secure messaging with physicians and other clinicians
- Health Classes
- Pharmacy – Refills and Medication Information
- Message Boards

## Peer Support

- ... like other animals we tend to isolate ourselves when we hurt. We forget the value of... positive support ... It helps so much to reach out and share our lives and it works both ways.
- -- Arthritis message board

- I've noticed that since I've been going to the gym I have more energy than before. I just feel better.
- --  Exercise & fitness message board

**Notes:**
Add weight management message boards screen grab

## Healthy Lifestyles: Tools to Improve Health

- Coming in Spanish

**Online Health Assessments**** **_**and Interventions**_**                                                                                                       ****  Balance, Relax, Breathe, **
**  ****Nourish, Succeed**

## participants set goals including

- calorie intake
- fat consumption
- physical activity
- select the frequency they will report their progress

**Supporting Change : Goal Setting**

## participants report their progress

- a graph shows their reported progress against their set goals
- more participants achieve their weight management goals

**Supporting Change : Goal Setting**

## Easy Access to the Patient’sHealth and Medical Record

## Prior office visit – details... and “portability”

**Prior office visit – details... ****and “portability”**

## The Patient at the Center of Care

## Slide 20