Winning in the New World: Integrated Systems of Care & Population Care Management Ronald L. Copeland, MD, FACS, Chief Diversity and Inclusion Officer Daniel N. Edmonds, MHSA, Vice President, National Sales Operations and Performance

2August 8, 2015

Kaiser Permanente at a Glance Largest nonprofit health plan in the U.S. Largest integrated care system in the U.S. Largest private deployment of an electronic health record in the world Serving California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia, Washington, and Washington D.C. 9.1 million members 37 Hospitals Almost 600 Medical Office Buildings More than 174,000 employees Over 16,000 physicians $50.6 billion operating revenue

Mission To provide high-quality, affordable health care services and to improve the health of our members and the communities we serve Vision To be a leader in Total Health by making lives better Strategy To be a leader in providing high-quality, affordable health care through our integrated care delivery system, focused on advanced technology and Total Health Community Benefit Is Foundational For over 65 years, KP has been committed to the health and well-being of our members and the community. The reach of our effort goes beyond the walls of our facilities. And the impact we make touches the lives of individuals and families, both today and for generations to come. Advancing Our Mission

Goal: Workforce That Reflects Our Communities Employees - Membership data as of Dec Workforce/Health Professions data as of June Physician data as of Sept. 2013, except NWPMG as of Dec. 2012

6 Kaiser Permanente’s Diversity & Inclusion Strategy August 8, 2015 Workforce Optimize diversity at every level and create inclusive environments Marketplace Provide compelling value and great service for our diverse membership and communities Care Provide best care and service for all populations to eliminate disparities and create equity in our communities Supplier Diversity/ Community Partnerships Build equity through businesses and jobs and promote diverse and thriving communities We will continue to be a leader in diversity with a comprehensive strategy that is woven throughout our organization and our strategic imperatives. Zero Disparities Zero Gaps in Representation Personalized Communications for All Join “Billion Dollar Roundtable”

7 Winning in the New World Winning as a Health Plan or Insurer Winning with Members and Patients Winning with Physicians and Providers What will be required to win customer business in a post-reform environment?

8 Winning as a Health Plan or Insurer  Customer Engagement

9 Winning as a Health Plan or Insurer  Access (Convenience)

10 Winning as a Health Plan or Insurer  Brand Relevance

Kaiser Permanente Care Management Institute Focus on PeopleFocus on SystemsFocus on Disease Total Health & Obesity Prevention Population Health Elder Care Improving Specialty Access Clinical Guidelines Clinical Library Evaluation & Analytics Clinical and Operational Improvement Cancer Care Integrated Behavioral Health 12

Transformation Spaces High potential / high value tactics – we can improve care across our entire landscape of settings and strategies – to provide the right care at the right time in the right place. KP Care Settings Technology Enabled Care Settings Community Care Settings Acute, Urgent & Emergent Care Encounters Ambulatory Care Encounters Population Care Encounters Geriatric ED Telemedicine Remote Monitoring Self Care System Mobile Apps Hospital & ED Clinic Home Everywhere Call Centers / KP.Org Care / Case Management Automated Care Mgt Continuum of Care Community Social Networking Internet Care Communities Care Transitions Palliative Care Assisted Living Rounding Geriatric Specialty Deployment Geriatric Med Home SNF Rounding Self Care KP.org Hosp at Home Clinical Onboarding Primary Care Home Visits Community Paramedicine Integrated Member Assistance Access to Community Social Services 13 Extend the Delivery System Empower Members and Caregivers 13August 8, 2015 “Respecting Choices” Integrated Complex Care

14 Winning with Physicians and Providers Physician Led Systems of Care Infrastructure Enables Performance Culture of Collaboration & Accountability The Permanente Federation Electronic Medical Records Decision Support Tools Healthcare Disparities August 8, 2015

15 Winning with Members and Patients Convenience: Care Anywhere Affordability Integrated Systems of Care Telemedicine Wellness and Prevention Strategies Systematic Approach to Translation and Interpretation Services Technology for Enhanced Connectivity August 8, 2015

16 Our Dream — Sidney R. Garfield, MD, Co-Founder, Kaiser Permanente “ Our dream was to create by incorporating the principles of group practice, prepayment, and integrated facilities, so stimulating a form of practice that our doctors would be inspired to outperform ‘private’ practice in service and do so without the incentive of fees. ” August 8, 2015

Questions?