Directory Services in the Health Care Enterprise Toward a Consolidated Infrastructure Ronald B. Williams Application and Security Architectures Technology & Systems Planning Kaiser Foundation Health Plan, Inc.

Open Group, Thursday, April 30th, Kaiser Permanente 90,000+ Employees And a Lot of Hardware Serving over 9.1 Million Members in 19 States and the District of Columbia 10,000 Physicians

Open Group, Thursday, April 30th, Disclaimer The examples contained in this presentation are intended as examples of how directory services might be implemented in the large scale health care enterprise. They do not represent official requirements by Kaiser Permanente, its affiliates, corporations, or employees. This presentation will self destruct in 15 minutes.

Open Group, Thursday, April 30th, Agenda What is Kaiser Permanente A look at a healthcare enterprise Coherence out of Chaos, Directory Services everywhere Gordianectomies - streamlining the models What we need from Directory Service Providers (Vendors)

Open Group, Thursday, April 30th, Kaiser Permanente 3 Corporations –Kaiser Foundation Heatlh Plan, Inc. Administers Health Plans Provides IT Services for Medical Groups and Hospitals –Kaiser Foundation Hospitals, Inc. Administers Facilities and Non-Physician health care staff –Kaiser Permanente Medical Groups Physician Services to Kaiser Members

Open Group, Thursday, April 30th, Kaiser Corporations Kaiser Permanente Kaiser Foundation Health Plan, Inc. Kaiser Foundation Hospitals, Inc. Permanente Medical Groups Clinical Data Financial & Administrative Data Financial & Administrative Data Clinical Data

Open Group, Thursday, April 30th, Two Healthcare Business Environments Financial Systems –Human Resources –Payroll –Claims –Reimbursement –Sales & Marketing –Plan Administration –Insurance –etc.... Clinical Systems –Appointment –Scheduling –Laboratory –Pharmacy –Documentation –Care Practice Support –Radiology –etc....

Open Group, Thursday, April 30th, Physician Master Database Demographic Information Credentials Calendar (Scheduling) Location(s)

Open Group, Thursday, April 30th, Facilities Master –Clinics –Labs –Pharmacies –IT Departments –Plant Engineering

Open Group, Thursday, April 30th, Service Master Catalog of Clinical Services –Laboratory –Pharmacy –Surgery –Radiology –Opthalmology –(Your favorite department here) –etc.

Open Group, Thursday, April 30th, Employee Master (HR) Demographic Data Emergency Data Credentialing, Roles Security Characteristics Payroll and Benefits

Open Group, Thursday, April 30th, The Gordian Knot Master Databases Patient Employee Clinical Services Facilities Physician Accessing Application Electronic Health Records Human Resources Laboratory Management Appointment Scheduling Member Benefits Cost Recovery PharmacyReimbursments

Open Group, Thursday, April 30th, … and Data for All... Accessing Application Master Databases Patient Employee Clinical Services Facilities Physician Electronic Health Records Human Resources Laboratory Management Appointment Scheduling Member Benefits Cost Recovery PharmacyReimbursements LDAP

Open Group, Thursday, April 30th, What we need from Directory Service Providers Secure LDAP –Authentication –Authorization –Audit –Resilience Extensible Standardized Schema –People –Services Robust LDAP Anywhere –LDAP Database Adapters

Open Group, Thursday, April 30th, Ronald Becker Williams Strategic Planning Specialist Application and Security Architecture Technology & Systems Planning KP  Information Technology vox: (818) fax: (818)