1. Leveraging IT to Transform Health AcademyHealth Delivery System Meeting – Transforming Health and Health Care June 21, 2013 Amy Compton-Phillips, MD Associate Executive Director, Quality, The Permanente Federation Kaiser Permanente © 2013 The Permanente Federation, LLC

2. About Kaiser Permanente  Nation’s largest non-profit health plan  Integrated health care delivery system  9+ million members  17,000+ physicians  49,000+ nurses  172,000+ employees  Serving 9 states and the District of Columbia  37 hospitals  611 medical offices  $$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 Mid-Atlantic Region Georgia Region Colorado Region Ohio Region Northern California Region Hawaii Region Northwest Region Southern California Region 2

3. IT’s Role in Health Transformation – Knowledge Traditional Paradigm: What We Know (Research, Lit Review, Guidelines) How Well We Do It (Data Systems and Workflows) Enhancing What We Know (Big Data and Advanced Analytics) New Paradigm: 3

4. Tracking IT’s Role in Health Transformation – Tools Individual Patient Performance Physician & Group Outreach Inreach Primary Care Specialty Care 4

5. IT’s Role Role in Health Transformation – Shifting Ownership 5

6. 1958 Thiazides available 1995 1 st KP Guideline 1960 1970 1980 1990 2000 2010 2012 87% 1977 1 st JNC Report 2001, 1st Data Collection 35.7% Transformation – The Importance of Data and Systems 6

7. Since Year 2000: 30.4% reduction in mortality from CVD 42.2% reduction in mortality from stroke Heart Disease + Stroke mortality dropped below cancer mortality Sidney S, Jaffe M, Nguyen-Hyunh M, et. al. Circulation. 2011; 124: A13610 The Permanente Medical Group, Inc. Supported by Quality and Operations Support Transformation – Saving Lives 7