1. Leveraging Primary Care & Population Health Management to Create Value: Lessons from Kaiser Permanente Donna Lynne, Executive Vice President Kaiser Foundation Health Plans March 5, 2015

2. 2 Agenda Kaiser Permanente Primary Care Best Practices Discussion Fourth Agenda Fifth Agenda

3. 3 Kaiser Permanente: Today  9.6 million members  $55 billion revenue  174,500 employees  17,500 physicians  48,300 nurses  648 hospitals, medical offices & other facilities

4. 4 What Makes Kaiser Permanente Unique  Partnership between health plan & medical groups  Health plan & delivery system  Physicians are paid a salary  Focus on wellness, preventive care & prevention  Patient-centered medical home  Early adopter of electronic medical records  Recognized for high quality

5. 5 KP in relation to US health plans  5 th largest health plan in US  Only one in top 5 that is NOT in all 50 states  Only top 5 plan with “integrated delivery system.”

6. 6 Integrated Care = Care at its best

7. 7 Health happens where you live, work, play and pray Society Neighborhood/ Community Home/School/Work Individual/ Family

8. 8 Drivers of Health Care Personal Behaviors 40% Environment al & Social Factors 20% Family History/ Genetics 30% Medical Care 10%

9. 9 Primary Care Best Practices  Collaborative Cardiac Care Service  Care Management Team Program  Behavioral Health “iCOT”  Life Choices

10. 10 Look Collaborative Care Cardiac Service (CCCS)

11. 11 Primary Care Best Practices  Collaborative Cardiac Care Service  Care Management Team Program  Behavioral Health “iCOT”  Life Choices

12. Care Management Team Program 12 Patient Primary Care CMT (Care Management Team): RN, CPS, CDE PMT (Prevention Management Team): MAs

13. 13 Primary Care Best Practices  Collaborative Cardiac Care Service  Care Management Team Program  Behavioral Health “iCOT”  Life Choices

14. 14 Improved Care Outcome Tool - iCOT  Behavioral Health Questionnaire – Completed by adult patients – Completed at each individual therapy visit in mental health, chemical dependency and psychiatry  Provides “picture” of progress  Help guide with treatment decisions  Utilizes patient motivation for behavior change

15. 15| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.October 7, 2015 Primary Care Best Practices  Collaborative Cardiac Care Service  Care Management Team Program  Behavioral Health “iCOT”  Life Choices

16. What is Life Care Planning? 16  Life Care Planning is a systematic member centered approach to advance care planning.  An organized process of communication to help individuals understand, reflect upon and discuss goals for future health care decisions in the context of their values and beliefs.  When the process is done well, it has the power to produce a written plan that accurately represents the individuals’preferences and thoroughly prepares others to make health care decisions consistent with these preferences. Life Choices

17. 17| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.October 7, 2015 Meeting Patients Where They Are At Emails with Dr.Phone Visits Video Visits 1 million patient emails Completed 200,000 “scheduled” telephone visits. Video visits for follow up care

18. Discussion/Questions