1. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. The Permanente Medical Group AMGA Acclaim Award recipient, 2013 Transforming Health Care through Leadership & Technology Joe Houska, PhD, VP, Strategic Projects & Consulting Alan Whippy, MD, Medical Director of Quality & Safety March 19, 2014 Webinar

2. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Tell Your Story 2

3. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Understand What is Important 3 New! Different rating scale

4. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. IOM Aims & AMGA Attributes 4 Institute of Medicine Improvement Aims: Safe Effective Patient-Centered Timely Efficient Equitable High Performing Health System Attributes Efficient provision of services Organized system of care Quality measurement & improvement activities Care coordination Use of IT & evidence-based medicine Compensation that promotes these objectives Accountability

5. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Engage Senior Leaders Beginning Vision Direction Theme Middle Review Right direction? End Final sign off 5

6. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Provide Evidence of the Impact 6 Hypertension Compare performance to benchmarks KPNC 2012 commercial HEDIS BP control rate was 87% = #3 in nation Translate performance to the impact If national average BP control rate (61%) improved to KPNC BP rate: 177, 780 heart attacks and 242,684 strokes could be prevented in next 5 years

7. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Describe Replicability: The How 7 Physician Leadership Regional leadership Local champion & chief structure of accountabilit y IT Investments Registries Web based Pop Mgmt tools EMR enhancement s MA alerts Hypertension

8. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Do Research 8

9. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Create a Team Senior leadership sponsor Clinical leadership sponsor Project Manager Clinical experts Writers & editors Analytic support 9

10. © 2014 The Permanente Medical Group, Inc. All Rights Reserved. Good Luck! Questions? 10 Thank You!