Connected for Health: Using Electronic Health Records to Transform Care Delivery / Edition 1

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Overview

Kaiser Permanente has implemented the largest nongovernmental electronic health record in the world, serving more than 8.6 million Kaiser Permanente members. Called KP HealthConnect, its impact on patient care outcomes, efficiency, safety, and patient engagement and satisfaction already is of intense interest throughout the health care industry. In this volume, Louise L. Liang, MD, who led the massive KP HealthConnect implementation, collects lessons learned from the organization's successful deployment strategy and highlights ways in which the new technological tools are changing and improving - the health care provided to patients and the operations and culture of the organization.

Advance praise for Connected for Health

"Health care transformation requires leadership and innovation. Connected for Health clearly shows there is no shortage of either at Kaiser Permanente. This is a must read for policy makers and practitioners as the lessons are of critical value if we are to achieve quality, affordable care for Americans."
H. Stephen Lieber, president and CEO, Healthcare Information and Management Systems Society

"Connected for Health shares what Kaiser Permanente has learned so far in tapping the vast potential of electronic health records to improve care and expand the frontiers of medical research. It is a journey that should be of great interest to policy leaders in the United States and around the world."
Karen Davis, president, The Commonwealth Fund

"This book is destined to become an important part of the critical dialogue on what reforming our health care system really means."
James J. Mongan, MD, Professor of Health Care Policy and Social Medicine, Harvard Medical School

"Connected for Health shows how KP HealthConnect is facilitating great team-based care, getting quality right every time, getting patients activated, and freeing caregivers to connect as true healers with their patients."
Margaret E. O'Kane, president, National Committee for Quality Assurance

"Effective implementation and use of health information technology is critical to improving the quality, safety, and affordability of health care. This book provides a great opportunity for others to learn from Kaiser Permanente's pioneering efforts."
Janet M. Corrigan, president and CEO, National Quality Forum

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Product Details

  • ISBN-13: 9781118018354
  • Publisher: Wiley
  • Publication date: 5/25/2010
  • Edition number: 1
  • Pages: 272
  • Sales rank: 676,216
  • Product dimensions: 6.60 (w) x 9.50 (h) x 0.60 (d)

Meet the Author

Louise L. Liang, MD, serves as an executive consultant to Kaiser Foundation Health Plan and speaks, writes, and consults on a broad set of health care issues including electronic information systems, quality, safety, service, and practice redesign. From 2002 to 2009, she served as senior vice president, Quality and Clinical Systems Support, Kaiser Foundation Health Plan and Kaiser Foundation Hospitals, Inc. Working with leaders throughout Kaiser Permanente, she oversaw the national quality agenda to ensure that members received excellent care and service. She led the development and implementation of Kaiser Permanente HealthConnect, a $4 billion-plus organizationwide electronic health record and administrative system to support continuity and quality of care as well as efficient business functions. From 2000 to 2002, Dr. Liang served as chair, Board of Directors, Institute for Healthcare Improvement. From 1997 to 2001, she served as the chief operating officer and medical director of Group Health Cooperative in Seattle, Prior to that, Dr. Liang was associate medical director at the Harvard Community Health Plan in Boston, where she was responsible for health center operations.

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Table of Contents

Forward (Donald M. Berwick).

Introduction (Louise L. Liang).

KP HealthConnect: A Primer.

SECTION I: SETTING THE COURSE.

1 Opportunity and Strategic Leadership (Louise L. Liang).

SECTION II: LAYING THE TRACKS.

2 Implementation through Collaboration (Donna Deckard and Pamela Hudson).

3 Physician Leadership and Engagement (Andrew M. Wiesenthal).

4 Nursing Leadership and Impact (Marilyn P. Chow and Valerie Fong).

Case Study: Deploying KP HealthConnect in Colorado (John H. Cochran).

SECTION III: HARVESTING VALUE.

5 Making It Matter: Value and Quality (Terhilda Garrido and Alide Chase).

6 Managing the Health of Populations (Louise L. Liang, Robert Unitan, and Jed Weissberg).

7 Redesigning Primary Care with KP HealthConnect (Ruth Brentari and Leslie Francis).

8 Making Health Personal (Kate Christensen and Anna-Lisa Silvestre).

9 Improving Patient Safety (Douglas Bonacum).

10 Supercharging Research through KP HealthConnect (Mary L. Durham).

SECTION IV: FUTURE DIRECTIONS.

11 KP HealthConnect and the Archimedes Model (David M. Eddy).

12 The Digital Transformation of Health Care (George C. Halvorson).

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Sort by: Showing 1 Customer Reviews
  • Posted January 31, 2011

    more from this reviewer

    A Good Read on The Digital Transformation of Health Care

    Connected for Health: Using Electronic Health Records to Transform Care edited by Louise L. Liang is an account that chronicles the implementation of electronic health record (EHR) by Kaiser Permanente (KP). This EHR network serves more than 8.6 million Kaiser Permanente members. One of the things that I like most about this book is the story that the editor shares on how KP HealthConnect actually got started in the very beginning by brainstorming for a compelling vision in line with the organizational aspiration and goal -- in this case, the primary goal is to transform care and service delivery (Chapter 1). In this process, the key principle is: to start with the end in mind! I like the concept of their Blue Sky Vision (much like the blue ocean strategy). In order to create the unique Blue Sky Vision, KP invited "wild and crazy" thinkers to brainstorm and to think out of the box. These thinkers are the people that, as Liang said, "make us a bit uncomfortable". These are the people who are always pushing at the edges. As shared by Liang, at this stage, the focus to brainstorm is not about the actual practices, but the organization's aspiration and dreams. After the identifying these themes, the next challenge for KP would be to flesh out these themes, and to do that, they have roped in experts from the operational side as the second team (independent of the first team that envision the themes). Essentially this is about translating the vision into action, putting the Blue Sky Vision into the actual system. The end result is the creation of KP's EHR, called the KP HealthConnect, created based Epic Systems, which includes personal health record, outpatient and in-patient data, billing info, meds info, lab results, etc. As mentioned, patients have access to their own medical record, lab results, appointments, etc. Patients can also send secure messages to their doctors to ask for advices, to change appointment dates, etc. An entire chapter is devoted on the issue of patient safety and how EHR in fact, can be beneficial in improving the safety net. Specific examples on how EHR is beneficial in improving patient safety are given diagrammatically on pages 164-65 of the book. Another interesting concept I learned from this chapter is the adaption and adoption of the Hierarchy of Control for Industrial safety into patient safety management. In essence, the focus to eliminate or reduce risk should be on the bottom billion of the pyramid where the measures are most effective. However, one of the issues I find lacking in the book which to me, is a major concern is on patient's confidentiality. Although on page 143, the author specifically highlight that the website is secure and that KP does not sell or disseminate patient's information as well as their promise to abide to the Code of Ethics, etc, etc; the brevity of information on a quarter page hardly do any justice to this vitally important aspect of patient care as enshrined as one of the golden biomedical principles (this issue is addressed in details in a separate article I highlighted below). In summary, I find this book to be stimulating with so much nuggets to learn from

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