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Kaiser Permanente has implemented the largest nongovernmentalelectronic health record in the world, serving more than 8.6million Kaiser Permanente members. Called KP HealthConnect, itsimpact on patient care outcomes, efficiency, safety, and patientengagement and satisfaction already is of intense interestthroughout 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 successfuldeployment strategy and highlights ways in which the newtechnological tools are changing and improving - the health careprovided to patients and the operations and culture of theorganization.
Advance praise for Connected for Health
"Health care transformation requires leadership and innovation.Connected for Health clearly shows there is no shortage ofeither at Kaiser Permanente. This is a must read for policy makersand practitioners as the lessons are of critical value if we are toachieve quality, affordable care for Americans."
—H. Stephen Lieber, president and CEO, HealthcareInformation and Management Systems Society
"Connected for Health shares what Kaiser Permanente haslearned so far in tapping the vast potential of electronic healthrecords to improve care and expand the frontiers of medicalresearch. It is a journey that should be of great interest topolicy 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 thecritical dialogue on what reforming our health care system reallymeans."
—James J. Mongan, MD, Professor of Health Care Policy andSocial Medicine, Harvard Medical School
"Connected for Health shows how KP HealthConnect isfacilitating great team-based care, getting quality right everytime, getting patients activated, and freeing caregivers to connectas true healers with their patients."
—Margaret E. O'Kane, president, National Committee forQuality Assurance
"Effective implementation and use of health informationtechnology is critical to improving the quality, safety, andaffordability of health care. This book provides a greatopportunity for others to learn from Kaiser Permanente's pioneeringefforts."
—Janet M. Corrigan, president and CEO, National QualityForum
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 Deckardand Pamela Hudson).
3 Physician Leadership and Engagement (Andrew M.Wiesenthal).
4 Nursing Leadership and Impact (Marilyn P. Chow andValerie Fong).
Case Study: Deploying KP HealthConnect in Colorado (John H.Cochran).
SECTION III: HARVESTING VALUE.
5 Making It Matter: Value and Quality (Terhilda Garridoand Alide Chase).
6 Managing the Health of Populations (Louise L. Liang,Robert Unitan, and Jed Weissberg).
7 Redesigning Primary Care with KP HealthConnect (RuthBrentari and Leslie Francis).
8 Making Health Personal (Kate Christensen and Anna-LisaSilvestre).
9 Improving Patient Safety (Douglas Bonacum).
10 Supercharging Research through KP HealthConnect (MaryL. 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).
Posted January 31, 2011
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 fromWas this review helpful? Yes NoThank you for your feedback. Report this reviewThank you, this review has been flagged.