This document provides information about Kaiser Permanente Colorado, including: - It serves over 540,000 patients through 27 medical offices and has over 1,000 physicians. - Physicians are salaried and can earn up to a 10% bonus based on quality and service. - Each medical office has on-site pharmacy, x-ray, and lab services. - The primary care model focuses on population health and improving patient experience through a team-based approach with virtual care options.

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Scott Smith, MD
Associate Medical Director of Operations
Kaiser Permanente Colorado
S.Scott.Smith@kp.org

2. D E A D
L A S
T

3. About Kaiser Permanente
 Largest nonprofit health plan in the U.S.
Northwest Region
 Integrated health care
delivery system
 9.1 million members
Northern
California Region
 16,000+ physicians
Colorado Region
Mid-Atlantic Region
 174,000+ employees
Southern
California Region
Georgia Region
Hawaii Region
 48,000+ nurses
 Serving 8 states and the
District of Columbia
 37 hospitals
 Almost 600 medical offices/
outpatient facilities
 $50.6billion operating revenue*
 Scope includes ambulatory, inpatient, ACS, behavioral health, SNF, home health,
hospice, pharmacy, imaging, laboratory, optical, dental, and insurance
*Source: 2012 Kaiser Permanente Annual Report

4. Our Mission
To provide highquality, affordable
health care services
and to improve the
health of our members
and the communities
we serve.

5. NCQA Health Insurance Plan Rankings 2013-2014
Summary Report (Medicare)
5

6. Kaiser Permanente Colorado
• 540,000 Patients, 27 Medical Offices
• 1000 Physicians
• 1 Electronic Medical Record (EMR)
• Revenue in Excess of $3 Billion USD
• Physicians Are Paid on Salary
o Up to 10% bonus based on service & quality
• Pharmacy, X-Ray, Lab in each medical office

7. Role of EACH Physician
LEADER
HEALER
PARTNER
Jack Cochran, MD, Executive Director, Permanente Federation

8. KP Colorado Primary Care Model
• 300 Primary Care Physicians
•
•
•
130 General Practice
110 Internal Medicine
60 Pediatricians
• Roughly 1 physician per 1800 members
• We register each patient with one
physician
•
•
All booking and care is directed to this physician
Patients see their personal physician 82% of the time

9. Primary Care – Our Triple Aim
Population Health
 Patients Needs Come First
 Team Delivers Care
 Respectful & Compassionate Care
Primary Care
PatientCentered
Medical Home
Team
Enhancement
Patient
Quality
Team
Care Experience
Per Capita Cost
Link Each
New
Outreach
Access
Models
Patient to One Primary Care Doctor

10. Typical Day
Routine Access to Care is less than 4 days
15 Patients in office
3 Scheduled phone
8 Patient emails
5 Unscheduled phone
45% of all patient contacts are virtual

11. Typical Day
Quality
All prevention needs and gaps are known
All chronic condition monitoring results and
gaps are known
Centralized team outreaches to complete

12. Yesterday’s Care
Tomorrow’s Care
Our patients are those who make
appointments to see us
Our patients are those who are in our
panel
Patients’ chief complaints or reasons
for visit determines care
We systematically assess all our
patients’ health needs to plan care
Care is determined by today’s
problem and time available today
Care is determined by a proactive plan
to meet patient needs without visits
Care varies by scheduled time and
memory or skill of the doctor
Care is standardized according to
evidence-based guidelines
Patients are responsible for
coordinating their own care
A prepared team of professionals
coordinates all patients’ care
I know I deliver high quality care
because I’m well trained
We measure our quality and make
rapid changes to improve it
Acute care is delivered in the next
available appointment and walk-ins
Acute care is delivered by open access
and non-visit contacts
It’s up to the patient to tell us what
happened to them
We track tests & consultations, and
follow-up after ED & hospital
Clinic operations center on meeting
the doctor’s needs
A multidisciplinary team works at the
top of our licenses to serve patients
Slide from Daniel Duffy, MD School of Community Medicine Tulsa, Oklahoma

13. Innovation distinguishes between a leader and
a follower
---Steve Jobs
13

14. Let me put it simply:
I
In this room, with the successes already in hand among you here, you
collectively have enough knowledge to rescue (American) health care – hands
down. Better care, better health, and lower cost through improvement right here.
In this room.
The only question left is: Will you do it?
When we entered the world of health care improvement as our life’s work,
we didn’t ask for the burden we now bear.
We did not ask to be responsible for rescuing health care.
But, here we are, and, as intimidating as the fact may be,
that burden is ours.
Donald Berwick, MD

15. We’re Here to Make Lives Better