Kaiser Permanente: Bridging the Quality Divide with Integrated Practice, Group Accountability, and Health Information Technology

Kaiser Permanente comprising the Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, and Permanente Medical Groups in eight regions is the largest nonprofit integrated health care delivery system in the United States. The successful evolution of this organizational structure in a competitive marketplace has required a close partnership between managers and physicians supported by a culture of physician group accountability for quality and efficiency.
OTHER WHITEPAPERS
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EXPANDING MEDICAID TO IMPROVE MENTAL HEALTH CARE IN NORTH CAROLINA

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A key provision of the Affordable Care Act (ACA) is the eligibility expansion of Medicaid, a condition originally mandated by the ACA but made optional to states a"er a 2012 Supreme Court decision. Today, 28 states are participating in expansion. The North Carolina legislature has repeatedly declined expanding Medicaid to eligible residents while the state is also experiencing formidable challenges in providing affordable mental health care services. Nevertheless, new and emboldened leadership has the opportunity to expand Medicaid as part of a greater effort to improve mental health care in North Carolina.

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Using Care Bundles to Improve Health Care Quality

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In 2001, the Institute for Healthcare Improvement IHI developed the bundle concept in the context of an IHI and Voluntary Hospital Association VHA joint initiative - Idealized Design of the Intensive Care Unit IDICU - involving 13 hospitals focused on improving critical care. The goal of the initiative was to improve critical care processes to the highest levels of reliability, which would result in vastly improved outcomes.

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4 Best Practices in Financial Planning for Healthcare

whitePaper | December 31, 2018

Given the number and magnitude of external pressures in healthcare, the need for robust, long-range financial planning is more critical than ever. In addition, boards are increasingly asking for improved visibility into the longer-term financial trajectory of their organizations.

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Value Based Care - Evaluating Contract Profitability White Paper

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The shift to value-based care creates a sharp increase in healthcare organizations and networks’ need for data collection, aggregation and analysis. This white paper outlines the challenges involved with performing population-level analyses, developing cost accounting and profitability analyses across care settings, evaluating care episodes and integrating quality data. It explores the limitations of targeted software solutions to provide cross-enterprise insights. Finally, it provides advice for healthcare executives regarding how to approach gathering quality and cost-related data and how to leverage technology and analytical expertise to drive risk-based contract succes.

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Why Patient Engagement is Critical to Revenue Cycle Management

whitePaper | June 6, 2017

Historically, revenue cycle management has focused on maximizing insurance reimbursements, but as patient financial responsibility continues to increase, the landscape is quickly changing. In the past five years, patient payment responsibility has risen dramatically and continues to increase with the implementation of the Affordable Care Act. More people insured means more people who don’t understand their health insurance and many of the plans on the healthcare exchanges are high deductible plans. Collecting from patients is estimated to cost up to 4 times more than collecting from payers1 and patient pay responsibility is projected to climb to 50% of the healthcare dollar by the end of the decade.

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Modelling Patient Behavior to Improve Self-Management in Diabetes

whitePaper | November 1, 2014

Health psychology is a relatively young field of study: less than 30 years old here in the UK. However, recognition of its value has greatly increased as our knowledge of patient adherence in chronic disease has improved. Health psychology is concerned with examining how patient behaviour – what they do, what they think, and how they feel – influences how they manage their own illness. This self-management covers everything that a patient does to manage their own condition. At a day-to-day level, this may include monitoring symptoms, implementing lifestyle changes, taking medications, and attending follow-ups with their healthcare professionals (HCPs). For all chronic conditions, good selfmanagement is essential for successful outcomes.

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