Kaiser Permanente: A Fully Integrated Health Care System

Jones, Deloras; Smith, Ron S.

doi:10.1097/00006216-200007000-00005

Cited by 7 publications

(7 citation statements)

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“…This variability was potentially modifiable by ready access to community-based diagnostic and treatment services combined with training and funding in specific areas. Supporting evidence from reports of international healthcare organisations (Jones and Smith, 2000) led to several projects to vertically integrate health services from a primary care base. The projects aimed to provide flexibility, rather than protocols, that would enable general practice teams to access the services the doctor and the patient felt would be most useful for that patient.…”

Section: Design and Introduction Of The Admsmentioning

confidence: 99%

Hospital avoidance: an integrated community system to reduce acute hospital demand

McGeoch

Shand

Gullery

et al. 2019

Prim Health Care Res Dev

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Background: Growth in emergency department (ED) attendance and acute medical admissions has been managed to very low rates for 18 years in Canterbury, New Zealand, using a combination of community and hospital avoidance strategies. This paper describes the specific strategies that supported management of acutely unwell patients in the community as part of a programme to integrate health services. Intervention: Community-based acute care was established by a culture of close collaboration and trust between all sectors of the health system, with general practice closely involved in the design and management of the services, and support provided by hospital specialists, coordination and diagnostic units, and competent informatics. Introduction of the community-based services was aided by a clinical guidance website and an education programme for general practice teams and allied health professionals. Outcomes: Attendance at EDs and acute medical admission rates have been held at low growth and, in some cases, shorter lengths of hospital stay. This trend was especially evident in elderly patients and those with ambulatory care sensitive or chronic disorders. Conclusions: A system of community-based care and education has resulted in sustained gains for the Canterbury health system and freed-up hospital resources. This outcome has engendered a sense of empowerment for general practice teams and their patients.

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Section: Design and Introduction Of The Admsmentioning

confidence: 99%

Hospital avoidance: an integrated community system to reduce acute hospital demand

McGeoch

Shand

Gullery

et al. 2019

Prim Health Care Res Dev

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“…In the Netherlands, several PHM initiatives are working to tackle the health-related social needs of residents by building partnerships among medical care, public health, social services, and community-based organizations [ 3 ]. Managing populations of patients based on their diagnosis while maintaining their health and keeping them out of dangerous circumstances has recently become popular as it affords the ability to deliver high-quality and efficient care that is satisfying to everyone involved [ 4 ]. Examples of leaders in PHM and integrated health care delivery include those in Denmark, Spain, and the United States, such as Geisinger, Memorial Hermann, the Department of Veterans Affairs, and Kaiser Permanente.…”

Section: Introductionmentioning

confidence: 99%

“…Another crucial aspect of PHM is coordinating a diverse and progressive group of stakeholders who work together to provide programs, services, and tools for interoperable care for patients in various health care settings [ 8 ]. This is also where the integration of services occurs, such as financing and delivery of health care working together [ 4 ]. According to Jones and Smith [ 4 ], an entirely integrated care system is defined as both horizontally and vertically integrated.…”

Section: Introductionmentioning

confidence: 99%

“…This is also where the integration of services occurs, such as financing and delivery of health care working together [ 4 ]. According to Jones and Smith [ 4 ], an entirely integrated care system is defined as both horizontally and vertically integrated. Vertical integration combines provider and care delivery, financing, and support services such as IT.…”

Section: Introductionmentioning

confidence: 99%

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Discussions With End Users to Inform the Vision for a Shared Care Record in Ontario: Qualitative Interview Study

Chmielewski,

Meyer

2024

Online J Public Health Inform

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Background Improving the health outcomes of populations of individuals through population health management requires the use of electronic health records that can exchange real-time digital information using an accurate and complete shared care record that is accessible to health care providers, services, and patients. Objective The aims of this study were to understand end users’ (health care providers) experiences, attitudes, and insights using current electronic health records; their expectations of what is required to establish a shared care record; and how they anticipate adapting to the use of a shared care record in daily practice. This work is the result of a quality improvement initiative deemed not to require ethics approval according to the Western research ethics board checklist. Methods Clinicians were contacted using voluntary response sampling and interviewed via Zoom (Zoom Video Communications) between June 2022 and July 2022. The participants were from various health care sectors and at various stages of career development. Results Overall, adaptation to the use of a shared care record was viewed positively by health care providers, highlighting the benefits of a centralized, shared, and accessible location for real-time data, promoting patient continuity of care. The main concerns included the privacy, confidentiality, and security of the record along with patients’ ability to interpret their own medical information found in a patient portal. The resources requested by end users included multifaceted ongoing training on the use of a shared care record. Conclusions This study provides practical findings that will help emphasize factors that facilitate clinicians’ practical use and process of adaptation to the use of a shared care record.

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“…Tentation forte s'il en est. Or, Kaiser permanente , le réseau Mayo et le VHA américain[7,18,25,[35][36][37] montrent que de bons hôpitaux sont aussi largement affaire de systèmes de soins[84], surtout dans des systèmes très centralisés.…”

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Les hôpitaux magnétiques : un hôpital où il fait bon travailler en est un où il fait bon se faire soigner

Brunelle¹

2009

Pratiques Et Organisation Des Soins

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Distribution électronique Cairn.info pour CNAMTS. © CNAMTS. Tous droits réservés pour tous pays.La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

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Kaiser Permanente: A Fully Integrated Health Care System

Cited by 7 publications

References 0 publications

Hospital avoidance: an integrated community system to reduce acute hospital demand

Hospital avoidance: an integrated community system to reduce acute hospital demand

Discussions With End Users to Inform the Vision for a Shared Care Record in Ontario: Qualitative Interview Study

Les hôpitaux magnétiques : un hôpital où il fait bon travailler en est un où il fait bon se faire soigner

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