slide 1 fastfacts feature presentation october 12, 2012 to dial in, use this phone number and...
TRANSCRIPT
Slide 1
FastFactsFeature Presentation
October 12, 2012
To dial in, use this phone number and participant code…
Phone number: 888-651-5908 Participant code: 182500
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© 2012 The Johns Hopkins University. All rights reserved.
Slide 2
Today’s TopicWe’ll be taking a look at…
Kaiser Permanente HMOChanging the conversation to what matters
Slide 3
Today’s Presenter
Jeff J. Fisher, Senior Account Manager, Kaiser Permanente Mid-Atlantic Region
Slide 4
Session Segments
PresentationJeff will address the changes to the plan structure and provide suggestions for saving on your out of pocket expenses.During Jeff’s presentation, your phone will be muted.
Q&AAfter the presentation, we’ll hold a Q&A session. We’ll open up the phone lines, and you’ll be able to ask questions. Jeff will answer as many of your questions as time allows.
Slide 5
Contact Us
If you would like to submit a question during the presentation or if you’re having technical difficulties, you can email us at: [email protected] can also send us an instant message!
GoogleTalk – [email protected] Instant Messenger – HopkinsFastFactsMSN – [email protected]
Slide 6
Survey
SurveyAt the end of this FastFacts session, we’ll ask you to complete a short survey. Your honest comments will help us to enhance and improve future FastFacts sessions.
Slide 7
How To View Full Screen
Click Here
Kaiser Permanente HMOChanging the conversation to what matters
Johns Hopkins University 2013 Plan/Benefit Overview
Kaiser Foundation Health Plan of the Mid-Atlantic States2101 E. Jefferson StreetRockville, MD 20852
Typical U.S. health care
Emergency Room
DM Vendors
Rehabilitation
Call CenterAdvice Center Skilled Nursing
Facility
Urgent Care
Pharmacy
Laboratory
Specialty CareOffice
Primary CareOffice
Hospice
Home(Self-Care)
Radiology
Media/Web
Health Plans
Hospital
Delivery System: Fragmented, uncoordinatedResult: Poor quality, frequent duplication of efforts, low efficiency, difficult to navigate
Why is it better at Kaiser Permanente?
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With Permanente physicians, KP members have faster access to care
Data source: Kaiser Permanente HealthConnect Scheduling System and Diamond Claims System; Data based on referrals initiated during February 2012 comparing the date a member is referred to a specialist and the date they are seen by a specialist (data is for KP members only reflecting the experience of internal care versus utilizing a network specialist; may or may not reflect specialty access for members of other health plans)
12
Using a tool called E-consult primary care physicians can instantly schedule patients to see specialists while the patient is in the exam room -- no more waiting on the phone to schedule appointments. Frequently, specialty appointments are even available the same day.
Print outs for Patient and Referring Physician
With Kaiser Permanente – Permanente doctors can deliver market-leading access to specialists thanks to the unparalleled resources and technology they have at their fingertips
13 13
From any computer with an internet connection, Permanente physicians can securely view Kaiser Permanente members’ x-rays (or any other radiology image) moments after the film is taken*.
With Kaiser Permanente there’s no need to carry around your x-rays, remember your medical history or fill out the same forms…over and over again
*The above statements primary applies to Kaiser Permanente members who seek care through Permanente physicians.
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Members are able to choose their Permanente primary care doctors online, assisted by the information contained in the comprehensive home pages of every Permanente physician.
With Kaiser Permanente you get to choose your doctor based on detailed information, not on who finally returns your call
15
Only with Kaiser Permanente can you get the kind of online convenience we offer
From any computer with an internet connection, at any time (day or night), Kaiser Permanente makes it fast, easy, and convenient for members
– Email a Permanente doctor office
– Schedule appointments
– Refill prescriptions
– View lab test results
– Print immunization records
– Get a list of your medications
– And more! Including the NEW kp.org Mobile App
16
With Kaiser Permanente – patients have fast and convenient access to services offered at our new multi-specialty hubs
What members get at hubs What this means for them
24/7/365 Urgent Care By offering around-the-clock urgent care, members are able to avoid unnecessary, inconvenient and time-consuming visits to the emergency room
24/7 Pharmacy, Lab and Radiology In the Mid-Atlantic, most non-KP members are accustomed to traveling to various locations, with limited hours, to receive these services. With KP, you may visit a specialty hub to receive these services all at one location.
A vast array of primary and specialty care – all connected and in one place
Kaiser Permanente offers fast and convenient access – most KP members can satisfy all their care needs under one roof.
Multiple locations in Mid-Atlantic (and more coming!)
Members can visit whichever location is most convenient *
*Please note that all specialties are not available at all hub locations. Check the KP directory on kp.org to verify which services are available at the desired location.
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More physicians and servicescoming to your area: South Baltimore CountyMedical Center HUBKaiser Permanente is building a state-of-the-art multi-specialty facility in Halethorpe, set to open in April of 2013. The four-story, 130,000-square-foot South Baltimore County Medical Center is under construction on the 1700-block of Twin Springs Road and will include primary care, urgent care, ambulatory surgery, advanced diagnostic imaging, pharmacy, and a variety of specialty services.
One of the innovative features of the new facility is a 14-bed Observation and Clinical Decision Unit where patients can be held for observation for up to 24 hours. In the Clinical Decision Unit, members can avoid emergency room visits for evaluation of conditions, or for brief therapy such as IV antibiotics or medications to treat asthma.
Services and hours
When the new center opens, you will have the added convenience of 24/7 urgent care, laboratory, radiology, and pharmacy. And, you’ll find a number of specialties new to the Baltimore area. Some services will be moving from area medical centers to the new South Baltimore County Medical Center. You will have the added convenience of 24/7 urgent care, laboratory, radiology, and pharmacy.
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New services to the Baltimore area
• Ambulatory Surgery Center/PACU(post-anesthesia)• Endoscopy Unit• Observation and Clinical Decision Unit• Pain Management• Sleep Medicine• Vascular Surgery
You’ll also have access to a number of new providers offering these services:• Adult Medicine• Ob/Gyn• Pediatrics• Primary
Specialty services• Allergy•Cardiology •Dermatology•Endocrinology•Gastrointestinal•General Surgery•Head and Neck Surgery•Infectious Disease•Nephrology•Neurology•Orthopedics•Podiatry•Pulmonology•Rheumatology•Urgent Cart•Urology
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We are saving lives at Kaiser Permanente2011 HEDIS** Measures
**Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an "apples-to-apples" basis. 2011 HEDIS Year represents plan performance during the 2010 Calendar Year. All information can be found at http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx. Pages 18 - 52 and 56 - 86 of the report (pages 35 - 68 and 72 - 102 of the PDF ).
HealthKeepers, Inc.
Kaiser Permanente Mid-Atlantic
CIGNA Mid-Atlantic
M.D. IPA
Coventry—DE
Carefirst BlueChoice
Aetna MD/DC/VA
Breast Cancer Screening**
Data Source: **2011 HEDIS, information found on slide 10
Data Source: 2011 HEDIS
United Healthcare Mid-Atlantic
Optima Health Plan
OCI
M.D. IPA
Kaiser Permanente Mid-Atlantic
HealthKeepers, Inc.
Coventry—DE
CIGNA Mid-Atlantic
Carefirst BlueChoice
Aetna MD/DC/VA
Data Source: **2011 HEDIS, information found on slide 10
Cervical Cancer Screening**
United Healthcare Mid-Atlantic
Optima Health Plan
OCI
HealthKeepers, Inc.
Kaiser Permanente Mid-Atlantic
CIGNA Mid-Atlantic
M.D. IPA
Coventry—DE
Carefirst BlueChoice
Aetna MD/DC/VA
Data Source: 2011 HEDIS*DTaP, IPV, MMR, HiB, Hep B, VZV, PCV, Hep A, RV, Influenza
Childhood Immunization Status**—Combo 10^
Data Source: **2011 HEDIS, information found on slide 10. ^DTaP, IPV, MMR, HiB, Hep B, V2V, PCV, Hep A, RV, Influenza.
United Healthcare Mid-Atlantic
Optima Health Plan
OCI
HealthKeepers, Inc.
Kaiser Permanente Mid-Atlantic
CIGNA Mid-Atlantic
M.D. IPA
Coventry—DE
Carefirst BlueChoice
Aetna MD/DC/VA
Data Source: 2011 HEDISData Source: **2011 HEDIS, information found on slide 10
**
Data Source: 2011 HEDIS
United Healthcare Mid-Atlantic
Optima Health Plan
OCI
M.D. IPA
Kaiser Permanente Mid-Atlantic
HealthKeepers, Inc.
Coventry—DE
CIGNA Mid-Atlantic
Carefirst BlueChoice
Aetna MD/DC/VA
Data Source: **2011 HEDIS, information found on slide 10
**
Data Source: 2011 HEDIS
United Healthcare Mid-Atlantic
Optima Health Plan
OCI
M.D. IPA
Kaiser Permanente Mid-Atlantic
HealthKeepers, Inc.
Coventry—DE
CIGNA Mid-Atlantic
Carefirst BlueChoice
Aetna MD/DC/VA
Data Source: **2011 HEDIS, information found on slide 10
**
United Healthcare Mid-Atlantic
Optima Health Plan
OCI
HealthKeepers, Inc.
Kaiser Permanente Mid-Atlantic
CIGNA Mid-Atlantic
M.D. IPA
Coventry—DE
Carefirst BlueChoice
Aetna MD/DC/VA
Data Source: **2011 HEDIS, information found on slide 10
**
Data Source: 2011 HEDIS
Optima Health Plan
United Healthcare Mid-Atlantic Plan
OCI
M.D. IPA
Kaiser Permanente Mid-Atlantic
HealthKeepers, Inc.
Coventry—DE
CIGNA – Mid-Atlantic
CareFirst BlueChoice
Aetna MD/DC/VA
Data Source: **2011 HEDIS, information found on slide 10
**
United Healthcare Mid-Atlantic Plan
Optima Health Plan
OCI
M.D. IPA
Kaiser Permanente Mid-Atlantic
HealthKeepers, Inc.
Coventry—DE
CIGNA – Mid-Atlantic
CareFirst BlueChoice
Aetna MD/DC/VA
Data Source: 2011 HEDISData Source: **2011 HEDIS, information found on slide 10
**
1
50
100
150
200
250 2011
33
20102009
73
81
NCQA Health Insurance Plan Ranking
Rank
– n
ation
ally
am
ong
priv
ate
(com
mer
cial
) pla
ns
KPMAS
CIGNA
Aetna
CareFirst
United
NOTE: The “NCQA’s (National Committee for Quality Assurance) Health Insurance Plan Rankings” is based on combined scores for health plans in Healthcare Effectiveness Data and Information Set®, commonly called HEDIS; the Consumer Assessment of Healthcare Providers and Systems®, or CAHPS, and NCQA Accreditation standards scores. http://www.ncqa.org/tabid/1243/default.aspx
Quality & Service – NCQA Ranking
Data source: 2011 Comprehensive Health Benefit Plan Performance Report . Page 89 or (105 of 158 in the PDF)http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx
KPMAS is the highest rated plan in Maryland for Preventive Care Measures
Data source: 2011 Comprehensive Health Benefit Plan Performance Report . Page 17or (33 of 158 in the PDF) http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx
KPMAS is the highest rated plan in Maryland for Treatment and Management of Care
Data source: 2011 Comprehensive Health Benefit Plan Performance Report . Page 55 or (71 of 158 in the PDF)http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx
It really is better at Kaiser Permanente – Here’s what our members had to sayCAHPS^^
^^The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program is funded and administered by the Agency for Healthcare Research and Quality (AHRQ), which works closely with a consortium of private and public organizations. These organizations are responsible for conceiving, developing, testing, and refining the CAHPS survey products.
Public organizations that have supported and worked with the Consortium include the Centers for Medicare & Medicaid Services (CMS), which provides additional funding to support the development of specific surveys, the Centers for Disease Control and Prevention, and the National Institute for Disability and Rehabilitation Research.
http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx. Data can be found on pages 87 - 103 of the report (pages 103- 119 of the PDF ) of 2011 Comprehensive Health Benefit Plan Performance Report
Kaiser Permanente is #1 in members rating their care as the “best care possible”
Data source: ^^CAHPS information located on slide 24
^^
Kaiser Permanente is #1: Overall Health Plan
The competition
^^
Data source: ^^CAHPS information located on slide 24
The outside sources agree with Kaiser Permanente members too..
38
Accolades for Kaiser Permanente in the Mid-Atlantic States
39
J.D. Power and Associates: "Highest Member Satisfaction among Commercial Health Plans in the Virginia-Maryland-D.C. Region, Four Years in a Row."*
*Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., received the highest numerical score among commercial health plans in the Virginia-Maryland region in the proprietary J.D. Power and Associates 2012 U.S. Member Health Insurance Plan Studies.SM 2011 study based on 32,868 total member responses, measuring 6 plans in the Virginia-Maryland-D.C. region (excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed December 2011–January 2012. Your experiences may vary. Visit jdpower.com
Kaiser Permanente is not responsible for the content or policies of external Internet sites.
Johns Hopkins University 2013Benefit Changes
41
Faculty / Staff Changeseffective for 1/1/2013
42
Bargaining Unit ChangesEffective for 1/1/2013
Slide 43
Conclusion
Largest multi- specialty group practice in the Mid-Atlantic Region, supported by state-of-the-art technology, Kaiser Permanente offers our members:#1 Clinical Quality Care in Mid-Atlantic Region
Highly Coordinated Care with sophisticated largest civilian Electronic Medical Records System
#1 Member Satisfaction rated by J.D. Powers
Convenience, Convenience, Convenience, - most services located within one of Kaiser’s 32 medical centers throughout MD, DC & VA
Slide 44
We’re going to open the phone lines now!
There will be a slight pause, and then a recorded voice will provide instructions on how to ask questions over this conference call line.
We’ll be answering questions in the order that we receive them.
We’ll also be answering the questions that were emailed to us during the presentation.
If there’s a question that we can’t answer, we’ll do some research after this session, and then email the answer to all participants.
Q&A
Slide 45
Thank You!
Thank you for participating!We would love to hear from you.
Are there certain topics that you would like us to cover in future FastFacts sessions?Would you like to be a FastFacts presenter?Please email us at: [email protected]
Slide 46
Survey
Before we close, please take the time to complete a short survey.Your feedback will help us as we plan future FastFacts sessions.Click this link to access the survey… http://connect.johnshopkins.edu/fastfactssurvey/
Thanks again!