Applying all Kaiser Permanente Assets for Health

Transcription

1 Applying all Kaiser Permanente Assets for Health The Role of Health Systems th IHI National Forum December 5, Orlando Tyler Norris, MDiv Vice President, Total Health

2 Total health is our legacy Page 2

3 Triple Aim: Dimensions of Value in Healthcare Population Health Experience of Care Per Capita Cost Page 3

4 Page 4 Total Health as KP s Strategic Foundation As KP develops strategies further and continues its influence externally, how do we deepen total health? Vision 2025 We are trusted partners in total health, collaborating with people to help them thrive creating communities that are among the healthiest in the nation, and inspiring greater health for America and the world.

5 Many Factors Shape Health Health is driven by multiple factors that are intricately linked of which medical care is one component. Drivers of Health Medical Care 10% Environmental and Social Factors 20% Family History and Genetics 30% Personal Behaviors 40% Source: Determinants of Health and Their Contribution to Premature Death, JAMA 1993 Page 5

6 Place Matters: Obesity Page 6

7 Policy, Systems, Environmental Change Strategies Neighborhoods Parks, trails and other active public spaces General Plan / Complete Street ordinances Corner store conversion efforts Farmers markets and community gardens Multi-modal transit Schools (+ child care, pre-, after- summer-) Nutrition standards /Cafeteria reforms Campus-wide PE and recess; + after school Joint Use Agreements Safe routes to school Screen time policies Healthcare BMI as a vital sign Breastfeeding promotion Hospital cafeterias Worksites Stairwell prompts Lactation support Worksite wellness programs Page 7 Tyler Norris and Loel Solomon

8 Page 8 Moving From Contribution to Accountability Understanding our Total Health Impact is grounded in the principles of being accountable for all that we do. Reporting

9 Page 9 Strategic Decision: Connect and Deploy All Assets Deploying All Kaiser Permanente Assets for Total Health Bringing together our mission, brand, knowledge and capabilities. Physical and Mental Health Care Body, Mind and Spirit Research and Technology Purchasing and Employment Practices Community Health Initiatives Environmental Stewardship Clinical Prevention Public Information Living Wage Payroll Individual / Family Home / School / Worksite 1 Neighborhood / Community Society Facilities Health Education Healthy Eating Active Living Public Policy Access to Social and Economical Supports Schools / Worksite & Workforce Wellness

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11 Executing Our Total Health Agenda We launched an approach to implementing Total Health around a coordinated set of activities, focusing on some key initial areas while developing core capabilities and enhancing efforts on work underway. Total Health Signature Initiatives Core Capabilities Fundamentals Total Health Impact Focus as first and relatively complete demonstrations of Total Health, done everywhere in KP Essential components needed to realize Total Health Intentional deployment of all KP business resources and activities for social, economic and environmental impact. Thriving Schools Workforce Wellness Behavior Change Social, Economic, Behavioral Needs Community Health Initiatives Mental Health and Well Being Regional/geographically-based solutions National Functions solutions Effective Impact Measurement (to shape investments and actions) and Internal and External Communications (to align organizational messages that engage all our stakeholders) Page 11

12 Page 12 Total Health Impact Goal Applying all KP s resources to improve member and community health. Each region and core national function will be increasingly accountable for, and effective in, using all our assets to deliver measurable impacts on member and population health status. Improved health will address the preventable demand-side drivers of utilization and cost, therefore contributing to long-term affordability. More than Corporate Social Responsibility and more than being an anchor institution, being a Total Health Organization helps us be the pacesetting leader in the field of improving health and creating social value. ALL IN = Care + Coverage + Community + Enterprise

13 Page 13 Understanding All KP Assets for Health We can look at many of our activities in key functional areas to understand the economic, environmental and social impacts. IMPACTS: Economic Social Environmental

14 Page 14 The result of looking at our activities shows KP with a major positive footprint in the world -- but our negative footprint is not insignificant Positive Footprint $122B Based on 2014: $21B of purchasing expenditure $1.3B construction spend 189k employees $71B of investment assets ~900k patients treated under Medicaid, CHIP and Charitable Care -$9B Negative Footprint

15 Page 15 Going Deeper: Critical Strategic Questions for KP How much of our footprint is really unique to us? How can we continue to lead and inspire others? What is within our sphere of influence? What levers create the greatest change at lowest cost?

16 Page 16 Connecting Functional and Regional Strategies We need to deepen connection of KP functional areas with regional initiatives to drive impact at scale. Northern California - Thriving Schools - Workforce Wellness - Healthiest City - Anchors for Resilient Communities Southern California - Thriving Schools - Workforce Wellness - CULTIVATE Northwest - Thriving Schools - Workforce Wellness - BUILD - Oregon Healthiest State Mid-Atlantic States - Thriving Schools - Workforce Wellness - Baltimore Expansion - Prince George s - DC Central Kitchens Hawaii - Thriving Schools - Workforce Wellness - Frail/Elderly initiative Colorado - Thriving Schools - Workforce Wellness - Hunger Screening Georgia - Thriving Schools - Workforce Wellness - Atlanta Beltline

17 Operating system KP members, communities, partners, value chain Broader Organization ~ 200,000 people Rest of functional and regional team members Functional & Regional Champions ~150 Functional & Regional Leads ~20 Executive Sponsors ~30 Page 17

18 Activities Timing Page 18 Mobilization: Now January Energize Analysis Explore Define Commit Total Health Goals Summit PwC support, incl. additional THIMM analysis Individual functional and regional working sessions Total Health Accelerator Summit * * Sept 2016 ** Sept. - Nov * * Oct. - Dec * * Jan *THNA discussions about setting THI strategies to focus operational resources on addressing community needs

19 Our approach to working with Regional and National leaders in the coming year Page 19 Sept 20 Total Health Goals Summit (participants from all Regions and National Functions)

20 Page 20 Our True North Total Health becomes an operating system for engaging the gifts, assets, and aspirations of our people, organization, partners and communities to deliver positive impact at scale. Distributed leadership on Total Health lights up every corner of the organization with creativity and innovation. KP creates measurable social, economic and environmental value, while delivering on our mission and margin. KP is recognized globally as a pace-setting leader on Total Health and inspires businesses across all sectors of the economy to deepen engagement with society.