Navigation Links
Kaiser Permanente Project Proves Electronic Health Information and Care Coordination Improve Chronic Disease Management

HONOLULU, July 9 /PRNewswire/ -- Specialty care physicians can improve the health of high-risk patients by reviewing electronic health records and proactively providing e-consultations and treatment plan recommendations with primary care physicians, according to a Kaiser Permanente paper published online in the British Medical Journal.

The quality improvement project at Kaiser Permanente demonstrated that specialists can take a more active role in managing the health of populations with chronic illness - in this case, kidney disease - by using electronic health records to coordinate care among primary and specialty care providers. In the project, nephrologists (kidney specialists) proactively consulted remotely with primary care doctors to help manage patients at risk for end-stage renal disease.

Using a new system developed by the paper's lead author, Brian J. Lee, MD, and his colleagues at Kaiser Permanente, nephrologists in Hawaii used electronic laboratory results to rank more than 10,000 kidney patients not yet referred to a specialist by their risk for kidney failure. Then, they monitored the patients who were most at risk to make sure they were getting care in line with evidence-based treatment recommendations. After identifying the at-risk patient population, the nephrologists relied on Kaiser Permanente HealthConnect(R), an electronic health record system, to evaluate next steps.

The nephrologists used the EHR to review the patients' electronic medical record and to provide an e-consult to the patients' primary care physicians. In many cases, the nephrologists recommended referral for more intensive specialty care. In others, the primary care physician was given the treatment plan necessary to prevent the need for referral. Results of the five-year project showed it increased early intervention for high-risk patients and reduced by two-thirds the number of late specialist referrals - those occurring within four months of the onset of end-stage renal disease.

"The goal with kidney disease is to detect it early enough to make changes that will slow the disease down. If you're more likely to end up with kidney failure, we want to reach you in time to help prepare you for successful dialysis treatment," said Lee, a nephrologist with Kaiser Permanente Hawaii. "Patients who have a chance to consult with a nephrologist well before the onset of kidney failure are less likely to be hospitalized and more likely to survive longer. Our patients are more successful in starting dialysis when they are able to choose the type of dialysis or transplant with their physician, have a dialysis access implanted, start treatment outside of the hospital before becoming very ill, and be educated and psychologically prepared for it."

While the vast majority of chronic kidney disease patients can be successfully managed by primary care doctors, some patients are better off cared for by a nephrologist, particularly those at highest risk of worsening kidney disease. Many people with chronic kidney disease don't even know they have it, and yet it is critical to reach people before their kidney disease progresses too far. The most common risk factors are obesity, diabetes and hypertension - all controllable through healthy lifestyle changes and medication.

"We want to provide the best and most comprehensive care that we can to our patients," said Geoffrey Sewell, MD, president and executive medical director of the Hawaii Permanente Medical Group, whose 410 physicians exclusively provide care for 222,594 Kaiser Permanente members in Hawaii. "Our integrated system of primary and specialty care physicians working together provides complete care - from the prevention of disease to the management of acute and chronic illness. This coordinated care program is made possible by KP HealthConnect, a system that supports the decisions we as physicians make with our patients every day."

"This pilot illustrates the benefits of leveraging technology and the expertise within a multi-specialty group practice," said Lee, the paper's lead author. "In the past, specialists have been limited to helping only those patients who were referred to them. Now that we can use databases to identify disease trends and populations, and electronic health information to provide data on individual patients, our specialists can proactively find and recommend treatments for patients who could really use their help."

The paper was co-authored by Ken Forbes, a care management analyst with the Kaiser Permanente Care Management Institute.

About Kaiser Permanente Hawaii

Kaiser Permanente Hawaii has provided total health to the people of Hawaii for more than 50 years. Today it has the largest medical group with over 410 physicians supported by 4,400 nurses and other staff. Care for members is focused on their total health guided by our personal physicians, specialists, and team of caregivers. Our expert care and medical teams are supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. Visit for additional information.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services to improve the health of our members and the communities we serve. We currently serve 8.6 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to:

SOURCE Kaiser Permanente
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Kaiser Permanente Project Proves Electronic Health Information and Care Coordination Improves Chronic Disease Management
2. Contract Talks for 1,800 Security Officers at Kaiser Permanente Break Down - Major Cuts to Worker Healthcare are at Issue
3. WellNet Healthcare Names Chris Kaiser and Jay Thompson Sales Executives
4. Kaiser Permanente Community Benefit Grant Recipient and Health Activist Rosa Soto Featured in Food, Inc. Documentary Film
5. Kaiser Permanente Unveils the Nations Most Wired Mobile Health Vehicle
6. Kaiser Permanente Calls for Health Policy Support and Community Advocacy to Curb Childhood Obesity
7. Kaiser Family Foundation Launches New Non-Profit Health Policy News Service
8. Nine Journalists Named as 2009 Kaiser Media Fellows
9. Refusing Immunizations Puts Children at Increased Risk of Pertussis Infection, Kaiser Permanente Study Finds
10. Security Officers Who Protect Kaiser Hospitals Rally With Community Supporters for Access to Affordable Healthcare
11. Kaiser Permanente Wins National Awards for Commitment to Environmental Health
Post Your Comments:
(Date:10/12/2015)... (PRWEB) , ... October 13, 2015 , ... North American ... (IBC) at the 2015 IBC National Meeting in Rosemont, IL on October 4th. ... dedication, quality, and standards of excellence that customers have come to expect from members ...
(Date:10/12/2015)... ... October 12, 2015 , ... ... 19, 2015, high school aged female athletes, particularly in the area of track ... motion and mechanical overuse injuries than male peers in the same age group. ...
(Date:10/12/2015)... ... October 12, 2015 , ... The American Society of Clinical ... professional education and clinical training in a health care discipline. , Many ... such as: losing weight, managing pain, or stopping smoking, etc. Frequently, extravagant statements ...
(Date:10/12/2015)... ... 12, 2015 , ... The Horizon Foundation for New Jersey has awarded $846,600 ... and enhancing the quality of life in the Garden State. The grants, representing the ... , The charitable arm of Horizon Blue Cross Blue Shield of New Jersey, ...
(Date:10/12/2015)... USA (PRWEB) , ... October 12, 2015 , ... ... personal audio products, will present the latest version of Companion Mics, the CM•4 ... audiometry, at the European Union of Hearing Aid Acousticians’ (EUHA) 60th Annual Congress ...
Breaking Medicine News(10 mins):
(Date:10/12/2015)... , Oct. 12 2015 ... the addition of the "Personalized Medicine, ... 2019 - Strategic Analysis of Industry Trends, ... their offering. --> ) ... "Personalized Medicine, Targeted Therapeutics and Companion Diagnostic ...
(Date:10/12/2015)... -- To help address the growing opioid epidemic in the ... Board of Directors is calling for a comprehensive ... the tracking of opioid prescription use; research funding for ... abuse treatment programs. David Ring , MD, ... "The new , AAOS Information Statement on Opioid Use, ...
(Date:10/12/2015)... Minn. , Oct. 12, 2015 Device ... a need to help integrate these devices into existing ... of ergonomic healthcare mounting and mobility solutions, has launched ... lightest cart yet, for a wide array of laptops ... Cart SV10 was developed exclusively for Microsoft Surface and ...
Breaking Medicine Technology: