1. Directory Services in the Health Care Enterprise Toward a Consolidated Infrastructure Ronald B. Williams Application and Security Architectures Technology & Systems Planning Kaiser Foundation Health Plan, Inc.

2. Open Group, Thursday, April 30th, 19982 Kaiser Permanente 90,000+ Employees And a Lot of Hardware Serving over 9.1 Million Members in 19 States and the District of Columbia 10,000 Physicians

3. Open Group, Thursday, April 30th, 19983 Disclaimer The examples contained in this presentation are intended as examples of how directory services might be implemented in the large scale health care enterprise. They do not represent official requirements by Kaiser Permanente, its affiliates, corporations, or employees. This presentation will self destruct in 15 minutes.

4. Open Group, Thursday, April 30th, 19984 Agenda What is Kaiser Permanente A look at a healthcare enterprise Coherence out of Chaos, Directory Services everywhere Gordianectomies - streamlining the models What we need from Directory Service Providers (Vendors)

5. Open Group, Thursday, April 30th, 19985 Kaiser Permanente 3 Corporations –Kaiser Foundation Heatlh Plan, Inc. Administers Health Plans Provides IT Services for Medical Groups and Hospitals –Kaiser Foundation Hospitals, Inc. Administers Facilities and Non-Physician health care staff –Kaiser Permanente Medical Groups Physician Services to Kaiser Members

6. Open Group, Thursday, April 30th, 19986 Kaiser Corporations Kaiser Permanente Kaiser Foundation Health Plan, Inc. Kaiser Foundation Hospitals, Inc. Permanente Medical Groups Clinical Data Financial & Administrative Data Financial & Administrative Data Clinical Data

7. Open Group, Thursday, April 30th, 19987 Two Healthcare Business Environments Financial Systems –Human Resources –Payroll –Claims –Reimbursement –Sales & Marketing –Plan Administration –Insurance –etc.... Clinical Systems –Appointment –Scheduling –Laboratory –Pharmacy –Documentation –Care Practice Support –Radiology –etc....

8. Open Group, Thursday, April 30th, 19988 Physician Master Database Demographic Information Credentials Calendar (Scheduling) Location(s)

9. Open Group, Thursday, April 30th, 19989 Facilities Master –Clinics –Labs –Pharmacies –IT Departments –Plant Engineering

10. Open Group, Thursday, April 30th, 199810 Service Master Catalog of Clinical Services –Laboratory –Pharmacy –Surgery –Radiology –Opthalmology –(Your favorite department here) –etc.

11. Open Group, Thursday, April 30th, 199811 Employee Master (HR) Demographic Data Emergency Data Credentialing, Roles Security Characteristics Payroll and Benefits

12. Open Group, Thursday, April 30th, 199812 The Gordian Knot Master Databases Patient Employee Clinical Services Facilities Physician Accessing Application Electronic Health Records Human Resources Laboratory Management Appointment Scheduling Member Benefits Cost Recovery PharmacyReimbursments

13. Open Group, Thursday, April 30th, 199813 … and Data for All... Accessing Application Master Databases Patient Employee Clinical Services Facilities Physician Electronic Health Records Human Resources Laboratory Management Appointment Scheduling Member Benefits Cost Recovery PharmacyReimbursements LDAP

14. Open Group, Thursday, April 30th, 199814 What we need from Directory Service Providers Secure LDAP –Authentication –Authorization –Audit –Resilience Extensible Standardized Schema –People –Services Robust LDAP Anywhere –LDAP Database Adapters

15. Open Group, Thursday, April 30th, 199815 Ronald Becker Williams Strategic Planning Specialist Application and Security Architecture Technology & Systems Planning KP  Information Technology ronald.b.williams@kp.org vox: (818) 564-7680 fax: (818) 564-7219