1. Leveraging Technology to Drive Patient Engagement at Kaiser Permanente James Brady, PhD, M.Ed, CPHIMS, FHIMSS, Area CIO, Kaiser Permanente Orange County

2. page 2 © 2015 Kaiser Foundation Health Plan, Inc. The Complex Healthcare Environment Today’s Challenges Healthcare Reform - EHR Adoption - Population Health - Interoperability - Security

3. page 3 © 2015 Kaiser Foundation Health Plan, Inc. Our World is Changing Business models and industries are evolving quickly as technology innovation, consumer empowerment, and competition from both traditional and non-traditional entities increase. Business models across all industries are evolving at a faster pace Digital Technology Innovation Intense Competition and New Entrants Empowerment of the Individual Our Member’s Needs Are Changing - Our Clinician’s Needs Are Changing Too!

4. page 4 © 2015 Kaiser Foundation Health Plan, Inc. Empowerment of the Individual New model of care Traditional model of care

5. page 5 © 2015 Kaiser Foundation Health Plan, Inc. Intense Competition and New Entrants

6. page 6 © 2015 Kaiser Foundation Health Plan, Inc. Digital Technology Innovation – the Differentiator

7. Kaiser Permanente: The oldest group model health maintenance organization, serving 10 million people in seven regions across the country, is leading the way!! Kaiser Permanente Program-wide 10 Million Members 38 Hospitals 618 Medical Office Buildings 17,425 Physicians 174,415 Employees $56 Billion Annual Revenue $4 Billion Health Information Technology Investment 70 Years of Providing Care 275,000+ desktops and 25,000+ servers The LARGEST private EHR install in the world with 40M unique records, 30PB data Focus on prevention of illness and disease, and community health to help our Patients Kaiser Permanente’s capitated payment model places as much emphasis on keeping people healthy as it does on caring for members when they are ill. Kaiser Permanente Southern California 4 Million Members ~ 14 Hospitals ~ 214 Medical Office Buildings ~ 6,288 Physicians ~ $23 Billion in Revenue 7

9. page 9 © 2015 Kaiser Foundation Health Plan, Inc. The Health Care Mega Trend is Here! Total HEALTH friends and family empowerment balance stress-free control goal-setting wellness happiness fitness HEALTH CARE confusion invoices red tape bureaucracy profit safety net fine print Lack of control insurance money greed sick care community

10. page 10 © 2015 Kaiser Foundation Health Plan, Inc. Anywhere Imagining Care https://www.youtube.com/watch?v=NZm5gJikhgE https://www.youtube.com/watch?v=gxz9ZVvduGc

11. page 11 © 2015 Kaiser Foundation Health Plan, Inc. Emerging Technologies for Care Anywhere Products not endorsed by KP Proteus Raisin microch ip pill © Vitality © Cadex © Pill Phone © Omron © Health Buddy © Nonin © GlySens © AliveCor © Mobisante MOBILE DIAGNOSTICS MEDICATION ADHERENCE PERSONAL EMERGENCY RESPONSE REMOTE MONITORING VITAL SIGNS HOME HUBS © LifeWatch © A&D ROBOTS © Word Lens

12. page 12 © 2015 Kaiser Foundation Health Plan, Inc. Interactive and Emersive Digital Experiences https://youtu.be/4H6RVnIRlQc https://youtu.be/q9NyMzNvh-Q

13. page 13 © 2015 Kaiser Foundation Health Plan, Inc. Kaiser Permanente’s Digital Health Agenda Digital health represents a convergence of capabilities that empower consumers to manage their health on their own terms, further redefining the patient/care giver relationship next evolution of health care enabling efficiency, convenience, and continuous patient engagement Physicians & Other Care Professionals Hospital/ MOB PharmacyImagingLab Electronic Medical Records / Health Information Exchange MobileSocialInternet/ Intranet Voice/Video CONNECTED HEALTH electronic medical records across settings of care and organizations FOUNDATION “bricks & mortar” healthcare DIGITAL HEALTH

14. page 14 © 2015 Kaiser Foundation Health Plan, Inc. Digital Is Transforming Every Industry Innovations in technology are empowering consumers to be active participants in their health, and advances in other industries are raising consumer expectations. Digital is becoming the primary channel for many consumer transactions T rend VIDEO-BASED COMMUNICATIONS QUANTIFIED SELF, WEARABLE, REMOTE OMNI-CHANNEL, CONSISTENT BRAND SOCIAL SHARING, GAMIFICATION MY DATA, ANYTIME, PERSONALIZATION MOBILE- UNIQUE EXPERIENCES Example Digital Disruption Transforming Services: The Mayday button allows Amazon to respond w/i 10 seconds 1 Amazon is able to deliver better service at lower costs The Quantified Customer: Disney invested $1B in MyMagic +. NFC wearable bands have transformed the in-park experience. They can also capture valuable customer data 1 Digital & In- Store: US banks closed 2,700 branches in 2012, and projections call for another 13,000 to be closed by the end of the decade 1 Gamification to Drive Right Action: More than 70% of the largest 2,000 companies are expected to have deployed at least one gamified application by year-end 2014 1 Know Me and My Preferences: 35% of customer purchases on Amazon ($1.8B) & 75% of films watched on Netflix come from recommendation algorithms 1 Mobile Becoming Universal Channel of Choice: Worldwide mobile payment transactions will surpass $171.5 billion in 2012, up 62% from $106 million last year 1 Sourc e 1 CNET.com, 2014 1 Forrester Rsrch, 2014 1 SML Financial 1 M2 Research 1 Forbes.com, 2013 1 MediaPost.com, 2012

15. page 15 © 2015 Kaiser Foundation Health Plan, Inc. Questions?