Kaiser Permanente San Diego Community Benefit Workshop March 11, 2014

Transcription

1 Kaiser Permanente San Diego Community Benefit Workshop March 11, 2014 Shreya Sasaki, Senior Community Benefit Manager kp.org/sandiego Copyright 2014 Kaiser Permanente

2 AGENDA 10:00 a.m. to 10:20 a.m. Registration and Networking Please introduce yourself to other non-profit partners in attendance! 10:20 a.m. to 10:30 a.m. Welcome and Introduction to Kaiser Permanente Rodger Dougherty, Senior Director of Public Affairs and Brand Communications 10:30 a.m. Community Benefit Purpose Sam Totah, Chief Operating Mission, Vision, and Strategy Officer 10:35 a.m. Community Benefit Presentation Shreya Sasaki, Senior Community Benefit Manager Care Management 11:15 a.m. to 11:30 a.m. Q & A, Adjourn Shreya Sasaki, Senior Community Benefit Manager Copyright 2014 Kaiser Permanente, Slide 2

3 Kaiser Permanente History KAISER PERMANENTE HISTORY 1933: Dr. Sidney Garfield established a prepayment health plan for workers building an aqueduct in the California desert : Henry Kaiser persuades Dr. Garfield to set up a prepaid group practice plan for workers and their families, first at the Grand Coulee Dam construction site, then during World War II at Kaiser shipyards in California and Washington. 1945: The Kaiser health plans are opened to the public in California, Oregon, and Washington.

4 Kaiser Permanente by the Numbers 7 regions serving 8 states and the District of Columbia More than 9 million members More than 17,000 physicians and 175,000 employees (including 49,000 nurses) 37 hospitals (co-located with medical offices) 618 medical offices and other outpatient facilities 68 years of providing care

5 Our Markets and Membership Northwest Region Portland, OR Vancouver, WA 484,000 members Northern California Region 3.4 million members Southern California Region 3.6 million members Colorado Region 540,000 members Mid-Atlantic Region Washington, DC Maryland Virginia 482,000 members Georgia Region 234,000 members Hawaii Region 225,000 members

6 KAISER PERMANENTE SAN DIEGO Legend KP San Diego Enrollment Area North Subarea Central Subarea East Subarea South Subarea KP Medical Office Buildings Palomar Medical Center (PMC) Palomar Health Downtown

7 The Kaiser Permanente Model KAISER PERMANENTE - A TRUE PARTNERSHIP Kaiser Permanente defines the integrated model of health care financing and delivery through its unique partnership among three entities. Permanente Medical Groups Kaiser Foundation Hospitals Health Plan Members Kaiser Foundation Health Plan

8 Kaiser Permanente a True Partnership National Level Kaiser Foundation Health Plan & Hospitals Kaiser Permanente Partnership Group The Permanente Federation, LLC Regional Level Articles of Federation Regional Health Plan & Hospitals Medical Service Agreements /MOUs Regional Permanente Medical Groups Local Level Health Plan/Hospital Senior Vice President Partnership in San Diego Area Medical Director CAO

9 Kaiser Permanente Integration More of the right care Chronic condition management Wellness services Right medications Lower treatment costs Office visits and procedures Pharmacy costs Preventive screenings Surgeries Focus on prevention Lower overall costs IMPROVED MEMBER HEALTH

10 Copyright 2013 Kaiser Permanente, Slide 10 Sam Totah, Pharm. D. Chief Operating Officer Kaiser Permanente

11 GOALS FOR TODAY 1) Share in-kind resources and tools available 2) Present a summary of the 2013 Kaiser Foundation Hospital San Diego Community Health Needs Assessment (CHNA) and Implementation Strategy Plan 3) Provide an overview of the 2014 Kaiser Permanente San Diego Community Benefit Grants Program Copyright 2014 Kaiser Permanente, Slide 11

12 Copyright 2013 Kaiser Permanente, Slide 12 Resources and Tools Available

13 Community Benefit Health Education Resources Health Education Materials Nutrition Physical Activity Diabetes Mental Health Evidence Based Train the Trainer Programs Healthier Living Falls Prevention Pediatric Weight Management Heart Health Sexual Health Hypertension Cancer Tobacco Prenatal Copyright 2014 Kaiser Permanente, Slide 13

14 Providing Educational Theater Programs Since 1985, Kaiser Permanente has reached millions of students ages 5 through 18 with messages of health through educational theater programs and workshops. Copyright 2014 Kaiser Permanente, Slide 14

15 Thriving Schools launched!

16 Weight of the Nation Weight of the Nation Kids

17 Engaging Staff and Physicians KP Cares is Kaiser Permanente s internal website, non profit 501 c 3 organizations can post one time or ongoing volunteer opportunities. An electronic form must be completed with pertinent information regarding the volunteer opportunity. Copyright 2013 Kaiser Permanente, Slide 17

18 Use of Kaiser Permanente Conference Rooms Kaiser Permanente s conference rooms are available for use by non profit 501 c 3 organizations. Good for one time meetings Requirements: application, proof of 501 c 3, listing of board of directors, letter on letter head, naming Kaiser Permanente as an additional insured. Copyright 2013 Kaiser Permanente, Slide 18

19 Kaiser Permanente Child Health Program Kaiser Permanente Child Health Program (CHP) is a Community Benefit (CB) program that provides a Kaiser Permanente premium subsidy to lower your child s monthly payment amounts associated with: Enrollment in the KP CA Platinum 0/20 health coverage plan Enrollment in the DeltaCare USA Plan 85 for Children Paper based application and applications must be received by March 31, Copyright 2013 Kaiser Permanente, Slide 19

20 CHNA Data Platform mmons.org/kp/ Center for Applied Research and Environmental Systems (CARES) Value to external partners

21 Summary of the Kaiser Foundation Hospital Community Health Needs Assessment and Implementation Strategy Plan Copyright 2014 Kaiser Permanente, Slide 21

22 Community Health NEEDS ASSESSMENT (CHNA) A data driven process to identify health needs, conducted in collaboration with the Hospital Association of San Diego and Imperial Counties and Institute for Public Health, San Diego State University. CA SB697 and Affordable Care Act (ACA) requirements Conduct a CHNA every three years Key new ACA requirements Prioritize needs with community input Adopt a hospital "Implementation Strategy," (a written workplan), to meet community health needs identified through the CHNA Explain a rationale for priority needs that will not be addressed Other prescriptions for CHNA methodology and public distribution KFH/HP Board of Directors approval for Implementation Strategy and attached to Schedule H

23 CHNA Framework Data from Multiple Existing Sources Health Experts & Health Leaders CHNA Advisory Workgroup Results Community Members

24 Methodology Flow Chart Step 1 Analyze Secondary Data Sources Analyzed hospital discharge data using SpeedTrack/CUPID & other data sources Step 2 Identify Health Conditions Affecting Hospitals Identified top 15 Health Conditions, Analyzed CHIS data, & Created Briefs on top 15 conditions. Step 3 Identify Vulnerable Communities Identified vulnerable communities using Community Need Index from Dignity Health Step 4 Identify Health Drivers Conducted literature reviews and utilized KP.org to come up with 26 common health drivers Step 5 Collect and Analyze Primary Data Sources Step 6 Identify & Prioritize 3-5 Health Conditions and/or Health Drivers Conducted 5 Key Informant Interviews Conducted 5 Community Forums Conducted Health Expert & Health Leaders Surveys

25 15 Health Conditions Acute Resp. Infections Asthma Back Pain Breast Cancer Cardiovascular Disease Colorectal Cancer Dementia/Alzheimer s Diabetes (Type II) High Risk Pregnancy Lung Cancer Mental/Behavioral Health Obesity Prostate Cancer Skin Cancer Unintentional Injury Cervical Cancer (KFH-SD) Chlamydia (KFH-SD) HIV (KFH-SD)

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27 Identify and Prioritize Health Conditions Top 4 Conditions when combining data from all primary and secondary data sources 1. Obesity 2. Cardiovascular Disease 3. Diabetes (Type II) 4. Mental/Behavioral Health

28 Kaiser Permanente Selected Needs Selected Needs: Access to Health* Cardiovascular Disease Mental/Behavioral Health Obesity Type 2 Diabetes Broader Health Care** Delivery System Needs *Driver **Program Wide Criteria for Selecting Needs: Need KP assets Magnitude Severity Disparities Feasibility Ability to leverage existing partnership and opportunities

29 Kaiser Permanente San Diego 2014 Community Benefit Grants Program Copyright 2013 Kaiser Permanente, Slide 34

30 Community Benefit Grants Program Eligibility To be eligible for a Kaiser Permanente San Diego Medical Center Community Benefit grant, an applicant organization (or fiscal agent), must currently operate as one of the following types of organizations: 501 (c)(3) tax-exempt organization with a 509 (a) designation indicating that the organization is not a private foundation 501 (c)(19) 501 (c)(8) or 501 (c)(10) operating under a lodge system and only if used solely for charitable purposes and serving the general community A local, state, or federal government agency, including any of its subdivisions that perform substantial governmental functions Copyright 2013 Kaiser Permanente, Slide 35

31 Community Benefit Grants Program Eligibility In addition, organizations must: Provide direct services to disadvantaged and/or underserved populations that address funding priorities identified in the Kaiser Permanente San Diego Medical Center Community Health Needs Assessment Provide services within the geographic boundaries of Kaiser Permanente San Diego Medical Center's service area, which includes communities within the County of San Diego. Must be in Good Standing by submitting all required documents, progress (if required), and/or final reports in a timely manner for all previous Kaiser Permanente grants. (Refer to previous grant documents to confirm deadlines). Organizations with overdue documents, progress, and/or final reports will be deemed non-responsive and are not eligible to apply. Must not request support related to health care reform related activities. Copyright 2013 Kaiser Permanente, Slide 36

32 Community Benefit Grants Program Restrictions Kaiser Permanente San Diego Medical Center Community Benefit will generally not consider funding requests from: international, social or recreational clubs, or for the following: Sports teams and tournaments (e.g., golf, tennis, walks, and runs) Individuals Religious purposes Partisan political activities Endowments or memorials Capital building Core operating support (except for community health centers) Re-granting purposes to other organizations Community Benefit grants will not be awarded for activities, events, or programs organized or solely sponsored by alcohol, tobacco, or pharmaceutical companies. We generally do not provide grants for academic research, capital campaigns, event sponsorships (including community health fairs), or political campaigns. Copyright 2013 Kaiser Permanente, Slide 37

33 Community Benefit Grants Program Dates March 31, 2014 Letter of Inquiry Application Released April 25, 2014 Letter of Inquiry Due Week of May 19, 2014: Notification of Declination of Letter of Inquiry OR Invitation to Submit Full Grant Application Week of June 16, 2014: Grant Applications Due August 2014: Notification of Grant Decline or Award Project Period: September 2014 September 2015 Grant Checks Mailed: August 2014 WEB BASED APPLICATION PROCESS Copyright 2013 Kaiser Permanente, Slide 38

34 Community Benefit Grants Program: Areas All proposed projects should address vulnerable populations. Examples of vulnerable populations include: those under 250% of the federal poverty guidelines, homeless, uninsured and underinsured, or populations that face health disparities based on race or ethnicity, gender, age or disability. Please review the 2013 KFH-San Diego Community Health Needs Assessment for information on disparity related data based on health need. Priority will be given to projects being implemented in the high need areas, as measured by the Community Need Index (CNI), of San Diego County. Please review the 2013 KFH-San Diego Community Health Needs Assessment for more information on the CNI. Copyright 2013 Kaiser Permanente, Slide 39

35 Community Benefit Grants Program: Areas Need: Cardiovascular Disease Prevention of this disease through healthy eating and active living or management of this chronic condition. Need: Obesity Prevention or reduction of this condition through healthy eating and active living. Need: Type 2 Diabetes Prevention of this disease through healthy eating and active living or management of this chronic condition. Need: Mental/Behavioral Health Preventing or managing symptoms of this illness. Copyright 2013 Kaiser Permanente, Slide 40

36 Community Benefit Grants Program: Amounts Community Health Centers: Average Grant Amount - $32,806 Range $10,000 to $45,000 Number of Grants - 16 Other Non Profit Organizations: Average Grant Amount - $14,600 Range - $5,000 - $45,000 Number of Grants - 26 Copyright 2013 Kaiser Permanente, Slide 41

37 Community Relations Sponsorship and Board Placement Tana Lorah, Community and Government Relations Manager

38 Questions? American Journal of Managed Care, 2012 Copyright 2014 Kaiser Permanente, Slide 43