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Most health care reform proposals totally ignore reforming care ... to reform the American automobile industry by focusing exclusively on how car dealers make car loans 2007 ...

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Welcome

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    Slide 1:Welcome

    Program will start promptly at 8:30 a.m.

    Slide 2:Health Care Reform Needs to Reform Health Care

    George C. Halvorson Chairman and CEO Kaiser Foundation Health Plan, Inc. Kaiser Foundation Hospitals

    Most health care reform proposals totally ignore reforming care -- they focus on reforming health care financing That focus is like trying to reform the American automobile industry by focusing exclusively on how car dealers make car loans Car loan reform might be a nice thing to do -- but it does not impact or improve the engineering, performance, efficiency, quality, or even cost of a car Health care reform needs to be focused on the economic realities of health care

    Slide 7:75% of all care costs are incurred by people with chronic diseases

    Slide 8:Two-thirds of those expenses are incurred by people with five chronic diseases

    (Diabetes, asthma, CHF, coronary artery disease, depression)

    Slide 9:

    Cancer is 5% of the total cost Births create 4% of the total cost Chronic conditions create 75% of the total cost

    So how well does the current infrastructure of American health care do in taking care of people with those chronic conditions?

    Slide 11:Not well at all!

    Wennburg studies Rand studies IOM studies Etc, etc, etc

    So what do we need for American health care?

    Slide 13:Focus Tools Health

    Focus: On the real and obvious opportunities to improve care Tools: To support the caregivers in creating better, more consistent care Health: A national culture of health is needed to reduce the incidence of the seven deadly chronic diseases

    Slide 17:The conference today is about TOOLS

    Slide 18:The paper medical record is a completely inadequate tool for care improvement:

    Unavailable Incomplete Illegible Inaccurate Not interactive Not measurable

    Caregivers need all of the information about each patient at the point of care -- when information has maximum leverage as a care support tool

    Slide 20:

    Caregivers need: Prompts Reminders Interactive data flow Information and support

    Medical science needs current, complete, easily accessible data about care

    Slide 22:Rand study

    12,000 patients Two dozen nurses Two years of data gathering One snapshot of care performance

    What happened to these 12,000 patients one day later?

    Slide 24:KP HealthConnect

    Perpetual, accessible, available, measurable, 8.6 million patient clinical trial a golden age for medical research

    Slide 25:The future of health care is ergonomically effective, computer- supported care

    No other agenda has any likelihood of truly reforming and improving health care in America or anywhere else

    Slide 27:Thats why Kaiser Permanente is investing billions of dollars in creating KP HealthConnect

    Slide 28:We are learning as we go Our goal is to be a perpetual learning organization Our goal is also to share what we learn

    Slide 29:This summit is a part of that learning and sharing process

    Welcome and thank you for sharing in this learning process with us
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