An exploration of the issues and challenges facing frail seniors at KP. Later, via the ILN, GroupHealth took those findings to pilot a solution. A story of collaborations and learning.

2. We share innovations across systems.
We teach innovation techniques.
We create innovation friendships.

3. Adventist Health
Alliance of Chicago
American Nurses Association
Artefact
Ascension Health
Avia
Banfield Pet Hospital
Boston Health Care for the Homeless
California HealthCare Foundation
Carolinas HealthCare System
Cedars-Sinai Medical Center
Center for Care Innovations
Center for Health Design
Centura Health
CIMIT
Cincinnati Children’s Hospital Medical Center
City of Hope
Clorox
Continuum
GraceMed
Gravitytank
Health Plan Alliance
HealthPartners
HopeLab
Indian Health Service
Kaiser Permanente
Kaiser Permanente Washington
Lehigh Valley Health Network
Mad*Pow
MaRS Discovery District
MedStar Institute for Innovation
National Health Service (UK)
Northwestern Medicine
Nurse Family Partnerships
Partners HealthCare
Riverside County Health System
Robert Wood Johnson Foundation
Saint Elizabeth
State of Colorado: Healthcare Policy & Financing
Szollosi Healthcare Innovation
The Health Foundation
U.S. Department of Veterans Affairs
Via Christi Health
VSP, Global
ILN Organizations

4. Redwood to Contour
(an ILN story)

5. 5 Redwood / Kaiser Permanente, Confidential – Internal use only
Redwood?

6. Cincinnati
San Francisco
Honolulu
Boston
6 Redwood / Kaiser Permanente, Confidential – Internal use only

7. Person
Insights
7 Redwood / Kaiser Permanente, Confidential – Internal use only

8. Purpose Interactions Family/Friends Planning Finances
5 social ingredients:
8 Redwood / Kaiser Permanente, Confidential – Internal use only

9. Purpose
doesn’t retire.
01
Seniors know that
purpose is key to
longevity.
02
Seniors don’t expect to
give up their ability to
contribute as they age.
03
Technology is enabling
seniors to continue doing
they things they love.
9 Redwood / Kaiser Permanente, Confidential – Internal use only

10. Seniors know that
purpose is key to
longevity.
10 Redwood / Kaiser Permanente, Confidential – Internal use only

11. Hazards
Up Ahead.
01
Pride and fear inhibit
people from preparing to
age safely, jeopardizing
their opportunity to age
well in their community.
02
Hazard planning is a
whole system responsibility,
not just seniors.
03
By not identifying key
hazards, we’re causing
pain and wasting dollars.
11 Redwood / Kaiser Permanente, Confidential – Internal use only

12. Hazard planning is
a whole system
responsibility, not
just senior’s.
12 Redwood / Kaiser Permanente, Confidential – Internal use only

13. 13 Redwood / Kaiser Permanente, Confidential – Internal use only

14. Purpose Interactions Supported Finances Hazards
“It’s important
to make friends
on the block
for safety.”
14 Redwood / Kaiser Permanente, Confidential – Internal use only
Ron is an artist.
He moved his
studio into his
apartment so he
could continue
making artwork
Ron is
housebound, but
interacts with his
neighbors and the
Meals on Wheels
volunteers.
Ron and his wife
have a hard time
caring for one
another because
of their conditions.
Ron’s savings are
not enough and he
lives in a rent
controlled apt and
can’t move
because they can’t
afford to pay more.
Ron has difficulty
walking. He
struggles with the
14 steps leading
up to their front
door on a daily
basis.

15. Contour
Prototype
15 Redwood / Kaiser Permanente, Confidential – Internal use only
(now KP Washington)
Contour
Prototype

16. What we learned from patients (and ILN!!)
Purpose
Social networks
Resources and care
supportFinances
Hazards
Barriers are usually not medical

17. 17
CONTOUR DESIGN
CHALLENGE:
How might Group
Health adapt care
delivery so that
our vulnerable
members thrive?

18. Understand Patients
Patient identification methods
Referral process
Initial assessment
Assessment of social determinants
of health
Work Differently
 In-home assessments
 Team/people strategies:
 Recruiting
 Huddles/Balint
 Norms
 Safety
 Community partnerships
 Alzheimer’s Association (in development)
 Sound Generations (in development)
Support Patients
 Care planning tools
 Coaching for complex patients
 Cognitive care (in development)
 Care give support (in
development)
 Social work/Resources for
complex and Medicaid patients
 Team function around relationship
and emotional support
Empower Primary Care
 Integration with Primary Care
 Maintaining panel and relationship
 Consultation back to PCP
Solutions and Prototypes

19. Ecosystem
Insights
19 Redwood / Kaiser Permanente, Confidential – Internal use only

20. Create a
community
vision.
System Insights:
Eliminate
silos.
Become
Business
Savvy.
20 Redwood / Kaiser Permanente, Confidential – Internal use only
Kaiser
Permanente
Social
Organizations
Senior
Members
Local
Government
Healthcare
Providers
Community
Members
Social
Organizations
Local
Businesses