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George C. Halvorson
Chairman, CEO of Kaiser Permanente
Convened the Care Connectivity Consortium
Member of the Institute of Medicine Roundtable on Value & Science-Driven Health Care
George C. Halvorson led the efforts to form the Care Connectivity Consortium, which aligns five healthcare organizations across the country for the purpose of developing a model for health data exchange. Reporters posed these questions at an April 6 news conference at the National Press Club in Washington, D.C., where the organizations announced the initiative.
Do you have a sense of how much of your patients are actually being seen by other institutions?
We have an overlap of patients. It’s not a high-volume overlap, but it’s more than sufficient to test the process and do the work.
Can you talk about how the initiative is relevant to less advanced institutions? How can you replicate it more widely?
We’re trying to create a template – a mechanism – that can be used by any care site that computerizes their medical information and health information so that the information can flow in a safe, legitimate, verifiable way. If it doesn’t get created, it won’t be there. So it’s important work to actually make that happen.
Has the group chosen any standards?
This will be totally synchronous with what is going on with the data-sharing agenda for the country. We’re going to utilize pathways that are being created and then help link them up. So this is about creating a new set of information or a new set of definitions. This is utilizing and maximizing and optimizing the work that’s being done.
How do you measure success?
The first measure is, does it work for the patient? The second measure is, when the patient comes in and needs a data share, are we actually able to do it? Does it work? When a patient shows up, can we get that information? And then a third measure of success is, have we created something that others can use easily, and by using it facilitate the data flow for their patients so they can also serve their patients better? Those are extremely important to us. We need to focus on the patient, and this is about the patient. This is about better care for the patient and getting information to the caregiver so he or she can deliver better care.
How will this affect cost of services and when can we see cost shifting once the system is more widely used?
Almost without exception, better care costs less. It actually costs less to get the diagnosis right. It costs less to avoid the complications that result from drug issues. We’ll save money by delivering better care. We’ve seen that consistently across the board. I think what this is going to do is facilitate better care and help bring down the cost of care. In terms of the timeliness, if a patient comes into one of our sites and needs care, right now you may have to run test after test after test, get all the results, bring it back. There are time delays and expenses that can be avoided if the patient comes in and our physician can push a button and find out these tests were run, this diagnosis done, these drugs were there. So you can actually avoid redundant and repetitive and unnecessary care expenses as well. You can avoid duplication, but also getting care right is critically important and golden.
Have you tested the interconnectivity of your different systems to make sure they can talk to each other? One has a Cerner system or maybe an Epic system. Have you done those tests?
The answer is yes. We know this is possible. We know this can be done. We know this work is completely and totally doable given the technology that exists today. The challenge is to figure out the exact mechanisms and processes and definition to make it work. Is it doable? The answer is yes.
What is the role of privacy and security in the collaboration?
We place a very, very high priority on the privacy and security issues, and we want to make absolutely sure that the information is protected as it is shared and it’s shared by the caregivers who need it – with the patients’ approval. So the processes we’re setting up, we think, are going to be a model for the country to use in those particular areas. We think this is something that’s a priority, and something that we’re working on, and something that we think we will do well.
