Kaiser Permanente

1
Community Benefit Kaiser Permanente and the
communities we serve
2
Kaiser Permanente Mission

• KP exists to provide affordable, high-quality
  health care
• services to improve the health of our members
• and the communities we serve.

3
Community Benefit Defined

• KP Community Benefit programs are designed and
  implemented to improve the health of our
  communities. Our Community Benefit Programs are
  based on our Community Needs Assessment, which is
  conducted every three years.

4
KP SCAL Community Benefit Portfolio

• More than 356 million to community benefit in
  Southern California in 2007
• Four areas of focus in two categories
• DIRECT
• Coverage and KP services for low-income people
• Research and training
• INDIRECT
• Healthy Eating Active Living/community health
  improvement grants
• Community health care partnership grants and in
  kind donations

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DIRECT Coverage For Low-Income People

• Government programs subsidized care for MediCal
  and Healthy Families KP members
• Example MediCal and IEHP members
• 13,200,793 through FMC in 2007
• Charitable health coverage subsidized premiums
  for low-cost KP programs Child Health Plan (CHP)
  and Steps
• 1,646,249 through FMC in 2007
• Charity care Medical Financial Assistance
• 1,121,295 through FMC in 2007

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Charity Care Defined

• Charity Care/Medical Financial Assistance (MFA)
  consists of
• The difference between our cost of care and
  MediCal reimbursements for non-members or our
  cost of care for services to the uninsured
  (episodic care)
• Example Uninsured homeless individual receiving
  care in ED
• The cost of waiving co-pays for members who
  demonstrate financial need (episodic and on going
  care)
• Applicable to professional costs (physician) and
  both in patient and ambulatory care settings

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DIRECT Research and Training

• Graduate medical education
• FMC Fellowships in Sports Medicine Geriatrics
• Research and evaluation
• Hormone Replacement Therapy vs cancer risks
  dementia and abdominal girth
• CRNA program
• Nursing education and training
• Fontana Preceptorships Cal State SB
• Allied health professional training
• Radiology techs Chaffey College, Western
  University
• FMCs 2007 contributions to these programs was
  3,424,129

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INDIRECT Community Health Improvement/Grants

• Commitment to reduce obesity and co-morbidities
  (e.g., diabetes)
• Improve access to healthy food and physical
  activity
• Create positive, sustainable policy and build
  environmental change
• Examples
• Operation Splash 8,000 free swim lessons
• Fontana City Pools recently awarded 50,000
• Educational Theatre Programs 1,188 performances
  in 2006
• Local performances in Fontana, San Bernardino and
  high desert
• KP Child Health Plan 32,000 uninsured children
  covered
• More than 11,000 through FMC

9
INDIRECT Regional/ FMC Community Health
Improvement

• Partnerships with community clinics, public
  hospitals and homeless providers
• 150k regional grant to ARMC for Diabetes
  Initiative
• Increase access to preventive, diagnostic,
  specialty and nursing care services
• 150k regional planning grant to Al Shifa Clinic,
  Devore for Specialty Care Initiative

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INDIRECT Community Health Grants program at FMC

• Agency/effort addresses need identified by Needs
  Assessment
• Fulfills part of medical centers annual
  Community Benefit Plan
• Is externally focused benefits the greater
  community. Funds must be used in medical center
  service area
• Grant applications reviewed by FMC Grants Review
  Committee

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KP SB County Community Benefit Examples

• In 2008, Fontana and Ontario Vineyard Medical
  Centers awarded more than 339,000 in grant funds
  throughout the county.
• Following is a partial list
• Al Shifa Clinic, Devore 15,000
• Children's Services Fund, Fontana Unified
  SD 20,000
• Community Health Systems, Bloomington 20,000
• Family Service Assoc, Redlands Homeless 25,000
• Kids Come First, Ontario 20,000
• Boys and Girls Club, Victor Valley 10,000
• CSUSB Student Diabetes Initiative 10,000
• Montclair Community Collaborative 10,000

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2007 Annual Figures - Fontana Medical Center
Total Community Benefit 24,464,371

• Includes Direct and Indirect categories

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Developing FMCs Grants ProgramThe Needs
Assessment Process

• Conducted every three years, in accordance with
  Senate Bill 697
• Includes both primary and secondary data
• Informs selection of Community Priority Needs for
  FMC
• Forms basis for development of FMCs 3 Year
  Community Benefit Plan

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2008 - 2010 FMC Community Benefit Plan

• Three Priority Needs
• Access to pre-natal, dental, medical and mental
  health services
• Education for the prevention of avoidable
  diseases and management of chronic diseases
• Increase awareness of health risks, i.e., obesity
  and tobacco use

Geographic overlay, (Central, Desert, East,
West) ensures Community Benefit funds and
resources are distributed evenly throughout the
FMC Service Area.
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Questions? Answers

• Jennifer Resch-Silvestri, Public Affairs Director
• [phone]
• Martha Valencia, Senior Community Health Benefit
  Specialist
• [phone]
• kp.org/community benefit