Kaiser Permanente Northern California: current experiences with internet, mobile, and video technologies.

The US health care system has been slow to adopt Internet, mobile, and video technologies, which have the capability to engage patients in their own care, increase patients' access to providers, and possibly improve the quality of care while reducing costs. Nevertheless, there are some pockets of progress, including Kaiser Permanente Northern California (KPNC). In 2008 KPNC implemented an inpatient and ambulatory care electronic health record system for its 3.4 million members and developed a suite of patient-friendly Internet, mobile, and video tools. KPNC has achieved many successes. For example, the number of virtual "visits" grew from 4.1 million in 2008 to an estimated 10.5 million in 2013. This article describes KPNC's experience with Internet, mobile, and video technologies and the obstacles faced by other health care providers interested in embracing them. The obstacles include the predominant fee-for-service payment model, which does not reimburse for virtual visits; the considerable investment needed to deploy these technologies; and physician buy-in.

[1]  Steffie Woolhandler,et al.  Hope and hype: predicting the impact of electronic medical records. , 2005, Health affairs.

[2]  Robin C. Meili,et al.  Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. , 2005, Health affairs.

[3]  Mary A. Armstrong,et al.  Substance abuse treatment linked with prenatal visits improves perinatal outcomes: a new standard , 2008, Journal of Perinatology.

[4]  Valerie M. Sue,et al.  If you build it, will they come? The Kaiser Permanente model of online health care. , 2009, Health affairs.

[5]  D. Blumenthal,et al.  The "meaningful use" regulation for electronic health records. , 2010, The New England journal of medicine.

[6]  J. Goldsmith,et al.  Accountable care organizations: the case for flexible partnerships between health plans and providers. , 2011, Health affairs.

[7]  Donald M Berwick,et al.  Making good on ACOs' promise--the final rule for the Medicare shared savings program. , 2011, The New England journal of medicine.

[8]  Eric W. Jamoom,et al.  Physicians in nonprimary care and small practices and those age 55 and older lag in adopting electronic health record systems. , 2012, Health affairs.

[9]  Monica J. Garfield,et al.  Crossing the Telemedicine Chasm: Have the U.S. Barriers to Widespread Adoption of Telemedicine Been Significantly Reduced? † , 2013, International journal of environmental research and public health.

[10]  P. Ginsburg.  Achieving health care cost containment through provider payment reform that engages patients and providers. , 2013, Health affairs.

[11]  L. Casalino,et al.  Electronic communication improves access, but barriers to its widespread adoption remain. , 2013, Health affairs.

[12]  Julia Adler-Milstein,et al.  Operational health information exchanges show substantial growth, but long-term funding remains a concern. , 2013, Health affairs.