Kaiser Permanente Download Medical Records

Teens ages 13 through 17 can have their own online medical record accounts at kp.org/wa and the Kaiser Permanente Washington mobile app. Starting June 14, 2022, teens can view most of their medical records including visit notes and after-visit summaries, procedures, immunization records, results, and letters.

Severe episodes of hypoglycemia occur far more often than is captured in electronic medical records, according to research published today in a JAMA Internal Medicine research letter by Kaiser Permanente and Yale School of Medicine researchers.

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Kaiser Permanente (KP) has a long history with SNOMED CT, dating back to the 1990s when they collaborated with the College of American Pathologists (CAP) on the development of SNOMED RT (Reference Terminology). KP was also one of the first healthcare organizations to implement a SNOMED CT enabled health record (EHR). KP HealthConnect (KPHC), Kaiser Permanente's enterprise electronic medical record, was developed by Epic and hosts the records of over 10 million patients.3KPHC uses a set of clinician and patient friendly terminologies, collectively known as the Convergent Medical Terminology (CMT), with SNOMED CT as its core reference terminology.4KP has made their contributions to SNOMED CT available to the broader community by donating CMT to SNOMED International and the US National Library of Medicine (NLM).

In 2002, Kaiser Permanente abandoned its attempt to build its own clinical information system with IBM, writing off some $452 million in software assets. This information technology failure led to major changes in the organization's approach to digital records. Under George Halvorson's direction, Kaiser looked closely at two medical software vendors, Cerner and Epic Systems, ultimately selecting Epic as the primary vendor for a new system, branded KP HealthConnect. Although Kaiser's approach shifted to "buy, not build," the project was unprecedented for a civilian system in size and scope. Deployed across all eight regions over six years and at a cost of more than $6 billion,[59] by 2010, it was the largest civilian electronic medical record system, serving more than 8.6 million Kaiser Permanente members, implemented at a cost exceeding a half million dollars per physician.[60] As of 2020 KP HealthConnect supports 12.2 million members.

FILE - A Kaiser Permanente medical center is seen in San Jose, Calif., on Jan. 2, 2021. Kaiser Permanente has agreed to pay $49 million as part of a settlement with California prosecutors who say the health care giant illegally disposed of thousands of private medical records, hazardous materials and medical waste, including blood and body parts, in dumpsters headed to local landfills, authorities said Friday, Sept. 8, 2023. (Anda Chu/Bay Area News Group via AP, File)

Kaiser Permanente has agreed to pay $49 million as part of a settlement with California prosecutors who say the health care giant illegally disposed of thousands of private medical records, hazardous materials and medical waste, including blood and body parts, in dumpsters headed to local landfills, authorities said Friday

In 2021, the federal government sued Kaiser Permanente, alleging the health care giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records in order to receive higher reimbursements.

Data from electronic medical records and other health plan databases are also available for cohort members. Databases are standardized across the KP regions and include enrollment, demographics, procedures, diagnoses, medical encounters, pharmacy, vital signs, and census variables.

The institute's medical-record reviewers are highly trained to abstract data from these records, following strict scientific protocols, ensuring data integrity, and protecting data security. They are also trained to protect patient privacy and confidentiality by following Kaiser Permanente Washington's standard policies and procedures for handling patient records.

Medicare requires that, for outpatient medical encounters, MA Plans submit diagnoses to CMS only for conditions that required or affected patient care, treatment or management during an in-person encounter in the service year. In order to increase its Medicare reimbursements, Kaiser allegedly pressured its physicians to create addenda to medical records after the patient encounter, often months or over a year later, to add risk-adjusting diagnoses that patients did not actually have and/or were not actually considered or addressed during the encounter, in violation of Medicare requirements.

The roots of Kaiser Permanente began in the 1930s as a private industrial medical care plan at Depression-era government construction projects. During World War II, it evolved into a comprehensive and affordable program for defense workers and their families, setting the stage for its longstanding commitment to healthcare for all. From our leadership in racial integration to our groundbreaking use of technology in health records, Kaiser Permanente has been a recognized leader in medicine for decades.

Our medical and dental teams work as a team to help protect the total health of our members. Shared health records mean our dentists see when members are due for medical screenings and can help schedule their appointment right away. In fact, did you know that Kaiser Permanente members with both medical and dental coverage weigh less, smoke less, and visit the hospital and emergency department less often than members with just medical coverage?2

As the medical record becomes more automated, it will be used more frequently in epidemiological studies. Knowledge of its limitations is crucial in both the design and interpretation of studies. This study allows researchers who obtain data from medical records to estimate the degree of misclassification resulting from missing information on family history. It should be kept in mind that the amount of missing information in our population may be different from that in other populations because these women are long-time members of the health maintenance organization. This study also emphasizes the need to assess the impact of past screening differences and health plan utilization differences on exposure ascertainment from the medical record in analytical studies of cancers for which screening is available.

This application proposes development of a unique resource designed to accelerate scientific progress - a National Research Database (NRDB) of Kaiser Permanente (KP) data that will contain clinical information on almost 30,000,000 current and past members of the Kaiser Foundation Health Plan in 8 regions of the country, with some data that spans a 40 year period. The database will be available to over 1,200 KP researchers, who are currently engaged in over 3,000 research projects, with a total funding of $60 million per year. Through data sharing mechanisms, a subset of the data will also be available to collaborating non-KP researchers. The need for a better research infrastructure is clear. Researchers are often frustrated by the difficulty of finding, extracting, cleaning, interpreting and transforming the data into useful analytical datasets. They often spend a disproportionate amount of time in these preparatory activities, rather than in the analytic phase of research projects. The primary reason for this is the absence of an efficient research data infrastructure that is optimized for the analytical needs of researchers. We have begun to develop such an infrastructure for the 3.3 million current and 10 million past Health Plan members in the KP Northern California region, in the form of a pilot Research Database (RDB). In this RDB, we have aggregated clinical data from legacy systems, the current electronic health record (EHR) system, various public use datasets, and research datasets into a research data warehouse. To develop the NRDB, four specific aims of the project will have to be achieved: 1) upgrade the pilot RDB by developing a uniform schema with consistent data definitions and coding, using standard terminology, that will harmonize aggregated legacy and current KP electronic health records, 2) develop interfaces and extract, transform and load (ETL) processes for the KP electronic medical record system and other clinical systems that will feed data to the NRDB, 3) implement a security model that is compliant with HIPAA and State regulations and KP policies, and 4) expand the pilot research database into a distributed database that will store data from the other seven KP regions. The NRDB will be a unique and valuable resource for clinical, epidemiological and health services research. It can be used in support of the health care goals of various government agencies (FDA, AHRQ, NIH), including comparative effectiveness research, biosurveillance, patient safety monitoring, post-marketing drug surveillance, geographical mapping of morbidity and mortality rates (by zip code or census tract), genetic and genomic studies, and many other types of research. Because KP has had some form of electronic health record for almost 40 years, the NRDB will provide a unique opportunity for researchers to study secular trends of disease, as well as following the health and disease status of large cohorts over time. ff782bc1db