Preventive Care

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LMP Website Overview

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How to Find and Use Team-Tested Practices

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Corralling Cancer With Coughs and Sneezes—Allergy Team Helps Screen for Cancer

  • Making a joint commitment that when there is a KP HealthConnect® notification that a patient is due for a health screening, team members follow up by offering to schedule the patient for the screening or asking the necessary questions to fill in missing information in the patient’s medical record
  • Creating a script to help staff members talk to patients about updating their health needs and posting laminated cards on computers to serve as reminders
  • Reporting the weekly screening numbers to staff members so they can track their progress and recognize where they missed opp

Effective Smoke Screens—Coaching Smokers on How to Quit

  • Printing out registration slips with questions regarding smoking, so smokers can identify themselves up front
  • Attaching the registration slips to clipboards, so when patients hand the materials to the genetics counselors, the counselors can provide smoking cessation information

What can your team do to help members know what type of programs are available to them? 

 

 

HPV Mission: Identify and Immunize

  • Working with information technology staff to get a list of eligible 11- and 12-year-old girls, and contacting parents and making appointments for those patients
  • Discussing the importance of the vaccine with patients and their parents
  • Scheduling the two follow-up booster shots at the time of the first shot, which required working with IT colleagues to modify the appointment system

What can your team do with technology to reach out to members letting them know what screenings and vaccinations they need?

Lab Teams Collaborate to Ease Workload, Speed Tests

  • Studying what other labs were doing and researching the latest technology
  • Collaborating on the purchase of new equipment and gaining support to fast-track the installation
  • Cross-training staff on use of new equipment and departmental processes

What can your team do to be more collaborative with departments you frequently work with? What else could your team do to cross-train staff?

 

Making Early Detection Easy With Screening Prompts

  • Designating and training a HealthConnect super-user on the team
  • Coaching and mentoring all team members on using the prompts in HealthConnect to urge patients to agree to sceenings and book appointments
  • Tracking how often staff members remind patients to get screenings

What can your team do to ensure that members and patients get their necessary screenings? What else could your team do to coach and mentor HeatlthConnect super-users?

Cooperation Among Departments Helps Women Get Needed Screenings

  • Checking HealthConnect when female health plan members come in for flu shots
  • Working cooperatively among different departments to ensure patients get preventive screenings
  • Building time into clinic schedules for same-day appointments

What can your team do to collaborate with other departments and help make the care experience even better for our members and patients?  What else could your team do to make KP the best place to work and receive care?

 

Videos

Making Early Detection Easy

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By working in partnership and leveraging the power of Kaiser Permanente's electronic health records, this eye care team at Redwood City Medical Center helps patients get the cancer screenings they need.

For the Love of Kids

Deck: 
A farm-to-table program in a low-income neighborhood

Story body part 1: 

On a warm fall afternoon, nearly 35 children are bouncing off the walls as they get ready to leave the classroom and head out to their elementary school’s garden. They’re all members of an after-school garden club and cooking class called Edible Olympic. It’s the brainchild of Maria Peyer, an oncology nurse and team co-lead at the Longview Kelso Medical Office in Kaiser Permanente’s Northwest region and her husband, elementary school teacher Michael Bixby.

The kids can barely contain their excitement as Bixby tries to calm them down so they can listen to the afternoon’s agenda.

“The sooner you settle down and be quiet, the quicker I can finish what I need to say and you can get outside,” he implores the class.

Quickly, the hubbub settles. Bixby goes over what needs to be done: plant blueberry bushes, dig a hole for a tree, and remove bamboo sticks. He also reviews the Garden Guidelines, which include listening with respect, walking (no running) in the garden, and asking for permission before picking anything. Then he asks, “Whose garden is it?” and gets a resounding and loud, “Ours!” as everyone heads outside to get to work.

The students attend Olympic Elementary School in Longview, Washington. They don’t have many advantages: More than 20 percent of the city’s population is below the federal poverty line, and 90 percent of the school’s students participate in the free or reduced-price lunch program. Many experience food insecurity regularly, not knowing if they’ll have enough—or any—food to eat.

Income-related health disparities

There are well-documented health disparities related to low income, and these kids are at risk. Edible Olympic is helping address that vulnerability, teaching the kids about healthy food and how to prepare it, laying the foundation for good eating habits that last a lifetime. It’s an example of how partnership principles expand naturally and necessarily into the community; the new 2015 National Agreement includes commitments to jointly work on improving the health of the communities we serve.

The Longview project grew out of a Kaiser Permanente adult cooking class recommended for oncology patients, one that focuses on a plant-based diet. Peyer says that after moving to Longview, she and her husband were struck by the limited resources available to the children in the community.

“We wanted to affect change as directly as possible,” says Peyer, an OFNHP/ONA member. “So we dove headfirst into Edible Olympic. We didn’t want to spend time in meetings, we just wanted to get in the dirt and the kitchen—and that’s what we did.”

She sought support from Thriving Schools, one of Kaiser Permanente’s Community Benefit programs. She forged partnerships with the school’s Parent-Teacher Organization and the Lower Columbia School Gardens, a nonprofit that helps schools create garden programs. Local stores donated money. High school students from Longview and Portland also are participating.

“The kids, their parents and the greater community have embraced the efforts and confirmed that our hunches were right,” Peyer says.  “Good, healthy, real food, prepared simply, with love and in community, can be life transforming.”

Members of the Oncology unit-based team are supporting the project, too, donating money and time; four KP employees help staff the cooking class.

“Volunteering in the community gives us at KP a chance to share our skills and our approach to supporting good health,” says Elizabeth Engberg, the Northwest’s Thriving Schools program manager. “It also helps us learn about our members—where they live, work, learn and play, because that’s a huge part of what affects their health. Schools are the best place to do this.”

Overwhelming participation

The program has had overwhelming and unexpected participation.

“The idea was that this project would launch with eight to 10 kids. We had 60 kids come to the information session,” Peyer says, which prompted an instant expansion from one to two sessions. The kids work in the garden on Thursday afternoons, and on Fridays, they walk across the field to the middle school, where they are able to use the home economics classroom for cooking class. The sessions run for five weeks and end with a celebration where the kids cook a complete meal and share with their friends and family.

The first session got under way last spring. A grassy patch of the school’s property was selected as the site for the garden, and the children got seeds started indoors. As weather allowed, the ground was prepared. While they waited for their seedlings to be ready to plant, the kids were introduced to kitchen safety and how to prepare the food they were just beginning to grow.

In the cooking class, kids have a healthy snack, then work in small groups to prepare the dish of the week. When the cooking is done, they gather together  and enjoy their meal. The kids leave with a bag of groceries so they can cook the meal at home.

“In some cases, this may be the healthiest meal the family may eat during the week,” Peyer says.

On that fall day out in the garden, the kids in the second session organized quickly after studying the garden map Bixby brought along for reference. They divided themselves into groups and got to work with shovels, buckets and plants to complete the day’s activities.

One of the choices they faced was whether to extend the blueberries to the fence or stop a few feet in to allow for a foot path. Several kids piped up with ideas. The decision got made after 11-year-old Christian Aguibar offered his opinion.

“We can grow more things if we don’t have a walkway,” Christian said, “so let’s not have one.”

Videos

How a Flu Shot Can Help Catch Cancer

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Kaiser Permanente members in Colorado got a little extra care and attention last year when they came for their flu shots at the Lakewood Medical Office. Medical Imagining and the Flu Clinic teams worked together to identify patients who needed a mammogram.

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