We believe the best way to measure quality of care is by outcomes. Our unique approach includes:
- Personalized care from doctors, nurses, and other caregivers that are connected to you and to each other through one of the most advanced electronic health record system available today.
- A focus on prevention and providing the inspiration, tools, and information you need for healthier tomorrows.
- Online tools and mobile apps that let you stay on top of your health and manage your
care anytime, anywhere.
- Research and innovation that is pioneering new ways to prevent, detect, and treat illness.
You can see the results in our HEDIS® scores, and in the positive outcomes in the lives of our members. HEDIS scores are given by the National Committee for Quality Assurance, a private, non-profit organization dedicated to improving health care quality. HEDIS is used by more than 90% of America’s health plans and other agencies, like Medicare, to measure performance on clinical quality and customer service. HEDIS makes it possible to compare the performance of health plans on an “apples-to-apples” basis.
We lead the nation — and every state we serve — in breast cancer screenings.
It starts with great doctors. We rigorously recruit from the top medical schools and training programs, and we surround our doctors — and their patients — with some of the best nurses, researchers, and staff available. More than 1,200 researchers at our 8 regional research centers work on epidemiological and health services studies, with the aim of improving outcomes for patients. And our clinical trials program makes advanced cancer therapies available to our members.
Early detection is key. In every state we serve, we’re #1 in screenings for breast cancer — and in the Mid-Atlantic States, we’re #1 in the nation. We’re also in the top 10% for colorectal cancer screenings in all our service areas.1
for helping patients with cardiovascular conditions control high blood pressure.
Heart disease and other heart conditions are caused by a variety of factors, which may show up as a heart attack, a stroke, or other symptoms. With one of the largest multispecialty medical groups in the country — including primary care doctors, cardiologists, cardiac surgeons, and other specialists — we’re able to treat a wide range of heart conditions for our members.
Throughout all our service areas, we’re in the top 5% in the nation when it comes to controlling high blood pressure for patients with cardiovascular conditions.2 And 17 Kaiser Permanente medical centers have been recognized by U.S. News & World Report as “high performing” in one or more common types of care related to heart health, which include care for congestive heart failure and bypass surgery.3
in several key diabetes measures.
Diabetes affects nearly 29 million Americans. Over a decade ago, we developed our Integrated Diabetes Care program to create a team approach to treating members with diabetes. With dedicated staff and a focus on patient education, and by monitoring our members’ electronic health records, we’re helping lower our members’ risk and helping those with diabetes lead healthier, more active lives.
Nationally, we’re in the top 10% in 5 of 7 key 2015 HEDIS measures for diabetes care — and in the Mid-Atlantic States, we’re #1 in the nation for the treatment of diabetic kidney disease.4
High Blood Pressure Care
Leading the nation in keeping members’ blood pressure under control.
High blood pressure — also called hypertension — can damage the blood vessels, heart, kidneys, eyes, and brain. It can also lead to heart attack, stroke, and kidney failure. Our electronic health record system helps us identify, test, monitor, and treat members with high blood pressure. We screen, rescreen, and advocate for healthy lifestyles that can lower blood pressure and extend lives.
As a result, 86% of our members diagnosed with high blood pressure have it under control,5 compared to 52% nationally.6 When it comes to helping members control high blood pressure, we’re #1 in every state we serve — and in the Mid-Atlantic States, we’re #1 in the nation.7
Bone Density Care
Decreasing hip fractures in seniors by 23% — and counting.
The best way to care for serious hip injuries is to prevent them. Our doctors combine education, increased bone density testing, and medications that help prevent osteoporosis to keep our senior members happy, mobile, and thriving. We implemented a comprehensive program incorporating screening, assessment, treatment, and education at all our Southern California medical centers. For members 60 and older, we decreased hip fractures in Southern California by 23% from 2009 to 2014.8
In the Mid-Atlantic States, we’re rated #1 in the nation among Medicare plans for osteoporosis management in women who had a fracture, and we’re #1 in every state we serve.9