Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Heading, Item B, Amended Return | Revision of deferred compensation in Part VII and Schedule J for one officer/director. FORM 990, PART V, Line 4b - FOREIGN Countries Continued ISRAEL JAPAN KENYA REPUBLIC OF KOREA MALAYSIA NIGERIA PAKISTAN PHILIPPINES POLAND TAIWAN THAILAND TURKEY FORM 990, Part VI, Line 4 Significant changes to governing documents: The bylaws of the corporation were amended in 2016 with the following significant changes: On March 3, 2016: Article C, Directors, Sections C-2 and C-3, were amended to change the number and description of inside Directors. Article E, Committees and Professional Staffs, Section E-4, Executive Committee, was amended to change the Committee composition and remove tax exemption and executive selection, performance appraisal, and succession duties. On December 2, 2016: Article E, Committees and Professional Staffs, Section E-5.A., Audit and Compliance Committee was amended to add language regarding oversight of internal controls. |
| FORM 990, Part VI, Line 5 | Diversion of Assets Theft of medical equipment valued at $3.6 million dollars. Matter has been referred to law enforcement and two employees have been terminated. Policies and procedures have been revised and improved to mitigate future thefts. Theft of medical equipment valued at $277,150. Matter had been referred to law enforcement and revisions have been made to security policies and procedures to mitigate future thefts. |
| FORM 990, PART vi, line 11b | Form 990 Review Process: 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Prior to finalization, the return is reviewed by an external tax advisor. 3. Once signed by an external tax advisor, the return and underlying data are reviewed by an officer or a member of management designated by an officer for signature and filing. 4. Copies are then provided to board members prior to filing. |
| FORM 990, PART vi, line 12c | COMPLIANCE ENFORCEMENT A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2. THE NATIONAL COMPLIANCE OFFICE AND INTERNAL AUDIT SERVICES ANNUALLY REVIEW THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDE DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES, OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT. |
| FORM 990, PART vi, line 15A/B | COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFIT & HUMAN RESOURCE CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION. |
| FORM 990, PART vi, line 18 | Forms 990 are available on www.guidestar.org. |
| FORM 990, PART vi, line 19 | Public Inspection Copy: Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. Financial Statements are on file with the state regulatory agency. Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with independent auditors' report. To request copies contact: Vice President, Government Relations Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th floor Oakland, CA 94612 |
| FORM 990, PART vii, section a, column b | Hours for Related Organization: Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated. |
| FORM 990, PART xi, line 9 | Other Changes in Net Assets or Fund Balances: change in donated capital $ (10,279,046) change in inter-regional transfer (407,899,358) restricted grants - co 2,961,937 change in pension and other retirement liabilities (551,230,759) book tax difference in sub income (1,292,183) gain/loss on sale on investment - book-to-tax difference 1,112,709,619 otti losses (499,521,552) ------------------ $ (354,551,342) |
| FORM 990, PART iii, lines 4a-4d | Legal Affiliation with Kaiser Foundation Health Plan, Inc. and its Subsidiaries Kaiser Foundation Hospitals (KFH) and Kaiser Foundation Health Plan, Inc. (KFHP, Inc.) and its four principal operating subsidiaries are separate corporations governed by identical boards of directors. KFH accepts responsibility to provide or arrange necessary inpatient services and facilities for members of health plans administered by KFHP, Inc. KFH owns and operates licensed hospitals in California, Hawaii and Oregon. These facilities provide emergency and inpatient services to all persons in the community, regardless of membership or ability to pay. Staff privileges are available on a nondiscriminatory basis to physicians in the communities served. KFH also contracts with other community hospitals to provide services to members for specialized care and other services. Kaiser Foundation Hospitals Commitment to the Community: KFHs mission is to provide hospital, medical, and surgical care, including emergency services, extended care, and home health care to the public without regard to age, sex, race, religion, or national origin, or to the individuals ability to pay. KFH strives for excellence in serving its patients through market-leading performance in quality and service. As a nonprofit organization, Kaiser Foundation Hospitals is committed to improving the health of the communities beyond the population of patients served by its facilities. Annual investments in a range of Community Benefit programs are a fundamental embodiment of the organizations ongoing commitment to improve the general wellbeing within the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. The Affordable Care Act (ACA) enacted in 2010 codifies responsibilities that nonprofit hospital organizations such as KFH must satisfy in order to maintain their qualification as tax-exempt entities. One responsibility involves conducting a Community Health Needs Assessment (CHNA) at least once every three years at every licensed hospital facility. Kaiser Foundation Hospitals has completed similar needs assessments for many years to identify the needs and resources that guide our Community Benefit spending. The new federal legislation provides an opportunity to revisit assessment and planning processes with an eye toward enhancing compliance, transparency, efficiency, and utilization of emerging technologies. During 2016, KFH conducted a Community Health Needs assessment at each of its licensed hospital facilities. The primary needs which were identified in the prior CHNA were addressed between 2014 and 2016 with the assistance of a comprehensive set of Implementation Strategies (IS) for every facility. The IS reports describe the needs which each KFH facility has chosen to prioritize and the reasons why other needs are not being addressed during each three-year cycle. A full set of the CHNA assessments by facility as well as the related Implementation Strategy reports can be found at www.kp.org/chna. In 2007, the board of directors of Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals refined the focus of the organizations' Community Benefit programs and established the following four priority areas which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge Improves health care by sharing our knowledge - educating practitioners, advancing research, empowering consumers and informing policymakers about evidence-based care and health. In addition to Streams of Work above, KFH also made contributions to benefit the communities served in the following areas: E. Other Community Benefit Investments - support Community Benefit activities and programs beyond the national streams of work, including the administrative expenses of regional Community Benefit departments dedicated to supporting the organizations Community Benefit programs and services and coordinating related initiatives. F. Environmental Stewardship - protecting and improving the natural environment is a key component of KFHs mission to improve the health of the community it serves. Although costs associated with this initiative is not included in the dollars reported as Community Benefit investments, efforts in this area contributes to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. The following are details of the Community Benefit activities provided by Kaiser Foundation Hospitals: In 2016, Kaiser Foundation Hospitals expended approximately $852 million (at cost, net of $1.2 billion of related revenues) to support Community Benefit activities. The following summarizes many of the signature Community Benefit programs and services grouped according to the national Streams of Work. |
| A. Care and Coverage for Low-Income People | Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Hospitals mission. In 2016, the organization invested approximately $620 million (at cost, net of $1.1 billion of related revenues) to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age, or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a KFH facility. A.1. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) Kaiser Foundation Hospitals provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) programs. In 2016, KFH spent approximately $130 million (at cost, net of $49 million of related revenues) to support under- and uninsured patients treated in KFH facilities located in California, Hawaii, and Oregon. A.1.1. Medical Financial Assistance (MFA) Program Kaiser Foundation Hospitals Medical Financial Assistance program provides financial assistance for emergency and medically necessary services, medications, and supplies to patients with a demonstrated financial need. Patients must receive health care services at facilities operated by Kaiser Foundation Hospitals and/or from a Kaiser Permanente provider. Eligibility is based upon prescribed levels of income to patients who have exhausted other private and public sources of support. In 2016, KFH provided $129 million (at cost, net of $26 thousand in related revenues) of services under this program. At KFH, uninsured patients receive a discount on hospital and professional charges for emergency or other medically necessary care without an application and regardless of income level. The discount is provided to ensure than an uninsured individual is not charged more for emergency or other medically necessary services than the amounts generally billed to insured individuals receiving equivalent care. Contracted collection agency practices are aligned with the organizations social values and IRC section 501(r). Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under KPs high medical expense criteria. Eligibility for high medical expenses exists when the patients incurred out-of-pocket medical and pharmacy expenses over the previous 12-month period is equal to or exceeds 10% of annual income. High medical expenses can apply to any income level. A.1.1.1. MFA Program Offered in California In California, the MFA programs eligibility criteria allows patients falling at or below 350% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2016, KFH patients in California received full forgiveness for over 104,000 inpatient days of care under the MFA program. A.1.1.2. MFA Program Offered in Hawaii In Hawaii, the MFA programs eligibility criteria allow patients falling at or below 400% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2016, KFH patients in Hawaii received full forgiveness for over 6,100 inpatient days of care under the MFA program. A.1.1.3. MFA Program Offered in Oregon and Washington In Oregon and Washington, the MFA programs eligibility criteria allows patients falling at or below 300% of Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2016, KFH patients in Oregon and Washington received full forgiveness for over 30,000 inpatient days of care under the MFA program. The MFA program in Oregon and Washington also covers full or partial expenses for dental services if applicants meet qualifying guidelines. KFHs Northwest region has known for 40 years that dental care is a crucial component of total health. Research has shown that dental care combined with medical care improves health outcomes for members and the bottom line for insurers. Patients without dental insurance regularly present to the medical system with acute dental problems. The overall medical system is not designed to handle these kinds of emergencies, but increased coordination between dental and medical care systems could lead to improved care, reduced costs, and better quality measure in all systems. To participate in this program, the patient must have annual gross household income no greater than 200 percent of the Federal Poverty Guidelines. Patients are only eligible for Dental Financial Assistance every other year. In, 2016 approximately 400 people received dental financial assistance. A.1.1.4. Community Medical Financial Assistance (CMFA) The MFA program also includes support for community based initiatives, known as Community Medical Financial Assistance (CMFA) programs. CMFA programs are designed to broaden access to health care within the community and help KFH fulfill its objectives to reduce the financial barriers that limit access to care for qualified low income populations. KFH participates in several programs in collaboration with Kaiser Foundation Health Plan, Inc. and community-based organizations to provide charity care services to low income uninsured patients at its facilities or from Permanente providers. Patients are referred to the community MFA programs by one of the community-based organizations. The community-based organization takes responsibility for pre-screening each patient to make sure they meet the eligibility criteria. The following are descriptions of a few of the programs offered under community MFA: A.1.1.4.1 Operation Access Thirteen Kaiser Permanente Northern California Region hospitals participate in Operation Access, a nonprofit organization that mobilizes a network of medical volunteers, hospitals, facilities, and referring community clinics to provide the uninsured with donated outpatient surgeries and procedures that significantly improve their health, ability to work, and quality of life. Some of the most common procedures performed include hernia repairs, biopsies, and cyst excisions. A.1.1.4.2. Mission Cataract USA Kaiser Permanente's Rancho Cordova Medical Offices participates in Mission Cataract, a national program that offers free cataract surgery to people of all ages who have no means to pay. It was started in 1991 by Frederick A. Richburg, MD, Medical Director of Valley Eye Institute in Fresno, California, and expanded in 1992 to include six eye surgeons who offered free surgeries throughout California. The goal of Mission Cataract USA is to eradicate blindness due to cataracts and bring as many people as possible from blindness to useful productive lives. A.1.1.4.3. KP Soars KP SOARS provides services to uninsured patients from La Clinica de la Raza in Vallejo, California, to address breast care, gastroenterology, cardiology and orthopedic needs. Based on each individual patients treatment plan, related services are covered, including diagnostics and in-patient hospitalization. Patients are screened for medical need and financial eligibility by La Clinica de la Raza. The program, which serves up to 10 patients per month, is based on a joint agreement between KFH and Kaiser Foundation Health Plan, Inc., The Permanente Medical Group, and La Clinica de la Raza. A.1.2. Charitable Health Coverage (CHC) Program Charitable Health Coverage (CHC) is a unique approach to caring for low-income uninsured persons in the community. Eligible participants receive a regular Kaiser Foundation Health Plan, Inc. membership card and access to the full range of services and providers at Kaiser Foundation Hospital facilities - a much better alternative to a potentially costly emergency room visit or hospitalization. KFHs CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent medical home. In 2016, more than 61,000 low-income adults and children who were not eligible for other public or privately sponsored coverage received access to health care through facilities operated by Kaiser Foundation Hospitals in California and Oregon. KFH contributed approximately $600 thousand (at cost, net of $48.5 million of related revenues) to provide subsidized care to these underserved populations in 2016. |
| A.1.2.1. CHC Programs Offered in California | A.1.2.1.1. Child Health Program The Child Health Program provides comprehensive medical, dental and prescription coverage to eligible children under the age of 19 for California families with household income up to 300% of the Federal Poverty Guidelines who do not have access to other health insurance. After-subsidy, monthly payment amounts charged to members range from $0 to $20 per child per month, depending on family income, for a maximum of three children. Additional children are covered free of charge. As a result of an organization-wide initiative implemented in 2016 to restructure contractual payments made by Kaiser Foundation Health Plan, Inc. to its related hospital and unrelated physician providers, Kaiser Foundation Hospitals recognized net operating income under the Charitable Health Coverage program in the State of California for the first time. Consequently, the loss previously reported as a component of KFHs broader Community Benefit activities under this program in California has been eliminated for 2016. For comparative purposes, the total loss Kaiser Foundation Hospitals reported under this program in 2015 was approximately $39 million in California (at cost, net of $2.4 million of related revenues). A.1.2.1.2. Healthy San Francisco KFH provided access to approximately 700 KFHP, Inc. members participating in the Healthy San Francisco program at the end of 2016. Healthy San Francisco is a program created by the City and County of San Francisco to make health care services accessible and affordable for uninsured residents living on a combined family income at or below 500% of the Federal Poverty Level. It is available for all San Francisco residents, regardless of immigration or employment status, or pre-existing medical conditions. While this program is not an insurance plan, it does provide access to primary care, preventive services, and hospitalization within the city and county of San Francisco. KFH recognized no operating losses on the Healthy San Francisco program in 2016 for the reason outlined under the Child Health Program. A.1.2.2. CHC Program Offered in Oregon A.1.2.2.1. The Child Health Plan In Oregon and Washington, the CHC offering is the Child Health Plan. This program is open to children of low income families who reside in five school districts and who do not have access to other health coverage. The program provides comprehensive medical and prescription coverage to children in kindergarten through 12th grade. Children must come from a household with income less than 250 percent of federal poverty level and must not be eligible or enrolled in any private or public health plan. Eligible siblings age 3 to 19 can also receive services. The program includes enrollment in the KPIF Gold 0/20 Plan. A re-certification process is conducted approximately every two years to confirm that members remain eligible to participate. A.2.Participation in Medicaid and Other Government-Sponsored Programs Kaiser Foundation Hospitals has a long history of providing access to low- and moderate-income individuals as a nonprofit organization. In 2016, Kaiser Foundation Hospitals provided medical services valued at $490 million (at cost, net of $1.1 billion of related revenues) to individuals participating in government-sponsored programs in California, Hawaii, Oregon, and Washington. Improving access to care for vulnerable populations is fundamental to KFHs social mission to improve the health of communities served and consistent with the obligations of a tax exempt organization. The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the American population. KFH has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing due to personal or financial circumstances to continue to obtain medical care at facilities owned by the organization. Realized and anticipated growth in the organizations Medicaid offerings closely aligns with and supports KFHs core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. A.2.1. Government-Sponsored Programs in California Highlights of the government-sponsored health care coverage programs supported by KFH in California include: A.2.1.1. Medicaid/Medi-Cal Managed Care KFH provided access to inpatient care for over 700,000 Medicaid/Medi-Cal managed care members in Northern and Southern California through various local and state government entities. Approximately $301 million (at cost, net of $744 million of related revenues) was invested in this program in 2016. Prior to 2014, KFH provided health care services to members participating in the federal- and state-funded Childrens Health Insurance Program (CHIP) offered by Kaiser Foundation Health Plan, Inc. California administers its CHIP program as part of Medicaid. Member counts and expenditures are included above. A.2.1.2. Medicaid/Medi-Cal Fee-for-Service KFH provided subsidized care on a fee-for-service basis to over 203,000 Medi-Cal patients who were not enrolled as members of Kaiser Foundation Health Plan, Inc. This accounted for approximately $162 million (at cost, net of $204 million of related revenues) of inpatient services provided by KFH in 2016. A.2.2. Government-Sponsored Programs in Hawaii Highlights of the government-sponsored health care coverage programs supported by KFH in Hawaii include: A.2.2.1. QUEST QUEST is a Medicaid managed care program run by Hawaiis Department of Human Services. The state administers the QUEST program and pays Kaiser Foundation Health Plan, Inc. to provide medical services. KFH provides access to the organizations health care facilities in connection with the QUEST program on the islands of Oahu and Maui. In 2016, KFH cared for approximately 28,000 individuals enrolled in QUEST and expended approximately $7.4 million (at cost, net of $34 million of related revenues) on subsidized medical care services. A.2.2.2. Medicaid Fee-for-Service Kaiser Foundation Hospitals provides services on a fee-for-service basis in states not participating in the Medicaid managed care program or for individuals/populations not enrolled in managed care. In 2016, KFH in Hawaii contributed $3.5 million (at cost, net of $2.3 million of related revenues) towards subsidized care for Medicaid patients who were not enrolled in the Kaiser Foundation Health Plan QUEST program. A.2.2.3. Childrens Health Insurance Program (CHIP) The Childrens Health Insurance Program provides health insurance coverage to children with family income up to twice the federal poverty guideline for Hawaii under Title XXI of the Social Security Act. CHIP is one of several aid categories under the QUEST program. More than 3,300 children enrolled in this program were cared for at KFH facilities in Hawaii at a total expense of $504 thousand (at cost, net of $1 million of related revenues) in 2016. A.2.3. Government-Sponsored Programs in Oregon and Washington Highlights of the government-sponsored health care coverage programs supported by KFH in Oregon and Washington include: A.2.3.1. Medicaid Managed Care Programs in Oregon and Washington Kaiser Foundation Hospitals supports Medicaid managed care programs in the states of Oregon and Washington in addition to a fee-for-service option. In 2016, KFH expended approximately $16 million (at cost, net of $82 million of related revenues) in the Northwest region to subsidize care under Medicaid. The following describe the programs and target populations: A.2.3.1.1. Health Share of Oregon With the establishment of Coordinated Care Organizations in the State of Oregon, Kaiser Foundation Health Plan, Inc. has joined Tuality Healthcare, Care Oregon, and Providence Health Services to form the largest Coordinated Care Organization in the State. Kaiser Foundation Hospital provides inpatient care services to the KFHP, Inc. members of this program which serves families in Clackamas, Multnomah, and Washington counties. |
| A.2.3.1.2. Washington Apple Health Care | Washington Apple Health Care is a Medicaid program offered by Molina Healthcare for low-income individuals that meet eligibility requirements for Medicaid. It is a fully-capitated state program managed by the Washington State Health Care Authority (HCA). Kaiser Foundation Hospitals provides services to eligible participants who reside in either Clark or Cowlitz counties through a subcontract with Molina Healthcare. A.2.3.2. Medicaid Fee-for-Service KFH provided $6.2 million (at cost, net of $5.8 million of related revenues) in subsidized care to Medicaid fee-for-service patients living in the states of Oregon and Washington in 2016. These services were billed to the Medicaid program on behalf of non-affiliated patients receiving medical attention in KFH facilities. When a Medicaid patient receives services from Kaiser Foundation Hospitals under this program, these expenses are recorded as non-capitated services and billed to the Medicaid program on a fee-for-service basis. A.2.3.3. Child Health Insurance Program (CHIP) In both Oregon and Washington, KFH provides health care services to members of KFHP, Inc.s Child Health Insurance Program. The program provides health insurance to children whose family income is between 200% and 300% of the federal poverty level, and who are not eligible for Medicaid. In both states, the program is governed by the Medicaid contract, and offers the same benefits. KFH incurred net losses of $336 thousand (at cost, net of $676 thousand of related revenues) under this program in 2016. A.3. Care and Coverage Investments in the Community In 2016, Kaiser Foundation Hospitals donated approximately $13.7 million to nonprofit and community-based organizations to improve access to health care for low-income families and individuals. The following are a few examples of the contributions made in this area: A.3.1 Contra Costa CARES Community Clinic Consortium received $85,000 to support Contra Costa CARES program, a 12 month pilot program connecting uninsured adults in Contra Costa County to a primary care medical home. Additional funding will enable program participants to receive an additional 6 months of coverage. Contra Costa CARES plans on assisting 3,000 uninsured undocumented adults with assignment to a primary care medical home within the CARES provider network. This grant will also assist with covering the cost of staff from respective partner organizations who will be trained on the application renewal processes. A.3.2 The Master Plan Phase I Project Kaiser Foundation Hospitals provided $5 million to Childrens Hospital & Research Center in Oakland, CA to support the UCSF Benioff Childrens Hospital capital program, "The Master Plan Phase I project". This funding a multi-year grant and is the 5th of five grants to provide a total of $25 million. The goals of the Phase I capital project are to build a Center for Advanced Outpatient Clinics, rebuild main hospital to increase the number of on-site patient beds to 210, create individual patient rooms and add additional support services and clinics. A.4. Prior Year Contributions for Care and Coverage Investments In prior years, KFH made contributions to donor advised funds under the direction of a foundation operating in our local community. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of care and coverage. In 2016, the following initiative was funded through disbursements issued by the community foundation based upon recommendations informed by KFH's expertise. A.4.1 Access to Life-Saving MRI Services In 2016, The Alameda Health Systems Foundation received a $6 million grant to acquire a 3T MRI suite and a 1.5T MRI upgrade for a new Highland Hospital acute care tower that opened in April 2016. These funds will also be used to replace aging and outdated structures and to improve access to low-moderate income, under insured and uninsured populations in Alameda County. |
| B. Community Health Initiatives (CHI) | The Community Health Initiatives (CHI) strategy aims to improve the health of individuals, families, and communities by addressing the social, economic, and environmental determinants of health. Research supports the central premise that excellent medical care alone is insufficient to create healthy people in healthy communities. Evidence underscores the importance of changing community environments as a critical community health strategy. Guided by this evidence, Kaiser Foundation Hospitals supports comprehensive initiatives that focus on policy and environmental changes to promote healthy eating and active living (HEAL), community safety, economic stability, and social and emotional wellness. Two of the primary programs supported within the CHI Stream of Work include: Healthy Eating, Active Living (HEAL) and Obesity Prevention Healthy eating, active living has been and continues to be a compelling focus for Kaiser Foundation Hospitals work, as obesity continues to be a significant and pervasive public health problem. Despite encouraging signs of obesity rates leveling off in recent years, substantial racial and ethnic disparities continue to exist. Also, through a focus on healthy eating and active living, Kaiser Foundation Hospitals can have a marked impact on a wide range of health conditions including pre-diabetes, diabetes, cardiovascular disease and several cancers that are affected by these behaviors. Finally, a focus on nutrition, physical activity and weight management are highly aligned with Kaiser Foundation Hospitals clinical expertise in this area, including a prevention orientation and a number of existing programs and partnerships. Wherever possible, KFH supports a concentration of multiple strategies that enable sustainable change towards healthy eating and active living lifestyles. These include policies and practices to reduce the availability and consumption of sugar-sweetened beverages, encourage the establishment of safe spaces, promote active transportation policies that support equitable public transit, and create connections between health clinics and community resources. Thriving Schools Thriving Schools is an initiative to improve healthy eating, physical activity, and social and emotional wellness in K-12 schools within Kaiser Foundation Hospitals geographic service areas. Thriving Schools efforts focus on policy, systems, and environmental changes that make the healthy choice the easy choice. Interventions aim to create a culture of health on school campuses to spur individual behavior change targeting students, teachers, and staff. In 2016, KFH spent approximately $21.2 million to support Community Health Initiatives that addressed needs underscored by recent Community Health Needs Assessments - obesity and related conditions, economic security, violence/injury prevention, climate and health, and transportation and built environment. B.1. CHI Investments in the Community Kaiser Foundation Hospitals investments in the CHI Stream of Work during 2016 included the following: B.1.1. PHA/HEAL Kick the Can Campaign In 2016, KFH provided $200,000 in grant funds to the Public Health Advocates (PHA) Healthy Eating Active Living (HEAL) Cities Campaign in a national effort to develop and disseminate information, tools, and personalized technical assistance for municipal leaders to pass policies, change practices, and create environments that advance obesity prevention. PHAs Kick the Can campaign, advances policies aimed toward reducing access to sugar-sweetened beverages and improving access to safe drinking water policies. This project is expected to support at least 20 cities in their efforts to implement specific healthy beverage policies, identify two HEAL cities to become trauma-informed communities via resolutions and provide technical coaching to 100 city officials in 50 targeted cities that adopt HEAL resolutions and policies. B.1.2. Accessible Wealth-Building Opportunities In 2016, Greenlining Institute received $90,000 to increase accessible wealth-building opportunities in the green economy, the health sector, and housing for communities of color in Oakland. The primary goal of this project is to work with the city, banking partners, community groups and other stakeholders to find win-win solutions that uplift our communities. Expected outcomes include increasing investments in health pipeline programs, particularly for boys and men of color, as well as trauma-informed training. B.1.3. California Court Appointed Special Advocate Association(CalCASA) In 2016, CalCASA received support of $60,000 from KFH so it could provide customized technical assistance and advocates for progressive child welfare policy and practice. This project will bring together professionals in law and medicine, volunteers and local staff to determine best practices related to the administration of psychotropic medication to children and youth in foster care. The outcome is expected to impact 157 staff and 3,357 volunteers in eight counties working with the more than 5,600 foster children across Southern California. B.1.4. Mercy Housing California KFH awarded Mercy Housing California a grant of $50,000 in 2016 to continue to partner with the Student and Family Community Center at Leataata Floyd Elementary School. The purpose of this project is to implement a trauma-informed care approach at the school and nearby housing complex. Students and families will be able to obtain mental and physical health services with the aid of community health navigators and youth engagement specialists. This program is expected to reach a total of 500 people. B.1.5. Code for America (CFA)- GetCalFresh In 2016, CFA received $85,000 from KFH to expand the use of the GetCalFresh digital tool making it easier to apply for CalFresh (food stamps). Through CFAs partnership building efforts with community-based organizations and government agencies to promote the use of the tool, eligible participants will receive their CalFresh benefits more easily. CFA has a goal to reach up 868,224 people in the six counties they already serve. Plans include expansion into three new counties in which eligible participants would have access to the tool. B.1.6. HEAL Cities Campaign Oregon Public Health Institute (OPHI) received a grant for over $349,000 to expand The HEAL Cities Campaign to 9 additional cities bringing the total to 38 participating cities in 2016. HEAL Cities campaign recruits and provides technical assistance to elected officials and key city staff by educating civic leaders about the unique role their city can play in creating healthy communities, as well as providing resources to support the adoption and implementation of Healthy Eating Active Living policies. Small grants were provided to 7 HEAL cities to promote policy implementation efforts. B.2. Prior Year Contributions for CHI Investments In prior years, KFH made contributions to donor advised funds under the direction of a foundation operating in our local community. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of community health initiatives. In 2016, the following initiatives were funded through disbursements issued by the community foundation based upon recommendations informed by KFH's expertise. B.2.1. Oakland Promise KFH awarded The Oakland Public Education fund a grant of $3 million in 2016 to continue to support the Oakland Promise initiative, led by the Mayor's Office, Oakland Unified School District (OUSD), East Bay College Fund, and Oakland Education Fund, to create an expectation that higher education is possible for all Oakland children. The program is designed to reach 14,000 ethnic minority at-risk youth individuals. Oakland Promise has a vision of working together as a community, to ensure every child in Oakland graduates from high school with the expectations, resources, and skills to complete college and be successful in the career of his or her choice. Oakland Promise considers its program to be a cradle-to-career initiative aimed at tripling the number of college graduates from Oakland within the next decade. B.2.2 Healthy Food Access In 2016, Community Partners Los Angeles Food Policy Council, the fiscal agent for Los Angeles Food Policy Council (LAFOC), received $50,000 in connection with a multi-year grant funded by a prior contribution to a community foundation donor advised fund to support the adoption of sustainable and healthy food systems for underserved communities. This grant helped enable 26 farmers markets to become SNAP authorized retailers. LAFPC was able to recruit 24 corner stores into the healthy food purchasing cooperative for small retailers, known as COMPRA (Community Markets Purchasing Real Affordable) Foods. |
| B.2.3. HOPE SF | KFH continues to support the San Francisco Foundation for a large scale public housing revitalization project, HOPE SF, which is in the second year of a three year $3 million grant. In 2016, the program received $1 million to continue the work of the project which includes a Peer Health Leadership program to support residents to lead healthy lifestyles, improve resident mental health, and increase community safety. To date more than 20 Peer Leaders have been hired and trained to support community residents to create personal health plans and conduct projects within the community to support residents to adopt healthy lifestyle practices. At least 1145 HOPE SF households (at least 3000 residents) were reached by the program through door knocking, flyers, and social networking. Over 700 residents have been directly served through "healthy eating, active living" activities led by peer health leaders. C. Safety Net Partnerships Kaiser Foundation Hospitals is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved. By providing support to community health centers, public hospitals, and local health departments, KFH helps them deliver care and treatment to the most vulnerable in our communities. KFH is dedicated to investing in communities and promoting good health for the communities served. As such, Safety Net Partnership (SNP) initiatives aim to strengthen the system of community clinics, public hospitals, and health departments to promote access to high quality care for the uninsured and underserved vulnerable populations. KFH also focuses on improving access to health services and the transformation of care delivery to meet the challenges of the ever evolving performance expectations and revenue design. Efforts to improve access and transform care include work on: increasing access to specialty care services; increasing the utility of health information technology in safety net settings; addressing mental health and wellness, improving population outcomes and eliminating health disparities. KFH also supports innovative efforts to bring both health care and support services closer to underserved populations through partnerships with school based health centers and community clinics. Investments in Safety Net Partnerships target the following strategic focus areas: I. Care Delivery Transformation II. Capacity Building III. Clinic-Community Integration IV. Policy, Systems, and Environmental Change V. Create and Spread Knowledge VI. Total Health In 2016, KFH spent approximately $22.5 million to support Safety Net Partnerships as access to affordable quality care and health disparities amongst vulnerable populations were identified as significant and pervasive barriers to health in the 2016 Community Health Needs Assessments in the communities that KFH hospitals served. The following are examples of initiatives funded in accordance with the objectives of the Safety Net Partnerships Stream of Work during the year. C.1. Safety Net Partnerships Investments in the Community C.1.1. Housing is Healthcare Initiative Central City of Concern, Inc. in the Northwest region received over $1.3 million in 2016 for the Housing is Healthcare Initiative which brought together six local hospital and health systems to collaborate on three transformational integrated healthcare and housing campuses with 385 units of affordable housing for special needs populations. The centerpiece of the new project is the planned Eastside Integrated Housing & Services Campus, which will provide integrated housing and clinical services focusing on recovery and mental health services, with integrated primary care and urgent care services. C.1.2. Home for Good (HFG) Collaborative for Los Angeles County In 2016, KFH contributed eight grants ($90,000 each) totaling $720,000 to organizations representing the Service Planning Areas of Los Angeles County. HFG provided housing coordination and placement services for 2,407 chronically homeless individuals in Los Angeles County. By participating in projects such as this, KFHs resources contribute to the provision of homeless health and wellness beyond medical care, and address social determinants of health such as housing, transportation, job training and placement. C.1.3. Community Health Workers In the Northwest, KFH provided a grant of $125,000 to the Oregon Public Health Institute for the Warriors of Wellness (WOW) project. Funding from this grant supports community health workers in conducting health promotion activities in their communities and collaboration with community-based organizations. Over the past three years, the WOW collaborative has brought together five culturally-specific community-based organizations that employ community health workers to build a model for contracting with health systems. C.1.4. Quality Improvement and Population Health: ALL/PHASE Protocol Kaiser Foundation Hospital issued a series of grants to support safety net clinics in adopting "ALL/PHASE" into clinical guidelines and care management protocols, leveraging KFHs evidence-based practices. KFH Northern California Community Benefit continues and has expanded its signature program, PHASE, to support the safety nets capacity to implement chronic care management program designed to reduce cardiovascular disease, increase capacity for reporting utilization and quality measures using HEDIS, and building system capacity for managing population health. Kaiser Foundation Hospitals ALL/PHASE treatment protocol targets those patients most prone to cardiovascular death. "ALL" stands for Aspirin, Lisinopril, and Lovastatin and clinical studies show it to be effective in reducing cardiovascular risk. It is projected that over a three-year period, patients that receive the ALL treatment protocol will have a 60 percent lower incidence of hospitalizations for heart attacks and strokes. C.2. Prior Year Contributions for Safety Net Partnerships In prior years, KFH made contributions to donor advised funds under the direction of a foundation operating in our local community. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of safety net partnerships. In 2016, the following initiatives were funded through disbursements issued by the community foundation based upon recommendations informed by KFH's expertise. C.2.1 ALL HEART In 2016, Community Clinics Heath Network (CCHN) of Southern California was awarded an installment of $175,000 as part of a total commitment of $350,000 from a community foundation donor advised fund. CCHN serves as a Project Office to further translate the ALL protocol across the Southern California Region. The program was renamed to ALL HEART to encompass lifestyle measures such as Heart smart diet, Exercise, Alcohol limits, RX medicine compliance and Tobacco. CCHN has exceeded targets for ALL HEART, reaching over 35,000 patients served by 14 health centers and 75 clinic sites in Southern California. |
| D. Developing and Disseminating Knowledge | The Developing and Disseminating Knowledge Stream of Work supports activities that improve health care by sharing knowledge, educating practitioners, advancing research, empowering consumers and informing policymakers about evidence-based care and health. Kaiser Foundation Hospitals spent $148 million (at cost, net of $94 million of related revenues) in 2016 to support programs and services associated with the development and dissemination of knowledge. D.1. Medical Research Programs As the largest nonprofit integrated health system in the United States, Kaiser Permanente has a long history of conducting health research related to both prevention and treatment of disease that benefits both Kaiser Foundation Hospital patients and the communities that are served. These research efforts are core to the collective organizations mission to improve population health, and promote continued learning. Researchers study critical health issues including: cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement while remaining broadly centered upon the following three themes: - Understanding health risks - Addressing patients needs and improving health outcomes - Informing policy and practice to facilitate the use of evidence-based care Kaiser Permanente is uniquely positioned to do research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data in detail to support primary, secondary and tertiary clinical care across inpatient, outpatient and emergency department settings for more than 10 million geographically and demographically diverse members and non-members. D.1.1. National Research Program The Division of Research in Northern California, Department of Research and Evaluation in Southern California, and Centers for Health Research in Oregon and Hawaii are four of seven regional centers overseen and administered by the Kaiser Foundation Research Institute (KFRI) and three national research infrastructure support centers. Research projects conducted by this collaborative team have yielded findings that affect not only the practice of medicine within the area served by KFH, but also for society-at-large. The following are descriptions of the entities providing support at the national level. D.1.1.1. Kaiser Foundation Research Institute (KFRI) The Kaiser Foundation Research Institute (KFRI) is a national program established in 1958 to administer and support research at Kaiser Permanente. KFRIs responsibilities include: overseeing and maintaining Kaiser Permanente's relationship with federal granting agencies, providing contract negotiation services for all regional centers, promoting responsible research conduct; and partnering with clinical trials stakeholders across Kaiser Permanente to ensure quality and compliance through the clinical trials program. D.1.1.2. The Center for Effectiveness and Safety Research (CESR) The Center for Effectiveness & Safety Research enhances opportunities to answer questions about which interventions work best for whom across all of KPs regional centers by investing in the ongoing development of a common data model, convening researchers and organizational leaders at an annual meeting and via webinars, and by conducting research. The center routinely partners with investigators in KPs regional research centers and with selected operational analytical groups. D.1.1.3. The Utility for Care Data Analysis (UCDA) The Utility for Care Data Analysis (UCDA) was created to ensure that analysts and researchers throughout Kaiser Permanente are able to fully realize the analytical potential of Kaiser Permanentes enterprise-wide information systems. This allows experts to compile and compare clinical and utilization data from across Kaiser Permanente in order to assess patterns in health, health care delivery, and clinical quality. UCDA has developed tools for using geographic information systems and providing analytic support for Community Benefit, including the Community Health Needs Assessments. D.1.1.4. The Kaiser Permanente Research Bank The Kaiser Permanente Research Bank is a research resource designed to help the organization better understand how peoples health is affected by their genes, behaviors and the environment. It allows researchers to use DNA and other health information voluntarily provided by a diverse cross-section of KP members to study how genetic and environmental factors affect health, and look for new ways to diagnose, treat and prevent certain diseases. KP has set a goal to collect data from a total of 500,000 participants from all seven regional centers, which would make it one of the worlds largest and most diverse repositories of genetic, environmental and health data. To date, more than 250,000 members from four geographic regions, including Northern and Southern California and the Northwest, have participated in bio-banking efforts. D.1.2. Regional Research Centers D.1.2.1. The Division of Research Northern California The Division of Research was established in 1961. DORs program is built on a base of rigorous epidemiologic investigation in a large, well-characterized population and has made major contributions in risk factor identification, prevention, and drug safety. New areas of inquiry include the role of genes and the environment in health, the use of health informatics, the management of chronic conditions, and delivery science to enhance specialty care. In 2016, KFH invested $15.5 million in medical research for The Division of Research- Northern California. Number of investigators: 57 Number of support staff: 533 Number of journal publications in 2016: 361 Number of clinical trials in 2016: 415 Number of active studies (clinical trials and non-clinical trials) in 2016: 796 Top research areas: - Behavioral health and aging - Cancer - Cardiovascular and metabolic conditions - Health care delivery and policy - Infectious diseases - Vaccine Study Center - Women's and children's health D.1.2.1.1. Major Areas of Funded Research The following are examples of research projects conducted by KFH investigators at the Division of Research in Northern California in 2016: D.1.2.1.1.1. Modeling to Improve Prostate Cancer Outcomes Across Diverse Populations Research Area: Cancer Cancer Intervention and Surveillance Modeling Network (CISNET) is a consortium of the National Cancer Institute (NCI) sponsored investigators who are using statistical modeling to improve understanding of cancer control interventions in prevention, screening, and treatment, and their effects on population trends in incidence and mortality. The CISNET prostate group is adapting and applying models of prostate cancer natural history and survival to understand how changes in prostate cancer screening and treatment impact disease outcomes. Kaiser Permanente is participating in the third funding cycle of this project by conducting targeted analyses that can be used within the overall CISNET models, specifically focusing on outcomes among men with low-risk and local disease. These models can be used to guide public health research and priorities, and they can aid in the development of optimal cancer control strategies. Primary Funding Provided By: National Cancer Institute |
| D.1.2.1.1.2. Excessive Gestational Weight Gain and Postpartum | Glucose Intolerance in Women Research Area: Diabetes This study is using data from the prospective Kaiser Permanente Northern California pregnancy and birth cohorts to determine whether excessive gestational weight gain is related to glucose intolerance (pre-diabetes or type 2 diabetes mellitus) after pregnancy in a racially diverse sample of women. The sample includes women who delivered full term, singleton births at a Kaiser Permanente Northern California hospital from 2008-2012 without a prior history of diabetes, and will evaluate glucose intolerance based on electronic medical records. Primary Funding Provided By: Kaiser Permanente Community Benefit D.1.2.1.1.3. Novel Air Pollution Mapping and Health Disparities in Oakland, CA Research Area: Health Care Delivery and Comparative Health Systems The Environmental Defense Fund is collecting air pollution data for high-resolution air quality mapping. The target study region includes areas of east, west, and downtown Oakland, as defined by the boundaries of the data collected by the Environmental Defense Fund. Air pollution data will be linked to geocoded addresses and electronic medical records in the Kaiser Permanente Northern California database. Researchers are estimating the relationship between differences in traffic-related air pollution levels and health disparities across multiple disease areas. Primary Funding Provided By: Environmental Defense Fund. D.1.2.1.1.4. The Early Start Program: Trends in Substance Use During Pregnancy and Predictors of Program Participation Research Area: Behavioral Health and Mental Health Use of alcohol, tobacco and other drugs remains a paramount problem in pregnancy leading to preventable morbidity and mortality. Kaiser Permanente Northern Californias well-established, integrated prenatal substance use intervention program, Early Start (ES), has been successful in improving prenatal outcomes and lowering overall healthcare costs among women at risk for prenatal substance use. However, not all at-risk women are reached by ES, and those who do not participate have poorer neonatal outcomes, meriting special attention and in-depth study. Prior ES research focused on pregnant women identified from 1999-2005. In light of emerging data indicating changes in overall patterns of substance use, it is important to assess how pregnant women who use substances during pregnancy have changed in recent years, and to identify risk factors that predict non-participation in ES. This study is: 1) evaluating patterns of substance use among pregnant women during universal prenatal screening from 2009-2015, and examining differences by key demographic factors; and 2) investigating how demographics, clinical characteristics, and substance type(s) predict non-participation in ES among women who screen positive for prenatal substance use in recent years. Primary Funding Provided By: Kaiser Permanente Community Benefit D.1.2.2. The Department of Research and Evaluation Southern California The Department of Research & Evaluation was established in 1963 and focuses on conducting research with real-world implications and translating findings into practice. The department is expanding and building scientific expertise in new research areas, including health services research and implementation science, which helps Kaiser Permanente to understand how to provide better and more affordable care for members and the communities from which they come, as well as bridge the gap between research and practice. In 2016, KFH invested approximately $9 million in medical research for The Department of Research and Evaluation Southern California. Number of investigators: 28 Number of support staff: 330 Number of journal publications in 2016: 470 Number of clinical trials in 2016: 450 Number of active studies (clinical trials and non-clinical trials) in 2016: 1271 Top research areas: - Cancer - Cardiovascular diseases - Diabetes - Health services research and implementation science - Obesity - Vaccine safety and effectiveness - Maternal and infant health D.1.2.2.1. Major Areas of Funded Research The following are examples of research projects conducted by investigators at the Department of Research and Evaluation in Southern California in 2016: D.1.2.2.1.1. Follow-Up Care and Preventive Service Use Among Survivors of Adolescent and Young Adult Cancer Research Area: Cancer Survivors of adolescent and young-adult (AYA) cancers are at increased risk of a second cancer and other chronic conditions due to their cancer treatment. The Childrens Oncology Group Long-Term Follow-up Guidelines include specific screening recommendations for AYA cancer survivors based on their original treatment protocol. This study is examining the current pattern of follow-up care to determine if the guidelines are being followed, and to identify gaps in care and potential areas for intervention. Primary Funding Provided By: National Cancer Institute D.1.2.2.1.2. Effectiveness of Gastric Sleeve vs. Gastric Bypass for Cardiovascular Disease Research Area: Cardiovascular Conditions This study is addressing the limitations in the current bariatric surgery literature to provide clinicians and policy makers with the evidence they will need to make decisions about which bariatric procedures are best for improved cardiovascular health and safety for patients. To do this, researchers are comparing how the two leading bariatric surgical procedures - Roux-en-Y Gastric Bypass (RYGB) and Vertical Sleeve Gastrectomy (VSG) - can benefit people who are severely obese. Although VSG is the most frequently performed bariatric procedure in the United States, patients and physicians do not have sufficient, high-quality, comparative effectiveness data for VSG to adequately inform treatment decisions between VSG and RYGB Primary Funding Provided By: National Heart, Lung, and Blood Institute D.1.2.2.1.3. Predictors of Weight Loss Failure and Regain in Bariatric Patients Research Area: Health Care Delivery and Comparative Health Systems The BELONG (Bariatric Experience Long Term) study is determining how the most frequently used bariatric procedures-bypass and gastric sleeve-can be used to benefit people who are severely obese. Bariatric surgery is the most promising treatment for weight loss for these patients. Weight loss among people who have the surgery, however, varies significantly and some patients have significant social and psychological changes as a result of the surgery. This study is designed to fully understand KPSC bariatric patients experience with weight loss up to three years after surgery. This will be done with patient surveys, focus groups, and interviews. Primary Funding Provided By: National Institute of Diabetes and Digestive and Kidney Diseases |
| D.1.2.3. The Center for Health Research Northwest | The Center for Health ResearchNorthwest (CHR) was established in 1964 and has been a leader in the field of research for 50 years. As the research landscape has shifted over that time, CHR has adapted and cultivated new strengths, while remaining true to its guiding mission of advancing knowledge to improve health and transform health care. The Centers research covers a broad range of topics including cancer, diabetes and obesity, health disparities, mental health, maternal and child health, evidence-based medicine and policy, health services improvement and health economics, genetics, and oral health (in collaboration with the only dental program in Kaiser Permanente). In 2016, KFH invested $5.4 million in medical research for The Center for Health Research - Northwest Number of investigators: 32 Number of support staff: 230 Number of journal publications in 2016: 170 Number of clinical trials in 2016: 153 Number of active studies (clinical trials and non-clinical trials) in 2016: 696 Top research areas: - Vaccine safety & effectiveness - Genetics - Mental health - Cancer - Women's health D.1.2.3.1. Major Areas of Funded Research The following is an example of a research project conducted by KFH investigators at the Centers for Health Research in the Northwest in 2016: D.1.2.3.1.1. Participatory Research to Advance Colon Cancer Prevention Research Area: Cancer About half of the adults in the U.S. who should get screened for colorectal cancer do not get screened. Clinics that mail fecal tests to patients who are due for screening can increase screening rates and reduce screening disparities. With the goal of catching and treating cancers early, researchers are using a novel, participatory approach to test reminders to a mailing program and will subsequently test the spread of the program throughout a community clinic network. Primary Funding Provided By: National Institute on Minority Health & Health Disparities D.1.2.4. The Center for Health Research Hawaii The Center for Health ResearchHawaii was established in 1999. The work undertaken by the Center is specially attuned to the health issues of the local population, which suffers disproportionately from several chronic diseases, primarily diabetes and heart disease. Research includes chronic disease prevention and epidemiology, as well as health information technology and care delivery research. In 2016, KFH invested $1.6 million in medical research conducted by The Center for Health Research - Hawaii Number of investigators: 3 Number of support staff: 32 Number of journal publications in 2016: 5 Number of clinical trials in 2016: 57 Number of active studies (clinical trials and non-clinical trials) in 2016: 123 Top research areas: - Chronic diseases - Diabetes - Epidemiology - Health information technology - Health services D.1.2.4.1. Major Areas of Funded Research The following is an example of a research project conducted by KFH investigators at the Centers for Health Research in Hawaii in 2016 in collaboration with the Center for Health Research in the Northwest: D.1.2.4.1.1. QDiabetes Model Redevelopment Research Area: Diabetes Kaiser Permanente Primary Site: Northwest Region Collaborating Kaiser Permanente Site: Hawaii KFH currently screens patients at risk for developing type 2 diabetes. To improve the accuracy and efficiency of the screening, researchers are redeveloping the QDiabetes model, which was developed for patients and primary care clinics in the United Kingdom. The redeveloped model's predictions are customized to patients, outpatient clinics and data sources (e.g., HealthConnect). Primary Funding Provided By: Kaiser Permanente Community Benefit |
| D.2. Health Sciences and Medical Libraries | KFH actively supports medical libraries and other health resource and information dissemination services. These programs give medical staff and the greater professional community access to health-related research conducted within and outside of KFH. Medical libraries participated in an inter-loan system with other community hospitals, supported students in training and education programs to conduct literature searches, and conducted searches for community clinics and other community-based organizations on advances in medical treatment, clinical protocols and new development on specific health issues. In 2016, the $443 thousand invested in health sciences and medical libraries in California, Hawaii, and Oregon assisted users in completing thousands of requests for general knowledge and literature searches for research purposes. One example of the resources available to the community is the KFH Sunnyside medical library. It is one of two KFH regional libraries in Oregon, and is open 5 days a week. The library supports the local community, students, residents, and KP members. The library services available to the community are promoted on the KFH Sunnyside Medical Library external internet site. These services include in-depth research, answering reference questions, providing consumer health information and document delivery. Community members are invited to check out books from the updated consumer health book collection and its medical and nursing book collections. The community patrons are issued a library card. The library has a dedicated community computer that is available to the public. The computer is used daily by volunteers, interpreters, student interns, family members of patients, KP members and the community. In addition to providing health information to community members, library staff advises patrons of all skill and reading levels about how to access appropriate health information and resources online. D.3. Educational Theatre Programs (ETP) For 30 years, the Educational Theatre program has been using live theatre, music, comedy, and drama to inspire children, teens, and adults to make healthier choices and better decisions about their well-being. KFHs award-winning programs are as entertaining as they are educational and were developed with the advice of teachers, parents, students, health educators, medical professionals, and professional theatre artists. Professional actors who are also trained health educators deliver all performances and workshops. The programs share health information and develop individual and community knowledge about leading healthier lives. Programs are presented free of charge to schools and the general community. In addition to performances and classroom workshops, ETP supplies schools and organizations with supplementary educational materials including workbooks, parent and teacher guides, and student wallet cards. All materials are designed to reinforce the messages presented in our programs. ETP performances are localized to suit local cultures, norms, and audience on a regular basis. The 2016 productions focused heavily on healthy eating and active living, nutrition, and mental health, depending on the health priorities of the area as identified in their respective Community Health Needs Assessments. The Educational Theatre Program offers a wide repertoire of programs for students from grade K to 12 and families that address literacy promotion, healthy eating active living, conflict resolution and violence prevention, adolescent bullying prevention, sexually transmitted disease prevention, and family oriented workshops that introduce parents and families to the concepts their students learned and are encouraged to make changes to become healthier families. KFH in California, Northwest (Oregon, Washington) spent approximately $9.8 million to provide more than 450,000 children and adults the opportunity to view or participate in one of the more than 2,900 performances, workshops, and other educational interactions offered during 2016. D.4. Health Professional Training and Education In 2016, KFH spent approximately $99 million (at cost, net of $20 million in related revenues) to provide continuing medical education to healthcare professionals affiliated with colleges and universities and other health care providers. D.4.1 Graduate Medical Education KFH provides training and education for medical residents and interns in the interest of educating the next generation of physicians. The nationally acclaimed program attracts some of the top medical school graduates in the United States and serves as a national model by exposing future health care providers to an integrated health care delivery system. Residents are offered the opportunity to serve a large, culturally diverse patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. In 2016, KFH contributed $77 million (at cost, net of $20 million of related revenues) to educate 900 independent and more than 2,100 affiliated interns and residents in California, Hawaii, Oregon, and Washington. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, OB/GYN, pediatrics, preventive medicine, and psychiatry. As a part of receiving training in a Kaiser Foundation Hospital setting, exposure to understanding culturally competent care is heavily emphasized. To further understand barriers to receiving health care in the community, KFH also offers a one-year Community Medicine Fellowship in Southern California. These are full-time positions where fellows may work in multiple community settings, providing direct care, exploring connections in personal professional goals for community service, and identifying opportunities for systems-based improvements. In addition, in the Northwest region, KFH Sunnysides Department of Graduate Medical Education serves as a training resource for 18 affiliated residency programs, providing a variety of specialties options for the residents, fellows, medical, and affiliated clinician students from both local and national institutions. Each academic year more than 300 trainees participate in the program. The KFH Sunnyside medical library services are also available to residents and students. D.4.2 Nurse Practitioner and Other Non-Physician Training Programs During 2016, KFH spent over $22 million on training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals. The following are descriptions of training programs offered: D.4.2.1. Kaiser Permanente School of Allied Health Sciences (KPSAHS) The Kaiser Permanente School of Allied Health Sciences (KPSAHS), located in Richmond, California, was originally established in 1989 as a radiology program in response to the severe shortage of radiology technologists. Due to the continued national shortage of medical imaging and therapy workforce, KPSAHS expanded the school to include 18-month programs in sonography, nuclear medicine and radiation therapy. In addition, the school provides courses in anatomy and physiology and advanced/basic phlebotomy. Over 800 students participated in the KP School of Allied Health Sciences in 2016. D.4.2.2. Community College Partnerships In Southern California, KFH partners with community colleges as a clinical affiliate for radiologic technology, diagnostic medical sonography (ultrasound), and/or nuclear medicine. Students officially enrolled in these programs complete a clinical internship as an integral part of the curriculum. D.4.2.3. Community Rehabilitation Education The Community Rehabilitation Education Program is directed toward advancing the practice of Occupational therapy, Physical therapy and Speech therapy by providing evidence-based, state of the art course work for rehabilitation professionals in Northern California. Each year educational needs are identified and local and nationally known speakers are brought to Northern California for weekend conferences and hands on laboratory sessions. We work to impact quality of care in the northern California community through greater opportunities for training. |
| D.4.2.4. Pharmacy Residency Programs | Through the pharmacist residency programs in California, licensed pharmacists gain additional experience and training in the provision of pharmaceutical care and administrative pharmacy services in an integrated managed care organization during a one- or two-year postgraduate education and training program. These programs enable residents to improve their clinical knowledge and skills while enhancing continuity of patient care in a wide range of ambulatory, intermediate and hospital settings. Approximately 130 pharmacists were engaged in the residency program in 2016. D.4.2.5. Physical Therapy Residency Program The Physical Therapy Residency Program provides education in the specialty area of physical therapy. This program offers physical therapy residency positions at non-KFH facilities in southern California. Program graduates are able to sit for board certification examinations in physical therapy, and apply to participate in a physical therapy fellowship program. Over 400 individuals participated in physical therapy clinical internships, fellowship programs and neurologic residency programs in 2016. D.4.2.6. School of Anesthesia for Nurses The Kaiser Permanente School of Anesthesia for Nurses, founded in 1972, helped pioneer graduate-level education for nurse anesthetists. In partnership with California State University Fullerton, the school offers a two-year sequential academic and clinical graduate program for nurses with a baccalaureate degree. Students earn a Masters of Science in nursing with a clinical specialty in anesthesia. In 2012, the Kaiser School of Anesthesia/California State University Fullerton was ranked by U.S. News and World Report's "Best Graduate Schools 2009" as one of the top nurse anesthesia programs in the nation. In Southern California Region, the school has partnered medical centers, hospitals, military hospitals and universities to provide additional clinical rotation opportunities for students. Scholarships for students are available through National Black Nurses Association and American Association of Nurse Anesthetists Foundation. In California Region, the school has a partnership with Loma Linda University and Samuel Merritt University to provide distance learning for students statewide. D.4.2.7. Delores Jones Nursing Scholarship Program The Delores Jones Nursing Scholarship Program provides financial assistance for students enrolled in any California nursing program to encourage and support them to become registered nurses or to pursue advanced nursing degrees. Scholarships are based primarily on financial need, grade point average, and are awarded in several categories including academic excellence in pre-licensure, graduate studies, and doctoral programs. In 2016, approximately 260 students received scholarships. D.5. Self-Sufficiency Programs KFH provided community-based programs and services to low-income residents and students through learning centers and youth employment programs. In 2016, KFH spent $7.4 million to support the following programs. D.5.1 Watts Counseling and Learning Center (WCLC) Since 1967, Watts Counseling and Learning Center (WCLC) has a valuable community resource for low-income, inner-city families in South Los Angeles. WCLC provides mental health and counseling services, educational assistance for children with learning disabilities, and a state-licensed and nationally accredited preschool program. In addition, WCLC operates several outreach programs, including Kids Can Cope support groups (for children whose siblings or parents have cancer), pre-employment training for high school youth, and scholarships for high school students, and training for graduate social work interns from local universities. D.5.2 Educational Outreach Program (EOP) Educational Outreach Program (EOP) provides education and support services, primarily for Latino families, in the San Gabriel Valley section of Los Angeles County. The focus of EOP is to provide programs and activities that improve school performance, promote family communication, teach skills that are needed to meet various life tasks and alleviate stress, create opportunities for the development of leadership skills for both youth and their parents so they can address issues that impact their community, and increase awareness of professional opportunities in the health field for young people. Programs offered include homework assistance and study skills classes, mother-daughter workshops, assessment of mental health needs in the community, and summer enrichment sessions. D.5.3. Youth Employment Programs Several Youth Employment programs offered in Southern California focus on providing underserved diverse students with meaningful employment experiences in the health care field. Educational sessions and motivational workshops introduce them to the possibility of pursuing a career in health care while enhancing job skills and work performance. These programs serve as a pipeline for the organization and community-at-large, enhancing the future diversity of the health care workforce. Programs include: - KP INROADS College Internship Program - Health Career Connection (HCC) College Internship Program - Kaiser Permanente Southern California Internship Program Apothecary Circle - Kaiser Permanente L.A.U.N.C.H Summer Youth Employment Programs (SYEP) |
| E. Other Community Benefit Investments | In 2016, Kaiser Foundation Hospitals spent approximately $26.6 million to support Community Benefit activities and programs beyond the national streams of work. This included the administrative expenses of regional Community Benefit departments dedicated to supporting the organizations Community Benefit programs and services and coordinating related initiatives. The following is an example of programs funded in this area. E.1. Tumor Board and Cancer Registry KFH spent $1.4 million to support the Tumor Board and Cancer Registry in the Northwest and Hawaii regions. Besides being a statistical database utilized by clinicians and researchers within the regions, the registry submits statistics to the National Cancer Data Base annually. The Cancer Program, which oversees the registry, is surveyed for accreditation every three years by the American College of Surgeons Commission on Cancer. E.2. Technical Assistance Awards The KFH Sunnyside and KFH Westside capacity building technical assistance fund provides technical support to help organizations strengthen and build their capacity through training and consultation in areas such as strategic planning, board development, financial management, effective use of technology, and organizational development. The Kaiser Permanente Fund, administered by the Nonprofit Association of Oregon, provides small grants from $2,000 to $6,000 to organizations seeking consulting, training services and membership to the Nonprofit Association of Oregon. E.3. Kaiser Permanente Community Fund (KPCF) The Kaiser Permanente Community Fund at the Northwest Health Foundation exists to create health where it begins - in our neighborhoods, schools, and workplaces. Investments have been made over time to create strategic opportunities for health and create lasting change. Since 2004, The Community Fund has awarded over $30 million dollars to more than 140 organizations. These funded partners achieved many significant accomplishments. Included in those accomplishments are 97 system changes that shifted or realigned status quo conditions through changes to the built environment, organizational practices, and public policies. Over the years, KPCF has also contributed to a broadened understanding of how non-medical factors influence health and a reframing of how health is perceived and achieved in the Northwest region. In 2013, the KPCF Advisors selected three specific social determinants of health that build on community momentum and have the greatest opportunity for long-term impact. They include Educational Attainment, Healthy Beginnings and Early Childhood Development, and Economic Opportunity. F. Environmental Stewardship Poor environmental quality contributes to disease, illness and economic insecurity. Kaiser Permanente has therefore committed itself to protecting and improving the natural environment as a key component of our social mission to improve the health of the communities we serve. To fulfill this commitment, Kaiser Permanente maintains a governance structure for environmental stewardship that enables the organization to continuously improve its environmental performance. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in five organization-wide focus areas that have been selected based on their ability to have the most impact on the environmental forces that shape environmental and human health: - Addressing causes of climate change - Promoting sustainable farming and food choices - Reducing, reusing, and recycling to eliminate waste - Buying products and materials that do not contain chemicals of concern - Conserving water In each of these focus areas, KFH has established ambitious goals (including a target to reduce total greenhouse gas emissions by 30% by 2020, compared to a 2008 baseline), implemented initiatives, achieved measurable improvements, and regularly reported progress to our Board of Directors, our staff, and the communities we serve. F.1. Performance Metrics During 2016, key performance indicators for Kaiser Foundation Hospitals environmental programs in California, Oregon, Washington, and Hawaii, including KP Information Technology included: F.1.1. Medical product categories for which at least 99% of purchased products were free of harmful polyvinyl chloride (PVC) and bis (2-ethylhexyl) phthalate (DEHP) included: 1. Breast pumps; 2. Enteral nutrition products; 3. Exam gloves. Medical product categories for which at least 95% of purchased products were free of harmful DEHP included: 1. Infusion pumps, sets, and solutions; and 2. Vascular catheters. F.1.2. Purchased over 388 million kilowatt-hours of renewable power (including over 17 million kilowatt-hours of electricity generated by solar panels hosted at our facilities). F.1.3. Reduced our greenhouse gas emissions associated with routine use of halogenated anesthetic agents by over 4,000 metric tons of CO2-equivalent. F.1.4. Improved our water use intensity (gallons/rentable square foot) by approximately 18% (not including data centers) compared to our 2013 baseline. F.1.5. Improved our energy use intensity (kBtu/rentable square foot) by 4% (not including data centers) compared to our 2010 baseline year, and improved the Power Usage Effectiveness of our national data centers by approximately 23% compared to our 2010 baseline. F.1.6. Responsibly reused, recycled or composted over 26,000 tons of materials. F.1.7. Provided meals to patients containing approximately 471,000 pounds of sustainably produced meat and poultry. |
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