kaiser permanente community benefit annual report

8/2/2019 Kaiser Permanente Community Benefit Annual Report

1/24

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Southern California 2008 Community Benefit annual report

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Bj K. C, mD, mph, maCp

President, Kaiser Permanente Southern California

D m. B, rn, Dp

Vice President, Public Affairs

Kaiser Permanente Southern California

Dear Friends o Kaiser Permanente


3/24


Community Beneft in Southern Caliornia

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4/24


Ken is the clinic nurse manager oRiverside County Regional Medical

Center. Since his acility became pa

o the ALL program, in addition to

providing patients an easy-to-ollowlie-changing protocol, his acility

has also improved documentation

and tracking. And hes improved

his cholesterol by ollowing the

preventive protocol himsel.

When Joni had a cardiacincident she was immediately able

to get specialty care at her Kaiser

Permanente acility. This incident

made her even more dedicated to

the work shes doing as part o the

Community Beneft-unded Specialty

Care Initiative to get access to

outstanding cardiologists or the

poor and uninsured.

As the mother o our children,

Raquel didnt have time to besidelined with an umbilical hernia.

She had to keep going, in spite o

the pain she experienced, which

was orcing her to take lots o

painkillers. In April 2008, she took

part in a surgery day at KaiserPermanente, coordinated by Access

OC. Her hernia was repaired at no

cost and now shes enjoying living

her lie pain ree.

2


5/24

Southern California 2008 Community Benefit annual report 3

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arn more about our Access to Care programs on pages 16-17.

As a nurse practitioner, Jennierees patients with diabetes,

ypertension, and high cholesterol

t three San Diego County clinics.

With the Tools or Quality

program, she now has a more

omprehensive view o her entire

patient population which oersnsights or new areas o ocus and

nables greater outreach to bring

igh-risk patients into the clinic

more oten.

More than 38,000 uninsuredhildren in Southern Caliornia

eceived low-cost, comprehensive

medical and dental insurance

hrough the Kaiser Permanente

Child Health Plan. We believe

hat every child should have

ccess to health care coverage

nd the opportunity to reach

or their dreams.


6/24

Southern California 2008 Community Benefit annual report4

Ensuring access to

careWe know how important having a medical home is to maintaining optimal health. In all o our care-relatedeorts, this is our goal to make sure the uninsured, underinsured, and underserved in our communities haveaccess to consistent, quality care that a stable medical home oers.

In 2008, our medical fnancial assistance and charitable coverage programs

served more than 200,000 people in Southern Caliornia.

In addition to the direct care we provide to people in need through Kaiser Permanente emergency rooms, hospitals, and medical oces,we also work closely with a saety net o community clinics, public health departments, public hospitals, and other organizations to und

and sta sustainable programs.

$22 million unded 217 grants in 2008.


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In 2008, Kaiser Permanente

provided ree or reduced-cost

health care coverage to

38,000 children for a cost of

$8 to $15 per month to parents

8,600 families who lost their job

or health benefts by subsidizing

premiums or up to our years

In all, Kaiser Permanentecontributed $385 million in

care or our communities

Learn more about our

Access to Care programson pages 16-17.

A place to call

homeFrom the ree or low-cost care provided throughour Medical Financial Assistance program tothe uninsured in our emergency rooms, hospitals, and medical oces

to the subsidies we provide or charitable coverage through our support

o government programs such as Medi-Cal and Healthy Families,

Kaiser Permanentes commitment to caring or the uninsured and

underinsured is clear.

Our primary objective through these assistance programs is to broaden

access to those who need a medical home. We want to provide a placewhere they can consistently get preventive care and where they will

have access to the critical specialty care that they need. Because Kaiser

Permanente is an integrated health care system, we have an advantage

in making this happen everything is available in one place.

Strengthening the

saety netUninsured and underinsured patientsdont have many options when itcomes to medical care. Kaiser Permanente Community Beneft is working

to change that in Southern Caliornia. We do this in three key ways:

Facilitating dialogue and improvements in the system

Funding programs that provide the necessary care

Sharing experience and expertise

Whether we help community medical acilities,

put proven protocols in place with programs

like Vital Signs, or enable homeless

care by unding recuperative beds in

Los Angeles and much-needed stang

at the Bakersfeld Homeless Center,

we provide fnancial and other supportto a wide array o programs that help

strengthen the saety net in many ways.


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While Community Beneft has historically helped increase access

to primary care, we discovered that access to specialists has been

limited. Te Specialty Care Initiative launched in 2008 with theissuance o planning grants unded by three partners, including

Kaiser Permanente. Our goal is to acilitate collaboration between

public hospitals, community clinics, and others so patients get the

specialty care they need.

6

Clinics unded byKaiser Permanente and

its partners:15 in Los Angeles

9 in San Diego2 in the Central Valley

A better system or better

careTe solution to our health care challengesis collaboration. At Kaiser PermanenteCommunity Beneft, we actively establish collaborative

relationships and acilitate discussions to expand access to care.

wo key examples o this are our ools or Quality program

and Specialty Care Initiative.

In the ools or Quality eort, we have helped establish a

collaborative o six unding partners to assist 33 community clinics

across the state to acquire and implement comprehensive diseaseregistry and chronic disease sotware. By putting these tools in

place, clinics can improve their quality o care by extracting and

analyzing data about patient treatment and using it or more

proactive patient outreach.


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Something to smile about.Gettingaordable oral

Something to smile about.

Getting aordable oral

health care is not easy or

the poor. Thats why

Community Beneft unded

requests or $2.5 million

in grants or oral healthprograms ocused on

prevention, direct access

to care, and provider education.

In Los Angeles County, one

grantee used these unds

to include oral health care

in its medical hubs serving

oster youth.

Learn more about our Access to Care programs on pages 16-17.

Sharing our experience and

resourcesAs one o the nations largest healthcare organizations, Kaiser Permanenteis home to a great deal o expertise. Sharing this knowledge and broadening

its use has become an important unction o Community Beneft. For many

years, our physicians and health care proessionals have donated their time

and talents to organizations throughout the community.

Te University Muslim Medical Association (UMMA) community clinic, the

frst ederally-qualifed Muslim operated clinic in the U.S., was co-ounded

by Alta Kazi, MD, a Kaiser Permanente pediatrician. UMMA continues toreceive unding through Community Beneft.

At the Venice Family Clinic, Kaiser Permanente medical residents serve as

volunteers under the guidance o Jimmy Hara, MD, chairman o the clinics

board and director o amily medicine residency at Kaiser Permanente Los

Angeles Medical Center.

In addition to unding, Community Beneft also coordinated the donation o

in-kind construction project management to help build a new 20,000-square-

oot health acility with 25 examination rooms, a new dental acility, teaching

spaces, and administrative oces. With this expansion, the clinic can now

handle 50 percent more medical visits annually.

Kaiser Permanente Community Beneft has helped the San Diego Council

o Community Clinics and Riverside County Regional Medical Center

implement an evidence-based intervention to prevent cardiovascular disease

in diabetic patients. Developed at Kaiser Permanente by R. James Dudl, MD,

the aspirin, lisinopril, and lovastatin (ALL) protocol replaces a complicated

regimen requiring multiple visits with three cost-eective pills taken once a

day, improving health outcomes and quality o lie or patients with diabetes.


10/24


Telling her mom about her goal

to become a police ofcer was

hard or Araceli. It wasnt untilthe two participated in Mother/Daughter Aprendiendo Juntas at the

Baldwin Park Educational Outreach

program that she was able to share

her dream and gain the support she

needed to reach her proessional

goal. Today, shes a police ofcer

and volunteers or the program.

8

For her masters degree,

Sandy selected a top-tenranked school to become a

Certifed Registered NurseAnesthetist a joint program

between Kaiser Permanente

and Caliornia State

University, Fullerton.

When the Educational Theatre

Programs visited Margisclassroom, she was amazed at

the impact the Amazing Food

Detective had on her students

and her. From making better ood

choices to increasing their activity

levels, this interactive theater

experience turned out to be

lie changing.

When Ana was applyinor college, she took the SA

preparation program oered at th

Watts Counseling and Learnin

Center and increased her SAT sco

by 300 points. The center sta

also recommended her or tw

scholarships, which she receive

including the Gates Millenniu

Scholarship that will und h

education or 10 years, starting wit

her tuition at Brown Universit


11/24


n her year as a Raymond Kay Fellow

t the El Cajon Neighborhood

Healthcare Community Clinic,Debra, a Kaiser Permanenteegistered nurse practitioner, has

acilitated much needed additional

are, including childhood obesity

nd adult diabetes classes. She

ven arranged or a microscope

or the acility unded through

he ellowship.

arn more about Sharing our Knowledge and Resources onges 17-19.

Sharing WhatWe Know

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Action: Interaction

Whether theyre Drummin Up

Peace, showing kids theresSomeone Like Me, or letting

teens know What Goes Around,

the Kaiser Permanente Educational

Theatre Programs use live theater,

music, comedy, and drama to

inspire children, teens, and their

parents to make better decisions

about their well-being. In 2008,

they reached more than 250,000audience members.

Educatingand empoweringSharing research, successul practices, technology, and even our own

human resources are among the ways that Kaiser Permanente Southern

Caliornia Community Beneft increases the impact we have on

improving health across the region.

From cultivating tomorrows health care leaders to improving the care

people receive today, our eorts to spread knowledge and improve

education reach ar and wide.

More than $41 million was investedin sharing our knowledge with

the community in 2008.

In 2008, Kaiser Permanente School o Anesthesiology enabled

39nursesto enter the Certifed Registered NurseAnesthetist (CRNA) program

90,000hourso ree care by our CRNA candidatesor the community

33CRNAs to graduate and begin practice throughout theUnited States

11community medical sites to beneft rom additional stangas a result o our CRNA student rotations


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Knowledge Dissemination

grants unded by Kaiser

Permanente in 2008

$193,000 Caliornia State

University, Fullerton, Nursing

School or human patient

simulators training

$790,000 Caliornia Institute

or Nursing and Health Care

or establishment o regional

training centers or nurses,

physicians, and students

$300,000 Healthcare

Interpreter Network

$215,000 Caliornia State

University, Northridge, Nursing

School

$150,000 San Diego

Welcome Back Center or

training international health

workers or non-licensed

health care jobs

$150,000 InternationalMedical Graduates program

at the University o Caliornia,

Los Angeles, Medical School

$98,000 Health Leadership

Institute or training public

health leaders

$75,000 Healthcare

Workorce Development

Project at the Worker

Education Resource Center

$50,000 Certifed Nurse Assistant

Training through the Los Angeles

County Workorce Investment

Board

Learn more about Sharing our Knowledge and Resourceson pages 17-19.

raining the best and

brightestEducating tomorrows medical proessionalsis a core ocus o our Community Benefteorts. More than just traditional schooling, we emphasize programs that

oer real-world experience. Our Community Medicine Fellowships allow

Kaiser Permanente residents the opportunity to provide care in community

clinic settings in Los Angeles, Orange County, and Woodland Hills under the

direction o our physicians. Tis program is scheduled to expand in the near

uture, with new locations in Fontana and Riverside.

Were also doing everything we can to minimize the impact o the ongoing

nursing shortage. We established the School o Anesthesia in 1972 when we

saw the valuable care that advanced practice nurses could oer. Te school is

ranked among the top-ten anesthesia programs byU.S. News & World Report

and is the number one trainer o Certifed Registered Nurse Anesthetists in

the state o Caliornia. Community Beneft unding helped secure an additional

aculty position or the school and supported its eorts in distance learning and

the new associates degree program with Pasadena City College.

Playing an integral part in our

communitiesA number o KaiserPermanente SouthernCaliornia Community Beneft programs ocus on the importance o outreach

and establishing an ongoing presence in our communities. Since 1967, the

Watts Counseling and Learning Center has provided quality counseling and

educational services to the surrounding community. Te center oers:

Various counseling programs College preparation classes

Educational assessment and therapy Child development services

Summer enrichment activities A nationally accredited preschool

Pre-employment training classes

All o the unding or the program and its 30-person sta is provided by

Community Beneft. Te Watts Center also served as the model or our

Baldwin Park Educational Outreach Program. In 2008, this center in the

San Gabriel Valley ocused on helping the community residents advocate or

themselves. While the program continued many o its established outreach

eorts, one notable success last year was the adoption o the City Lactation

and Accommodation olerance Policy to ensure creation o a child-riendly

municipal environment that supports breasteeding.

At Kaiser Permanente Southern Caliornia Community Beneft, were always

looking or ways to increase the impact o our most valuable assets our people.

More than just writing a check or unding the purchase o equipment, the

opportunity to take our medical expertise into the community can have a ar

reaching eect. Tat is the motivation behind our Raymond Kay Fellowships

program. In 2008, the program enabled fve primary care nurse practitioners

and physicians assistants to take a paid sabbatical and serve their community.

Not only did these individuals help their assigned clinics with patient

workload, they also established outreach programs and enabled access to

Kaiser Permanente educational resources to improve the quality o care.

11


14/24


MarioandJessiereceivedscholarships or swimming lessons

through Operation Splash.

Today, as avid swimmers, they

are in great shape, have overcome

physical challenges like asthma,

and even race on a competitive

swim team.

Its now saer or kids and everyone

else to walk on city streets in

Chula Vista thanks to the eorts o

WalkSanDiego. By involvingresidents and local students in

evaluating the walkability and needs

o their neighborhoods, this group

has helped initiate improvements

and made people more aware o

the link between walking and a

healthy liestyle.

With the creation o outdoor

exercise centers in established

community parks, the Trustor Public Land

has introduced more people

to the benefts o exercise

and made 11 Los Angeles-area

parks saer, more inviting,

and more active.


15/24


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13

As a parent representative on

he Los Angeles Unifed School

Districts Caeteria Improvement

Committee, Janine works toensure our children have nutritious,

asty choices in the caeteria.

Her eorts with the Healthy School

Food Coalition are spreading theword, getting more parents involved,

nd setting an outstanding example

o community activism or her

wo sons.

earn more about our Healthy Eating Active Living programs

n page 17.


16/24


Bringing our communities

back to basicsEating and exerciseare two o the mostundamental ways we, as human beings, take care o ourselves. But, making

the right choices isnt always easy, especially in communities where produce

is not readily available, junk ood is prevalent, and where open spaces

and sae, exercise-riendly areas arent easily accessed. Tats why Kaiser

Permanente Southern Caliornia Community Beneft has made this a

critical area o unding.

More than $2 million was investedin encouraging healthy eating

and active living in ourcommunities in 2008.


17/24

Southern California 2008 Community Benefit annual report 15

Making healthy ood choices

more appealingMore than justcore curriculum,our schools are a place or learning about lie. What would happen i we treated

the caeteria as a dierent kind o classroom? Tats what the Healthy School

Food Coalition has done in the Los Angeles Unifed School District. As a result

o this groups eorts and the $50,000 it received in 2008 rom Community

Beneft, parents and students have seen important changes in what the second

largest school district in the country is teaching our kids about eating.

Tis collaborative o parents, students, and administrators has succeeded in

having an impact throughout the district. From banning on-campus soda and

junk ood to obesity intervention and caeteria improvements, changes are

happening on every level. By encouraging the district to hire an executive

che to improve the menus, getting students involved in menu design, and an

ongoing eort to eliminate the stigma o eating in the caeteria, the collaborative

has increased meal program participation and has ensured that our kids have

healthy options and better ood education.

Helping communities exercise

their optionsIn areas where gyms are notavailable or economically viableoptions, how can we encourage exercise and make it a community priority?

Tat is a question Community Beneft works closely with our grant partners

to eectively answer. WalkSanDiego has been addressing these issues by creating

a saer pedestrian environment in west Chula Vista, working with schools,

citizens, promotoras, and local youth to improve the local neighborhoods

environment or walking and biking and make areas like Lauderbach Park saer

and more inviting. By clearing out overgrown plants and enhancing planned

city improvements such as new restrooms, drinking ountains, and playground

equipment, the WalkSanDiego grant has helped make these areas more secure

and useable.

In parks in Los Angeles County, the rust or Public Land Partnership has

transormed open, unused space into outdoor gyms. In the 11 ftness zone

sites installed so ar, the trust has ound that expanding a communitys exercise

options is very well received. From senior citizens working out together to

parents using the equipment while they wait or their kids to fnish baseball or

soccer practice, the acilities are almost always busy. Te easy-to-use equipment

is ideal or any ftness level. And most importantly, the ftness zones have

become hubs o community activity by creating a group atmosphere that eels

sae and social and helps people be more active.

Healthy Eating Active Living

grants unded by Kaiser

Permanente in 2008

$250,000 Trust or Public Land

Partnership launch o outdoor

ftness zones

$100,000 WalkSanDiego

eorts to improve pedestrian

walkways or children

$50,000 Healthy School

Food Coalition policy-making

eorts in the Los Angeles

Unifed School District to

provide healthier ood

choices to our children

Learn more about our Healthy Eating Active Living programson page 17.


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Access to Care

Community Medicine FellowshipFellows provide direct patient care and mentor residents and

medical students in the provision o care in a variety o settings

including community health clinics, homeless shelters, and local

schools. Participants collaborate with local health department

physician leaders to develop programs that address community

health concerns.

Grants to Hospitals and Medical Service AreaGrant unds are allocated annually to each o the 13 Kaiser

Permanente hospitals and Kern County medical service area

to support community beneft activities and projects outlinedin the local community beneft plans and local community

needs assessments. Most unding is in the orm o charitable

contributions to community coalitions, local government

agencies, nonproft 501(c)(3) organizations, and public schools.

Health Insurance Outreach and CoverageKaiser Permanente supports activities related to health coverage

or all uninsured children in Caliornia by partnering with

organizations to support ongoing outreach to enroll children

at no cost to the applicants. Available health programs include

Healthy Families, Medi-Cal, Healthy Kids, Caliornia Kids and

Kaiser Permanente Child Health Plan.

Healthy FamiliesHealthy Families is a ederal- and state-unded insurance

program that provides low- and moderate-income amilies with

comprehensive health insurance or children under age 19. o

qualiy, amilies must meet the ederal income guidelines, and

the children must be ineligible or Medi-Cal coverage.

HIV/AIDS GrantsHIV/AIDS grants support community agencies throughout

Southern Caliornia that serve the health care needs o people

with HIV/AIDS. Te unding categories or the grant includeprevention, awareness, and/or treatment o individuals with

human immunodefciency virus.

Kaiser Permanente Child Health PlanKaiser Permanente Child Health Plan provides comprehensive

benefts to children up to age 18 with amily income up to 300

percent o the ederal poverty level, who lack access to employer-

subsidized coverage, and do not qualiy or public programs.

Premiums are $8 or $15 per child per month, depending on

amily income, with low copayments or some services.

Medi-Cal Complex Case Management Program

Te Medi-Cal Complex Case Management Program providescase managed services to high-risk Medi-Cal clients who have

complex chronic conditions or special needs such as seniors and

persons with disabilities. Te program integrates and coordinates

care and services across the continuum, including linkages

between internal and external resources.

Medi-Cal Fee-or-ServiceSouthern Caliornia Region hospitals provide health care on

a ee-or-service basis or Medi-Cal benefciaries not enrolled

as Kaiser Permanente members. Reimbursement or some

services usually is signifcantly below the cost o care.

Medi-Cal Managed CareTe Medi-Cal Managed Care program provides comprehensive

inpatient and outpatient care to Medi-Cal managed care

members through various local and state government entities.

Kaiser Permanente subcontracts with local initiatives in Los

Angeles, Riverside, San Bernardino, and Orange Counties

and contracts directly with the state through their Geographic

Managed Care Plan in San Diego County.

Medical Financial AssistanceTe Medical Financial Assistance (MFA) program assists

patients with limited or no resources to pay or care providedin Kaiser Foundation Hospital acilities. Te MFA program

is generally available to people in greatest fnancial need and

provides discounted charges or uninsured patients below 400

percent o the ederal poverty line.

Public Hospital ProgramTis eort provides support or the Caliornia Association

o Public Hospitals and Health Systems (CAPH) to develop

a long-term partnership with public hospitals. Te Caliornia

Health Care Saety Net Institute, CAPHs research and

educational aliate, works collaboratively with Kaiser

Permanente to implement chronic conditions management,health and clinical education, community health, cultural

competence, and inorming policy.

Raymond Kay Community Clinic Fellowship ProgramTe ellowship is a one-year assignment or registered nurse

practitioners or physicians assistants to practice medicine at a

community clinic in Southern Caliornia. Fellows provide care

to underserved patients in community settings.

In 2008 Kaiser Permanente Southern Caliornia Community Beneft provided unding and

support to 40 distinct programs and initiatives throughout our region, including:

16


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Saety Net Provider Partnership

Tis eort provides support to community clinics to improveaccess and quality care in rastructure, and extend partnerships

to health departments and public hospitals. Focus areas include

chronic disease management, specialty care, homeless services,

quality improvement, nurse practitioner ellowship, access to

primary care, HIV/AIDS, and senior health.

Steps PlanKaiser Permanente Steps Plan oers members the opportunity

to continue their health care coverage at reduced cost when

experiencing fnancial diculty due to job loss, involuntary

reduction in work hours, legal separation, divorce, or death o

a spouse.

Healthy Eating Active Living

Grants to Hospitals and Medical Service AreaGrant unds are allocated annually to each o the 13 KP hospitals

and Kern County medical service area to support community

beneft activities and projects outlined in the local community

beneft plans and local community needs assessments. Most

unding is in the orm o charitable contributions to community

coalitions, local government agencies, nonproft 501(c)(3)

organizations, and public schools.

Healthy Eating Active Living (HEAL)HEAL promotes place-based healthy eating, active living

programs, and other interventions to combat increased obesity

rates. Te initiative supports eorts by community providers

and coalitions to bring community-wide medical, environmental,

and social changes that can help decrease obesity.

Sharing our Knowledge and Resources

Adjunct Faculty Support Program

Clinical instruction is provided or nursing programs utilizing

a qualifed Kaiser Permanente registered nurse sta to cohortso 10-12 nursing students while they are on clinical rotation in

a Kaiser Foundation Hospital acility.

Advanced Practice and Allied Health CareEducational Programs

Te Southern Caliornia Department o Proessional Education

(DPE) oers advanced practice and allied health care providers

programs designed to meet many o the primary and continuing

educational needs o allied health care workers. For every

symposium that is organized by DPE, the community is invited.

Scholarships are provided or any provider in community clinics

or hospitals that are in partnership with Kaiser Permanente.

Allied Health Care Education Scholarship Program

Scholarships o up to $4,500 help Caliornia students pursueallied health care degrees. Caliornia Health Proessions

Education Foundation manages the program or Kaiser

Permanente. Preerence is given to students rom under-

represented groups. Scholarship recipients must work or

volunteer in a medically underserved area in Caliornia

ater graduation or a designated period.

Board o Registered Nurses Work Study Program

Tis program gives nursing students direct clinical experience

beore graduation, allowing them to enter the workplace with

additional confdence and competence. Tis program helps

educate the uture nursing workorce and enables students toassume a nursing role more rapidly and saely.

Clinical Psychology Internship raining ProgramConducted under the Department o Psychiatry and Addiction

Medicine, the program transitions interns rom students to

proessionals by providing training in the roles and unctions

o clinical psychologists. Pre-doctoral students augment their

educational experience by working in a high-quality educational

environment with a varied patient base, and by working with a

multidisciplinary sta.

Community Health PromotionRegional Health Education (RHE) provides health education

programs, materials, and services, and also oers training sessions.

RHE participated in specifc community-ocused projects and

partnered with several nonproft community agencies to provide

additional services or several critical priority needs, including

obesity, diabetes, asthma, and healthy eating and active living.

Community Medicine FellowshipFellows provide direct patient care and mentor residents and

medical students in the provision o care in a variety o settings

including community health clinics, homeless shelters, and local

schools. Participants collaborate with local health departmentphysician leaders to develop programs that address community

health concerns.

Deloras Jones Nursing Scholarship ProgramTe scholarship provides fnancial assistance or students enrolled

in any Caliornia nursing program to encourage and support

advanced nursing training. Scholarships are based primarily on

fnancial need and are awarded or underrepresented minorities,

academic excellence, nursing as a second career, and graduate

nursing degrees.

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Distance Learning, Advanced Nursing Degree Programs

Kaiser Permanentes Distance Learning Program and CaliorniaState University (CSU), Fullerton, entered into a partnership

to graduate registered nurses to the bachelor o science in

nursing. Courses are open to both Kaiser Permanente and

community registered nurses using a combination o interactive

videoconerence and the Internet.

Te master o science in nursing partnership began its frst

semester in August 2008 and concentrates on nursing leadership.

In addition, these students may elect to take three additional

courses oered by CSU, Fullerton, and earn a certifcate in

instructional design and technology.

Educational Outreach ProgramTe dropout prevention program provides education and support

services, primarily to Latino youth, ages 10 to 14, in the San

Gabriel Valley area o Los Angeles County. Nine programs help

students and parents with homework, study skills, and reading

improvement and provide assessment o mental health needs in

the community and summer enrichment sessions.

Educational Teatre ProgramsTe programs use live theater, music, comedy, and drama to

inspire children, teens, and adults to make healthier choices

and better decisions about their well-being. All perormancesare delivered by proessional actors who are also trained health

educators and are ree to schools and the general community.

Extremity/Sports Rehabilitation Fellowship ProgramTe ellowship provides education in the specialty area o sports

physical therapy and rehabilitation, with a ocus on advanced

training in examination and treatment procedures o extremity

injuries in an active and post-surgical patient population with

musculoskeletal conditions.

Graduate Medical Education

raining and education are provided to medical residents inamily medicine, internal medicine, obstetrics/gynecology,

pediatrics, and psychiatry. As part o their training, several

o the independent residents have rotations at school-based

health centers, community clinics, and homeless shelters. Tese

ambulatory settings provide primary medical care services to

low-income children and adolescents, the homeless, and other

vulnerable populations.

Grants to Hospitals and Medical Service Area

Grant unds are allocated annually to each o the 13 KaiserPermanente hospitals and Kern County medical service area

to support community beneft activities and projects outlined

in the local community beneft plans and local community

needs assessments. Most unding is in the orm o charitable

contributions to community coalitions, local government

agencies, nonproft 501(c)(3) organizations, and public schools.

Hippocrates CircleTe Hippocrates Circle program is designed to increase

the number o physicians in the medical feld, especially in

underserved communities, by instilling in young people o

underrepresented minorities and both genders the awareness oa career in medicine. Trough the collaborative eorts o school

districts, medical schools, and Kaiser Permanente physicians

and sta, Hippocrates Circle strengthens the sel-esteem o

young people and empowers them to pursue their goals through

mentorship, education, and acilitated experience.

INROADSKaiser Permanente partners with INROADS, an organization

ocused on developing underrepresented college students o color

or leadership roles in the community. Student interns typically

work two to fve summers with the goal o permanent placement

upon graduation rom college, or continued education in the

health care feld. Tis developmental program enhances the

diversity o the health care workorce.

Los Angeles Orthopedic Manual Terapy FellowshipProgram

Te ellowship provides education in the specialty area o

manual therapy ocusing on advanced training in manual

examination and treatment procedures benefcial to patients with

musculoskeletal conditions.

Movement Science Fellowship

Tis ellowship provides education in the specialty area omovement science, with a ocus on advanced training in

movement analysis, therapeutic exercise, and ergonomic

instruction or patients with musculoskeletal conditions.

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Nursing Practices Research Program

Te program oers nurses the opportunity to engage in researchon nursing practice, patient care, and patient outcomes to

improve clinical practices. Tis program provides administrative

and technical support or nurses to conduct, publish, and

disseminate studies to improve patient care and practices as well

as contribute to the knowledge base on nursing.

Oliver Goldsmith, MD, Scholarship ProgramTe scholarship honors Oliver Goldsmith, MD, retired medical

director o the Southern Caliornia Permanente Medical Group,

and champion o culturally responsive care. Scholarships are

awarded annually to medical students entering the third or ourth

year o study who have demonstrated commitment to diversitythrough community service, clinical volunteerism, leadership, or

research.

Pharmacy Resident Post-graduate raining ProgramsTe program provides one- or two-year training or licensed

pharmacists to gain additional experience in pharmaceutical

care and administrative pharmacy services in a ully integrated,

nonproft managed care organization. Pharmacy residents

and their preceptors participate in several community health

initiatives, and develop and disseminate medical knowledge to

health care providers and community members.

Physical Terapy Orthopedic Residency ProgramTe residency provides education in the specialty area o

orthopedic physical therapy. Each year, the program oers

physical therapy residency slots at Kaiser Permanente hospitals in

Southern Caliornia. Graduates are eligible to sit or their board

certifcation examination in orthopedic physical therapy and

apply to participate in a physical therapy ellowship.

Radiology echnology rainingStudents enrolled in community college radiology technology

programs can complete a ull year clinical rotation required

or certifcation as a radiology technologist at one o nineKaiser Foundation Hospital acilities in Southern Caliornia.

Some acilities oer students a stipend.

Raymond Kay Community Clinic Fellowship Program

Te ellowship is a one-year assignment or registered nursepractitioners or physicians assistants to practice medicine at a

community clinic in Southern Caliornia. Fellows provide care to

underserved patients in community settings.

Research and EvaluationTe Department o Research and Evaluation provides consulting,

education, and administrative services to support Kaiser

Permanente physicians and employees conducting research.

School o AnesthesiaTe Kaiser Permanente School o Anesthesia or Nurses provides

graduate-level education or nurse anesthetists. In partnershipwith Caliornia State University, Fullerton, the school oers a

two-year sequential academic and clinical graduate program or

nurses with a baccalaureate degree. Students earn a master o

science in nursing with a clinical specialty in anesthesia.

Summer Youth Employment ProgramKaiser Permanentes L.A.U.N.C.H. (Learn About Unlimited

New Careers in Healthcare) Summer Youth Employment

Program provides underserved high school students with

supportive and meaningul employment experiences in the

health care feld. Many ormer students are now employed

with the organization as nurses, department administrators, labtechnicians, opticians, and engineers.

Watts Counseling and Learning CenterTe Watts Counseling and Learning Center has been a valuable

community resource or low-income, inner-city amilies in South

Los Angeles. Te center provides mental health and counseling

services, assistance to children with learning disabilities, and

pre-employment training or high school youth. In addition, it

operates several programs including a state-licensed preschool

program, a summer day camp, and scholarships or high school

and post-secondary students.

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Care & CoverageCharity Care - Medical Financial Assistance Program $ 26,752,209

Charity Care - Charitable Coverage Programs $ 70,203,531

Medi-Cal to Members $ 178,474,686

Medi-Cal to Nonmembers $ 42,871,010

Healthy Families $ 39,486,081

otal Care & Coverage $ 357,787,517

Community Health Initiatives

Programs and Services $ 789,972

Grants and Donations or Community Health Initiatives $ 4,441,707otal Community Health Initiatives $ 5,231,679

Saety Net Partnerships

Grants and Donations or Community Clinics and other

Saety Net Providers $ 22,079,157

otal Saety Net Partnerships $ 22,079,157

Knowledge Dissemination

Medical Research $ 3,959,680

Grants and Donations or Evidence-Based Medicine $ 360,000

Grants and Donations or Public Policy $ 1,582,943

Educational Teatre Programs $ 4,381,603

Grants and Donations or Health Education $ 628,716

Interns and Residents (Graduate Medical Education) $ 21,640,851

Nurse Practitioner and other Nurse raining Programs $ 4,239,417

Other Health Care Proessional raining Programs $ 2,741,266

Grants and Donations or Health Care Proessionals &E $ 1,606,683

otal Knowledge Dissemination $ 41,139,159

Other Community Benefts

Sel-Suciency raining and Education Programs $ 4,233,214

Community Giving Programs $ 24,237

Community Beneft Operations $ 3,653,629

Board o Directors Fund $ 443,930

Other Grants and Donations or Nonproft Organizations $ 1,036,673

otal Other Community Beneft $ 9,391,683

TOTAL $ 435,629,195

Kaiser Permanente Southern Caliornia 2008 Community Beneft Grants and Investments

Adjusted 2008Combined Total

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Kaiser Permanente Southern Caliornia2008 Community Beneft Annual Report

Web: kp.org/communitybeneft/scaE-mail: [email protected]

kaiser permanente community benefit annual report

Documents