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June 22, 2009 11:13 AM PDT

Kaiser's window to health care's future

by Dara Kerr
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An ordinary warehouse-style building in a nondescript office park in San Leandro, Calif., is home to some of the most futuristic and cutting-edge medical research in the U.S. It's where the Kaiser Permanente Sidney R. Garfield Health Care Innovation Center is located and testing out new technology, mock hospital environments, and high-tech gadgetry for the health care field.

Walking through mock hospital corridors with eco-friendly floors made from recycled materials are real patients, doctors, and nurses testing out the limits of technology. They're not only examining the impact of the rubber-based floor on their backs, but also other kinds of state-of-the-art gear invented to streamline and systematize the hospital experience.

From medicine-delivery robots to electronic medical charts wirelessly connected to all Kaiser's patients' data, it feels a bit like stepping onboard the Starship Enterprise. All gadgets are designed to be easily cleaned and some are gesture-controlled, so they don't even need to be touched. All cameras, both video and still, have extreme zoom for minute documentation. One camera's lens gets so close it can detail a thumbprint.

The Garfield Innovation Center also does work flow simulations where physical spaces and hospital routines are studied and standardized. These simulations are important because they help develop ways to maximize the quality of care for patients and the work-efficiency of health care providers.

All of the technology being developed and tested at the Garfield Innovation Center is in accordance with the Health Insurance Portability and Accountability Act. Danielle Cass, a communications manager for Kaiser Permanente, says, "We are moving a lot of data and we have to make sure it's safe."

Join us for a tour of the facility through this audio slideshow (below) or a more traditional slideshow (teased above).

June 15, 2009 1:35 PM PDT

Kaiser's high-tech doctor's office on wheels

by Dara Kerr
  • 1 comment
Kaiser's state-of-the-art mobile health vehicle will be shipped to Hawaii Wednesday.

Kaiser's state-of-the-art mobile health vehicle will be shipped to Hawaii Wednesday.

(Credit: James Martin/CNET)

Hawaii's qualified uninsured women and Kaiser Permanente members are about to get free health care from some of the most state-of-the-art technology available in the U.S.

Kaiser Permanente is sending over its first mobile health vehicle that's wired to the hilt with a digital mammography machine and computers set up to access electronic health records and use remote video capabilities.

Prescriptions can be printed out on the spot.

Prescriptions can be printed out on the spot.

(Credit: James Martin/CNET)

"We have an entire network on wheels," says Lisa Victor, the IT service delivery manager for Kaiser Permanente Hawaii. This almost 500-square-foot futuristic semi-trailer sets sail from San Francisco to Hawaii's Big Island on Wednesday.

The goal is to reach women by thinking beyond the doctor's office and to physically bring the doctor wherever the patients may be. Hawaii is the perfect place to test this vehicle out. The Big Island has the largest land mass of all the Hawaiian islands, but also one of the most rural populations.

"We started looking at how to bring care to the patients," says Daryl Kurozawa, the associate medical director for Kaiser Permanente Hawaii. "This will allow us to bring care closer to them and hopefully give better care."

The mobile waiting room.

The mobile waiting room.

(Credit: James Martin/CNET Networks)

The roving health vehicle will bring on-site services to various Hawaii employers, including hotels and state offices, as it continually circles the island, spending a few days in each town. Hawaii has low mammography screening rates, so, Kaiser is working with community health centers to identify qualified uninsured patients and Kaiser Permanente members who need mammography screenings to detect breast cancer early.

"We know screening for breast cancer saves lives," says Kurozawa, "and if we screen earlier, life expectancy is longer." In its first year, the mobile health vehicle plans to have 5,000 mammography visits, 4,900 general health screenings, and nearly 2,000 uninsured visits. For the qualified uninsured population, there will be no charge to either the community clinics or the woman being screened.

This digital mammography machine will screen uninsured patients in Hawaii, where mammography screening rates are low.

This digital mammography machine will screen patients in Hawaii, where mammography screening rates are low.

(Credit: James Martin/CNET)

Since all of the equipment on the vehicle is outfitted with telemedicine capabilities, the doctors can immediately send mammography readings to a specialist in Oahu, who can then remotely send the results back to the primary care provider.

"We have reduced office visits and specialist visits," says Susan Ganz, executive director of Kaiser Permanente Hawaii, "because people get answers right away from their primary care physician." Kaiser is also looking at remote dispensing of pharmaceuticals within the next year.

Routine testing along with immunizations will also be available on the mobile health unit, which will be officially unveiled on July 2 and see its first patient on July 21.

Updated at 6 p.m. to clarify that the mobile health vehicle services are limited to Kaiser members and uninsured individuals meeting qualifying criteria based on federal poverty guidelines.

Corrected at 11:45 a.m. Tuesday to fix an inaccuracy provided by the company about the size of the vehicle. It's almost 500 square feet.

 Daryl Kurozawa, associate medical director for Kaiser Permanente Hawaii, demonstrates how a patient's record can be called up.

Daryl Kurozawa, associate medical director for Kaiser Permanente Hawaii, demonstrate how a patient's record can be called up.

(Credit: James Martin/CNET)
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