We See Health Care...

Differently

Kaiser permanente Southern California 2008 Community Benet annual report

Dear Friends of Kaiser Permanente

for more than 65 years, Kaiser permanente Southern California has been dedicated to maintaining healthy communities. We accomplish this daily through our delivery of high-quality health care to our members and patients, and through our community partnerships. We also do this by funding knowledge and resource sharing programs which address disparities in access to care and promote total health for everyone. our commitment to universal health care is exhibited in the way we reach out to serve vulnerable populations every day. our efforts have brought us to the table as national leaders begin to explore health care reform. in 2008, Kaiser permanente Southern California invested $435,629,195 in the communities we serve. But nancial gures dont offer the full picture. We taught kids how to eat healthier foods; expanded training programs for health care workers; collaborated with funding partners to help community clinics; expanded outdoor tness zones; and consulted with one of the nations largest public school systems to provide healthy food choices to children. and as a devastating economy has affected peoples livelihoods, we have worked to ensure that individuals impacted by these circumstances understand what options they have to continue access to service and care. it didnt take an economic crisis for Kaiser permanente to undertake these important programs; expanding access to health care and improving the total health mind, body, and spirit of the communities we serve is our mission. We invite you to read about the myriad ways Kaiser permanente delivers.

Benjamin K. Chu, mD, mph, maCp President, Kaiser Permanente Southern California

Diana m. Bont, rn, Drph Vice President, Public Affairs Kaiser Permanente Southern California

Southern California 2008 Community Benefit annual report

Community Benefit in Southern California

no matter where you live in Southern California, chances are you know, work with, or love someone who has been touched by the work and programs of Kaiser permanente Community Benet. at Kaiser permanente, we see health care as more than a medical issue. We see it as a community issue, and thats why we work to build healthier communities. year after year, Kaiser permanente Community Benet gives hundreds of thousands of people access to low- or no-cost medical care. our grants and activities help foster healthier living at a grassroots level throughout the region. and it all started with having a broader perspective seeing health care differently.

Southern California 2008 Community Benefit annual report

As the mother of four children, Raquel didnt have time to be sidelined with an umbilical hernia. She had to keep going, in spite of the pain she experienced, which was forcing her to take lots of painkillers. In April 2008, she took part in a surgery day at Kaiser Permanente, coordinated by Access OC. Her hernia was repaired at no cost and now shes enjoying living her life pain free.

Ken is the clinic nurse manager for

Riverside County Regional Medical Center. Since his facility became part of the ALL program, in addition to providing patients an easy-to-follow, life-changing protocol, his facility has also improved documentation and tracking. And hes improved his cholesterol by following the preventive protocol himself.

When Joni had a cardiac incident she was immediately able to get specialty care at her Kaiser Permanente facility. This incident made her even more dedicated to the work shes doing as part of the Community Benefit-funded Specialty Care Initiative to get access to outstanding cardiologists for the poor and uninsured.

Southern California 2008 Community Benefit annual report

As a nurse practitioner, Jennifer sees patients with diabetes, hypertension, and high cholesterol at three San Diego County clinics. With the Tools for Quality program, she now has a more comprehensive view of her entire patient population which offers insights for new areas of focus and enables greater outreach to bring high-risk patients into the clinic more often.

We Care About Everybody

to be a way of life for everyone. at

ensuring access to care isnt just about our members. We want healthy living Kaiser permanente Southern California Community Benet, our vision is to enable care for more people, provide access to preventive and specialty care, and improve the quality of care for all. its a big vision that touches so many people.

More than 38,000 uninsured children in Southern California received low-cost, comprehensive medical and dental insurance through the Kaiser Permanente Child Health Plan. We believe that every child should have access to health care coverage and the opportunity to reach for their dreams.

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

Southern California 2008 Community Benefit annual report

Ensuring access to

care

We know how important having a medical home is to maintaining optimal health. In all of our care-related efforts, this is our goal to make sure the uninsured, underinsured, and underserved in our communities have access to consistent, quality care that a stable medical home offers.

In 2008, our medical financial assistance and charitable coverage programs served more than 200,000 people in Southern California.
In addition to the direct care we provide to people in need through Kaiser Permanente emergency rooms, hospitals, and medical offices, we also work closely with a safety net of community clinics, public health departments, public hospitals, and other organizations to fund and staff sustainable programs.

$22 million funded 217 grants in 2008.

Southern California 2008 Community Benefit annual report

In 2008, Kaiser Permanente

A place to call

provided free 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 benefits by subsidizing premiums for up to four years In all, Kaiser Permanente contributed $385 million in care for our communities

home

From the free or low-cost care provided through our Medical Financial Assistance program to the uninsured in our emergency rooms, hospitals, and medical offices to the subsidies we provide for charitable coverage through our support of government programs such as Medi-Cal and Healthy Families, Kaiser Permanentes commitment to caring for 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 place where 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

safety net

Uninsured and underinsured patients dont have many options when it comes to medical care. Kaiser Permanente Community Benefit is working to change that in Southern California. 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 facilities, put proven protocols in place with programs like Vital Signs, or enable homeless care by funding recuperative beds in Los Angeles and much-needed staffing at the Bakersfield Homeless Center, we provide financial and other support to a wide array of programs that help strengthen the safety net in many ways.

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

Southern California 2008 Community Benefit annual report

A better system for better

care

The solution to our health care challenges is collaboration. At Kaiser Permanente Community Benefit, we actively establish collaborative relationships and facilitate discussions to expand access to care. Two key examples of this are our Tools for Quality program and Specialty Care Initiative. In the Tools for Quality effort, we have helped establish a collaborative of six funding partners to assist 33 community clinics across the state to acquire and implement comprehensive disease registry and chronic disease software. By putting these tools in place, clinics can improve their quality of care by extracting and analyzing data about patient treatment and using it for more proactive patient outreach.

Clinics funded by Kaiser Permanente and its partners: 15 in Los Angeles 9 in San Diego 2 in the Central Valley
While Community Benefit has historically helped increase access to primary care, we discovered that access to specialists has been limited. The Specialty Care Initiative launched in 2008 with the issuance of planning grants funded by three partners, including Kaiser Permanente. Our goal is to facilitate collaboration between public hospitals, community clinics, and others so patients get the specialty care they need.

Southern California 2008 Community Benefit annual report

Something to smile about. Getting affordable oral health care is not easy for the poor. Thats why Community Benefit funded requests for $2.5 million in grants for oral health programs focused on prevention, direct access to care, and provider education. In Los Angeles County, one grantee used these funds to include oral health care in its medical hubs serving foster youth.

Sharing our experience and

resources

As one of the nations largest health care organizations, Kaiser Permanente is home to a great deal of expertise. Sharing this knowledge and broadening its use has become an important function of Community Benefit. For many years, our physicians and health care professionals have donated their time and talents to organizations throughout the community. The University Muslim Medical Association (UMMA) community clinic, the first federally-qualified Muslim operated clinic in the U.S., was co-founded by Altaf Kazi, MD, a Kaiser Permanente pediatrician. UMMA continues to receive funding through Community Benefit. At the Venice Family Clinic, Kaiser Permanente medical residents serve as volunteers under the guidance of Jimmy Hara, MD, chairman of the clinics board and director of family medicine residency at Kaiser Permanente Los Angeles Medical Center. In addition to funding, Community Benefit also coordinated the donation of in-kind construction project management to help build a new 20,000-squarefoot health facility with 25 examination rooms, a new dental facility, teaching spaces, and administrative offices. With this expansion, the clinic can now handle 50 percent more medical visits annually. Kaiser Permanente Community Benefit has helped the San Diego Council of 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-effective pills taken once a day, improving health outcomes and quality of life for patients with diabetes.

Something to smile about.Getting affordable oralAccess to Care programs on pages 16-17. Learn more about our
Southern California 2008 Community Benefit annual report

When the Educational Theatre Programs visited Margis classroom, she was amazed at the impact the Amazing Food Detective had on her students and her. From making better food choices to increasing their activity levels, this interactive theater experience turned out to be life changing.

For her masters degree, Sandy selected a top-ten ranked school to become a Certified Registered Nurse Anesthetist a joint program between Kaiser Permanente and California State University, Fullerton.

When Ana was applying for college, she took the SAT preparation program offered at the Watts Counseling and Learning Center and increased her SAT score by 300 points. The center staff also recommended her for two scholarships, which she received, including the Gates Millennium Scholarship that will fund her education for 10 years, starting with her tuition at Brown University.

Telling her mom about her goal to become a police officer was hard for Araceli. It wasnt until the 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 professional goal. Today, shes a police officer and volunteers for the program.

Southern California 2008 Community Benefit annual report

Sharing What We Know

Knowledge is power...and empowering. it has the ability to transform people, situations, and communities. at Kaiser permanente, we have the great fortune of access to the combined experience, skills, and technical expertise of thousands of medical professionals. Sharing our knowledge and resources is one of the core objectives of our Southern California Community Benet group.

In her year as a Raymond Kay Fellow at the El Cajon Neighborhood Healthcare Community Clinic, Debra, a Kaiser Permanente registered nurse practitioner, has facilitated much needed additional care, including childhood obesity and adult diabetes classes. She even arranged for a microscope for the facility funded through the fellowship.

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

Southern California 2008 Community Benefit annual report

Educating

and empowering

Sharing research, successful practices, technology, and even our own human resources are among the ways that Kaiser Permanente Southern California Community Benefit 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 efforts to spread knowledge and improve education reach far and wide.

More than $41 million was invested in sharing our knowledge with the community in 2008.
In 2008, Kaiser Permanente School of Anesthesiology enabled

39 nurses to enter the Certified Registered Nurse

Anesthetist (CRNA) program

for the community United States

90,000 hours of free care by our CRNA candidates 33 CRNAs to graduate and begin practice throughout the 11 community medical sites to benefit from additional staffing
as a result of our CRNA student rotations

Action: Interaction Whether theyre Drummin Up Peace, showing kids theres Someone 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 250,000 audience members.
Southern California 2008 Community Benefit annual report

Training the best and

brightest

Educating tomorrows medical professionals is a core focus of our Community Benefit efforts. More than just traditional schooling, we emphasize programs that offer 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 of our physicians. This program is scheduled to expand in the near future, with new locations in Fontana and Riverside. Were also doing everything we can to minimize the impact of the ongoing nursing shortage. We established the School of Anesthesia in 1972 when we saw the valuable care that advanced practice nurses could offer. The school is ranked among the top-ten anesthesia programs by U.S. News & World Report and is the number one trainer of Certified Registered Nurse Anesthetists in the state of California. Community Benefit funding helped secure an additional faculty position for the school and supported its efforts in distance learning and the new associates degree program with Pasadena City College.

Knowledge Dissemination grants funded by Kaiser Permanente in 2008 $193,000 California State University, Fullerton, Nursing School for human patient simulators training $790,000 California Institute for Nursing and Health Care for establishment of regional training centers for nurses, physicians, and students $300,000 Healthcare Interpreter Network $215,000 California State University, Northridge, Nursing School $150,000 San Diego Welcome Back Center for training international health workers for non-licensed health care jobs $150,000 International Medical Graduates program at the University of California, Los Angeles, Medical School $98,000 Health Leadership Institute for training public health leaders $75,000 Healthcare Workforce Development Project at the Worker Education Resource Center $50,000 Certified Nurse Assistant Training through the Los Angeles County Workforce Investment Board
Learn more about Sharing our Knowledge and Resources on pages 17-19.

Playing an integral part in our

communities
Various counseling programs Educational assessment and therapy Summer enrichment activities Pre-employment training classes

A number of Kaiser Permanente Southern California Community Benefit programs focus on the importance of 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. The center offers: College preparation classes Child development services A nationally accredited preschool

All of the funding for the program and its 30-person staff is provided by Community Benefit. The Watts Center also served as the model for our Baldwin Park Educational Outreach Program. In 2008, this center in the San Gabriel Valley focused on helping the community residents advocate for themselves. While the program continued many of its established outreach efforts, one notable success last year was the adoption of the City Lactation and Accommodation Tolerance Policy to ensure creation of a child-friendly municipal environment that supports breastfeeding. At Kaiser Permanente Southern California Community Benefit, were always looking for ways to increase the impact of our most valuable assets our people. More than just writing a check or funding the purchase of equipment, the opportunity to take our medical expertise into the community can have a far reaching effect. That is the motivation behind our Raymond Kay Fellowships program. In 2008, the program enabled five 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 of care.

Southern California 2008 Community Benefit annual report

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Its now safer for kids and everyone else to walk on city streets in Chula Vista thanks to the efforts of

WalkSanDiego. By involving
residents and local students in evaluating the walkability and needs of their neighborhoods, this group has helped initiate improvements and made people more aware of the link between walking and a healthy lifestyle.

Mario and Jessie received

scholarships for 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.

With the creation of outdoor exercise centers in established community parks, the Trust

for Public Land

has introduced more people to the benefits of exercise and made 11 Los Angeles-area parks safer, more inviting, and more active.

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Southern California 2008 Community Benefit annual report

As a parent representative on the Los Angeles Unified School Districts Cafeteria Improvement Committee, Janine works to ensure our children have nutritious, tasty choices in the cafeteria. Her efforts with the Healthy School Food Coalition are spreading the word, getting more parents involved, and setting an outstanding example of community activism for her two sons.

Health from the Inside Out

on the inside. at Kaiser permanente

Whether were talking about our bodies or our communities, good health starts Southern California Community Benet, our healthy eating active living (heal) efforts support programs that teach, inspire, and encourage the creation of healthy communities by the people that live there. from education about better food choices to advocacy for change in our neighborhoods to creating active environments that promote exercise, were helping communities come up with their own solutions.

Learn more about our Healthy Eating Active Living programs on page 17.

Southern California 2008 Community Benefit annual report

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Bringing our communities

back to basics

Eating and exercise are two of the most fundamental ways we, as human beings, take care of ourselves. But, making the right choices isnt always easy, especially in communities where produce is not readily available, junk food is prevalent, and where open spaces and safe, exercise-friendly areas arent easily accessed. Thats why Kaiser Permanente Southern California Community Benefit has made this a critical area of funding.

More than $2 million was invested in encouraging healthy eating and active living in our communities in 2008.

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Southern California 2008 Community Benefit annual report

Making healthy food choices

more appealing

More than just core curriculum, our schools are a place for learning about life. What would happen if we treated the cafeteria as a different kind of classroom? Thats what the Healthy School Food Coalition has done in the Los Angeles Unified School District. As a result of this groups efforts and the $50,000 it received in 2008 from Community Benefit, parents and students have seen important changes in what the second largest school district in the country is teaching our kids about eating. This collaborative of parents, students, and administrators has succeeded in having an impact throughout the district. From banning on-campus soda and junk food to obesity intervention and cafeteria improvements, changes are happening on every level. By encouraging the district to hire an executive chef to improve the menus, getting students involved in menu design, and an ongoing effort to eliminate the stigma of eating in the cafeteria, the collaborative has increased meal program participation and has ensured that our kids have healthy options and better food education.

Healthy Eating Active Living grants funded by Kaiser Permanente in 2008 $250,000 Trust for Public Land Partnership launch of outdoor fitness zones $100,000 WalkSanDiego efforts to improve pedestrian walkways for children $50,000 Healthy School Food Coalition policy-making efforts in the Los Angeles Unified School District to provide healthier food choices to our children

Helping communities exercise

their options

In areas where gyms are not available or economically viable options, how can we encourage exercise and make it a community priority? That is a question Community Benefit works closely with our grant partners to effectively answer. WalkSanDiego has been addressing these issues by creating a safer pedestrian environment in west Chula Vista, working with schools, citizens, promotoras, and local youth to improve the local neighborhoods environment for walking and biking and make areas like Lauderbach Park safer and more inviting. By clearing out overgrown plants and enhancing planned city improvements such as new restrooms, drinking fountains, and playground equipment, the WalkSanDiego grant has helped make these areas more secure and useable. In parks in Los Angeles County, the Trust for Public Land Partnership has transformed open, unused space into outdoor gyms. In the 11 fitness zone sites installed so far, the trust has found that expanding a communitys exercise options is very well received. From senior citizens working out together to parents using the equipment while they wait for their kids to finish baseball or soccer practice, the facilities are almost always busy. The easy-to-use equipment is ideal for any fitness level. And most importantly, the fitness zones have become hubs of community activity by creating a group atmosphere that feels safe and social and helps people be more active.

Learn more about our Healthy Eating Active Living programs on page 17.

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In 2008 Kaiser Permanente Southern California Community Benefit provided funding and support to 40 distinct programs and initiatives throughout our region, including: Access to Care
Fellows provide direct patient care and mentor residents and medical students in the provision of care in a variety of 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.

Medi-Cal Complex Case Management Program

Community Medicine Fellowship

The Medi-Cal Complex Case Management Program provides case managed services to high-risk Medi-Cal clients who have complex chronic conditions or special needs such as seniors and persons with disabilities. The program integrates and coordinates care and services across the continuum, including linkages between internal and external resources.

Medi-Cal Fee-for-Service

Grants to Hospitals and Medical Service Area

Grant funds are allocated annually to each of the 13 Kaiser Permanente hospitals and Kern County medical service area to support community benefit activities and projects outlined in the local community benefit plans and local community needs assessments. Most funding is in the form of charitable contributions to community coalitions, local government agencies, nonprofit 501(c)(3) organizations, and public schools.

Southern California Region hospitals provide health care on a fee-for-service basis for Medi-Cal beneficiaries not enrolled as Kaiser Permanente members. Reimbursement for some services usually is significantly below the cost of care.

Medi-Cal Managed Care

Health Insurance Outreach and Coverage

Kaiser Permanente supports activities related to health coverage for all uninsured children in California 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, California Kids and Kaiser Permanente Child Health Plan.

The 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 Assistance

Healthy Families

Healthy Families is a federal- and state-funded insurance program that provides low- and moderate-income families with comprehensive health insurance for children under age 19. To qualify, families must meet the federal income guidelines, and the children must be ineligible for Medi-Cal coverage.

The Medical Financial Assistance (MFA) program assists patients with limited or no resources to pay for care provided in Kaiser Foundation Hospital facilities. The MFA program is generally available to people in greatest financial need and provides discounted charges for uninsured patients below 400 percent of the federal poverty line.

Public Hospital Program

HIV/AIDS grants support community agencies throughout Southern California that serve the health care needs of people with HIV/AIDS. The funding categories for the grant include prevention, awareness, and/or treatment of individuals with human immunodeficiency virus. Kaiser Permanente Child Health Plan provides comprehensive benefits to children up to age 18 with family income up to 300 percent of the federal poverty level, who lack access to employersubsidized coverage, and do not qualify for public programs. Premiums are $8 or $15 per child per month, depending on family income, with low copayments for some services.

HIV/AIDS Grants

This effort provides support for the California Association of Public Hospitals and Health Systems (CAPH) to develop a long-term partnership with public hospitals. The California Health Care Safety Net Institute, CAPHs research and educational affiliate, works collaboratively with Kaiser Permanente to implement chronic conditions management, health and clinical education, community health, cultural competence, and informing policy.

Kaiser Permanente Child Health Plan

Raymond Kay Community Clinic Fellowship Program

The fellowship is a one-year assignment for registered nurse practitioners or physicians assistants to practice medicine at a community clinic in Southern California. Fellows provide care to underserved patients in community settings.

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Southern California 2008 Community Benefit annual report

This effort provides support to community clinics to improve access and quality care infrastructure, and extend partnerships to health departments and public hospitals. Focus areas include chronic disease management, specialty care, homeless services, quality improvement, nurse practitioner fellowship, access to primary care, HIV/AIDS, and senior health. Kaiser Permanente Steps Plan offers members the opportunity to continue their health care coverage at reduced cost when experiencing financial difficulty due to job loss, involuntary reduction in work hours, legal separation, divorce, or death of a spouse.

Safety Net Provider Partnership

Allied Health Care Education Scholarship Program

Steps Plan

Scholarships of up to $4,500 help California students pursue allied health care degrees. California Health Professions Education Foundation manages the program for Kaiser Permanente. Preference is given to students from underrepresented groups. Scholarship recipients must work or volunteer in a medically underserved area in California after graduation for a designated period.

Board of Registered Nurses Work Study Program

Healthy Eating Active Living

Grants to Hospitals and Medical Service Area
Grant funds are allocated annually to each of the 13 KP hospitals and Kern County medical service area to support community benefit activities and projects outlined in the local community benefit plans and local community needs assessments. Most funding is in the form of charitable contributions to community coalitions, local government agencies, nonprofit 501(c)(3) organizations, and public schools.

This program gives nursing students direct clinical experience before graduation, allowing them to enter the workplace with additional confidence and competence. This program helps educate the future nursing workforce and enables students to assume a nursing role more rapidly and safely.

Clinical Psychology Internship Training Program

Conducted under the Department of Psychiatry and Addiction Medicine, the program transitions interns from students to professionals by providing training in the roles and functions of 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 staff.

Healthy Eating Active Living (HEAL)

Community Health Promotion

HEAL promotes place-based healthy eating, active living programs, and other interventions to combat increased obesity rates. The initiative supports efforts by community providers and coalitions to bring community-wide medical, environmental, and social changes that can help decrease obesity.

Regional Health Education (RHE) provides health education programs, materials, and services, and also offers training sessions. RHE participated in specific community-focused projects and partnered with several nonprofit community agencies to provide additional services for several critical priority needs, including obesity, diabetes, asthma, and healthy eating and active living.

Sharing our Knowledge and Resources

Adjunct Faculty Support Program
Clinical instruction is provided for nursing programs utilizing a qualified Kaiser Permanente registered nurse staff to cohorts of 10-12 nursing students while they are on clinical rotation in a Kaiser Foundation Hospital facility.

Community Medicine Fellowship

Fellows provide direct patient care and mentor residents and medical students in the provision of care in a variety of 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.

The Southern California Department of Professional Education (DPE) offers advanced practice and allied health care providers programs designed to meet many of the primary and continuing educational needs of allied health care workers. For every symposium that is organized by DPE, the community is invited. Scholarships are provided for any provider in community clinics or hospitals that are in partnership with Kaiser Permanente.

Advanced Practice and Allied Health Care Educational Programs

Deloras Jones Nursing Scholarship Program

The scholarship provides financial assistance for students enrolled in any California nursing program to encourage and support advanced nursing training. Scholarships are based primarily on financial need and are awarded for 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 California State University (CSU), Fullerton, entered into a partnership to graduate registered nurses to the bachelor of science in nursing. Courses are open to both Kaiser Permanente and community registered nurses using a combination of interactive videoconference and the Internet. The master of science in nursing partnership began its first semester in August 2008 and concentrates on nursing leadership. In addition, these students may elect to take three additional courses offered by CSU, Fullerton, and earn a certificate in instructional design and technology.

Grants to Hospitals and Medical Service Area

Grant funds are allocated annually to each of the 13 Kaiser Permanente hospitals and Kern County medical service area to support community benefit activities and projects outlined in the local community benefit plans and local community needs assessments. Most funding is in the form of charitable contributions to community coalitions, local government agencies, nonprofit 501(c)(3) organizations, and public schools.

Hippocrates Circle

Educational Outreach Program

The dropout prevention program provides education and support services, primarily to Latino youth, ages 10 to 14, in the San Gabriel Valley area of Los Angeles County. Nine programs help students and parents with homework, study skills, and reading improvement and provide assessment of mental health needs in the community and summer enrichment sessions.

The Hippocrates Circle program is designed to increase the number of physicians in the medical field, especially in underserved communities, by instilling in young people of underrepresented minorities and both genders the awareness of a career in medicine. Through the collaborative efforts of school districts, medical schools, and Kaiser Permanente physicians and staff, Hippocrates Circle strengthens the self-esteem of young people and empowers them to pursue their goals through mentorship, education, and facilitated experience.

INROADS

Educational Theatre Programs

The 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 performances are delivered by professional actors who are also trained health educators and are free to schools and the general community.

Extremity/Sports Rehabilitation Fellowship Program

Kaiser Permanente partners with INROADS, an organization focused on developing underrepresented college students of color for leadership roles in the community. Student interns typically work two to five summers with the goal of permanent placement upon graduation from college, or continued education in the health care field. This developmental program enhances the diversity of the health care workforce.

The fellowship provides education in the specialty area of sports physical therapy and rehabilitation, with a focus on advanced training in examination and treatment procedures of extremity injuries in an active and post-surgical patient population with musculoskeletal conditions.

Graduate Medical Education

The fellowship provides education in the specialty area of manual therapy focusing on advanced training in manual examination and treatment procedures beneficial to patients with musculoskeletal conditions. This fellowship provides education in the specialty area of movement science, with a focus on advanced training in movement analysis, therapeutic exercise, and ergonomic instruction for patients with musculoskeletal conditions.

Los Angeles Orthopedic Manual Therapy Fellowship Program

Training and education are provided to medical residents in family medicine, internal medicine, obstetrics/gynecology, pediatrics, and psychiatry. As part of their training, several of the independent residents have rotations at school-based health centers, community clinics, and homeless shelters. These ambulatory settings provide primary medical care services to low-income children and adolescents, the homeless, and other vulnerable populations.

Movement Science Fellowship

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Southern California 2008 Community Benefit annual report

Nursing Practices Research Program

The program offers nurses the opportunity to engage in research on nursing practice, patient care, and patient outcomes to improve clinical practices. This program provides administrative and technical support for nurses to conduct, publish, and disseminate studies to improve patient care and practices as well as contribute to the knowledge base on nursing.

Raymond Kay Community Clinic Fellowship Program

The fellowship is a one-year assignment for registered nurse practitioners or physicians assistants to practice medicine at a community clinic in Southern California. Fellows provide care to underserved patients in community settings.

Research and Evaluation

Oliver Goldsmith, MD, Scholarship Program

The scholarship honors Oliver Goldsmith, MD, retired medical director of the Southern California Permanente Medical Group, and champion of culturally responsive care. Scholarships are awarded annually to medical students entering the third or fourth year of study who have demonstrated commitment to diversity through community service, clinical volunteerism, leadership, or research.

The Department of Research and Evaluation provides consulting, education, and administrative services to support Kaiser Permanente physicians and employees conducting research.

School of Anesthesia

Pharmacy Resident Post-graduate Training Programs

The program provides one- or two-year training for licensed pharmacists to gain additional experience in pharmaceutical care and administrative pharmacy services in a fully integrated, nonprofit 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.

The Kaiser Permanente School of Anesthesia for Nurses provides 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 master of science in nursing with a clinical specialty in anesthesia.

Summer Youth Employment Program

Physical Therapy Orthopedic Residency Program

The residency provides education in the specialty area of orthopedic physical therapy. Each year, the program offers physical therapy residency slots at Kaiser Permanente hospitals in Southern California. Graduates are eligible to sit for their board certification examination in orthopedic physical therapy and apply to participate in a physical therapy fellowship.

Kaiser 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 meaningful employment experiences in the health care field. Many former students are now employed with the organization as nurses, department administrators, lab technicians, opticians, and engineers.

Watts Counseling and Learning Center

Radiology Technology Training

Students enrolled in community college radiology technology programs can complete a full year clinical rotation required for certification as a radiology technologist at one of nine Kaiser Foundation Hospital facilities in Southern California. Some facilities offer students a stipend.

The Watts Counseling and Learning Center has been a valuable community resource for low-income, inner-city families in South Los Angeles. The center provides mental health and counseling services, assistance to children with learning disabilities, and pre-employment training for high school youth. In addition, it operates several programs including a state-licensed preschool program, a summer day camp, and scholarships for high school and post-secondary students.

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Kaiser Permanente Southern California 2008 Community Benefit Grants and Investments
Adjusted 2008 Combined Total Care & Coverage Charity Care - Medical Financial Assistance Program Charity Care - Charitable Coverage Programs Medi-Cal to Members Medi-Cal to Nonmembers Healthy Families Total Care & Coverage $ $ $ $ $ $ 26,752,209 70,203,531 178,474,686 42,871,010 39,486,081 357,787,517

Community Health Initiatives Programs and Services Grants and Donations for Community Health Initiatives Total Community Health Initiatives Safety Net Partnerships Grants and Donations for Community Clinics and other Safety Net Providers Total Safety Net Partnerships Knowledge Dissemination Medical Research Grants and Donations for Evidence-Based Medicine Grants and Donations for Public Policy Educational Theatre Programs Grants and Donations for Health Education Interns and Residents (Graduate Medical Education) Nurse Practitioner and other Nurse Training Programs Other Health Care Professional Training Programs Grants and Donations for Health Care Professionals T&E Total Knowledge Dissemination Other Community Benefits Self-Sufficiency Training and Education Programs Community Giving Programs Community Benefit Operations Board of Directors Fund Other Grants and Donations for Nonprofit Organizations Total Other Community Benefit TOTAL

$ $ $

789,972 4,441,707 5,231,679

$ $

22,079,157 22,079,157

$ $ $ $ $ $ $ $ $ $

3,959,680 360,000 1,582,943 4,381,603 628,716 21,640,851 4,239,417 2,741,266 1,606,683 41,139,159

$ $ $ $ $ $ $

4,233,214 24,237 3,653,629 443,930 1,036,673 9,391,683 435,629,195

20

Southern California 2008 Community Benefit annual report

Kaiser Permanente Southern California 2008 Community Benefit Annual Report Web: kp.org/communitybenefit/sca E-mail: so.cal.grants@kp.org

Southern California 2008 Community Benefit annual report