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Why should I consider a focused specialty case management program such as End of Life Care?

Advanced illness/end of life care costs over the last two years of life averages at $58,000. Research shows that end of life programs can decrease costs by about 33 percent. Cost for members enrolled in an end of life program average $12,500 compared to $20,000 - $30,000 for members not enrolled. (Annals of Internal Medicine, July 3, 2012)

End of life programs remove barriers to hospice early access and provide alternatives to treatment and palliative care that do not require forgoing life-sustaining treatment. These programs also ensure that patients and families discuss their preferences before the patient becomes seriously ill, and that providers and family members respect those wishes. KEPRO’s advanced illness/end of life program does just that by providing valuable resources for decision support, quality of life management, and dignity. Our interventions maximize each participant’s quality of life, reduce/manage depression, support advanced illness care decisions, provide advance directive education, and optimize pain management.

Our case managers work with participants to identify care wishes and communicate them to loved ones while they are still able. We help each participant address difficult topics, such as living wills, do not resuscitate orders, palliative care, Medical Powers of Attorney, organ donation, and hospice. Our case managers are trained to understand and respect cultural and spiritual beliefs. We help participants get their affairs in order, and achieve quality of life/peace of mind in their remaining days. Additional program components include:

  • Working with providers to prevent service fragmentation and advocating for the participants
  • Comprehensive education and discussion to foster shared decision making
  • Advance care planning
  • Educating and supporting participants and their families
  • 24/7 access to palliative care managers

We also make the member as comfortable as possible by ensuring that pain medication is prescribed by the physician, consistent with the participant’s condition/tolerance and the advance directives, and that it is effective. The case manager coordinates with the participant’s physician if/when pain management issues occur. When the time comes, we help with the transition to hospice and provide emotional support for the participant and family.

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Please describe KEPRO data security that ensures member information is protected.

As an organization that is charged with storing and transferring Protected Health Information (PHI), KEPRO is bound by HIPAA regulations, and is accustomed to managing the security and privacy of PHI. KEPRO currently exchanges data successfully and confidentially via secure encrypted means in support of all of our federal, state, and local government programs, and with commercial clients.

KEPRO has been implementing and supporting systems that require medical record, data security, and transmission for more than a quarter of a century, and has always placed primary importance on using systems that allow for fast and efficient connectivity, while still providing the highest level of data and system security. Our proven internal and external policies and protocols ensure compliance with state and federal laws and regulations, as well as any additional security measures you may require.

We have a stringent KEPRO Comprehensive Confidentiality Plan that governs our processes. KEPRO’s Privacy Officer, Security Officer, and the Compliance Officer have ultimate responsibility for oversight of the processes and procedures contained in the KEPRO Comprehensive Confidentiality Plan.

KEPRO's system is secure. Our information systems are secured by an in-depth strategy that utilizes multiple layers of operational, management, and technical controls to protect KEPRO assets. We also employ software programs designed to prevent unauthorized use by staff or outside entities.

All KEPRO information systems employ common security controls such as Firewalls, Anti-virus, Role Based Access, FIPS 140-2 Encryption for mobile devices, and the requirement of strong passwords. Information system users are assigned a security role based upon access requirements relevant to their positions and information/program privileges.

The HIPAA Security Rule requires entities to implement information systems that control access to healthcare and related systems. KEPRO adopts a subset of NIST 800-53 Rev 3 Security controls to maintain compliance with HIPAA. Based on these security standards, KEPRO mitigates risk to its Information system by focusing on such controls as:

  • Log-In Security. HIPAA security requires the use of secure User IDs and the use of passwords. KEPRO requires multiple account authentication processes within its information systems to verify the identities of our end-users. KEPRO's policy requires strong passwords that are changed frequently.
  • Access Control. HIPAA requires one of the following: Context Based Access, Role Based Access, or User Based Access. User Based Access is part of the Log-In Security component. KEPRO's Role Based Access gives individual users access relevant to their function in the organization.
  • Audit Trail. HIPAA requires the use of an audit trail to identify who accesses PHI. KEPRO systems track those who change the patient record, the date and time the record was modified, and the specific information changed. The system includes a read only audit trail that captures each time a system user views a case.
  • Session Time-out. KEPRO information systems account for session inactivity by locking screens after 10 minutes of inactivity.
  • KEPRO's physical space is secure. KEPRO’s computer, telephone, and hardware systems are located in climate controlled rooms with fire-suppression and electronic locking system. We allow only authorized access to the room.
  • KEPRO focuses training on confidentiality and security issues. All KEPRO employees undergo rigorous training on security and confidentiality of PHI. We have successfully provided this training to all staff regardless of their respective roles/duties.

KEPRO Headquarters

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777 East Park Drive, Harrisburg, PA 17111
Toll-free: 800.222.0771
Phone: 717.564.8288
Fax: 717.564.3862