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FAQ Public And Commercial


Why should I consider a focused specialty case management program such as Pregnancy Management?

Pregnancy should be a happy time. But of the four million-plus pregnancies not voluntary terminated in the U.S. in 2011, nearly 700,000 babies were lost due to complications and stillbirths (The American Pregnancy Association). Every year in the United States:

  • 875,000 woman experience one or more pregnancy complications
  • 458,952 babies are born to mothers without adequate prenatal care
  • 467,201 births are premature (11.7% of all births)
  • 307,030 babies are born with low birth weight
  • 154,051 children are born with birth defects
  • 27,864 infants die before their first birthday

The National Academy of Science estimates that premature births cost at least $26.2 billion per year. According to the March of Dimes, direct health care costs to employers for premature babies during their first year averaged $41,610 compared to $2,830 for babies born healthy and full term. Costs of missed work and disability for the first year averaged an incremental $2,766 per premature baby compared to a health full term baby.

But not all the news is bad. According to the March of Dimes, in 2011, the U.S. premature birth rate dropped to 11.7 percent, the lowest in a decade. That means that thousands of additional babies are getting a healthy start in life. And Americans are saving billions in health and social costs. Best in class maternity management programs that identify potential risk factors and work with expectant mothers to help ensure a healthy delivery and baby are contributing to these positive trends.

The Positive Impact of Maternity Management Programs

Maternity management programs team a nurse with each expectant mother to reduce pregnancy-related complications for actual and potential high risk maternity participants. This improves health outcomes for both mom and baby, while reducing medical costs.

KEPRO offer a best in class maternity management program that delivers intelligent value to our clients. Our primary program goals include:

  • Identifying actual and potential health risks at the earliest opportunity
  • Reducing premature births
  • Increasing participant awareness of signs of complications, alleviating them, and when to call the doctor 
  • Increasing self-management or actual or potentially identified risk factors
  • Improving communication and coordination between mother and provider
  • Identifying who may be at risk for (or who have developed) postpartum depression

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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