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Maternity Management

KEPRO Maternity Management works closely with your member and her physician to ensure the best outcomes for both mother and child.

One Baby in Eight is Born Prematurely in the United States Each Year. 

Premature babies have numerous medical issues, resulting in longer, more frequent hospitalizations, longer stays, and more office visits. Medical care costs average more than $100,000 each. Nationally, preterm births cost more than $26 billion annually. And the ordeal affects the health and well being of the entire family. 

Reduce Costs for Your Organization and Worry for Your Members. 

KEPRO Maternity Management decreases utilization due to pregnancy-related complications, premature births, and neonatal intensive care unit (NICU) admissions. Our program identifies and engages expectant mothers early in their pregnancies to keep moms and babies healthy and reduce pregnancy-related care costs. We help expectant mothers stay healthy through education, behavior modification, empowerment, and service coordination from the first trimester, to delivery, to the post partum period. Registered nurse (RN) case managers conduct thorough assessments to give us a complete health profile of each enrolled member. We then stratify each member based on her risk – low, medium, or high. 

KEPRO Ensures Compassionate Care for All Members, with Emphasis on those Most at Risk. 

We interact more frequently with members at higher risk of complications, and those suffering from chronic conditions, such as asthma or high blood pressure. Our interventions remove barriers that prevent members from complying with medical treatment plans prescribed by their physicians. To help prevent complications, we re-assess risk levels with every interaction, and no less than once per trimester. If there’s a change in risk, we adjust the frequency and intensity of our interventions accordingly. 

KEPRO Maternity Management works closely with your member and her physician to ensure the best outcomes for both mother and child. 

We’re Empowering Members with Innovative Wellness and Lifestyle Tools. 

KEPRO’s interactive programs empower all members to better understand maternity and lifestyle risks. They can use a variety of online tools to monitor their conditions and get valuable health tips, plus strategies to better manage their pregnancies and any existing conditions. 

Our case managers work to ensure that each expectant mother: 

  • Understands her actual and potential risks
  • Knows how to prevent and manage those risks
  • Recognizes signs and symptoms of complications
  • Knows what to do if symptoms occur 

We follow all members until released by their obstetricians after post partum check-ups, or up to three months after delivery, whichever is longer. Our post partum intervention includes assessing each member’s comfort level with basic childcare, plus screening for post partum depression. We address any signs of depression immediately and share them with the member’s obstetrician. 

KEPRO Delivers Proven Results and Improved Health Outcomes.

KEPRO works closely with expectant mothers to ensure they can manage their own conditions with the help of their obstetricians, while reducing many barriers to compliance with medical treatment plans. We also strive to lower your claims costs by lessening or eliminating complications. Then, we verify effectiveness by reporting on financial, clinical, and member satisfaction outcomes. 

We deliver a 3:1 return on investment for our maternity management clients by reducing: 

  • Use of emergency departments and acute inpatient admissions
  • Number of premature births
  • Neonatal intensive care unit (NICU) admissions/lengths of stay
  • Post-delivery complications
  • Birth-related complications
  • The impact of pregnancy-related or existing chronic conditions 

We make sure your members can understand and manage pregnancy-related and existing chronic conditions, as well as their medical treatment plans. KEPRO also evaluates their ability to work with their physicians and co-ordinate their own care. Our unique, comprehensive approach emphasizes education and collaboration between patients and physicians that helps avert unnecessary issues, all while promoting the best outcome for the health of the mother, the child, and your organization.

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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