Historical Records Validation Program

Kaiser Permanente Washington's Historical Records Validation Program (HRVP) allows providers to submit evidence of breast, cervical, and colorectal cancer screenings, diabetic retinal exams, and Patient Health Questionnaire 9 (PHQ-9) performed but not submitted through claims to Kaiser Permanente. Evidence can also be submitted to permanently exclude a patient from a screening population based on clinical history. This information is then used to suppress future patient reminders for care and to develop more accurate screening rates.

How to participate

Review patient care gaps
In addition to their own internal reporting, network primary care providers can review Kaiser Permanente’s monthly Population Report to determine which of their assigned patients may be due or overdue for screening. If you have not received your organization’s Population Report, contact KP Network Quality Program Manager at KPWA.Quality@kp.org.

Review patient histories and store outside records
Patients sometimes tell their care team about, or provide record of, screenings and care performed elsewhere or covered by another health plan, or reasons they no longer need screenings. Providers who have outside records or document these conversations during an office visit can use this information as evidence of meeting screening measures.

Compare your records against the Population Report to determine if any care gaps can be closed by submitting documentation. Keep in mind that claims may take up to 90 days to be reflected in reporting.

Submit documentation
Email applicable records along with a copy of the HRVP Tab in your Population Report indicating which members you are sending documents on to HRVP@kp.org. The information may also be sent via fax to 1-800-826-8396.