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Using Technology to Achieve Total Health
1. Driving Total Health with Health IT and Health 2.0
Ted Eytan, MD Holly Potter
The Permanente Federation, LLC Vice President of Public Relations,
twitter:@tedeytan Kaiser Permanente
twitter:@htpotter
2. Conflict of Interest Disclosure
Ted Eytan, MD • Holly Potter
• Salary
– The Permanente Federation, LLC (Eytan)
– Kaiser Foundation Health Plan (Potter)
3. Our Story: 2006 - 2010
Driving Total Health
Health Information Technology
as a tool
Health 2.0 as a potentiator
Measuring our efforts and
moving ahead
Kaiser Permanente
4. (Your) HIT will generate interest
For its potential to fail...
Source: http://articles.latimes.com/2007/feb/15/business/fi-kaiser15
Kaiser Permanente
5. (Your) HIT will generate interest
For its potential to succeed...
Source: http://www.signonsandiego.com/news/2010/jan/06/a-medical-
breakthrough-va-kaiser-to-share-records/ Kaiser Permanente
6. We Stand for Total Health
Integrated Health Care
Easy, Excellent,
Comprehensive
Commitment to Prevention
Address issues before they
become problems
Empowering of the whole person
Beyond health care - mind,
body, spirit
What you eat, the air you
breathe, the environment
you live in
Kaiser Permanente
7. Kaiser Permanente: By The Numbers
Doctor office visits} 36.7 million
Prescriptions filled} 129 million
Surgeries} 547,338
Mammograms (women ages 42 to 69 years)} 1.1 million
Colorectal cancer screenings} 1.6 million
Research and evaluation studies} 3,150
Biobank DNA samples collected} 110,000+
Peer-reviewed journal articles published} 700+
Community grants awarded} 2,400+
Environmental Leadership Awards} 27
HIMSS Analytics Stage 7 Awards} 24
Kaiser Permanente
8. KP HealthConnect® – Enabling Patient-Centered Care
My Health Manager, part of a
comprehensive electronic health
record
Ambulatory deployment
complete: 431 medical
offices live
Inpatient deployment nearly
complete: 29 Inpatient complete
March 2010: of 36 hospitals
36 hospitals live
live
24 HIMSS Stage 7 Hospitals
Kaiser Permanente
9. My Health Manager – How big?
4,000,000 Registered members
3,000,000 40% signed on 11
or more times (in
2008)
2,000,000
91% of members
1,000,000 satisfied or very
satisfied with
kp.org (survey in
0
1Q 072Q 07 3Q 07 4Q 07 1Q 08 2Q 08
3Q 08 4Q 08 1Q 09 2Q 09 3Q 09
4Q 09
2Q 2009)
Source: Kaiser Permanente Internet Services Group Web Analytics
Kaiser Permanente
10. Transforming, Streamlining a System
Kaiser Permanente, Hawaii: Visits per Member
In Person
5 Telephone
Secure E-mail
4
“For the majority of
(HEDIS Quality) measures
3
that were comparable,
performance remained
stable during the study
1 period.”
0
Jan 2006
August 2008
Source: Chen C, Garrido T, Chock D, Okawa G, Liang L. The Kaiser Permanente Electronic Health Record: Transforming And Streamlining
Modalities Of Care [Internet]. Health Aff. 2009 Mar 1;28(2):323-333.[cited 2009 Mar 11 ] Available from: http://content.healthaffairs.org/cgi/
content/abstract/28/2/323
Kaiser Permanente
11. ...while prioritizing quality
Breast Cancer Screening • HEDIS 2009
100%
90%
80%
NCQA
70% 2009 90th
Percentile
60%
50%
2006 2007 2008
Hawaii Region Georgia Region
Source: Kaiser Permanente Integrated Analytics; Data
is for commercial enrollees only; When I Grow Up
(Hawaii) - Kaiser Permanente YouTube Channel -
http://www.youtube.com/kaiserpermanenteorg
Kaiser Permanente
12. “Performance gets you the podium”
Jack Cochran, MD, CEO of The Permanente Federation
National Governor’s Association, Washington, DC
Kaiser Permanente
13. Providing care is inherently social
“Balancing Work and Family”
Kaiser Permanente YouTube Channel
http://www.youtube.com/kaiserpermanenteorg
15. A future social workspace
“A Dashboard to
My Job”
Heather Heart,
IT Support Manager, CO
Kaiser Permanente
16. Health 2.0 = Participation
“Health 2.0 is participatory healthcare. Enabled by information, software, and community that we collect or
create, we the patients can be effective partners in our own healthcare, and we the people can participate in
reshaping the health system itself.” - http://www.tedeytan.com/2008/06/13/1089
Dave Kate
(Patient) (Physician) Kaiser Permanente
17. Our Converging Paths
Ted Holly
(Washington) (California)
Informatics-Blog
Group Health Cooperative Informatics
HOME { 2006 04 14 }
The Andon Cord and Patient Safety in EpicCare
RECENT POSTS
1 . Seeing the Impact: New York “At any time during the production process at a
Times Journalism Institute Toyota plant, any team member who spots a
2 . Medication Reconciliation, at
problem can stop production by pulling the
37,000 feet
“andon cord” located next to the assembly line.
3 . QISTS ’07 Begin Today –
An andon board (left) lets supervisors know the
Nephrology
location of the problem with a blinking light and a
4 . Radiology Orders Default
distinct musical tone.”
Screen
5 . EnROL - Enhanced Record
This approach empowers employees to highlight defects and bring attention to their
Lookup Information Guide
solution without being penalized. When the line stops, everyone must stop what
they are doing and attend to the fix.
SEARCH
We have created a similar setup for EpicCare at Group Health. We now have
clinicians on call 24 hours a day, 7 days a week, to respond to any questions about
Find the functioning of EpicCare that are concerning for patient safety. In consultation
with the on call clinician, the “andon cord” will be pulled. When the cord is pulled, an
BASICS emergency response team will be assembled, which will do rapid analysis of the
About this Blog problem and make decisions about next step.
Subscribe to updates
The analogy here is the code team in a hospital, who will bring a code cart and
through e-mail preparation to diagnose the patient and act quickly. Pulling the andon cord does not
mean that Epic will be shut down; it simply means that a team will be assembled
RECENT COMMENTS quickly and other work will stop.
"As it so happens, we
The goal of this new process is “door to doc in 45 minutes.” We have had the
received a legal opinion
occasion already to use it in real time, and have been able to achieve this goal.
today..." (Ted Eytan on
The iPod as a Continuing Posted by Ted Eytan on Friday, April 14th, 2006, at 6:31 am, and filed under
Education device; and Safety. Popularity: 18%
allowance within CME Follow any responses to this entry with the RSS 2.0 feed.
budgets for purchase) You can post a comment.
Sources: Group Health Cooperative Informatics Blog (internal); The Health Care Blog: A Permanente Group Executive speaks
Kaiser Permanente
18. “Owning my own health care”
“Kaiser Permanente HealthConnect® at Home - Empowering People”
Kaiser Permanente YouTube Channel
http://www.youtube.com/kaiserpermanenteorg Kaiser Permanente
19. Why social media?
• Protect and promote the brand
• Extend the impact of traditional media
• Improve organic search results
• And ultimately, create brand
champions
Kaiser Permanente
20. News Center – kp.org/newscenter
On Twitter:
@KPNewsCenter
Also
@KPNorCal
@KPColorado
@KPNorthwest
@KPHawaii
@KPGANews
(Georgia)
Kaiser Permanente
21. Total Health Brand - kp.org/thrive
On Twitter:
@KPThrive &
@KPVivaBien
Kaiser Permanente
28. Our Social Media Policy
• Employees must not represent
KP views in social media
channels, at work or not, without
prior approval
• Aligns with Principles of
Responsibility
• Covers all social media channels
• Is a “living document” and will be
updated/revisited regularly
• http://tinyurl.com/kpsocialmediapolicy
Kaiser Permanente
30. Monitoring
• Weekly blog report since 2007
• Conducted baseline audit of multiple
platforms June-December of 2008
• Begun real-time monitoring and
database tracking 2009
Kaiser Permanente
31. Pitching: Unleashing the power of Twitter
(Good old- 400 media stories
fashioned PR work) about the study
Kaiser Permanente
32. Reached @ 2 million more via Twitter
Estimated 800 Tweets/RTs (in 8
languages), including LA Times,
Washington Post, CNN,
Huffington Post
Kaiser Permanente
34. Participating as people . . .
Ted Eytan, MD e-Health. Patient empowerment. Washington, DC. Home Content
Home About Portfolio Contact Subscribe to Updates Discussion
LATEST TWEET
Is it meaningful if patients can’t use it? No public Twitter messages.
Follow me on twitter
May 28th, 2009 by Ted Eytan | Popularity: 36% | Edit this entry 20 comments | show/add »
PREVIOUS ENTRY
Photo Friday: Jane and Bob at NCVHS
I attended a smallish get together yesterday organized by Christine Kraft to think about Health
Testimony
2.0 / DC in the epicenter type things, where we thought about some of the trends in social
NEXT ENTRY
media use, social media use by physicians and medical groups (I got a lot of help on this one),
Few are using HMSA’s Online
journalists, and finally, a real story about a patient’s experience, here in DC, that really brings to Care | HonoluluAdvertiser.com |
light a problem with a meaningful use definition that doesn’t include “and the patients can see The Honolulu Advertiser
the data.”
SIMILAR POSTS
I’ve been thinking about the idea that meaningful use must include “patients can see everything” 73 Cents : A New Monument to Patients, in Washington,
since ARRA came out, and see my first mention of it in the Twittersphere around April 22. I have DC
noticed since then that the idea seems to be picking up steam – initially I was told by some that Meaningful Meaningful Use
Photo Friday: Return Expectations to the Upright Position
this would be a “distraction” to the conversation. Now I’m sure that it’s not. Read on…
Moderating a Dream Panel at WHIT 5.0
This is the story of Regina Holliday – it’s really worth a read, and I’ll quote some of it here: How would you counsel this patient?
We will fight the good fight. Regina’s USA medical advocacy 2009 PHOTO
Why do we have more transparency in special education law then in medical care? Why do
we have more access to information on a box of Cheerios then on a medical chart? Why isn’t
Kaiser Permanente
