© 2010 The Permanente Federation, LLC

Using Technology to Achieve Total HealthTED EYTAN, MD, MS, MPH • 2010 CONSUMER HEALTH CARE CONGRESS

Kaiser Permanente | Twitter: tedeytan

Photo: DDOT, Washington, DC : http://flic.kr/p/8BKyu6

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Why Total Health? Why not?

Integrated Health CareEasy, Excellent, Comprehensive

Commitment to PreventionAddress issues before they become problems

Empowering of the whole personBeyond health care - mind, body, spiritWhat you eat, the air you breathe, the environment you live in

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In the words of a patient(and we will all be patients one day)

“Kaiser Permanente HealthConnect® at Home - Empowering People”

youtube.com/kaiserpermanenteorg

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Technology does not replace us...

“Where do you go for help with health or medical issues?

0%

25%

50%

75%

100%

Health Professional Friend/Family internet books/print insurance provider other

Source: Pew Internet & American Life Project: The Social Life of Health Information, June 2009, http://pewinternet.org/Reports/2009/8-The-Social-Life-of-Health-Information.aspx

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We use it to improve the care we provide

60%

68%

75%

83%

90%

2005 2006 2007 2008

Source: (Zhou YY, Kanter MH, Wang JJ, Garrido T. Improved Quality At Kaiser Permanente Through E-Mail Between Physicians And Patients. Health Affairs. 2010 ;29(7):1370-1375.)

Didn’t use E-mail Used E-mail

Kaiser Permanente Southern California

% Members with high blood pressure under control

2005 - 2008

HEDIS 90th Percentile, 2008

70.3 %

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And you will, too.

Jack Cochran, MD, Executive Director of The Permanente FederationNational Governor’s Association, Washington, DC

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Kaiser Permanente physician : 2007

Victor Silvestre, MDOakland, CA

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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 complete:36 hospitals live

24 HIMSS Stage 7 Hospitals

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We connect with over 3 million members...

0

800,000

1,600,000

2,400,000

3,200,000

Q3 ‘03 Q1 ‘05 Q1 ‘07 Q1 ‘08Q2 ‘10

Registered members

Second Quarter 20102,663,429 e-mails sent to doctors

2,034,488 prescriptions refilled

And...

Patient-Physician e-mail associated with better quality scores (Zhou YY, Kanter MH, Wang JJ, Garrido T. Improved Quality At Kaiser Permanente Through E-Mail Between Physicians And Patients. Health Affairs. 2010 ;29(7):1370-1375.)

Source: Kaiser Permanente Internet Services Group Web Analytics

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...and their family members who are caregivers

“Balancing Work and Family”Kaiser Permanente YouTube Channelhttp://www.youtube.com/kaiserpermanenteorg

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Who are significant job impacts as caregivers

Source: Caregiving in the United States, 2009http://www.aarp.org/relationships/caregiving/info-12-2009/caregiving_09.html

2004 2009

62%

69%

Job impact while caregiving

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Involving members and families betternew My health manager pharmacy center - live in 2010-2011

Convenient dropdown box to refill prescriptions for “Act for a family member”

Option to refill a prescription for someone else (prescription number needed)

Add someone to your list

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Helping families grownew My health manager Pregnancy center

New layout

Information and organization user -tested by pregnant women

Relevant health messages, linked to My health manager

kp.org/pregnancy

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Moving people from information to actionnew My health manager Pregnancy center

Link members to prenatal education, facility services

and baby care classes

Link members to appointments, e-mail, labs, visit summaries

kp.org/pregnancy

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Workforce health

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Healthy lifestyle programs

kp.org/healthylifestyles

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Kaiser Permanente HealthWorks

Online access to health resources and rewards programs

30 HealthWorks microsites deployed for employer groups in California and Hawaii

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“Your Company” Microsite

Over 1,400 co-branded websites

Group specific benefit and enrollment information

Access point to Tools Worksite wellness

programs

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Growing a healthier health care system

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Building, buying, eating green

Energizing our facilities with solar power

Eliminating unhealthy materials from our building

Zero exporting of e-wasteSourcing food locally;

creating hospital based farmer’s markets

Green Resource Center: http://xnet.kp.org/newscenter/aboutkp/green/index.html

Source: 2009 EPA Pacific Southwest Environmental Awards, http://www.epa.gov/region09/awards/09/index.html; “Healthy Health Care Leader - Kaiser Permanente,” http://blog.epa.gov/blog/2009/10/15/healthy-health-care-leader-kaiser-permanente/;

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Some things will never change

Sidney Garfield, MD summed things up … in a simple phrase,

“The people of this country ... donʼt want to get sick.”

“History of Total Health” blog:http://www.kaiserpermanentehistory.org/

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Some things have: Integrated care, 2010

youtube.com/kaiserpermanenteorg

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© 2010 The Permanente Federation, LLC

Thank you.

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