The PatientMid-Atlantic Healthcare Informatics Symposium • April 26, 2013Ted Eytan, MD MS MPH • The Permanente Federation, LLC • twitter: tedeytanPhysician Director, Kaiser Permanente Center for Total Health • kp.org/centerfortotalhealth

© 2013 The Permanente Federation, LLC | Photo credit: Ted Eytan, MD

To heal, you have to not harm

NHS England

KP

0.8675'MtCO2e 5.04'MtCO2e'(energy'only)

9'million'members178,000'employees

37'hospitals611'medical'office'buildings'

607'other'faciliGes

52'million'people

MtCO2e : Metric Tonne (ton) Carbon Dioxide Equivalent, 2010 Reporting YearSource: http://www.theclimateregistry.org/ ; http://www.sdu.nhs.uk/sd_and_the_nhs/

doctor | 19th century

!24/7 access worldwide!9,000,000 members can –email their doctor–check lab test results–order prescription refills–manage appointments

patient | 21st century

2,500,000 members

5,000,000 members

2003 2005 2007 20092012 (4Q)

4.2 million members connected, via kp.org

Source: Kaiser Permanente Web Analytics, updated 03/13/13

2,500,000 members

5,000,000 members

2003 2005 2007 20092012 (4Q)

4.2 million members connected, via kp.org

Source: Kaiser Permanente Web Analytics, updated 03/13/13

In the 4th Quarter 20123.3 million emails8 million test results reviewed765 thousand appointments made32 % signed on 5 or more times

Being there

Source: https://twitter.com/tedeytan/cpmg-pilot

Being there

“A six metre high mural by Regina Holliday..to draw attention to the failings of the US health system” - BMJ, September, 2009

Being there

“Bouncing a Ball Alone: Grokking Failure” - Henry Ford Health System, Detroit, November, 2012

© 2013 The Permanente Federation, LLC

Health doesn’t happen here

It happens here

It happens here

La Mesa Medical Offices, California Photograph: Ted Eytan, MD, http://www.flickr.com/photos/taedc/8382776635/12

“Kaiser (Permanente) is so far past faxing orders that they’re into sustainable apples”-Jess Jacobs, April, 2013

seeing that there is a long list of crazy administrative headaches shows how very broken the communication process is for every single step of getting healthcare.

http://http://jessjacobs.me/my-intravenous-lecture/ @jess_jacobs

next year’s medical challenge: waste

http://http://jessjacobs.me/my-intravenous-lecture/ @jess_jacobs

Let’s Dialogue.