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Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente
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Healthy People Healthy Environments (Climate Change and Health Care), Ted Eytan, MD, Kaiser Permanente

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Presentation at American College of Preventive Medicine on Climate Change and Health and Health care.

Presentation at American College of Preventive Medicine on Climate Change and Health and Health care.

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  • 1. Healthy Environments, Healthy PeopleAmerican College of Preventive Medicine, February 22, 2012Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan © 2012 The Permanente Federation, LLC 1
  • 2. Healthy Environments, Healthy PeopleAmerican College of Preventive Medicine, February 22, 2012Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan © 2012 The Permanente Federation, LLC Photograph: Ted Eytan, MD, http://flic.kr/p/b4iXjD 2
  • 3. Healthy Environments, Healthy PeopleAmerican College of Preventive Medicine, February 22, 2012Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan © 2012 The Permanente Federation, LLC Photograph: Ted Eytan, MD, http://flic.kr/p/a1f8Q6 3
  • 4. Healthy Environments, Healthy PeopleAmerican College of Preventive Medicine, February 22, 2012Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan © 2012 The Permanente Federation, LLC Photograph: Ted Eytan, MD, http://flic.kr/p/bxvCwH 4
  • 5. Healthy Environments, Healthy PeopleAmerican College of Preventive Medicine, February 22, 2012Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan © 2012 The Permanente Federation, LLC Photograph: Ted Eytan, MD, http://flic.kr/p/bvY388 5
  • 6. Why. “Dream Grounds for a Dream Hospital”Source: http://kasierpermanentehistory.org ; Joe Bialowitz, MS, HEM, Senior Environmental Stewardship Consultant, Kaiser Permanente 6
  • 7. Why. “Showcases of modern, green hospital design”Source: http://xnet.kp.org/centralvalley/pages/green_features/green_features.html ; http://xnet.kp.org/newscenter/pressreleases/scal/2012/011712sandiegosolar.html 7
  • 8. How - Better food 8
  • 9. How - Better food 8
  • 10. How - Better foodSource: http://www.nytimes.com/2010/09/22/dining/22doctors.html 9
  • 11. How - Better food § 190 tons of fruits and vegetables served to patients sustainably produced (50% of total) § Milk, yogurt free of rBGH § Cage-free shelled eggs § Partnership with UCSF, John Muir, others for Regional Produce Sourcing ProjectSource: http://www.nytimes.com/2010/09/22/dining/22doctors.html 9
  • 12. How - Better food § 190 tons of fruits and vegetables served to patients sustainably produced (50% of total) § Milk, yogurt free of rBGH § Cage-free shelled eggs § Partnership with UCSF, John Muir, others for Regional Produce Sourcing ProjectSource: http://www.nytimes.com/2010/09/22/dining/22doctors.html 9
  • 13. How - Safer Chemicals January 19, 2012Source: http://xnet.kp.org/newscenter/pressreleases/nat/2012/011912ecofriendlyIVbags.html 10
  • 14. How - Safer Chemicals January 19, 2012Source: http://xnet.kp.org/newscenter/pressreleases/nat/2012/011912ecofriendlyIVbags.html 10
  • 15. How - Safer Chemicals § IV solution bags and IV tubing sets – 9.2 million and 4.9 million per year – 100 tons of medical products § Products in use now free of PVC and DEHP January 19, 2012 – PVC : Cancer, through dioxin generation – DEHP : Neuroendocrine abnormalities § Product change saves $5 million / yearSource: http://xnet.kp.org/newscenter/pressreleases/nat/2012/011912ecofriendlyIVbags.html 10
  • 16. How - Better care models: Blood pressure control 85% KP member 73% US 90th % 60%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. Available at: http://content.healthaffairs.org/cgi/content/abstract/29/7/1370 [Accessed July 7, 2010]. 11
  • 17. How - Better care models: Blood pressure control Significant? How 85% about p<0.0001 + email 73% US 90th % 60%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. Available at: http://content.healthaffairs.org/cgi/content/abstract/29/7/1370 [Accessed July 7, 2010]. 12
  • 18. Environmentally responsible, too Health Affairs, May 2011: “Kaiser Permanente Study Finds Use of Electronic Health Records Reduces Carbon Emissions, Waste and Water Consumption” Poten&al  CO2  emissions  reduc&ons  as   much  as  1.7  million  tons  across  the  en&re   U.S.  popula&on  Source: Turley M, Porter C, Garrido T, et al. Use of electronic health records can improve the health care industry’s environmentalfootprint. Health affairs (Project Hope). 2011;30(5):938-46. Available at: http://content.healthaffairs.org/cgi/content/abstract/30/5/938[Accessed January 3, 2012]. 13
  • 19. 3.7 million members connected, via kp.org 4,000,000 members 2,000,000 members2003 2005 2007 2009Source: Kaiser Permanente Web Analytics 2011 (3Q) 14
  • 20. 3.7 million members connected, via kp.org 4,000,000 members 2011 (Jan - Oct) 10.8 million secure emails sent 2,000,000 members 25 million test results viewed 4.9 million past visits reviewed Tweeting @KPMemberservice2003 2005 2007 2009 2011 (3Q)Source: Kaiser Permanente Web Analytics 14
  • 21. Warm Greetings from Colorado SpringsSource: Ted Eytan, MD 15
  • 22. How much? (2010) 52  million  people 8.9  million  members 178,000  employees 36  hospitals 454  medical  office  buildings   NHS England KP 0.8675  MtCO2e 5.04  MtCO2e   (energy  only)MtCO2e : Metric Tonne (ton) Carbon Dioxide EquivalentSource: http://www.theclimateregistry.org/ ; http://www.sdu.nhs.uk/sd_and_the_nhs/ 16
  • 23. For whom§ Still horrified by the waste he regularly sees around him in hospitals, kidney patient Mr (Andrew) Williamson: “If carbon reduction became all pervasive in hospitals and doctors’ surgeries, and if it was in your face that they were taking it really seriously, it could have a transformative effect on people, in the same way it happened with smoking, when doctors were leading that change.”Source: Moynihan R. The greening of medicine. BMJ. 2012;344(jan16 1):d8360-d8360. Available at: http://www.bmj.com/content/344/bmj.d8360 ; http://sustainablehealthcare.org.uk/green-nephrology/news/2012/01/zero-waste-challenge-2012 17
  • 24. Catalyzed by…§ “We aspire to provide health care services in a manner that protects and enhances the environment and the health of communities now and for future generations.”§ “Climate change will cause health effects that will directly impact Kaiser Permanente’s ability to fulfill our promise of quality affordable care. We will take practical actions to limit our emissions of greenhouse gases and will help reduce the carbon footprint of the communities we serve.” Vision  for  Environmental  Stewardship  &   Guideline  for  Climate  ChangeSource: Kaiser Permanente Environmental Stewardship, Strategies, Principles, and Guidelines;http://blog.epa.gov/blog/2009/10/15/healthy-health-care-leader-kaiser-permanente/ Ted Eytan, MD 18
  • 25. Catalyzed by…§ “We aspire to provide health care services in a manner that protects and enhances the environment and the health of communities now and for future generations.”§ “Climate change will cause health effects that will directly impact Kaiser Permanente’s ability to fulfill our promise of quality affordable care. We will take practical actions to limit our emissions of greenhouse gases and will help reduce the carbon footprint of the communities we serve.” Vision  for  Environmental  Stewardship  &   Guideline  for  Climate  ChangeSource: Kaiser Permanente Environmental Stewardship, Strategies, Principles, and Guidelines;http://blog.epa.gov/blog/2009/10/15/healthy-health-care-leader-kaiser-permanente/ Ted Eytan, MD 18
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