What does Kaiser Permanente mean by "social media"?

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Presentation given at the Sidney R Garfield Center for Health Care Innovation, with other colleagues, on the potential for integrating social media into an integrated care system.

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What does Kaiser Permanente mean by "social media"?

  1. What does Kaiser Permanente mean by “social media”? Sidney R Garfield Center for Healthcare Innovation • July 24, 2012 Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan © 2012 The Permanente Federation, LLC Photograph: Ted Eytan, MD, http://flic.kr/p/cxjxxjWednesday, July 25, 12 1
  2. What does Kaiser Permanente mean by “Kaiser Permanente”? Who is being ser ved, and by how many people? § Who and what – A health system – Trusted relationships – Leadership excellence 9.0 million members § Total Health – Not “100% Health” 0.18 million staff – Not “more health” - health equality 0.05 million nurses 0.017 million MDs © 2012 The Permanente Federation, LLCWednesday, July 25, 12 2
  3. What does Kaiser Permanente mean by “Kaiser Permanente”? Source: http://www.kaiserpermanentecarestories.org/dale- gordon’s-appointment-for-a-swollen-knee-leads-to-life- saving-screening/ http://bit.ly/dalesstory © 2012 The Permanente Federation, LLCWednesday, July 25, 12 3
  4. The last time you had a health issue, did you get information, care, or support from….? Doctor/Health Professional Non-clinician source All patients 60% 32% 30% 70% 8% 2002 2011 Source: Fox S. The Social Life of Health Information, 2011. Washington, DC; 2011. Available at: http://www.pewinternet.com/Reports/2011/Social-Life-of-Health-Info.aspx © 2012 The Permanente Federation, LLCWednesday, July 25, 12 4
  5. What caregivers want from us | each other 100% Health Professional Patients, Friends, Family 75% 50% 25% 0% diagnosis, drug info, emotional support, quick treatment info, referral info remedies, day to day advice Source: Fox S, Brenner J. Family Caregivers Online. 2012. Available at: http://pewinternet.org/Reports/2012/Caregivers-online.aspx. © 2012 The Permanente Federation, LLCWednesday, July 25, 12 5
  6. 4 million members connected, via kp.org 4,000,000 members In a typical quarter 3 million emails 9 million test results reviewed 2,000,000 members 34 % sign on 5 or more times 20032005 2007 2009 Source: Kaiser Permanente Web Analytics 2012 (1Q)Wednesday, July 25, 12 6
  7. More : The relationship KP HealthConnect® – Enabling Patient-Centered Care Deeper, with mobile m.kp.org 16 % of visits to kp.org Apps 91,000 iOS downloads Source: Kaiser Permanente Web Analytics © 2012 The Permanente Federation, LLCWednesday, July 25, 12 7
  8. Leadership #KPMM12 © 2012 The Permanente Federation, LLCWednesday, July 25, 12 8
  9. The results : The most HEDIS #1’s Effectiveness of Care Measures Kaiser Permanente #1’s 41 • Comprehensive diabetes • Weight assessment for care — LDL control less than children — body mass 100 mg/dl (Hawaii Region) index percentile • Osteoporosis management • Counseling for nutrition in women who had a fracture for children (Northern California Region) • Counseling for physical 31 • Breast cancer screening, age 42–69 (Northwest Region) activity for children • Chlamydia screening in women (ages 16–20, • Pharmacotherapy 21–24 and total) Management of chronic • Appropriate testing for obstructive pulmonary children with pharyngitis disease (COPD) • Appropriate use of exacerbation — medications for people 21 bronchodilator (Northwest Region) • Cholesterol management with asthma (ages 12– 50, total) • Comprehensive diabetes (coronary artery disease), care — LDL control less LDL level less than 100 mg/ than 100 mg/dl dl (Colorado Region) • Comprehensive diabetes • Follow-up after care — medical attention 10 hospitalization for mental illness — 30 days (Colorado 11 for nephropathy • Antidepressant 9 Region) • Controlling high blood pressure — cardiovascular medication management (effective acute phase) • Antidepressant (Hawaii Region) medication management • Potentially harmful drug- (effective continuation disease interaction — total phase) (Hawaii Region) • Annual monitoring for 0 • Weight assessment for patients on persistent adults — body mass index medications — percentile (Georgia Region) anticonvulsants Medicare Commercial © 2012 The Permanente Federation, LLCWednesday, July 25, 12 9
  10. Our ancestors opened doors, and minds § “We believe any group of physicians can easily duplicate the Kaiser Permanente success.” § “Medical school faculties should point out the advantages and disadvantages of all methods of practice to these young men so that Nurse Elise Cook and Dr. Sandy MacColl they can choose Group Health Cooperative wisely.” Sidney Garfield, MDWednesday, July 25, 12 10
  11. Source: Lots to Lose: How Americaâ™™s Health and Obesity Crisis Threatens Our Economic Future. Washington, DC; 2012. Available at: http://bipartisanpolicy.org/library/lotstolose.Wednesday, July 25, 12 11
  12. The results Source: Ted Eytan, MD; http://tedeytan.com/tag/sdoh-tour © 2012 The Permanente Federation, LLCWednesday, July 25, 12 12
  13. Integration § “The scary part to me, when I do the math, is 8.8 million members X 181,000 physicians/employees, squared by an audience of 750 million on Facebook, divided by the manpower were prepared to commit to it. Youd need Oppenheimer and a Cray to figure that one out!” – Vince Golla, Digital Media and Syndication Director, Kaiser Permanente, August 30, 2011 “Marcia Wellbyte, MD” – Kaiser Permanente Northwest Family Physician Persona – Piloting “Medical Home” model of care – Innovative, Accomplished, Compassionate, Prevention and Population Focused – Stretched for time 13 #SMCareDelivery + @KPGarfieldWednesday, July 25, 12 13
  14. Audrey Crist, MD, Family Physician, Portland, OregonWednesday, July 25, 12 14
  15. The WHY for physicians - ( 4 ½ Reasons ) Medicine and Management Program, Session II, Colorado Springs, July 26, 2012 Ignite Format - 5 minutes, 15 seconds per slide • #KPMM12 © 2012 The Permanente Federation, LLCWednesday, July 25, 12 15
  16. Challenges • Opportunities §Extending, not duplicating services §Supporting, not interfering with the relationship §Total health, not just individual behavior §Involving our members in our decisions §Knowing that we’re not that smart, our ideas are not that unique (sometimes) © 2012 The Permanente Federation, LLCWednesday, July 25, 12 16
  17. Help is here - #patientsincluded § “It is too easy IMHO to state : "well we are all patients" , "it is all about patients" or this one : "we KNOW what our patients want" well .....YOU DONT. “ – Lucien Engelen - – “No show patients on conferences: Patients Included” - http://lucienengelen.posterous.com/no-show- patients-on-conferences © 2012 The Permanente Federation, LLCWednesday, July 25, 12 17
  18. Manny Hernandez @askmanny © 2012 The Permanente Federation, LLCWednesday, July 25, 12 18
  19. © 2012 The Permanente Federation, LLCWednesday, July 25, 12 19
  20. Nikolai Kirienko @ nikolaikirienko © 2012 The Permanente Federation, LLCWednesday, July 25, 12 20
  21. © 2012 The Permanente Federation, LLCWednesday, July 25, 12 21
  22. The relationship, one more time. Source: www.youtube.com/watch?v=iPxOcewBVrM © 2012 The Permanente Federation, LLC http://bit.ly/gennasstoryWednesday, July 25, 12 22

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