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Consumer e-Health : A new era of listening
        Acceleration and Tipping Points, ONC Meeting, 11/17/11
        Ted Eytan, MD MS MPH • Kaiser Permanente • The Permanente Federation • twitter: tedeytan




        © 2011 The Permanente Federation, LLC




Thursday, November 17, 11                                                                          1
Tweet us! @tedeytan • @kpnewscenter
Thursday, November 17, 11                                         2
Primary Care only happens here?




Thursday, November 17, 11            3
Thursday, November 17, 11   4
23 seconds
        Listening, pre-2000
                              18 seconds




       Length of patient
       opening statement
       before “redirection”




                               1984        1999



Thursday, November 17, 11                               5
Thursday, November 17, 11   6
3.7 million members connected, via kp.org
                                               4,000,000 members




                                               2,000,000 members




    2003 2005
                            2007   2009   6/2011
Thursday, November 17, 11                                          7
and 350,000 Caregivers , too
               Parents and Children acting on behalf of loved ones

                                                350,000 caregivers




                                               275,000 caregivers




           2010                              200,000 caregivers
                                        8/2011

Thursday, November 17, 11                                            8
Listening, 2011

        §8.3 million secure emails sent
        §20 million test results viewed
        §45 million clinical telephone calls
        §Tweeting @KPMemberservice


Thursday, November 17, 11                       9
“Before, health care was
                                           something that happened at a
                                            hospital. Now I can own it.”




                   “I’d be up a creek….”




Thursday, November 17, 11                                                  10
Better care: Blood pressure controlled
                                              85%

                                                    KP member


                                             73%
                                                    US 90th %



                                              60%
 2005                       2006   2007   2008


Thursday, November 17, 11                                       11
Better care: Blood pressure controlled
                            Significant? How        85%
                            about p<0.0001                  + email



                                                   73%
                                                          US 90th %



                                                    60%
2005                         2006         2007   2008


Thursday, November 17, 11                                             12
Thursday, November 17, 11   13
Failure to Notify, Abnormal Tests

                            Lab   7.1%



         92.9%




           An EHR did NOT close this gap!


Thursday, November 17, 11                               14
What will happen next?




                     15


Thursday, November 17, 11       15
Audrey Crist, MD, Family Physician, Portland, Oregon
Thursday, November 17, 11                                                     16
Book
                            appointments,
                             send email,
                            get labs, visit
                             summaries



Thursday, November 17, 11                     17
Thursday, November 17, 11   18
Wish you were here,
                            Colorado Springs




Thursday, November 17, 11                         19
Thursday, November 17, 11   20
Thursday, November 17, 11   21

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2011 ONC Annual Meeting - Ted Eytan, MD - Ignite Presentation

  • 1. Consumer e-Health : A new era of listening Acceleration and Tipping Points, ONC Meeting, 11/17/11 Ted Eytan, MD MS MPH • Kaiser Permanente • The Permanente Federation • twitter: tedeytan © 2011 The Permanente Federation, LLC Thursday, November 17, 11 1
  • 2. Tweet us! @tedeytan • @kpnewscenter Thursday, November 17, 11 2
  • 3. Primary Care only happens here? Thursday, November 17, 11 3
  • 5. 23 seconds Listening, pre-2000 18 seconds Length of patient opening statement before “redirection” 1984 1999 Thursday, November 17, 11 5
  • 7. 3.7 million members connected, via kp.org 4,000,000 members 2,000,000 members 2003 2005 2007 2009 6/2011 Thursday, November 17, 11 7
  • 8. and 350,000 Caregivers , too Parents and Children acting on behalf of loved ones 350,000 caregivers 275,000 caregivers 2010 200,000 caregivers 8/2011 Thursday, November 17, 11 8
  • 9. Listening, 2011 §8.3 million secure emails sent §20 million test results viewed §45 million clinical telephone calls §Tweeting @KPMemberservice Thursday, November 17, 11 9
  • 10. “Before, health care was something that happened at a hospital. Now I can own it.” “I’d be up a creek….” Thursday, November 17, 11 10
  • 11. Better care: Blood pressure controlled 85% KP member 73% US 90th % 60% 2005 2006 2007 2008 Thursday, November 17, 11 11
  • 12. Better care: Blood pressure controlled Significant? How 85% about p<0.0001 + email 73% US 90th % 60% 2005 2006 2007 2008 Thursday, November 17, 11 12
  • 14. Failure to Notify, Abnormal Tests Lab 7.1% 92.9% An EHR did NOT close this gap! Thursday, November 17, 11 14
  • 15. What will happen next? 15 Thursday, November 17, 11 15
  • 16. Audrey Crist, MD, Family Physician, Portland, Oregon Thursday, November 17, 11 16
  • 17. Book appointments, send email, get labs, visit summaries Thursday, November 17, 11 17
  • 19. Wish you were here, Colorado Springs Thursday, November 17, 11 19