Presentation for LGBTQ health series for Kaiser Permanente physicians, nurses, staff, on designing healthy and safe health care facilities for all humans.

1. Designing Healthy and Safe Health
Care Spaces for LGBTQ People
Ted Eytan, MD (“he, him”)
Bianca Rey (“she, hers”)
Linda Raker (“she, hers”)
Swetha A. Sadananda (“she, hers”)
Carter G. Woodson (Father of Black History & Black History Month)
Historical Site, Washington, DC USA
Photograph by Ted Eytan, MD
February 22, 2018 12:30 - 1:30 pm PST

2. Ted Eytan, MD • February 22, 2018
The Need for Universal Design
Design Excellence at Kaiser
Permanente
New Frontiers
Healthy and Safe Health Care Spaces

3. Bianca Rey
• Learning & Organization
Effectiveness
Development,
• Chair - KP Pride
Multicultural Business
Resource Group
• Kaiser Permanente Mid-
Atlantic States
3

4. Ted Eytan, MD • February 22, 2018
Ted Eytan, MD MS MPH
• Medical Director, Digital
Engagement
• Medical Director, Kaiser
Permanente Center for Total
Health
• Permanente Federation
• Washington, DC
• @tedeytan
4

5. Linda Raker, IIDA/CID, LEED GA, EDAC
• Principal /
Program Lead
• Facilities Strategy,
Planning & Design
• Oakland, CA
5

6. Swetha A. Sadananda
• Design Manager
• Facilities Strategy,
Planning & Design
• Oakland, CA
6

7. The Lived Experience
Bianca Rey
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8. Ted Eytan, MD • February 22, 2018
It’s about safety
• Safe bathroom
access is not a
luxury or a special
right. Without
safe access to
public bathrooms,
transgender
people are denied
full participation
in public life.
8
Source no longer available
Source: Peeing in Peace: A Resource Guide for Transgender
Activists and Allies. Transgender Law Center, San Francisco;
2005.

9. Ted Eytan, MD • February 22, 2018
Safety: Single Stall Not Enough
“When only
men’s or
women’s
bathrooms
are available
a decision
has to be
made.”
9
Source: National Center for Transgender Equality

10. Ted Eytan, MD • February 22, 2018
It’s the law
10
source: https://ohr.dc.gov/page/safe-bathrooms-dc

11. Ted Eytan, MD • February 22, 2018
It’s not about bathrooms
11
Accurate Reporting on Transgender-Inclusive
Nondiscrimination Laws & Ordinances
Accurate Reporting on
Nondiscrimination:
A Guide for Journalists
transgender media program
February 2016
“Bathroom
Bill” Myth
Debunking the
Sources: The Henry Ford Museum, Detroit, MI. Photo by Ted Eytan, MD; https://flic.kr/p/
aBr1Tw ; Debunking the 'Bathroom Bill' Myth – Accurate Reporting on LGBT
Nondiscrimination: A Guide for Journalists - https://www.glaad.org/publications/debunking-
the-bathroom-bill-myth

12. Ted Eytan, MD • February 22, 2018
It’s not about bathrooms
12
source: http://www.lgbtmap.org/equality-maps/non_discrimination_ordinances

13. Ted Eytan, MD • February 22, 2018
Universal Design
• Universal design (UD) is a philosophy
that constitutes acceptance of, equal
access for, and equal opportunities
for success for all.
• When was the last time you lifted a
suitcase and carried it by its handle?
• Time is an element of access:
spending time and psychological
energy to actively engage a learning
system in challenging existing
barriers, such as negotiating with
staff and attending to the completion
of accommodations
13
“Luggage” emoji, added 2018
“Transgender Pride Flag” emoji, still not added

14. Ted Eytan, MD • February 22, 2018
A Great Day at Kaiser Permanente
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With Michelle Quiogue, MD (@DrMicheQ) , Family Physician, Diversity and Inclusion
leader, Wellness Champion, Southern California Permanente Medical Group, Kaiser
Permanente Kern County
First all gender
restroom seen
in the wild!
February, 2017
Prepared,
proactive,
excellent care
team

15. Ted Eytan, MD • February 22, 2018
#TransVisibility
Something you can practice every day
15
Photos: Kaiser
Permanente Multi-
Specialty Transitions
Clinic, Oakland, CA and
Washington, DC

16. #transformKP: Total Health and Social Innovation
Labor-Management Partnership all-hands
December 2, 2014 • San Francisco, CA USA
Ted Eytan, MD, MS, MPH • The Permanente Federation, LLC • @tedeytan
© 2014 The Permanente Federation, LLC
Desert Center, 1933
When any human being is hurt, or sick and full of toxins and down
with energy at ebb tide - then of all times the surroundings should
be most beautiful, most gentle.” - Sidney Garfield, MD

17. Thank you.
17
Carter G. Woodson (Father of Black History & Black History Month)
Historical Site, Washington, DC USA
Photograph by Ted Eytan, MD