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Walls, Ceilings, Closet Doors (things worth shattering)
Total Health and Social Innovation
July 16, 2015 • Permanente Federation Quality Team
Ted Eytan, MD, MS, MPH • The Permanente Federation, LLC • @tedeytan
© 2015 The Permanente Federation, LLC
Photo: Ted Eytan : http://www.flickr.com/photos/22526649@N03/15038274933
Build Your Best Life Total Health Festival, with Capital Pride, Washington, DC • Kaiser Permanente 2014 Gold Sponsor
I’m a social innovator
(also a family doctor,
a Permanente physician,
a Kaiser Permanente member,
a Washington, DC resident)
Hi. I’m Ted.
We’re from the future
Keith Montgomery, Yen Greene, Erin Meade
Kaiser Permanente Center for Total Health, Washington, DC • @KPTotalHealth
…so are you
Real Life Rosie the Riveters
Center for Total Health, Washington, DC, April 1, 2014
Photo: Erin Meade • https://www.flickr.com/photos/taedc/13568895794
Innovation System: Kaiser Permanente
social
innovation
Garfield Center: Ideate and Test
The Conference Board Council on Innovation
Garfield Innovation Center, San Leandro, CA, September 22, 2014
Center for Total Health: Social Innovation
Generation Y “UnFocus” Group : Jennifer Liebermann, Ashley Young, Emelina Choi
Center for Total Health, Washington, DC, September 25, 2014
photo: Ted Eytan
…and some ideation :)
Wearables in Health Care Design Sprint
Center for Total Health, Washington, DC, October 17, 2014
photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15373453770
National Health IT Collaborative for the Underserved
Center for Total Health, Washington, DC, September 17, 2014
Photo: Ted Eytan • https://www.flickr.com/photos/22526649@N03/15111579629
Kim Horn, Her Majesty's Principal Secretary of State for Health, Jeremy Hunt, Bernadette Loftus, MD
Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/14351125763 • June 2, 2014
Sos Mboijana, MD and Yoalanda, Eliminating Health Disparities
Center for Total Health, Washington, DC, November 19, 2014
Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15829430435
“Vast amounts of money are
spent by business on
innovation to meet both real
and imagined consumer
demands … but far less to
more systematically develop
innovative solutions to
common needs.”
Involves the “bees and the
trees”
Businessweek, November 2014
Social Innovation
Mulgan G, Tucker S, Ali R, Sanders B. Social innovation: what it
is, why it matters & how it can be accelerated.; 2007. Available
at: http://www.sbs.ox.ac.uk/ideas-impact/skoll/research/social-
innovation-reports-resources/social-innovation-what-it-why-it-
matters-how-it-can-be-accelerated;
Characteristics: “sheer persistence,
a kind of benign ruthlessness,
clutching onto an idea beyond the
bitter end, always taking no as a
question.”
Enter Harry Bridges: “It was a
marriage with great potential. Bridges
needed a health plan for his
members and Henry Kaiser needed
health plan members. Instant
symbiosis.”

Social Innovators
Harry Bridges: Young Seaman
https://depts.washington.edu/labpics2/repository/main.php?g2_itemId=5081; Social
innovation: What it is, Why it matters and how it can be accelerated; Mulgan G, Tucker S,
Ali R, Sanders B. Social innovation: what it is, why it matters & how it can be accelerated.;
2007. Available at: http://www.sbs.ox.ac.uk/ideas-impact/skoll/research/social-innovation-
reports-resources/social-innovation-what-it-why-it-matters-how-it-can-be-accelerated;
http://kaiserpermanentehistory.org/latest/harry-bridges-and-sidney-garfield-synergistic-
collaboration/
Walls, Ceilings, Closet Doors (things worth shattering)
Total Health and Social Innovation
July 16, 2015 • Permanente Federation Quality Team
Ted Eytan, MD, MS, MPH • The Permanente Federation, LLC • @tedeytan
© 2015 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
Washington, 2013
Exterior: Total Health Across America Digital Wall • Center for Total Health
June, 2015
Real Life Rosie the Riveters
Center for Total Health, Washington, DC, April 1, 2014
Photo: Erin Meade • https://www.flickr.com/photos/taedc/13568895794
XXinHealth : “Taking Over the Boys Club” March 31, 2015 • New York City, NY USA
Photo: Ted Eytan, https://flic.kr/p/rTdBsz
Homophobia
makes me sick.
Canadian Rainbow Health Coalition
Coalition Santé Arc-en-ciel Canada
crhc
csac
Check in at outlive.ca
Homophobia
makes me sick.
No really it does. All that negative messaging
soaks into our skin like toxic radiation. How do
you get rid of it? Easy. Visit outlive.ca for the
little things you can do to take care of yourself.
They’re easy and you’re worth it.
Courtesy Transgender Health Information Program, Vancouver Coastal Health Authority • http://transhealth.vch.ca
#KPLantern2015 : Innovation Consultancy
Birth of Project Lantern • Permanente Executive Leadership Summit • June 7, 2014
Photo: Ted Eytan
Help Kaiser Permanente
become a leader in providing
Trans*-inclusive care.
Kaiser Permanente is looking at
transgender, gender-expansive,
and gender non-conforming
person care in a new way, and
we want to partner with you
to create high quality care that
meets you where you’re at.
We are starting an exciting
project that will provide insight
directly to our nurses, doctors,
leaders, and staff to inspire us to
focus on your total health, so you
can focus on a great life. We are
not just looking to provide the
best clinical care possible,
we want to understand and
address your needs, goals, and
what makes you tick.
We are looking for people who
would be interested in any of
the following opportunities. We
are able to offer honorariums for
your participation, and we ensure
the privacy and confidentiality
of what is shared in a safe,
comfortable environment for
you. We treat everything you
share with us with confidentiality,
respect, and empathy.
We are interested in:
• Meeting trans-identified, gender-expansive,
and gender non-conforming people who are,
or have been, Kaiser Permenente members.
• Interviewing you in your home or another
comfortable place for 2-3 hours.
• Interviewing you along with a close
friend or family member so that you can
both provide your perspectives together.
• Learning what it’s like to be you by
shadowing you through part of your day.
• Seeing Kaiser Permenente from your
perspective by shadowing you on a visit.
Who are we? We are the Innovation Consultancy
at Kaiser Permanente. We work with people in
a human-centered, empathic way to understand
their experiences and design new and better
ways for Kaiser Permanente to meet their health
and wellness goals and needs.
Here are the tentative dates for our fieldwork.
If you can’t do these dates, we can be flexible:
February 24-27, March 10-13, March 17-20
Thank you for your interest. For more info, or to
express your interest, please contact
Katherine Duong: katherine.t.duong@kp.org or
Dana Ragouzeos: dana.n.ragouzeos@kp.org
#KPLantern: California / Oregon / Vancouver, BC 2015
Dana Ragazeous, Lead
Scott Heisler, RN, Core Team
Katherine Duong, Co-Lead
Bill Strull, MD, Core Team
Chris McCarthy, KP Innovation Consultancy
Arli Christian, JD, National Center for
Transgender Equality
Healthy Meetings Farmers Market • October 14, 2014
Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15547014311
Social Innovation: Food
Sustainable DC Health Care Sector Pledge, with Mayor Vince Gray • October 23, 2014
Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15609213485
Social Innovation: Energy
Social Innovation: #activetransportation
Source: Ted Eytan, MD, Star Magazine,September 23, 2013, Partnership for Active Transportation
New York Citibike; Jeff Olson, Founder Alta Bikeshare
New York City and Center for Total Health, Washington, DC, March 6, 2014
Photos: Ted Eytan (L and R only)
#activetransportation
Installation of Capital Bikeshare Station #353 aka #CTHNext
Washington, DC, June 18, 2015
Photos: Ted Eytan (L and R only)
Social Innovation: #CTHNext
Total Health Across America Wall
Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15609213485
Listening • Involvement • Inclusion • Innovation
“American mothers and
sisters, like these
women at the Douglas
Aircraft Company, give
important help in
producing dependable
planes for their men at
the front, Long Beach,
Calif.”
Source: http://www.flickr.com/photos/
library_of_congress/2179921774/in/
set-72157603671370361/
If you don’t like the world the way it is, change it
“Rider” - eliminated
“Exclusions” - eliminated
Medically necessary care,
including surgery, must be
covered, in all plans,
including individual and
group
All DC Government plans
now include medically
necessary care Chester McPherson, Insurance Commissioner
Washington, DC ends discrimination in health insurance
February 27, 2014
Love People
Ruby Jade Corado and Mayor Vince Gray, Corado-Walker Wedding, Washington, DC, October 18, 2014
Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15392978950
Follow the leaders
Corado-Walker Wedding, Washington, DC, October 18, 2014
Photo: Lane Hudson
Thank you.

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Social Innovation and Total Health

  • 1. Walls, Ceilings, Closet Doors (things worth shattering) Total Health and Social Innovation July 16, 2015 • Permanente Federation Quality Team Ted Eytan, MD, MS, MPH • The Permanente Federation, LLC • @tedeytan © 2015 The Permanente Federation, LLC Photo: Ted Eytan : http://www.flickr.com/photos/22526649@N03/15038274933
  • 2. Build Your Best Life Total Health Festival, with Capital Pride, Washington, DC • Kaiser Permanente 2014 Gold Sponsor I’m a social innovator (also a family doctor, a Permanente physician, a Kaiser Permanente member, a Washington, DC resident) Hi. I’m Ted.
  • 3. We’re from the future Keith Montgomery, Yen Greene, Erin Meade Kaiser Permanente Center for Total Health, Washington, DC • @KPTotalHealth
  • 4. …so are you Real Life Rosie the Riveters Center for Total Health, Washington, DC, April 1, 2014 Photo: Erin Meade • https://www.flickr.com/photos/taedc/13568895794
  • 5. Innovation System: Kaiser Permanente social innovation
  • 6. Garfield Center: Ideate and Test The Conference Board Council on Innovation Garfield Innovation Center, San Leandro, CA, September 22, 2014
  • 7. Center for Total Health: Social Innovation Generation Y “UnFocus” Group : Jennifer Liebermann, Ashley Young, Emelina Choi Center for Total Health, Washington, DC, September 25, 2014 photo: Ted Eytan
  • 8. …and some ideation :) Wearables in Health Care Design Sprint Center for Total Health, Washington, DC, October 17, 2014 photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15373453770
  • 9. National Health IT Collaborative for the Underserved Center for Total Health, Washington, DC, September 17, 2014 Photo: Ted Eytan • https://www.flickr.com/photos/22526649@N03/15111579629
  • 10. Kim Horn, Her Majesty's Principal Secretary of State for Health, Jeremy Hunt, Bernadette Loftus, MD Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/14351125763 • June 2, 2014
  • 11. Sos Mboijana, MD and Yoalanda, Eliminating Health Disparities Center for Total Health, Washington, DC, November 19, 2014 Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15829430435
  • 12. “Vast amounts of money are spent by business on innovation to meet both real and imagined consumer demands … but far less to more systematically develop innovative solutions to common needs.” Involves the “bees and the trees” Businessweek, November 2014 Social Innovation Mulgan G, Tucker S, Ali R, Sanders B. Social innovation: what it is, why it matters & how it can be accelerated.; 2007. Available at: http://www.sbs.ox.ac.uk/ideas-impact/skoll/research/social- innovation-reports-resources/social-innovation-what-it-why-it- matters-how-it-can-be-accelerated;
  • 13. Characteristics: “sheer persistence, a kind of benign ruthlessness, clutching onto an idea beyond the bitter end, always taking no as a question.” Enter Harry Bridges: “It was a marriage with great potential. Bridges needed a health plan for his members and Henry Kaiser needed health plan members. Instant symbiosis.”
 Social Innovators Harry Bridges: Young Seaman https://depts.washington.edu/labpics2/repository/main.php?g2_itemId=5081; Social innovation: What it is, Why it matters and how it can be accelerated; Mulgan G, Tucker S, Ali R, Sanders B. Social innovation: what it is, why it matters & how it can be accelerated.; 2007. Available at: http://www.sbs.ox.ac.uk/ideas-impact/skoll/research/social-innovation- reports-resources/social-innovation-what-it-why-it-matters-how-it-can-be-accelerated; http://kaiserpermanentehistory.org/latest/harry-bridges-and-sidney-garfield-synergistic- collaboration/
  • 14. Walls, Ceilings, Closet Doors (things worth shattering) Total Health and Social Innovation July 16, 2015 • Permanente Federation Quality Team Ted Eytan, MD, MS, MPH • The Permanente Federation, LLC • @tedeytan © 2015 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
  • 16. Exterior: Total Health Across America Digital Wall • Center for Total Health June, 2015
  • 17.
  • 18.
  • 19.
  • 20. Real Life Rosie the Riveters Center for Total Health, Washington, DC, April 1, 2014 Photo: Erin Meade • https://www.flickr.com/photos/taedc/13568895794
  • 21. XXinHealth : “Taking Over the Boys Club” March 31, 2015 • New York City, NY USA Photo: Ted Eytan, https://flic.kr/p/rTdBsz
  • 22.
  • 23. Homophobia makes me sick. Canadian Rainbow Health Coalition Coalition Santé Arc-en-ciel Canada crhc csac Check in at outlive.ca Homophobia makes me sick. No really it does. All that negative messaging soaks into our skin like toxic radiation. How do you get rid of it? Easy. Visit outlive.ca for the little things you can do to take care of yourself. They’re easy and you’re worth it. Courtesy Transgender Health Information Program, Vancouver Coastal Health Authority • http://transhealth.vch.ca
  • 25. Birth of Project Lantern • Permanente Executive Leadership Summit • June 7, 2014 Photo: Ted Eytan
  • 26. Help Kaiser Permanente become a leader in providing Trans*-inclusive care. Kaiser Permanente is looking at transgender, gender-expansive, and gender non-conforming person care in a new way, and we want to partner with you to create high quality care that meets you where you’re at. We are starting an exciting project that will provide insight directly to our nurses, doctors, leaders, and staff to inspire us to focus on your total health, so you can focus on a great life. We are not just looking to provide the best clinical care possible, we want to understand and address your needs, goals, and what makes you tick. We are looking for people who would be interested in any of the following opportunities. We are able to offer honorariums for your participation, and we ensure the privacy and confidentiality of what is shared in a safe, comfortable environment for you. We treat everything you share with us with confidentiality, respect, and empathy. We are interested in: • Meeting trans-identified, gender-expansive, and gender non-conforming people who are, or have been, Kaiser Permenente members. • Interviewing you in your home or another comfortable place for 2-3 hours. • Interviewing you along with a close friend or family member so that you can both provide your perspectives together. • Learning what it’s like to be you by shadowing you through part of your day. • Seeing Kaiser Permenente from your perspective by shadowing you on a visit. Who are we? We are the Innovation Consultancy at Kaiser Permanente. We work with people in a human-centered, empathic way to understand their experiences and design new and better ways for Kaiser Permanente to meet their health and wellness goals and needs. Here are the tentative dates for our fieldwork. If you can’t do these dates, we can be flexible: February 24-27, March 10-13, March 17-20 Thank you for your interest. For more info, or to express your interest, please contact Katherine Duong: katherine.t.duong@kp.org or Dana Ragouzeos: dana.n.ragouzeos@kp.org #KPLantern: California / Oregon / Vancouver, BC 2015 Dana Ragazeous, Lead Scott Heisler, RN, Core Team Katherine Duong, Co-Lead Bill Strull, MD, Core Team Chris McCarthy, KP Innovation Consultancy Arli Christian, JD, National Center for Transgender Equality
  • 27. Healthy Meetings Farmers Market • October 14, 2014 Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15547014311 Social Innovation: Food
  • 28. Sustainable DC Health Care Sector Pledge, with Mayor Vince Gray • October 23, 2014 Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15609213485 Social Innovation: Energy
  • 29. Social Innovation: #activetransportation Source: Ted Eytan, MD, Star Magazine,September 23, 2013, Partnership for Active Transportation New York Citibike; Jeff Olson, Founder Alta Bikeshare New York City and Center for Total Health, Washington, DC, March 6, 2014 Photos: Ted Eytan (L and R only)
  • 30. #activetransportation Installation of Capital Bikeshare Station #353 aka #CTHNext Washington, DC, June 18, 2015 Photos: Ted Eytan (L and R only)
  • 32. Total Health Across America Wall Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15609213485
  • 33.
  • 34.
  • 35. Listening • Involvement • Inclusion • Innovation “American mothers and sisters, like these women at the Douglas Aircraft Company, give important help in producing dependable planes for their men at the front, Long Beach, Calif.” Source: http://www.flickr.com/photos/ library_of_congress/2179921774/in/ set-72157603671370361/
  • 36. If you don’t like the world the way it is, change it “Rider” - eliminated “Exclusions” - eliminated Medically necessary care, including surgery, must be covered, in all plans, including individual and group All DC Government plans now include medically necessary care Chester McPherson, Insurance Commissioner Washington, DC ends discrimination in health insurance February 27, 2014
  • 37. Love People Ruby Jade Corado and Mayor Vince Gray, Corado-Walker Wedding, Washington, DC, October 18, 2014 Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15392978950
  • 38. Follow the leaders Corado-Walker Wedding, Washington, DC, October 18, 2014 Photo: Lane Hudson