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Social Media and the Health SystemWashington DC Social Media ClubTed Eytan, MD MS MPH • The Permanente Federation • twitter:tedeytan • April 27, 2011Photo Credit: Ted Eytan, MD, Washington, DC, April, 2011: http://flic.kr/p/9zpjoM© 2011 The Permanente Federation, LLC

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Social Media and the Health SystemWashington DC Social Media ClubTed Eytan, MD MS MPH • The Permanente Federation • twitter:tedeytan • April 27, 2011Photo Credit: Ted Eytan, MD, Washington, DC, April, 2011: http://flic.kr/p/9zshFs© 2011 The Permanente Federation, LLC

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What sets us apartSource: http://twitter.com/#!/tedeytan/status/58948513639313408 3

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Sidney Garfield, MD “Unable to make ends meet by depending for remuneration on the usual fee for service, I finally tried prepayment and thus happened on our basic concepts of health care.” “The people, with the barrier of cost removed, were coming to us earlier. We were able to treat them earlier, prevent them from getting complications and keep them from dying.” (1945)kaiserpermanentehistory.org Source: Garfield, Sr. “Special Feature The Delivery of Medical Care Garfield Centennial.” The Permanente Journal 10, no. 2 (2006): 46-55. 4

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Sidney Garfield, MD“Health education should not only be available, itshould be unavoidable” (1970) kaiserpermanentehistory.org Source: Garfield, Sr. “Special Feature The Delivery of Medical Care Garfield Centennial.” The Permanente Journal 10, no. 2 (2006): 46-55. 5

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What I want to capture using social mediaIntersection of Prevention and Wellness Way, Irvine Medical Center | Saving Lives One at a Time - Proactive Office EncounterSouthern California Permanente Medical Group • Kaiser Permanente Southern CaliforniaPhoto Credits: Ted Eytan, MD, Irvine, California March, 2011 6

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“Some people work to cure people, we work to keep them from getting sick”-Elsa Torres, Medical Assistant, Barranca Medical Center, Irvine, California Photo Credit: Ted Eytan, MD, Irvine, California March, 2011 7

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How it began Informatics-Blog Group Health Cooperative Informatics HOME { 2006 04 14 } The Andon Cord and Patient Safety in EpicCare RECENT POSTS 1 . Seeing the Impact: New York “At any time during the production process at a Times Journalism Institute Toyota plant, any team member who spots a 2 . Medication Reconciliation, at problem can stop production by pulling the 37,000 feet “andon cord” located next to the assembly line. 3 . QISTS ’07 Begin Today – An andon board (left) lets supervisors know the Nephrology location of the problem with a blinking light and a 4 . Radiology Orders Default distinct musical tone.” Screen 5 . EnROL - Enhanced Record This approach empowers employees to highlight defects and bring attention to their Lookup Information Guide solution without being penalized. When the line stops, everyone must stop what they are doing and attend to the fix. SEARCH We have created a similar setup for EpicCare at Group Health. We now have clinicians on call 24 hours a day, 7 days a week, to respond to any questions about Find the functioning of EpicCare that are concerning for patient safety. In consultation with the on call clinician, the “andon cord” will be pulled. When the cord is pulled, an BASICS emergency response team will be assembled, which will do rapid analysis of the About this Blog problem and make decisions about next step. Subscribe to updates The analogy here is the code team in a hospital, who will bring a code cart and through e-mail preparation to diagnose the patient and act quickly. Pulling the andon cord does not mean that Epic will be shut down; it simply means that a team will be assembled RECENT COMMENTS quickly and other work will stop. "As it so happens, we The goal of this new process is “door to doc in 45 minutes.” We have had the received a legal opinion occasion already to use it in real time, and have been able to achieve this goal. today..." (Ted Eytan on The iPod as a Continuing Posted by Ted Eytan on Friday, April 14th, 2006, at 6:31 am, and filed under Education device; and Safety. Popularity: 18% allowance within CME Follow any responses to this entry with the RSS 2.0 feed. budgets for purchase) You can post a comment.Sources: Group Health Cooperative Informatics Blog (internal); The Health Care Blog: A Permanente Group Executive speaks 8

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Bank of Good Will : The TheorySources: Tweetreach.com - http://tweetreach.com/reach?q=dermdoc; http://mashable.com/2011/02/17/taco-bell-social-media-defense/ 9

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Media Mentions: Kaiser Permanente 2005-2010 Negative Neutral Positive Number of Mentions 2005 2006 2007 2008 2009 2010 YearSource: Kaiser Permanente Brand Strategy Communications and Public Relations 10

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Growing old is good.100%90%80%70% NCQA 2010 90th Percentile 60% 50% 2006 2007 2008 2009 Hawaii Region Georgia Region Breast Cancer Screening • HEDIS 2010Sources: Kaiser Permanente Integrated Analytics; Data is for commercial enrollees only; When I Grow Up (Hawaii) - KaiserPermanente YouTube Channel - http://www.youtube.com/kaiserpermanenteorg 11

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“When I Grow Up” (125,075 total views) 12

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Thinking about Communication “If you look bad on a big screen, you’ll look bad on a small screen” – Stephen Klasko, MD, MBA, Dean, University of South Florida College of MedicineSources: http://twitter.com/gsquare86; Do Medical School Deans see social media in the future of medicine? I asked Dean Stephen Klasko of @usfhealth if he does. http://www.tedeytan.com/2011/04/17/8056 13

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What happened next? 14

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Welcome to the presentkp.org/centerfortotalhealth 15