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#transformKP: Total Health and Social Innovation 
Labor-Management Partnership all-hands 
December 2, 2014 • San Francisco...
Disclosure & Language 
Disclosure 
– I  Kaiser Permanente! 
– Personality type: amiable/amiable 
Language 
– From “frontl...
Hi. I’m Ted. 
I’m a social innovator 
(also a family doctor, 
a Permanente physician, 
a Kaiser Permanente member, 
a Wash...
Health Activist 
Advocate 
Catalyst 
Change agent 
Agitator 
purple heart! 
“Out there” 
Humanist 
Kristin Beck, Northern ...
We’re from the future 
Keith Montgomery, Yen Greene, Erin Meade 
Kaiser Permanente Center for Total Health, Washington, DC...
We’re from the future 
Louise (Lu) Casa, MSN, CRNP, CTTS 
Kaiser Permanente Capitol Hill Medical Center • @KPMidAtlantic
…so are you 
Real Life Rosie the Riveters, Yen Greene, Keith Montgomery, Karen Blair (foreground) 
Center for Total Health...
Real Life Rosie the Riveters 
Center for Total Health, Washington, DC, April 1, 2014 
Photo: Ted Eytan • https://flic.kr/p...
#activetransportation 
Source: Ted Eytan, MD, Star Magazine,September 23, 2013, Partnership for Active Transportation 
New...
End of WW II 
Great Depression 
1st Surgeon 
General’s report 
Annual Adult per Capita Cigarette Consumption and 
Major Sm...
Source: Bikesharing Trip Visualizer: http://mvjantzen.com/tools/visualizer/
Source: Bikesharing Trip Visualizer: http://mvjantzen.com/tools/visualizer/
© 2012 The Permanente Source: Commun Fietdyera Htione, aLLlCth Needs Assessment http://chna.org
Candlelight vigil for Marion Barry, Jr., Anacostia, Washington, DC, November 23, 2014 
Photo: Ted Eytan, http://www.flickr...
KP Mid-Atlantic States HR all-hands 
Center for Total Health, Washington, DC, July 10, 2014 
Photo: Ted Eytan • https://ww...
National Health IT Collaborative for the Underserved 
Center for Total Health, Washington, DC, September 17, 2014 
Photo: ...
The secret: Leadership 
Mary Gonzalez, Kaiser Permanente Care Stories Blog: http://kp.org/carestories
The secret: Leadership 
Susan, Kaiser Permanente Center for Total Health Digital Display
Social Innovation 
“Saving Lives: One at a Time” 
Kaiser Permanente Regional Headquarters, Pasadena, CA USA • March 30, 20...
The secret: Leadership 
John August, Kaiser Permanente Center for Total Health Digital Display
Innovation System: Kaiser Permanente 
social 
innovation
Garfield Center: Ideate and Test 
The Conference Board Council on Innovation 
Garfield Innovation Center, San Leandro, CA,...
Center for Total Health: Social Innovation 
Walk with a Doc, Bike with a Doc 
Center for Total Health, Washington, DC, Feb...
Center for Total Health: Social Innovation 
Generation Y “UnFocus” Group : Jennifer Liebermann, Ashley Brown, Emelina Choi...
…and some ideation :) 
Wearables in Health Care Design Sprint 
Center for Total Health, Washington, DC, October 17, 2014 
...
“Vast amounts of money are 
spent by business on 
innovation to meet both real 
and imagined consumer 
demands … but far l...
Characteristics: “sheer persistence, 
a kind of benign ruthlessness, 
clutching onto an idea beyond the 
bitter end, alway...
Desert Center, 1933 
#transformKP: Total Health and Social Innovation 
Labor-Management Partnership all-hands 
December 2,...
Washington, 2014
San Leandro, 2015 
Future gender neutral restroom 
Garfield Innovation Center, San Leandro, CA, September 22, 2014 
photo:...
#KPLantern2015 : Innovation Consultancy 
Kaiser Permanente Permanente Executive Leadership Summit, Dana Point, California,...
Listening/Empathy 
University of Arizona College of Medicine 1967, 2014 
Images courtesy University of Arizona Health Scie...
“As gay young people, we are marginalized. As young people who are HIV-positive 
and have AIDS, we are totally written off...
Failure to Listen 
“I am comparing the current 
situation to that we faced 15 years 
ago when we addressed HIV. If we 
loo...
Listening saves lives 
http://www.midstaffs.nhs.uk, April, 2013
Listening saves lives 
http://www.midstaffs.nhs.uk, December 2014
http://www.mirror.co.uk/news/uk-news/stafford-hospital-1200-patients-died-1589186, http://www.dailymail.co.uk/news/ 
artic...
Listening: Just 6 more seconds needed 
length of time before 
patients were interrupted by 
their physician 
“…asking “Any...
Listen 
Kaiser Permanente Innovation Retreat, Denver, CO, May 30, 2013 
Photo: Barry Gutierrez, http://www.flickr.com/phot...
Another Great Susan (Mahler, Ph.D) 
Source: http://youtu.be/oJZZDPjXfxM
Another Great Susan (Mahler, Ph.D) 
“I felt in my heart that there could 
be a school without a principal and 
support sta...
Listen 
Shadowing Abtin (“Abi”) Foroohar, MD, Kaiser Permanente South Bay Medical Center, June 26, 2014 
Photo: Ted Eytan,...
Listen 
Shadowing Elsa Torres, Kaiser Permanente Barranca Medical Office, March 28, 2011 
Photo: Ted Eytan
Listen Sos Mboijana, MD and Yoalanda, Eliminating Health Disparities 
Center for Total Health, Washington, DC, November 19...
Listen to eliminate bias 
Question assumptions: The Illusion of objectivity 
Create: The “tell me more” culture 
Kaiser Pe...
A world learning to love better 
University of Central Florida School of Medicine, Lake Nona Medical City, FL, July 31, 20...
Leverage contagion 
http://instagram.com/p/t08v17OPno/?modal=true
Integrate compassion 
Hug Timer & Hug Tour 
Kaiser Permanente Capitol Hill Medical Center; 
Center for Total Health, 2011-...
Love People 
Ruby Jade Corado and Mayor Vince Gray, Corado-Walker Wedding, Washington, DC, October 18, 2014 
Photo: Ted Ey...
Follow the leaders 
with Kapriece Williams, Corado-Walker Wedding, Washington, DC, October 18, 2014 
Photo: Lane Hudson, h...
“Crisis of Faith” - All in the Family (CBS) 
“Edith’s Crisis of Faith,” All in the Family, air date 12/25/1977 
https://ww...
“Breckin and Jeff” - Undercover Boss (CBS) 
Source: https://www.youtube.com/watch?v=44ghpWc5qrI (air date 3/15/2014)
Listening • Involvement • Inclusion • Innovation 
“American mothers and 
sisters, like these 
women at the Douglas 
Aircra...
We’re from from the future 
Thank you. 
Kaiser Permanente Center for Total Health,Washington, DC • @KPTotalHealth
#transformKP: Total Health and Social Innovation (for Labor Management Partnership)
#transformKP: Total Health and Social Innovation (for Labor Management Partnership)
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#transformKP: Total Health and Social Innovation (for Labor Management Partnership)

Presentation given to the Kaiser Permanente Labor Management Partnership all hands meeting, December 2, 2014, in San Francisco, California. "The Labor Management Partnership (LMP) is the largest and longest-lasting partnership of its kind in the country. Created in 1997, it is based on a series of agreements between the Coalition of Kaiser Permanente Unions, made up of 27 union locals, Kaiser Permanente and the Permanente medical groups in each region. Today, it covers almost 100,000 union members and tens of thousands of managers and physicians."

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#transformKP: Total Health and Social Innovation (for Labor Management Partnership)

  1. 1. #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 Photo: Ted Eytan : http://www.flickr.com/photos/22526649@N03/15038274933
  2. 2. Disclosure & Language Disclosure – I  Kaiser Permanente! – Personality type: amiable/amiable Language – From “frontline” – To: “member facing” – Avoid “trenches,” “triage” – We are at peace with our members “Double Rainbow” Medicine and Management, Colorado Springs, July, 2012 Photo: Dina Piccoli, The Permanente Federation
  3. 3. Hi. I’m Ted. I’m a social innovator (also a family doctor, a Permanente physician, a Kaiser Permanente member, a Washington, DC resident) Build Your Best Life Total Health Festival, with Capital Pride, Washington, DC • Kaiser Permanente 2014 Gold Sponsor
  4. 4. Health Activist Advocate Catalyst Change agent Agitator purple heart! “Out there” Humanist Kristin Beck, Northern Virgina LGBTQ Pride, October 5, 2014 photo: m.v. jantzen: https://flic.kr/p/pxpr2D
  5. 5. We’re from the future Keith Montgomery, Yen Greene, Erin Meade Kaiser Permanente Center for Total Health, Washington, DC • @KPTotalHealth photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/13855285073
  6. 6. We’re from the future Louise (Lu) Casa, MSN, CRNP, CTTS Kaiser Permanente Capitol Hill Medical Center • @KPMidAtlantic
  7. 7. …so are you Real Life Rosie the Riveters, Yen Greene, Keith Montgomery, Karen Blair (foreground) Center for Total Health, Washington, DC, April 1, 2014 Photo: Erin Meade • https://www.flickr.com/photos/taedc/13568895794
  8. 8. Real Life Rosie the Riveters Center for Total Health, Washington, DC, April 1, 2014 Photo: Ted Eytan • https://flic.kr/p/mF37b3
  9. 9. #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)
  10. 10. End of WW II Great Depression 1st Surgeon General’s report Annual Adult per Capita Cigarette Consumption and Major Smoking and Health Events – US 1900-1998 1st smoking cancer concern Year Thousands per year Broadcast advertising ban Nicotine medications Available over the counter Surgeon General’s report on environmental Tobacco smoke Federal cigarette tax doubles Fairness Doctrine messages on TV and radio Nonsmoker’s rights movement begins 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 Master settlement agreement 1st World Conference on smoking and health 1998 1st Great American smokeout Is this our our generation’s 1968? Source: http://www.iom.edu/~/media/Files/Activity%20Files/Nutrition/Obesity-Roundtable/1_Dietz.pdf
  11. 11. Source: Bikesharing Trip Visualizer: http://mvjantzen.com/tools/visualizer/
  12. 12. Source: Bikesharing Trip Visualizer: http://mvjantzen.com/tools/visualizer/
  13. 13. © 2012 The Permanente Source: Commun Fietdyera Htione, aLLlCth Needs Assessment http://chna.org
  14. 14. Candlelight vigil for Marion Barry, Jr., Anacostia, Washington, DC, November 23, 2014 Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15678160529
  15. 15. KP Mid-Atlantic States HR all-hands Center for Total Health, Washington, DC, July 10, 2014 Photo: Ted Eytan • https://www.flickr.com/photos/22526649@N03/14468838850
  16. 16. 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
  17. 17. The secret: Leadership Mary Gonzalez, Kaiser Permanente Care Stories Blog: http://kp.org/carestories
  18. 18. The secret: Leadership Susan, Kaiser Permanente Center for Total Health Digital Display
  19. 19. Social Innovation “Saving Lives: One at a Time” Kaiser Permanente Regional Headquarters, Pasadena, CA USA • March 30, 2011
  20. 20. The secret: Leadership John August, Kaiser Permanente Center for Total Health Digital Display
  21. 21. Innovation System: Kaiser Permanente social innovation
  22. 22. Garfield Center: Ideate and Test The Conference Board Council on Innovation Garfield Innovation Center, San Leandro, CA, September 22, 2014
  23. 23. Center for Total Health: Social Innovation Walk with a Doc, Bike with a Doc Center for Total Health, Washington, DC, February 8, 2013 photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/8457305113
  24. 24. Center for Total Health: Social Innovation Generation Y “UnFocus” Group : Jennifer Liebermann, Ashley Brown, Emelina Choi Center for Total Health, Washington, DC, September 25, 2014 photo: Ted Eytan
  25. 25. …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
  26. 26. “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;
  27. 27. 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/
  28. 28. Desert Center, 1933 #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 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 © 2014 The Permanente Federation, LLC
  29. 29. Washington, 2014
  30. 30. San Leandro, 2015 Future gender neutral restroom Garfield Innovation Center, San Leandro, CA, September 22, 2014 photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/15144080399, https:// twitter.com/DCHumanRights/status/481816762355564544
  31. 31. #KPLantern2015 : Innovation Consultancy Kaiser Permanente Permanente Executive Leadership Summit, Dana Point, California, June, 2014 Photo: Ted Eytan, https://www.flickr.com/photos/taedc/14205479277
  32. 32. Listening/Empathy University of Arizona College of Medicine 1967, 2014 Images courtesy University of Arizona Health Sciences Library
  33. 33. “As gay young people, we are marginalized. As young people who are HIV-positive and have AIDS, we are totally written off.” – Pedro Zamora, 1972 -1994
  34. 34. Failure to Listen “I am comparing the current situation to that we faced 15 years ago when we addressed HIV. If we look back at how we initially handled the issue, we would be embarrassed.” - Ingrid Hoven, Executive Director, World Bank, Germany, 2014 Source: http://habdessamad.com/2014/04/08/wbg/
  35. 35. Listening saves lives http://www.midstaffs.nhs.uk, April, 2013
  36. 36. Listening saves lives http://www.midstaffs.nhs.uk, December 2014
  37. 37. http://www.mirror.co.uk/news/uk-news/stafford-hospital-1200-patients-died-1589186, http://www.dailymail.co.uk/news/ article-1253438/Mid-Staffordshire-NHS-hospital-routinely-neglected-patients.html
  38. 38. Listening: Just 6 more seconds needed length of time before patients were interrupted by their physician “…asking “Anything else?” repeatedly until a complete agenda has been identified appears to take 6 seconds longer than interviews in which the patient’s agenda is interrupted.” study year Sources: Beckman, HB The Effect of Physician Behavior on the Collection of Data. Ann. Intern. Med. 1984;101(5):692. Available at: http://annals.org/article.aspx?articleid=699136 [Accessed November 18, 2014]; 1. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the Patient’s Agenda: Have We Improved? Jama. 1999;281(3):283–287. Available at: http://jama.ama-assn.org/cgi/content/ abstract/281/3/283.
  39. 39. Listen Kaiser Permanente Innovation Retreat, Denver, CO, May 30, 2013 Photo: Barry Gutierrez, http://www.flickr.com/photos/22526649@N03/8953724015
  40. 40. Another Great Susan (Mahler, Ph.D) Source: http://youtu.be/oJZZDPjXfxM
  41. 41. Another Great Susan (Mahler, Ph.D) “I felt in my heart that there could be a school without a principal and support staff - there could never be a school without a teacher. However, while saying that............ I felt my role and the role of the support staff was to enhance, inspire, support those teachers in every single way possible. Only then can the child be the winner. In your health world - the physicians and nurses are the most critical variables...........thus making the patient the winner.” - 11/13/14 Personal Communication, November 13, 2014 Blog post: Ted Eytan, http://www.tedeytan.com/2014/08/13/17683
  42. 42. Listen Shadowing Abtin (“Abi”) Foroohar, MD, Kaiser Permanente South Bay Medical Center, June 26, 2014 Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/14546602059
  43. 43. Listen Shadowing Elsa Torres, Kaiser Permanente Barranca Medical Office, March 28, 2011 Photo: Ted Eytan
  44. 44. Listen 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
  45. 45. Listen to eliminate bias Question assumptions: The Illusion of objectivity Create: The “tell me more” culture Kaiser Permanente Los Angeles Medical Center, May 2, 2014 Photos: Ted Eytan, http://www.flickr.com/photos/22526649@N03/14088671614
  46. 46. A world learning to love better University of Central Florida School of Medicine, Lake Nona Medical City, FL, July 31, 2013 Photo: Ted Eytan, http://www.flickr.com/photos/22526649@N03/9415091583
  47. 47. Leverage contagion http://instagram.com/p/t08v17OPno/?modal=true
  48. 48. Integrate compassion Hug Timer & Hug Tour Kaiser Permanente Capitol Hill Medical Center; Center for Total Health, 2011-2014
  49. 49. 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
  50. 50. Follow the leaders with Kapriece Williams, Corado-Walker Wedding, Washington, DC, October 18, 2014 Photo: Lane Hudson, http://www.flickr.com/photos/22526649@N03/15392654087
  51. 51. “Crisis of Faith” - All in the Family (CBS) “Edith’s Crisis of Faith,” All in the Family, air date 12/25/1977 https://www.youtube.com/watch?v=xDY_S8YO5QY
  52. 52. “Breckin and Jeff” - Undercover Boss (CBS) Source: https://www.youtube.com/watch?v=44ghpWc5qrI (air date 3/15/2014)
  53. 53. 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/
  54. 54. We’re from from the future Thank you. Kaiser Permanente Center for Total Health,Washington, DC • @KPTotalHealth

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