Presentation given with Regina Holliday, Philadelphia, Pennsylviania, USA

1. The Patient
Mid-Atlantic Healthcare Informatics Symposium • April 26, 2013
Ted Eytan, MD MS MPH • The Permanente Federation, LLC • twitter: tedeytan
Physician Director, Kaiser Permanente Center for Total Health • kp.org/centerfortotalhealth
© 2013 The Permanente Federation, LLC | Photo credit: Ted Eytan, MD

2. To heal, you have to not harm
NHS England
KP
0.8675'MtCO2e 5.04'MtCO2e'
(energy'only)
9'million'members
178,000'employees
37'hospitals
611'medical'office'buildings'
607'other'faciliGes
52'million'people
MtCO2e : Metric Tonne (ton) Carbon Dioxide Equivalent, 2010 Reporting Year
Source: http://www.theclimateregistry.org/ ; http://www.sdu.nhs.uk/sd_and_the_nhs/

3. doctor | 19th century

4. !24/7 access worldwide
!9,000,000 members can
–email their doctor
–check lab test results
–order prescription refills
–manage appointments
patient | 21st century

5. 2,500,000 members
5,000,000 members
2003 2005 2007 2009
2012 (4Q)
4.2 million members connected, via kp.org
Source: Kaiser Permanente Web Analytics, updated 03/13/13

6. 2,500,000 members
5,000,000 members
2003 2005 2007 2009
2012 (4Q)
4.2 million members connected, via kp.org
Source: Kaiser Permanente Web Analytics, updated 03/13/13
In the 4th Quarter 2012
3.3 million emails
8 million test results reviewed
765 thousand appointments made
32 % signed on 5 or more times

7. Being there
Source: https://twitter.com/tedeytan/cpmg-pilot

8. Being there
“A six metre high mural by Regina Holliday..to draw attention
to the failings of the US health system” - BMJ, September, 2009

9. Being there
“Bouncing a Ball Alone: Grokking Failure” -
Henry Ford Health System, Detroit, November, 2012

10. © 2013 The Permanente Federation, LLC
Health doesn’t happen here

11. It happens here

12. It happens here
La Mesa Medical Offices, California Photograph: Ted Eytan, MD, http://www.flickr.com/photos/taedc/8382776635/
12

13. “Kaiser (Permanente) is so far past faxing
orders that they’re into sustainable apples”
-Jess Jacobs, April, 2013

14. seeing that there is a long list of crazy
administrative headaches shows how very
broken the communication process is for
every single step of getting healthcare.
http://http://jessjacobs.me/my-intravenous-lecture/
@jess_jacobs

16. next year’s medical
challenge: waste
http://http://jessjacobs.me/my-
intravenous-lecture/
@jess_jacobs

17. Let’s Dialogue.