Presentation to Penn State College of Medicine, Hershey - American Medical Student Association / Family Medicine Interest Group Feb 13, 2013

1. Community Medicine • Total Health
Penn State College of Medicine | AMSA • FMIG
February 13, 2013
Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan
© 2013 The Permanente Federation, LLC
Photograph: Ted Eytan, MD, http://www.flickr.com/photos/22526649@N03/8463718666

2. Tweed Ride | Washington, DC, November, 2012
Photograph: Ted Eytan, MD, http://www.flickr.com/photos/taedc/8155481030/
© 2013 The Permanente Federation, LLC

3. Community Medicine • Total Health
Penn State College of Medicine | AMSA • FMIG
February 13, 2013
Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan
© 2013 The Permanente Federation, LLC

4. Why Total Health? Why not?
A state of complete
physical, mental and
social well-being for
individuals, families,
communities, society. Leonora Brogan - Kaiser Permanente Center for Total Health
http://kp.org/centerfortotalhealth
© 2013 The Permanente Federation, LLC

5. Welcome to
The Kaiser Permanente Center for Total Health
kp.org/centerfortotalhealth

6. Operations & Innovation
interactive displays exam room
walking wall telepresence
12 February 13, 2013

7. The last time you had a health issue, did you get
information, care, or support from….?
Doctor/Health Professional Non-clinician source
All patients
60% 32% 30%
70%
8%
2002
2011
Sources: Fox S, Fallows D. Internet Health Resources: Health searches and email have become more commonplace, but there is room for improvement
in searches and overall Internet access. Washington, DC; 2003:27. Available at: http://www.pewinternet.org/Reports/2003/Internet-Health-
Resources.aspx; Fox S. The Social Life of Health Information, 2011. Washington, DC; 2011. Available at: http://www.pewinternet.com/Reports/2011/
Social-Life-of-Health-Info.aspx
© 2013 The Permanente Federation, LLC | Slide produced by Ted Eytan, MD • @tedeytan

8. The last time you had a health issue, did you get
information, care, or support from….?
Doctor/Health Professional Non-clinician source
All patients
32% 70% 30%
60% 70% 30%
8%
2002 2011
2012
Sources: Fox S, Fallows D. Internet Health Resources: Health searches and email have become more commonplace, but there is room for improvement in
searches and overall Internet access. Washington, DC; 2003:27. Available at: http://www.pewinternet.org/Reports/2003/Internet-Health-Resources.aspx; Fox
S. The Social Life of Health Information, 2011. Washington, DC; 2011. Available at: http://www.pewinternet.com/Reports/2011/Social-Life-of-Health-Info.aspx
Fox S, Duggan M. Health Online 2013. Washington, DC; 2013. Available at: http://www.pewinternet.org/Reports/2013/Health-online.aspx
© 2013 The Permanente Federation, LLC | Slide produced by Ted Eytan, MD • @tedeytan

9. 4 million members connected, via kp.org
5,000,000 members
In the 3rd Quarter 2012
3.3 million emails
8 million test results reviewed
2,500,000 members
2.4 million appointments made
34 % signed on 5 or more times
20032005 2007
2009
Source: Kaiser Permanente Web Analytics, updated 12/18/2012
2012 (3Q)
© 2013 The Permanente Federation, LLC

10. 4 million members connected, via kp.org
5,000,000 members
In the 3rd Quarter 2012
3.3 million emails
2,500,000 members 8 million test results reviewed
2.4 million appointments made
34 % signed on 5 or more times
20032005
2007 2009
2012 (3Q)
Source: Kaiser Permanente Web Analytics, updated 12/18/2012
© 2013 The Permanente Federation, LLC

11. More : The relationship
§ Nine million Kaiser Permanente
members have 24/7 access to their
medical information anywhere in the
world from their mobile devices
§ Patients can
– email their providers
– check lab test results
– order prescription refills
– manage appointments
© 2013 The Permanente Federation, LLC

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

13. It happens here

14. It happens here
Photo: M.V. Jantzen - http://www.flickr.com/photos/mvjantzen/8464490630/

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

16. What about Family Medicine? What are we?
§ More concerned with people than things
§ View things holistically rather than as elements or parts
§ More of a pathfinder than a traditionalist
§ See medicine as a means to helping others, and by instinctive action makes others aware of
her/his* service orientation
§ Views her/himself more as an “artist” in dealing with others and their problems – a healer
rather than a “scientist” dealing with disease processes or malfunctioning organs, though s/he
has great respect for the values of science. However, s/he sees it as a means to an end rather
than an end in itself
§ More concerned with their community as a whole than many of her/his colleagues because, to
them, the community is the extension of their patient-family units and, in a sense, a
“laboratory”. Also, because s/he is concerned with people and humanity, s/he is concerned
with the success of the human organization
– Reference: Wilson V. Specialist in family practice--prototype of a doctor. GP. 1969;40(2):151–7. Available at: http://www.ncbi.nlm.nih.gov/
pubmed/5798063 [Accessed January 5, 2013]. - *Adjusted for gender neutrality by Ted Eytan, MD
© 2013 The Permanente Federation, LLC

17. kp.org/thrive
© 2012 The Permanente Federation, LLC