Infused with the sights and sounds of the beach: the new Kaiser Permanente Santa Monica Medical Office

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2016.05.24 Kaiser Permanente Santa Monica 05110 (View on

As discussed in this FastCompany article, Kaiser Permanente Santa Monica is the second medical office opened using the new design principles discussed there.

Where Kaiser Permanente Antelope Valley, which I visited later in the week, demonstrates congruence with total health in its exterior, Santa Monica does that for the interior.

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2016.05.24 Kaiser Permanente Santa Monica 05138 – Physicians of the future practice the medicine of total health (Kim Petrick, MD, Family Medicine specialist and Greg Saccone, MD, Internal Medicine Specialist, Southern California Permanente Medical Group) (View on

You can’t see it in the photos; however, speakers in the entry area play the sounds of people and places around Santa Monica.

The colors and art are congruent with the surrounding community and sourced locally.

Thanks to Greg Saccone, MD and Kimi Petrick, MD from Southern California Medical Group, for taking the time to give us a tour.

More photos below, enjoy. You can learn more about this medical office here: Kaiser Permanente Opens New Medical Offices in Santa Monica – Kaiser Permanente Share

Photo Friday: Kaiser Permanente Antelope Valley, Lancaster, CA USA

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2016.05.26 Kaiser Permanente Antelope Valley 05192 (View on

I’m breaking the “photo is usually from Washington, DC” informal rule this week, which I do occasionally when I find something visually compelling elsewhere, in this case the beautiful LEED Gold certified Kaiser Permanente Antelope Valley Medical Office Building.

Opened in 2014, it combines the science of wind flow studies, high technology and personalized health care, and connection to the community through locally sourced art, site placement, and visual cues (poppies, pinwheels, butterflies).

We got to visit with eye surgeon Diana Shiba, MD (@DianaShibaMD) who came to visit us in Washington, DC previously:

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2016.04.15 Diana Shiba, MD at Center for Total Health 00364 (View on

Rest of the photographs below + a video flyover here. Enjoy this trip to the future.

Kaiser Permanente – Antelope Valley Medical Offices from J&M Concrete Contractors on Vimeo.

A Historic LGBTQ Health Symposium on a Historic Day

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2016.04.13 National Kaiser Permanente LGBTQ Health Symposium 2333 – We can, we will totally do this – P.L. Maillard and Richard Mehlman, MD, Kaiser Permanente Los Angeles (View on

A Historic Day in Health Care

I actually mentioned the coming enforcement of Section 1557 of the Affordable Care Act in my presentation at this symposium in 2014, and again on this blog in 2015.

See: Presentation: Being a Transgender Ally and Unconscious Bias – and 2nd Annual Kaiser Permanente LGBTQI Health Symposium: Future of Inclusion

Imagine, then, 2 years later, that the final regulation was released, in Washington, DC, just a few hours before history was made at this event itself.

A Historic Day at Kaiser Permanente

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Member led, not member “participated” – 2016.04.13 National Kaiser Permanente LGBTQ Health Symposium 04818 (View on

In 2016, the symposium, held in Universal City, California, hosted the first member led (not member participated) session at this Contuing Medical Education accredited event.

(And not to worry, we fulfilled all the CME requirements, even with a member-led session, and some we didn’t have to, including being 100% Pharma Free)

It was also the first national (rather than regional) LGBTQ Health Symposium for Kaiser Permanente.

When Cadence Valentine hosted a conversation with our members on stage, they did it on the day that health policy finally aligned with science – after an 80+ year mismatch, in front of 350 of the most passionate therapists, nurses, doctors, health leaders in the universe.

The topics included what the health system needs to do, now, not just to keep people from getting killed, not just to keep people alive, to help them thrive.

As Cadence said:


What a wonderful opportunity, on this historic day, to see the future in the context of the people who deserve to live it well.

I’d also like to comment on another thing I saw – the spontaneous, authentic recognition of the care teams by their patients from the stage, with those care teams in the audience. I know many of these nurses, physicians, therapists. They bring 100% of themselves to their work in this space, in professions that are just learning what LGBTQ health care is, much less able to recognize them for it.

Not just national leaders, world leaders

We were also honored to be visited on this day by Gail Knudson, MD (@Gail_Knudson), from the Provicial Health Services Authority of British Columbia (@PHSAinBC), and the President-Elect of the World Professional Association of Transgender Health (@WPATH).

I still have memories of Gail personally attending to my education about the future of transgender person health when my colleague Dana and I visited a year ago as part of KPLantern (see: Visiting the Transgender Person Health Program, Vancouver BC #KPLantern).

It’s incredible to learn this year at the progress British Columbia has made in spreading its world-class program to more of the province:

Leading in PrEP

Since the symposium covered all of LGBTQ, I learned a lot about Kaiser Permanente’s PrEP program. It’s the largest in the world. At one point the leaders of programs in three service areas did a roll call of new HIV infections:

It’s incredible what we can do when we put our minds, and our human spirit to things, isn’t it 🙂 .

Still so much more to do

In 2016 there is greater dissatisfaction with the status quo, expressed openly in the room.

This includes the way we address our members/patients when they come to see us; keeping them informed of changes and improvements in services available; connecting them to each other and to services closer to where they live, work, learn, play.

This is good. I see a future where we will prevent unnecessary suffering and demonstrate through action what it looks like when health care learns to love better, which is totally happening.

Human Potential and Listening

You know what else about our patients. Each person is a unique human being, on a pathway of their own, with the the potential to do great things for themselves and society through their total health. That’s what we are here to help them produce. This is a link I sent out many times this year, as a demonstration of just one of the things Cadence accomplished for society in the last year: Real Life ‘Danish Girl’: Transgender Woman Helped Actor Prepare for Film | NBC Southern California

At the same time, in so many contexts and health circumstances, I hear the thing that so many other patients have said, and continue to say: “let us help you.”

Listening is one of the best therapies for our health system. It works so well. And so does love. Which always wins.

There aren’t another 350 members, nurses, physicians, and health leaders who I would have rather spent this historic day with. If you didn’t get to appreciate the future with your patients in the wake of this news, I encourage you to. It’s the key to you being the best nurse, Doctor, therapist for the people you serve.

Photos from the day, click to enlarge.

ILNX: Innovation Is Never Easy

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2016.05.12 ILNX Day 2 04773 (View on

This week is the 10th year of the Innovation Learning Network (@HealthcareILN) and its in person meeting is at the Kaiser Permanente Garfield Innovation Center (@KPGarfield).

I think the theme from interacting with the people here is that innovation is hard, and (not but) there is a lot of passion. It’s really helpful to hear the scripts that organizations use to either support or control (or is it “center”?) innovation. A lot of them sound the same, almost down to the word. To me, that validates the existence of a network like this.

More photos below, enjoy.

Save the Date: 2016 Kaiser Permanente National LGBTQ Health Symposium – Open to All

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National Kaiser Permanente LGBTQ Symposium Save the Date 160210 (View on

As the flyer says. May 13. Universal City, California

We’ll have special speakers, including

Registration web site coming soon – you do not need to be affiliated with Kaiser Permanente to attend (and see the future) – see you there!

#KPLantern is beginning – Human Centered Insights into Transgender Person Health, to make it better

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KPLantern- Help Kaiser Permanente Become a Leader in trans*-inclusive care (View on Flickr)

Beginning next week, I am (temporarily) joining the nationally recognized Kaiser Permanente Innovation Consultancy (@KPInnovation) for KPLantern:

Lantern is a project that Kaiser Permanente is undertaking to gain insight into the diverse experiences, challenges, and goals of being a transgender person in our current society and use that insight to better design health and care resources and experiences for our transgender members.

For the past several years I have been working with our members, staff, nurses, doctors, leaders, communities on the journey to support the total health of all of the populations we serve, which includes people who are transgender. It’s the way of Total Health.

This is, for me, an opportunity to learn to do that better, via human-centered design approaches, with a great team, supported by a great organization that is ready to lead in providing transgender person health care.

And by lead, we mean by being great collaborators, community citizens, respectful partners with our members, their loved ones, and their communities. The team, led by Dana Ragouzeos and Katherine Duong, has a ton of experience in human centered design across a swath of projects and vulnerable populations + the curiosity to learn more. Check out the Consultancy’s portfolio online – it’s fantastic and engaging.

The project is under the umbrella of health care quality improvement, which means that there are important (and required) protections in place around the confidentiality of the work, the findings, and the people who we learn from, similar to health care itself. These protections bring safety for the people who we engage, and credibility of the work. We’re here to improve the health and lives of the people we serve – that’s the goal. I may speak of progress in the work, but won’t post any protected information.

This flyer will start going out to recruit subjects for the field work. Feel free to circulate it yourself, add comments to me below, and follow-along here. Hashtag is #KPLantern, the project will go through May, 2015. The Kaiser Permanente Center for Total Health team (@KPTotalHealth) will be participating along with the Consultancy.

We’re here because we support the total health of 9.5 million people. The prize, though, is the 316 million Americans who will find themselves so lucky to be in a country and community enriched by someone they know who is L,G,B,T,Q, in good health, and achieving their life goals.

The name of this project comes from two places. The first is the location where a team of passionate people dreamed it up, on the corner of Eastern Lantern and Golden Lantern in Dana Point, CA at the 2014 Permanente Executive Leadership Summit. The second is the fact that this is a unique opportunity for us to shine light on a population that has not been holistically served by the health care system. We have the opportunity to illuminate real, inspiring opportunities.

Eastern Lantern and Golden Lantern Streets, Dana Point California (View on

Transgender person care wasn’t on the map when Kaiser Permanente’s first hospital was created in 1933, but the values that created this work were. It’s in our DNA 🙂

Kaiser Wakes the Doctors Book 33950

Desert Center, 1933 (View on Flickr)