I am giving the attached presentation at the Consumer Partnership for eHealth meeting today, in Washington, DC. It has the latest use statistics for Kaiser Permanente’s My Health Manager, which reports quarterly. Enjoy.
I wrote about moderating this panel previously, and today it happened. Here are my introductory slides, including the very first tweet of each panelist!
I asked every member of the audience to write a question or comment down on a notecard. I’m going to scan those in and allow panelists to answer them online, to continue the conversation.
Here’s where you can find everyone, and thanks for bringing your perspective today:
Below are high quality images of the slides I presented at the Informatics for Consumer Health Summit, at the Bolger Center for Leadership, in Potomac, MD. I didn’t know the U.S. Postal Service had such a nice facility, I guess that is a part of the fun of discovering new parts of this part of the country.
Below the slides is a list of links of sources used in my slides. I’m reposting here because the videocast did not include the actual videos.
This presentation will probably look familiar; there are new slides that show the very impressive breast cancer screening rates achieved in Kaiser Permanente regions, and most notably, Hawaii, which achieved a rate of 85 %, which ranks it as the number one health plan in the U.S.
Oh, one note, slide 2 is the title slide I “wanted” to use, instead of slide 1 – it’s not too informal is it? I want to highlight health instead of technology….
Enjoy, comments and questions welcome.
I was delighted today to spend time learning about the possibilities of telehealth and application at leading edge care systems at the Broadband Breakfast, in Washington, DC, including Department of Veteran’s Affairs, and The Army.
The room we were in was not really conducive to showing audiovisuals (however, I was able to play one of Kaiser Permanente’s new radio spots about the Internet…), so I am posting the slides I would have shown here for the audience, and any other interested parties.
A few a ha’s from this very accomplished panel included Ron Poropatich, MD’s experience that the people he serves often have full e-mail boxes these days. They tell him, “text me.” Jay Sanders, MD from the Global Telemedicine Group continues to inspire with his optimism that telehealth is achievable, and not just for the sick, but the well, also.
If you’ve seen my recent presentations, these slides will look familiar; however, I have added a few pieces on Kaiser Permanente’s commitment to eliminating health disparities, and to reducing the carbon footprint of health care. The image of the award is one that Kaiser Permanente owns,given to it by the Environmental Protection Agency in April, 2009.
Finally, I have to say that it’s still impressive, in 2009, that you can ask a room of professionals supporting next generation technology if they have broadband at home (all of them raise their hand), and then you ask if they can e-mail their doctor, all of the hands go down.
Actually, all the hands went down except for the two people in this room who are Kaiser Permanente members … and I am one of them.
See what you think, and enjoy.
It has been a busy week to say the least. One of the highlights, though, was giving this presentation with Holly Potter, Vice President of Public Relations and Stakeholder Management for Kaiser Permanente, at the Health Care Public Relations, Marketing & Internal Communications: A Social Media Summit, put on by Ragan Communications.
We talked about how we met, through similar communication-type experiences, and the work we are doing now, including promoting an internal social network at Kaiser Permanente, and promoting participation of physicians and staff online with members and potential members.
It’s been really great to work with Holly and her team, who are coaching us to participate, rather than to not participate, and who we can turn to when we want to know just how high the expectations our communities of us are. The expectations are pretty high, and they’re willing to help us meet them.
See what you think and enjoy.
Attached below are the slides from the presentation I gave yesterday at the Agency for Healthcare Quality and Research Annual Conference, entitled “PHR’s What Are They Good For?“
An important thing I learned about yesterday’s session is that it was the first ever annual conference session in AHRQ’s history that was not moderated by an AHRQ staff member or grantee. This speaks to the openness with which AHRQ is approaching this content.
Slides (click on any to see full size and go backward and forward):
The room was full but not packed; however, some of the most important and influential people in my growth and development as a supporter of patient empowerment were present, including Pat Sodomka, from the Medical College of Georgia, Josh Seidman, from the Center for Information Therapy, and fellow panelists John Moore and James Hereford, from Chilmark Research and Group Health Cooperative, respectively. In addition, new influencers Regina Holliday and Christine Kraft were also present, taking time from their busy schedules to be there for patients everywhere. I was allowed to tell Regina Holliday’s story to this audience, a great honor.
In any event, the packed-ness of a room doesn’t matter to me anymore; the conversation and learning now happens socially after the event. So, any presentation I prepare is designed to start a conversation in the room and far beyond it.
If you’re read my writings, I think PHRs are good for a lot of things, and with great thanks to the following organizations, I was able to present actual data showing how personal health records change care for the better, reactively and proactively:
Also, the videos show in this presentation are available on demand, on the Kaiser Permanente YouTube channel. Feel free to view at your leisure.
To support the request to produce a 508-compliant presentation, I have uploaded one to slideshare (link below). Of course, all comments and questions are welcome.
The following presentation is an update to one I gave at the California Healthcare Foundation in 2007, and includes updated data and experience since then. I gave the presentation to staff at The Advisory Board, who produce the very useful iHealthBeat publication. iHealthBeat has just begun accepting user generated content to spur discussion. Please head over and write a few comments on the perspective pieces if you can.
Key changes since 2007:
I like the Forrester Social Technographics approach, which place blog writing at the highest tier of participation. It seems that the Web2.0 ecosystem will come to resemble the human one – a small percentage of people will lead, a larger percentage will participate and follow, and a small percentage will not participate.
Thanks a ton, again, to The Pew Internet and American Life Project for making their data so freely available. I was able to find the magic Excel file with data meticulously categorized and trended on this page on the Pew Internet site. It’s a huge help. Here’s the full presentation. Click on any slide to see fuller size:
Where the magic happens
I had the opportunity to talk about participation (of patients, families, and communities) in health care and the design of the health system today at the Agency for Healthcare Research and Quality (AHRQ) headquarters in Rockville, Maryland, at the invitation of AHRQ’s Director, Carolyn Clancy, MD, with attendance of experts including Jon White, MD, Director of the Health Information Technology Portfolio for AHRQ.
What can I say except it was a great experience at a place I and many people who do what I do have thought highly of for a very long time.
The slides I presented are below. I want to thank the students in the University of Washington eMHA program for doing a run-through with me. One of the suggestions I was given was to know what I “wanted” in giving this presentation to AHRQ. I told the group that I thought about this, and it was – to inspire them. I think that’s both enough to want, and a lot to want.
The session is/was a reminder to me that in 2008, people who are studying health information technology (a) have a good grasp of the idea that it’s a tool to improve health and health care and (b) the importance of involving patients and families in their care. That, and we should look outside our borders, to places like Africa, to think about innovation in IT beyond the computer.
Inspiration is a 2-way street. Thanks again Bill, Carolyn, Jon and AHRQ for the warm welcome.
I am attaching the opening remarks that I made, alongside Veenu Aulakh, at the Patient Online Access in the Safety Net discussion, hosted by the California Healthcare Foundation. It describes the “why?” in the context of my journey of discovery. Click on any image to see full size, and comments are welcome.
Update: Incidentally, depending on the reviewer, I am either congratulated or questioned about my presentation style. I just ran across this very nice slideshare : Death by Powerpoint . See if the slides below are more similar to that ideal (I hope they are)
I started off a presentation-in-the-works to students in the University of Washington Executive MHA program, led by David Masuda, MD (who, sadly, doesn’t have a blog, just a Twitterfeed, it’s a journey…), with the words, “This is a beta test,” and I’m glad I did.
The beta test part is true, since I was asked by Carolyn Clancy, MD, from Agency for Healthcare Research and Quality to reprise and elaborate on a talk I gave at the American Board of Internal Medicine Forum in July for a seminar at AHRQ later this month. That was a 10 minute presentation, the one coming up is a little more full. The way I like to do these when the presentation is in evolution is practice to myself, of course, but also to test with a smart audience to read the feelings/emotions that are created (which is what I think a presentation is for – read more about this here) and see what ideas resonate well and which ones don’t. I usually tell the test audience that I’m testing, and it really helps, because it engages the discussion beyond the content, to how to make the content help other people after this group. Synergy.
Luckily, Dave and his co-students gave me the opportunity to do this.
Before it was my turn, I got to see Rick Rubin, President of Washington’s OneHealthPort in action, talking about community collaboration in the health information technology space. In my travels, I have seen that OneHealthPort is really a gem in the area of health information technology (when people find out about it). It’s company that supports collaboration among potential competitors who jointly have a business need for this collaboration. Whenever I mention that it exists on the East Coast, I have always gotten a good amount of interest in it (which I in turn forward on to the OneHealthPort folks).
I didn’t know before this day that Rick is from Boston, which probably accounts for some of my draw to his style. I think OneHealthPort should get more exposure nationally as a functional model for community collaboration and I reflected on the fact that doing business behind the Cascade Mountains in the Pacific Northwest sometimes shields the nation from some really good ideas. Place matters.
My turn – I worked to combine my work at Group Health with my work at California Healthcare Foundation, and beyond, with Participation as a theme, which is really where I have come to in terms of what I am about professionally. I think it went okay as a first run. I got great feedback from the students (all accomplished health professionals in their own right). I included some information about the 60 Minutes piece about Cedars Sinai and heparin. Luckily someone in the audience had first hand experience with this situation, and I need to adjust the presentation about this – it’s a reminder to be careful about telling other people’s stories, they know their stories better than I do (and vice versa).
One of the physicians in the class, who’s an Infectious Disease specialist, let me know that this approach to health care resonated with him as a physician supporting HIV patients, and how it was when his cohort of specialists began practicing a new way based on the needs of his patient population. I thought this was great to hear – I tell people that my cohort of physicians (Generation X) went through medical school during this time, and as a result we (I) graduated with the idea that I would work with patients who would know more than I would about their condition (which I embraced).
As far as the presentation I need to tighten it up more, and link every section to the concept of participation, and maybe a little leading on what should be done to foster it (study it in the leadership context among health providers? study it in the leadership context among patients guiding health systems? Going beyond studying participation of patients in their care). One of the parting commenters said to me, “It was very entertaining, it needs more substance,” and then, “you asked for feedback, so I wanted to give it to you.” I’ll take it, and since I’m now an East Coaster, directness really works.
I’ll wait to post the slides at the end of the month, so I can work up these ideas a little more.
Thanks again, Dave and University of Washington eMHA students for allowing me to continuously improve my continuous improvement!
I think word has gotten out that I am something of an urban dweller; Susan Edgman-Levitan was nice enough to ask me, “Ted, are you hanging in there?” as we spent several days in Yountville, California at the American Board of Internal Medicine Foundation forum on Achieving Patient-Centered care.
I ended up doing just fine – it’s about the content, not the place, and a scenic jog through the vineyards of Yountville can’t be argued with.
And the content was right up my alley, with thanks to the ABIM Foundation for hosting this discussion. The discussions at the Forum are being compiled by the ABIM Foundation, so I will let them report on that rather than me, but I can share my perceptions of the event here.
First of all, patients and families were involved throughout, as faculty and equal participants. This continues an important precedent in helping health care leaders achieve comfort with this idea.
One of the most powerful moments was Margaret Murphy sharing the story of her son Kevin’s death (You can read more about it here) within the Irish health system. I really appreciated Mrs. Murphy’s use of images in her storytelling – in the future, a presentation without at least 50 % images and a video or two is going to be minimum bar to go in front of an audience. There was discussion about Kevin’s death being the result of diagnostic error. I think that’s true, and I also think that if the family had access to all of his medical information from the beginning, it might have changed the diagnostic approach or caught the fatal series of errors before they happened.
For my part, I presented the following slides in the 10 minutes I had alotted, around the topic of the use of health information technology to put patients, families, and communities in the center of care.
Enjoy (I hope) and thanks to the ABIM Foundation for hosting this discussion and follow-up.
Click on any image to see them larger
I am posting this presentation that I created, commissioned by the California Healthcare Foundation, and supported by the Center for Information Therapy and indirectly, Group Health Cooperative.
It is the presentation that created the need for me to define Health 2.0. It is also the last presentation I will give as as a Group Health employee, and the only time I will be able to give it, due to my my career change.
It’s in slide show format, so feel free to click on any of the images and page through. I had a lot of fun putting it together because it allowed me to reflect on what I learned and how much I have changed in my thinking in just the past year. May the same trend continue.
I would like to extend special thanks to Crosskeys Media, producers of the excellent show “Remaking of American Medicine,” for allowing me to use portions of the content in the interest of supporting patient centered care. I encourage anyone interested in this topic to view or purchase the show. There is an educational license available that allows for use in teaching (as a whole piece, not intended for editing by users). It’s worth it.
Feedback and comments welcomed.
The Genie Industries video is especially compelling because everything they discuss is applicable in health care. What if we substituted “patient care” for making scissor lifts – we would see huge strides in improvement. Also, just upgraded the software that powers this blog. Viva open source.
I come from a leadership heritage that says, “help others be successful,” so I jumped at the chance to bring two great business partners (Karl Hoover, Executive Director of Quality&Informatics, and Lee Fried, Senior LEAN Consultant) together to conduct a national event on Group Health Cooperative’s work implementing the Toyota Management System across the enterprise. It was fun, and Lee and Karl are always great to listen to (as well to work with).
I attached two slides to the right which are around my contribution to the work, which dramatically changed the way we develop and maintain a statewide electronic health record with linked personal health record. The work was a lot of fun and very challenging at times (which is normal for a LEAN transformation, many peaks and valleys). I like challenges like this in what you learn about yourself in the process. One thing I learned about myself is that I am not afraid to work with people who are smarter than me (Karl and Lee as an example). It’s an attribute I have always looked for in other leaders, and I am happy I developed it, too.
Enjoy.
PCHIT links for January 11th through January 13th:
AHRQ-Funded Projects: Using an Electronic Personal Health Record to Empower Patients with Hypertension – Innovative grant to Medical College of Georgia to develop a PHR on the Cerner Platform
PDF: Web 2.0 for Planning, Communication and Change Management, Ted Eytan, MD
Given at California Healthcare Foundation’s new headquarters, Oakland, CA
It was a busy week in California, starting with a visit to the California Healthcare Foundation’s new headquarters in Oakland, California. I was honored to lead a discussion on the use of “Web 2.0″ (mostly focusing on blogs) in health care. This blog itself is an experiment, partially funded by the Foundation. I think the basic message is “If you don’t, they will,” and “being transparent and accountable as a health system can inspire confidence.”
I first gave this presentation with Andy Wiesenthal, MD, who leads the Kaiser Permanente HealthConnect project, at a User Group meeting for Epic Systems clients, later within my own health system, Group Health Cooperative, and now this public version.
I am a bit of an evangelist now of using Web 2.0 in Healthcare, and consider myself “very available” when it comes to the opportunity to give this presentation to other audiences. It’s been a great journey, as you can see in the slides.
We had a nice discussion about the value of blogging and transparency in different environments. The presentation is meant to be informational, without any particular recommendation for the philanthrophy community. Of interest, though, was a question posed about how to move to Web 2.0 in a large organization. My answer was, “Slowly” and “not to shock the system.”
What was really great was that Holly Potter, the Director of Communication for the HealthConnect project was in attendance, and her response was, “It would be nice to have the luxury of being that deliberate. We don’t have that option anymore.” Holly’s team supports a project that touches millions of lives. She related her experience as the person accountable for ensuring that the communities that are touched by this project have the most accurate information about it, all the time. It was very powerful to have Holly present in the discussion, in my opinion.
Council of Accountable Physician Practices (CAPP)
Speaking of accountability, I was also fortunate to meet Nancy Taylor, the Executive Director of CAPP, which is an affiliate of the American Medical Group Association. The medical group I belong to, Group Health Permanente, is a member of CAPP, and these are the medical groups that are working to promote a health care system that is “more accountable to patients, consumers, and purchasers.”
I actually didn’t know about CAPP before I started this work, but as I look at the roster, it’s a who’s who of innovators in the personal health record / patient-centered care world.
This is not to say, though, that CAPP groups are the only ones innovating. As I discussed previously on this blog, there is a lot going on in smaller practices supported by the American College of Physicians and the American Academy of Family Physicians. At the same time, this consortium represents another nice touchpoint for those who ask, “Who can I talk to about implementing patient centered health information technology?”
Of course, in the shadow of the talk I had just given, I thought about which of these medical groups have blogs where they are communicating their work to the public. I don’t know the answer to that question (and if any of them are reading this, please post your comments here about that). I hope at some point to interact more with the Council and maybe discuss the opportunity to be even more transparent using Web 2.0 technology
I am wrapping up my time in California, with just a few more posts to go, and I wanted to again thank the California Healthcare Foundation and The Council of Accountable Physician Practices for their support of patient centered health information technology.
© 2010 Ted Eytan, MD · Proudly powered by WordPress & Green Park 2 by Cordobo.
Valid XHTML 1.0 Transitional | Valid CSS 3
