Social Media - 4 1/2 Reasons WHY for physicians in integrated care

4 ½ Reasons WHY - Social Networking
Kaiser Permanente | Group Health Physicians
Medicine and Management • July 26, 2012
Ted Eytan, MD MS MPH • The Permanente Federation • twitter: tedeytan

© 2012 The Permanente Federation, LLC

Photograph: Ted Eytan, MD http://flic.kr/p/cxjwdS

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Group Health Cooperative Informatics My WHY Began Here

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The Andon Cord and Patient Safety in EpicC
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1 . Seeing the Impact: New York “At any time during the production process
Times Journalism Institute Toyota plant, any team member who spot
2 . Medication Reconciliation, at problem can stop production by pulling the
37,000 feet
“andon cord” located next to the assembly
3 . QISTS ’07 Begin Today –
An andon board (left) lets supervisors kno
Nephrology
location of the problem with a blinking ligh
4 . Radiology Orders Default
distinct musical tone.”
Screen
5 . EnROL - Enhanced Record This approach empowers employees to highlight defects and bring attention
Lookup Information Guide
solution without being penalized. When the line stops, everyone must stop w
they are doing and attend to the fix.
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We have created a similar setup for EpicCare at Group Health. We now have
clinicians on call 24 hours a day, 7 days a week, to respond to any questions
Find the functioning of EpicCare that are concerning for patient safety. In consulta
with the on call clinician, the “andon cord” will be pulled. When the cord is pu
BASICS emergency response team will be assembled, which will do rapid analysis of
About this Blog problem and make decisions about next step.
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The analogy here is the code team in a hospital, who will bring a code cart a
through e-mail preparation to diagnose the patient and act quickly. Pulling the andon cord d
mean that Epic will be shut down; it simply means that a team will be assem
RECENT COMMENTS quickly and other work will stop.
"As it so happens, we
The goal of this new process is “door to doc in 45 minutes.” We have had the
received a legal opinion
occasion already to use it in real time, and have been able to achieve this go
today..." (Ted Eytan on

1. We value communication

2005
Social Networking Use Internet
100%

75%

50%

25%

AGE: < 30 0%
30-50
50-64
65+
Source: Pew Internet & American Life Project Tracking Survey, September, 2005; Pew Internet & American Life Project: Older Adults and Social
Media, August 2010, http://pewinternet.org/Reports/2010/Older-Adults-and-Social-Media.aspx
Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan

2012
Twitter Social Networking Use Internet

100%

75%

50%

25%

0%

AGE: < 30
30-50
50-64
65+
Source: Zickuhr K, Madden M. Older Adults and Internet Use: For the first time , half of adults ages 65 and older are online.
Washington, DC; 2012. Available at: http://pewinternet.org/Reports/2012/Older-adults-and-internet-use.aspx.

2012
Twitter Social Networking Use Internet

100%

Half of internet users ages
50-64 and one in three
75%

users aged 65 and older
use social networking sites
50%

25%

0%

AGE: < 30
30-50
50-64
65+
Source: Zickuhr K, Madden M. Older Adults and Internet Use: For the first time , half of adults ages 65 and older are online.
Washington, DC; 2012. Available at: http://pewinternet.org/Reports/2012/Older-adults-and-internet-use.aspx.

TEENS: how they communicate with friends
Text

Social
Networks
in person Phone
IM

email

“to do more than one thing at a time”
2011%data

TEENS: How they WANT to communicate

in person

Text

Social
Networks

‘The only REAL way to be with each other”
2012%data

2. We want to be there for our patients

The last time you had a health issue, did you get
information, care, or support from….?
Doctor/Health Professional Non-clinician source

All patients



All patients

60% 32% 30%
70%
8%

2002

2011



Caregivers

78% 22%

2011


3. We came here to change the world

Our ancestors opened doors, and minds

Our ancestors opened doors, and minds
! “We believe any
group of physicians
can easily duplicate
the Kaiser
Permanente
success.”
! “Medical school
faculties should point
out the advantages
and disadvantages of
all methods of
practice to these
young men* so that Nurse Elise Cook and Dr. Sandy MacColl
Group Health Cooperative
they can choose
wisely.” Sidney Garfield, MD

(*this was 1970)

4. We stand for Total Health
Lenora Brogan, member
Kaiser Permanente Center for Total Health

Why.

“Dream Grounds for a Dream Hospital”

Source: http://kasierpermanentehistory.org ; Joe Bialowitz, MS, HEM, Senior Environmental Stewardship Consultant, Kaiser Permanente

Why.

“Showcases of modern, green hospital design”

Source: http://xnet.kp.org/centralvalley/pages/green_features/green_features.html ; http://xnet.kp.org/newscenter/pressreleases/scal/
2012/011712sandiegosolar.html

How - Safer Chemicals

!IV solution bags and tubing sets
–100 tons of medical products
!Now free of PVC and DEHP
–PVC : Dioxin generation -> Cancer
–DEHP : Neuroendocrine
abnormalities January 19, 2012

!Saves $5 million / year

½. Our leaders want us to (the DNA thing)

Social Media - 4 1/2 Reasons WHY for physicians in integrated care

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Social Media - 4 1/2 Reasons WHY for physicians in integrated care