Presentation to Social Media Club of Washington, DC, April 27, 2011. From the perspective of a health care system devoted to providing high quality, affordability, and equal access to health care (and as a result total health and a healthy community), where does social media fit in? (hint: not to promote increasing the cost of health care)

1. Social Media and the Health System
Washington DC Social Media Club
Ted Eytan, MD MS MPH • The Permanente Federation • twitter:tedeytan • April 27, 2011
Photo Credit: Ted Eytan, MD, Washington, DC, April, 2011: http://flic.kr/p/9zpjoM
© 2011 The Permanente Federation, LLC

2. Social Media and the Health System
Washington DC Social Media Club
Ted Eytan, MD MS MPH • The Permanente Federation • twitter:tedeytan • April 27, 2011
Photo Credit: Ted Eytan, MD, Washington, DC, April, 2011: http://flic.kr/p/9zshFs
© 2011 The Permanente Federation, LLC

3. What sets us apart
Source: http://twitter.com/#!/tedeytan/status/58948513639313408
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4. Sidney Garfield, MD
“Unable to make ends meet by depending for
remuneration on the usual fee for service, I finally tried
prepayment and thus happened on our basic concepts
of health care.”
“The people, with the barrier of cost removed, were
coming to us earlier. We were able to treat them
earlier, prevent them from getting complications and
keep them from dying.” (1945)
kaiserpermanentehistory.org
Source: Garfield, Sr. “Special Feature The Delivery of Medical
Care Garfield Centennial.” The Permanente Journal 10, no. 2
(2006): 46-55.
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5. Sidney Garfield, MD
“Health education should not only be available, it
should be unavoidable” (1970)
kaiserpermanentehistory.org
Source: Garfield, Sr. “Special Feature The Delivery of Medical
Care Garfield Centennial.” The Permanente Journal 10, no. 2
(2006): 46-55.
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6. What I want to capture using social media
Intersection of Prevention and Wellness Way, Irvine Medical Center | Saving Lives One at a Time - Proactive Office Encounter
Southern California Permanente Medical Group • Kaiser Permanente Southern California
Photo Credits: Ted Eytan, MD, Irvine, California March, 2011
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7. “Some people work to cure people, we work to keep them from getting sick”
-Elsa Torres, Medical Assistant, Barranca Medical Center, Irvine, California
Photo Credit: Ted Eytan, MD, Irvine, California March, 2011 7

8. How it began
Informatics-Blog
Group Health Cooperative Informatics
HOME { 2006 04 14 }
The Andon Cord and Patient Safety in EpicCare
RECENT POSTS
1 . Seeing the Impact: New York “At any time during the production process at a
Times Journalism Institute Toyota plant, any team member who spots a
2 . Medication Reconciliation, at problem can stop production by pulling the
37,000 feet
“andon cord” located next to the assembly line.
3 . QISTS ’07 Begin Today –
An andon board (left) lets supervisors know the
Nephrology
location of the problem with a blinking light and a
4 . Radiology Orders Default
distinct musical tone.”
Screen
5 . EnROL - Enhanced Record
This approach empowers employees to highlight defects and bring attention to their
Lookup Information Guide
solution without being penalized. When the line stops, everyone must stop what
they are doing and attend to the fix.
SEARCH
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 about
Find the functioning of EpicCare that are concerning for patient safety. In consultation
with the on call clinician, the “andon cord” will be pulled. When the cord is pulled, an
BASICS emergency response team will be assembled, which will do rapid analysis of the
About this Blog problem and make decisions about next step.
Subscribe to updates
The analogy here is the code team in a hospital, who will bring a code cart and
through e-mail preparation to diagnose the patient and act quickly. Pulling the andon cord does not
mean that Epic will be shut down; it simply means that a team will be assembled
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 goal.
today..." (Ted Eytan on
The iPod as a Continuing Posted by Ted Eytan on Friday, April 14th, 2006, at 6:31 am, and filed under
Education device; and Safety. Popularity: 18%
allowance within CME Follow any responses to this entry with the RSS 2.0 feed.
budgets for purchase) You can post a comment.
Sources: Group Health Cooperative Informatics Blog (internal); The Health Care Blog: A Permanente Group Executive speaks
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9. Bank of Good Will : The Theory
Sources: Tweetreach.com - http://tweetreach.com/reach?q=dermdoc; http://mashable.com/2011/02/17/taco-bell-social-media-defense/
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10. Media Mentions: Kaiser Permanente 2005-2010
Negative Neutral Positive
Number of Mentions
2005 2006 2007 2008 2009 2010
Year
Source: Kaiser Permanente Brand Strategy Communications and Public Relations
10

11. Growing old is good.
100%
90%
80%
70% NCQA 2010
90th Percentile
60%
50%
2006 2007 2008 2009
Hawaii Region Georgia Region
Breast Cancer Screening • HEDIS 2010
Sources: Kaiser Permanente Integrated Analytics; Data is for commercial enrollees only; When I Grow Up (Hawaii) - Kaiser
Permanente YouTube Channel - http://www.youtube.com/kaiserpermanenteorg
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12. “When I Grow Up”
(125,075 total views)
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13. Thinking about Communication
“If you look bad
on a big
screen, you’ll
look bad on a
small screen”
– Stephen Klasko, MD,
MBA, Dean, University of
South Florida College of
Medicine
Sources: http://twitter.com/gsquare86; Do Medical School Deans see social media in the future of medicine? I asked Dean Stephen Klasko of @usfhealth if he does. http://
www.tedeytan.com/2011/04/17/8056
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14. What happened next?
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15. Welcome to the present
kp.org/centerfortotalhealth
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