Care Delivery

ILN Day 2: Innovation Safaris

Capital Bikeshare -- Innovating active transportation.

Capital Bikeshare — Innovating active transportation.

This morning, ILN in-person attendees got the chance to visit DC-area companies embodying innovation in their everyday work. Safari destinations included:

  • Capital Bikeshare – Technology to change the way we move, for health
  • NPR Headquarters – Disrupting broadcasting, building for health
  • Consumer Financial Protection Bureau  (CFPB) – Financial health and behavior change at the 
  • National Intrepid Center of Excellence at Walter Reed National Military Medical Center  (NICOE)
  • ONC Blue Button – Empoweirng patients with their electronic health record information  (SafariBlueButton)
  • OPOWER – leveraging the latest behavior change science to transform energy consumption  
  • Uniformed Services University (USU) Simulation Center (USUSIM)
  • MedStar Health’s Simulation Training & Education Lab (SiTEL)
  • The Bridge to ER One at MedStar Washington Hospital Center
Walter Reed Dedication

Walter Reed Dedication

ILN Attendees with the Surgeon General

ILN Attendees with the Surgeon General

Attendees hurried back to the Center for Total Health for remarks from Rear Admiral (RADM) Boris D. Lushniak, M.D., M.P.H., Acting Surgeon General of the United States, who reminded us that we haven’t failed until we stop trying.

The afternoon included more great speakers and a walking break to the Supreme Court. Tonight, we’re looking forward to a healthy dinner at 1776 with health startups on the cutting edge of technology and innovation.


Innovation Learning Network, In Person: Day 1

Yesterday, the Center for Total Health was excited to kick off the Spring Innovation Learning Network (ILN) In Person meeting after months of planning. In partnership with Kaiser Permanente, the Military Health System, MedStar Health and other organizations, the ILN convenes health care innovators from around the world to share ideas, problems, solutions, and inspiration.

Newly Titled Innovation Divas  Ted Eytan, MD, Chris McCarthy, Keith Montgomery, Tim Rawson

Newly Titled Innovation Divas
Ted Eytan, MD, Chris McCarthy, Keith Montgomery, Tim Rawson

The three-day conference has the theme of complex system change, and kicked off with tours of the Center for Total Health. Speakers included our own Keith Montgomery, executive director for the Center for Total Health, author Paul Plsek, and MedStar’sEd Tori. Themes included being willing to take risks (and possibly fail before you succeed) and moving to a focus on simple rules built by the users (rather than dictated by the top).

Ed Tori, MedStar

Ed Tori, MedStar

So much more to learn on days 2 & 3! Follow along on twitter via #ILN14 !

Photos of the Week: A Busy Thursday

Today was a busy day at the Center for Total Health. We were excited to welcome a range of guests from across the total health spectrum. Guests included a  group of nursing students from George Washington University, the Coalition to Transform Advanced Care (C-TAC), and Hal Ruddick, Executive Director of the Coalition of Kaiser Permanente Unions.

Lu Casa, ARNP, welcomes George Washington Nursing students

Lu Casa, ARNP, welcomes George Washington Nursing students

C-TAC's Advanced Care Project Kick-Off Meeting

C-TAC’s Advanced Care Project Kick-Off Meeting

Keith Montgomery, Executive Director of the Center for Total Health, and Hal Ruddick, Executive Director of the Coalition of Kaiser Permanente Unions, wearing two different types of fitness/activity tracking devices

Keith Montgomery, Executive Director of the Center for Total Health, and Hal Ruddick, Executive Director of the Coalition of Kaiser Permanente Unions, wearing two different types of fitness/activity tracking devices


Photo of the Week: German IT Delegation

Today at the Center for Total Health, Kaiser Permanente International hosted a group of German Health IT delegates for an informational session. Joy Lewis, MPH provided an overview of Kaiser Permanente to set the context for the dialogue that followed. The group saw a KP HealthConnect demonstration and heard about being a physician Tom Tesoriero, MD, from the Mid-Atlantic Permanante Medical Group, followed by a discussion with Sandra Stuart, Executive Director of Health IT Standards. Sandra talked with the group about the future of HIT and shared some examples of how Kaiser Permanente is forward-thinking about the use of technology at four different care sites (hospital, clinic, home and virtual).

Dr. Tesoriero

Dr. Tesoriero



Group Discussion


Sandra Stuart speaks to the group about Kaiser Permanente's approach to Health IT

Sandra Stuart speaks to the group about Kaiser Permanente’s approach to Health IT


The Next Total Health Focus at CTH: Connecting Patients & Social Support for Better Health

Posted by | Care Delivery, Center for Total Health, Community Health Initiatives, Experts, Health Innovation, Healthy Communities, Live Chat, Video | No Comments

Bookmark this post in your browser and return January 23 (3 p.m. to 4 p.m. Eastern, noon to 1 p.m. Pacific) to watch the webcast live.


On January 23, the Center for Total Health will host the next Total Health and Technology Focus, this time looking at tools to support the social needs of patients.

Total health is about the mind, body and spirit. but there are other influences on our health — such as the community a person lives in, the environment that surrounds them and all their relationships that influence healthier behaviors.  Unrecognized needs such as support for housing, food/nutrition or other psycho-social stressors also have an impact on health.  Clinicians often feel unable or unprepared to address these needs.

Our January 23 event will feature Healthify and Health Leads, two organizations with innovative models that help people with unmet social needs connect to available community services.  Join us for a discussion on how clinicians can be part of a health system solution.

About the Organizations
Healthify  is:

  • a dynamic screening tool that identifies and quantifies the social and behavioral needs of your patients
  • a matching algorithm that finds, refers, and texts patients about the best resources for their needs
  • a dashboard to allow staff to search for resources and gain insight into their population

Health Leads works with clinics to connect patients to basic resources, improving health outcomes and patient satisfaction while lowering the cost of care. Health Leads enables doctors and other healthcare providers to “prescribe” basic resources like food and heat just as they do medication. The organization recruits and trains college students to “fill” these prescriptions by working side by side with patients to connect them with the basic resources they need to be healthy.


Please note that Kaiser Permanente does not endorse the products featured in these discussions.


Who Made the U.S. News Annual Top Hospitals Rankings?

Today, U.S. News & World Report came out with their annual list of the nation’s top hospitals.  Facilities ranking near the top of a minimum of six out of 16 specialties (e.g., cancer, neurosurgery) make the 2013-2014 honor roll, and after evaluating almost 5,000 medical centers, 18 made that cut.  This year, Johns Hopkins was named number one overall, followed by Mass General in the number two spot.

In addition to the overall rankings, the report also rates medical centers in most states and in major metropolitan regions (all U.S. regions with at least 500,000 in population).  Several Kaiser Permanente facilities in California and Hawaii were recognized in these rankings, as called out in this press release.

According to its website, U.S. News primarily uses objective data on hospital performance, such as patient survival rates, and structural resources, such as nurse staffing levels as a basis for rankings. Each hospital’s reputation, as determined by a survey of physician specialists, is also a factor determining each hospital’s rankings.  An FAQ on the ins and outs of the ranking process can be found here.

For patients under 18 and their caregivers, U.S. News published a separate Best Children’s Hospitals Honor Roll and rankings in 10 pediatric specialties last month.


Using Video Ethnography to Improve Quality of Care

Are you familiar with the practice of video ethnography? It is the use of interviews and observations in real time, coupled with video, to catalyze change and accelerate performance improvement. Teams at Kaiser Permanente are now in their fifth year applying this methodology to inform how they can improve care delivery.

Today, we are featuring a video produced by the Kaiser Permanente Care Management Institute all about video ethnography. It’s an excellent overview on how the organization is using the process to explore the patient experience, find opportunities for improvement, and make changes that will result in better quality of care. We will continue to explore this topic next week with an interview with Kaiser Permanente’s Estee Neuwirth, PhD, director of field studies, evaluation and analytics with the Care Management Institute.

Destination HIMSS: More on Care Connectivity Consortium

We continue our exploration of the Care Connectivity Consortium — a collaboration of five health organizations who have been trailblazers in the use of electronic health records. Geisinger Health System, Kaiser Permanente, Mayo Clinic, Intermountain Healthcare and Group Health Cooperative have come together with a shared objective: Health information exchange that supports high-quality, patient-centered care for everyone in the United States.

Today’s videos touch on technology standards used to exchange health information between participating organizations, the link between interoperability and improved quality of care delivery, and how interoperability gives patients a voice in their own health care.

On Monday, we’ll share perspectives from a nurse and a patient. Remember, if you are in Las Vegas for HIMSS 2012, you can check out the first phase of the CCC’s health information exchange work in person at the Interoperability Showcase, located at booth #11,000 in Hall G, Feb. 21-23.

On the 30th World AIDS Day: Caregivers Reflect

In honor of the 30th anniversary of World AIDS Day, six Kaiser Permanente clinicians and leaders recently shared their thoughts and recollections about the organization’s 30-year journey in caring for people with HIV. Several of them are uniquely positioned to comment because they have worked for Kaiser Permanente for close to 30 years and have been a part of the global battle against HIV since the beginning.

In many ways Kaiser Permanente has shaped and improved how clinicians nationwide care for people with HIV. The organization cares for more people with HIV than almost any other organization in the United States; more than 20,000 HIV-positive patients today, and 50,000 patients with HIV since the beginning of the epidemic.

For more detail, visit the Kaiser Permanente history blog.

Access to Data and Patient-Centered Care

Yesterday, at the HHS Consumer Health IT Summit, HHS Secretary Kathleen Sebelius proposed rules for the expansion of patients’ access to their own health information through the use of health IT. The focus of this announcement was on empowering patients with information to become active partners in their health and care.

Our second segment of the conversation between Jack Cochran, MD, and Scott Young, MD, explores that very issue. Today’s podcast centers on patient-centered care — what it looks like and why it’s important — in the information age.

Scott Young, MD and Jack Cochran, MD

Jack Cochran, MD with Scott Young, MD: Patient-Centered Care Delivery


Audio clip produced by Kaiser Permanente with interviews recorded by StoryCorps, a national nonprofit whose mission is to provide Americans of all backgrounds and beliefs with the opportunity to record, share, and preserve the stories of our lives.

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