WE BUILD A BRIGHTER FUTUREtogether

American Hospitals AssociationAnnual MeetingApril 29, 2013

Raymond J. Baxter, PhDSenior Vice President, Community Benefit, Research and Health Policy

Journey to Excellence:The Role of Total Health

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Kaiser Permanente’s History & Mission

To provide high quality affordable healthcare and improve the health of our members

and the communities we serve.

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Kaiser Permanente’s integrated health care delivery system and commitment to preventive care empowers our members to maximize their total health—mind, body, and spirit.

We stand for Total Health

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Our Aspiration

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From Health Advocates to Health Activists

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The Journey We Are On…

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Total Health Assessment Walking Promotion

Healthy Eating

Workplace Safety

Kaiser on the Job

Healthy Schools

WorkForce Health

Health Education

Employee Health

Obesity Prevention

Community Benefit

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Health and Health Outcomes are Not Equitably Distributed

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Environmentaland Social

Factors20%

Family History and Genetics

30%

Personal Behaviors 40%

Source: Determinants of Health and Their Contribution to Premature Death, JAMA 1993

Health is driven by multiple factors that are intricately linked – of which medical care is one component.

Medical Care

10%

Drivers of Health

Health is About More Than Access to Care

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We Have to Disrupt Current Defaults

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Support Individuals Encourage Groups

Change Communities Track Outcomes

4 Diseases, 4 Risk Factors* 4 Kaiser Permanente Actions

*Aligns with World Health Organization’s framework for monitoring non-communicable diseases

An Integrated Approach to Diseases and Risk Factors

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Deploying Kaiser Permanente Assets for Total Health

1Neighborhood /

Community

Society

Individual / Family

Home / School /Worksite

CommunityHealth

Initiatives

Environmental Stewardship

Clinical Prevention

Access to Social and Economic

Supports

Health Education

Public Education

WorksiteWellness

Public Policy

Research

Physical and Mental Health Care

Walking Promotion

We Have to Deploy All Our Assets for Total Health

Purchasing and Employment Practices

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Places where people spend so much of their time

Big opportunities for improving physical activity and healthy food

A large Kaiser Permanente membership base in both areas, allowing for greater connection with people

Many Kaiser Permanente assets that can be scaled and deployed

Focus on Schools and Workforce

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Schools: Total Health in Action

Thriving SchoolsPromotes workforce health and student-focused initiatives like improving school lunches and increasing opportunities for physical activity. Website

offers ready-to-use tools and resources at no cost.www.thrivingschools.kaiserpermanente.org

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Workforce Wellness: National Labor Agreement

Landmark provisions Incentives to bring down healthcare costs Reward collective group achievement of lowered

risk factors

Goal: Achieve 5% improvement in key biometric risk indicators for coalition represented employees by the end of 2016.

…a commitment to attain industry-leading reductions in smoking rates, cholesterol and blood pressure levels, and BMI averages; increase understanding of how to reduce incidence and severity of chronic disease

Work on implementing the provisions of the agreement for employee health can serve as a catalyst for Workforce Wellness improvement

across the entire program.

http://www.lmpartnership.org/tools/2012-national-agreement-overview

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CLINICAL EXECUTIONReliable and effective delivery system

interventions to: screen, advise, assist, refer

Health and costs hinge on addressing modifiable risk factors.

ONLINE ENGAGEMENTOptimal use of: online resources, health coaching, mobile apps, social media, etc

ENVIRONMENTAL AND COMMUNITY STRATEGIES

Support healthy choices

Total health requires us to systematically identify members behavior change goals, connect members to optimal

resources/supports and create optimal defaults.

Behavior Change: A Total Health Perspective

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The Road Ahead is Challenging…But We Can Find a Way.

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We Have to Activate Individuals and Communities