WE BUILD A BRIGHTER FUTURE together American Hospitals Association Annual Meeting April 29, 2013...
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Transcript of WE BUILD A BRIGHTER FUTURE together American Hospitals Association Annual Meeting April 29, 2013...
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
Page 2
Kaiser Permanente’s History & Mission
To provide high quality affordable healthcare and improve the health of our members
and the communities we serve.
Page 3
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
Page 4
4
Our Aspiration
Page 5
5
From Health Advocates to Health Activists
Page 6
The Journey We Are On…
6
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
Page 7
Health and Health Outcomes are Not Equitably Distributed
Page 8
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
Page 9
We Have to Disrupt Current Defaults
Page 10
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
Page 11
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
Page 12
12
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
Page 13
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
Page 14
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
Page 15
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
Page 16
The Road Ahead is Challenging…But We Can Find a Way.
Page 17
We Have to Activate Individuals and Communities