together Health, Mobility and Equitable Prosperity Rides to Wellness Executive Summit March 11, 2015, Washington DC

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1 Health, Mobility and Equitable Prosperity together WE BUILD A BRIGHTER FUTURE Rides to Wellness Executive Summit March 11, 2015, Washington DC Tyler Norris, MDiv Vice President, Total Health Partnerships

2 Healthy People, Healthy Places, Healthy Economy Page 2

3 Kaiser Permanente s History and Values Our Mission for Generations To provide high quality, affordable health care, and to improve the health of our members and the communities we serve

4 Our Aspiration Page 4 4

5 Triple Aim: Dimensions of Value Population Health Experience of Care Per Capita Cost Page 5

6 Place Matters: Obesity Page 6

7 Many Factors Shape Health Health is driven by multiple factors that are intricately linked of which medical care is one component. Drivers of Health Medical Care 10% Environmental and Social Factors 20% Family History and Genetics 30% Personal Behaviors 40% Page 7 Source: Determinants of Health and Their Contribution to Premature Death, JAMA 1993

8 KP s Integrated Approach to Diseases and Risk Factors 4 Diseases, 4 Risk Factors* 4 Kaiser Permanente Actions Support Individuals Cardiovascular Disease Encourage Groups Diabetes Cancer Change Communities Chronic Respiratory Disease Track Outcomes Page 8 *Aligns with World Health Organization s framework for monitoring non-communicable diseases

9 KP members reflect the population density of DC Metro Area Page 9

10 Most KP members are within 15 minutes drive of primary care locations Page 10

11 Many of our members rely on transit because they prefer it, other because they have no other option Some locations are more accessible than others Page 11

12 Measurable disparities exist for chronic condition prevalence (ex. Diabetes) across communities Member communities Page 12

13 Care Anywhere + Health Everywhere In clinical settings Engaging people Where they Home & on the go In the Work Page 13

14 2012 The Permanente Federation, LLC

15 A Shifting Landscape: Extend the Delivery System Empower Members and Caregivers Extend the Delivery System Acute, Urgent & Emergent Care Encounters Ambulatory Care Encounters KP Care Settings Hospital & ED Geriatric ED Geriatric Specialty Deployment Clinic Geriatric Med Home Care Transitions Palliative Care Respecting Choices Technology Enabled Care Settings Home Hosp at Home Everywhere Integrated Complex Care Primary Care Home Visits Remote Monitoring Community Paramedicine Community Care Settings Continuum of Care Assisted Living Rounding SNF Rounding Community Access to Community Social Services Population Care Encounters Care / Case Management Automated Care Mgt Clinical Onboarding Call Centers / KP.Org Integrated Member Assistance Self Care KP.org Self Care System Mobile Apps Social Networks Internet Care Communities Page 15

16 What Our Members Need (transportation in each) Preliminary Data from Health Leads Pilot in KP Richmond (n=276 families, June Sept, 2014) 16

18 Exercise as a Vital Sign Essential first step in making exercise prescription a standard in clinical practice. Every patient needs to be asked about their exercise habits at every visit. Record with BP, HR, temp, BMI and smoking history. All Electronic Medical Records (EMR s) need a query for exercise. Medical assistant should ask about exercise during patient intakes. Must be easy to ask and record.

Walking as a Social Movement Everyone is invited Work on multiple fronts to change practices, behaviors, policies and cultural norms Clarity of purpose and clear set of values

19 Walking as a Social Movement Everyone is invited Work on multiple fronts to change practices, behaviors, policies and cultural norms Clarity of purpose and clear set of values Meaningful points of entry for individuals and organizations Distributed action. Leaders of movements build relationships, capacity, capability and embrace emerging opportunities 19

20 Complementary Benefits (co-benefits) Connectivity Health Cost Containment Environmental Sustainability Parks, Recreation & Open Space Walking & Walkability Workforce Wellness Economic Vitality Social Equity & Democratic Engagement Improved Security & Safety Academic Performance

Westside Medical Center First LEED Gold hospital Signaled larger commitment to pursue LEED for all hospitals, medical offices & major projects Designed to foster healing and address

21 Westside Medical Center First LEED Gold hospital Signaled larger commitment to pursue LEED for all hospitals, medical offices & major projects Designed to foster healing and address the full range of patients needs mind, body, and spirit Open campus integrates with community Outdoor plaza hosts weekly farmers market Paved walkways invite visitors onto campus Page 21

22 22 Health Disparities: Child Obesity

23 23 Powell-Division Transit and Development Project

24 Equity Is the Next Frontier Page 24

25 Total Health Impact: An Anchor for the Communities We Serve Deploying Kaiser Permanente Assets for Total Health Bringing together our mission, brand, knowledge and capabilities. Research and Technology Purchasing and Employment Practices Community Health Initiatives Environmental Stewardship Clinical Prevention Physical and Mental Health Care Body, Mind and Spirit Individual / Family Home / School / Worksite 1 Neighborhood / Community Society Health Education Walking Promotion Public Policy Access to Social and Economical Supports Worksite/ Workforce Wellness Page 25 Public Information Living Wage Payroll Facilities

26 Health in All Policies : Co-benefits Health Education Environment Economy Energy & Transportation Policy Alignment Page 26 Leadership for Healthy Communities

27 Partnership for Active Transportation 1. Federal, state, local investment in active transportation networks 2. Innovative financing to leverage public/private partnerships 3. Integrate health into transportation decisions

28 National Poll Unmet demand: How spend $100 on transport? VS

29 Working in the Nexus Healthy People Healthy Environments Page 29 Thriving Local Economies

THE GLOBAL STRATEGY FOR WOMEN S, CHILDREN S AND ADOLESCENTS HEALTH ( )

THE GLOBAL STRATEGY FOR WOMEN S, CHILDREN S AND ADOLESCENTS HEALTH (2016-2030) SURVIVE THRIVE TRANSFORM AT A GLANCE SURVIVE THRIVE TRANSFORM The Global Strategy for Women s, Children s and Adolescents