Journey to Excellence:
The Role of Total Health
together
WE BUILD A BRIGHTER FUTURE
American Hospitals Association
Annual Meeting
April 29, 2013
Raymond J. Baxter, PhD
Senior Vice President, Community Benefit, Research and Health Policy
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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We stand for Total Health
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.
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Our Aspiration
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4
From Health Advocates to Health Activists
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The Journey We Are On…
Total Health Assessment
Health Education
Walking Promotion
Workplace Safety
Community Benefit
Healthy Schools
Employee Health
Healthy Eating
WorkForce Health
Obesity Prevention
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Kaiser on the Job
Health and Health Outcomes are Not Equitably Distributed
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Health is About More Than Access to Care
Health is driven by multiple factors that are intricately linked –
of which medical care is one component.
Drivers of Health
Personal Behaviors
40%
Family History and
Genetics
30%
Environmental
and Social
Factors
20%
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Source: Determinants of Health and Their Contribution to Premature Death, JAMA 1993
10%
Medical
Care
We Have to Disrupt Current Defaults
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An Integrated Approach to Diseases and Risk Factors
4 Diseases, 4 Risk Factors*  4 Kaiser Permanente Actions
Encourage Groups
Support Individuals
Cardiovascular
Disease
Cancer
Diabetes
Change Communities
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Chronic Respiratory
Disease
*Aligns with World Health Organization’s framework for
monitoring non-communicable diseases
Track Outcomes
We Have to Deploy All Our Assets for Total Health
Deploying Kaiser Permanente Assets for Total Health
Physical and Mental Health Care
Clinical Prevention
Research
Individual /
Family
Purchasing and
Employment
Practices
Community
Health
Initiatives
Environmental
Stewardship
Health Education
1
Home / School /
Worksite
Neighborhood /
Community
Society
Access to Social
and Economic
Supports
Walking
Promotion
Worksite
Wellness
Public Policy
Public Education
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Focus on Schools and Workforce
 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
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Schools: Total Health in Action
Thriving Schools
Promotes 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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Behavior Change: A Total Health Perspective
Health and costs hinge on addressing modifiable risk factors.
CLINICAL EXECUTION
Reliable and effective delivery system
interventions to: screen, advise, assist, refer
ONLINE ENGAGEMENT
Optimal 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.
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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
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