Response to WHIT 5.0 Audience Questions

Last week I had the honor of speaking at WHIT 5.0 with Ted Eytan, MD, MPH, e-Patient Dave and Regina Holliday. Together we addressed the topic “Is a Personal Health Record enough in 2009?: Engaging staff, patients and communities through social media.”

In hosting the session, Ted did a great job soliciting audience comments and questions. He has posted the full collection of questions and comments in his blog post Voice of the Audeince: WHIT 5.0 “Beyond the PHR.”

Below, I will begin tackling some of the audience questions that I felt qualified to answer.

1. Social Media Policies (question #5): One member of the audience requested existing policies that balanced transparency and patient privacy. I am happy to share Kaiser Permanente’s policy. It is available at: http://tinyurl.com/kpsocialmediapolicy

2. International NGO’s (question #9): There was a question about whether Kaiser Permanente works with international NGO’s and the answer is YES! Check out kp.org/international for more information.

3. Patient-Friendly Presentation: A member of the audience asks “How could medical information be presented in a patient -friendly format to assure added value to patients?” While I admit I am biased, I think kp.org does a great job linking directly from actual clinical information (e.g., a lab test result) within the PHR to a health encyclopedia with easy-to-read information about what that information means to a non-clinical reader. To see what I mean, check out this demo of My Health Manager.

More answers to come . . . .

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Creating Safe Routes to School

Very disappointed to say that because I was in another state, I missed the opportunity to walk my son to school on International Walk to School Day.

Though it may seem as if walking to school is not a very big deal, for too many there is a lack of safe, accessible routes to school. That fact alone prevents too many children from taking part in what should be the easiest form of exercise.

I wrote about this in more detail on EngageHer. It’s worth checking out this video about Kaiser Permanente’s Photovoice project, too.

Good health begins in our neighborhoods. Though it may seem daunting, this video shows that making meaningful improvements is possible. It just takes involvement of others who care.

As Margaret Mead said: “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.”

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Exploring The World of Social Media

This week I had the honor of presenting at a Ragan Communications conference hosted by the Mayo Clinic in Scottsdale. Over the course of the two day conference, I had a great time hearing from my peers in the health care industry. I learned a lot and look forward to getting back to work to continue to build out our social media capabilities at Kaiser Permanente.
Many thanks to everyone who helped to pull this presentation together (you know who you are) and especially to Ted Eytan (www.tedeytan.com) who crammed time into his very busy schedule to present with me.
View more presentations from htpotter.
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Eliminating the Perception of a Digital Divide Among Seniors

I’ve recently attended a few social media conferences where speakers wrote off online engagement of seniors. Their assumptions about seniors, I believe, was based on out-dated stereotypes. Stereotypes that assume that just because you may have hit or surpassed the “magic age” of 65 that you have no digital connections.

It’s time for us each of us to give up those old stereotypes.

Just today, I received a retirement notice from a former boss who notified her network that she was giving up her landline in favor of her cell phone and Skype.

Kaiser Permanente also released survey data today that showed that Medicare beneficiaries are embracing the Internet to manage their health. From Jan Oldenburg: “The biggest surprise from the survey was discovering that the typical Kaiser Permanente Medicare beneficiary who is registered to use My Health Manager is very comfortable with computers, using the Internet daily and reviewing their medical record online a few times each month.”

If those results are convincing enough for you, perhaps I should introduce you to my 75+ year old parents. Between the two of them, they own three laptops (each has a Mac at home and they travel with a small PC to email their family), an iPhone and a Kindle.

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Aloha Mobile Health

So I was lucky enough to get a quick tour of Kaiser Permanente’s new mobile health vehicle during it’s brief visit to Oakland before it’s put on a boat to serve people on the Big Island of Hawaii. Simply put, this thing is cool. With just 500 square feet, they have squeezed in an exam room, restroom, a digital mammography unit and a rather cozy little waiting room. Fully computerized, the vehicle runs off cellular technology and the team in Hawaii has identified hot-spots that will ensure that providers will have full access to KP HealthConnnect — an electronic health record — whenever they care for patients.

Truly a great solution for improving access to high-quality care for people in rural areas.

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What’s in a Name?

So I joined the land grab for official identities on Facebook tonight. It was somewhat satisfying to claim htpotter on yet another platform. Over the years, I think I’ve claimed that moniker on every virtual platform possible — multiple emails, URL, on both Blogger and WordPress, LinkedIn, Flickr, Twitter and now Facebook.

It’s nice to know that since the mid-90s, my online identity has been consistent and that I “own” the name going forward.

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Remembering the Terror

Hearing the news of Dr. George Tiller’s murder on Sunday was sobering. The news brought back a wide-range of memories and emotions for me.

In the early 90s, I had the privilege of working in public affairs at Planned Parenthood in California’s central valley. As I think back, it hurts to remember how under-siege we were. Yet, at the time the things that are stunning to me today, were common place.

We were trained by the local ATF on how to spot mail bombs.

We were advised to set up our offices to ensure that our backs never faced the door as we worked — we should always be sure to see who might be coming at us.

Every week, I left work with a trunkload full of clinic defense supplies because I was on-call should protesters attempt to blockade our clinics.

There were silly moments. One day I discovered that someone had taken the time to actually remove a pro-choice bumper sticker off my car.

Then there were terrifying moments. I actually attended an Operation Rescue “undercover.” As I sat in the back of one of the local churches in Fresno, I listened to national Operation Rescue leaders preach hate against the brave health professionals who cared for the women and delivered sex education in my community.

I am up late tonight watching The Rachel Maddow Show and am grateful that she is discussing this subject in depth. Though I don’t have a national platform like Rachel Maddow, I am thankful that I have this blog to thank her and the countless numbers of care providers and educators who work day-in and day-out to make abortions safe, accessible and hopefully, unnecessary.

To do my part, I’m off to make some donations to Planned Parenthood and Medical Students for Choice. I hope you will too.

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Noticing Great Customer Service

Lately I have been paying closer attention to the customer service I receive. Maybe it’s the economy or maybe I am just more sensitized to the benefits of good service and the brand risks of bad service.

Just in the past week, my experiences have run the gambit.

I’ve detailed my aggravations with Wells Fargo in detail. But conversely, I had an amazing service recovery experience with United Airlines.

I went to Washington DC last week and was flying home on Saturday. Unfortunately, I boarded the plane at exactly the wrong time. A storm was coming in from the west and for our safety the tower was keeping everyone grounded. So we sat on the runway. For three hours.

Annoying? Yes. United’s fault? No.

Yet, when I awoke the next morning, this email was there:

On behalf of all of us here at United, I want to express my sincere apologies
for the experience you had on Flight 975 on May 16, 2009.

At United, we take pride in being a reliable part of your travel plans. Your
satisfaction and business mean a great deal to me, I would like to invite you
to visit the following website to select a token of our appreciation.

http://www.united.com/appreciation

Please have your flight information handy when you visit the site.
Family members who traveled together using the same email address should access
the site individually.

Thank you for your time. Your satisfaction is important to us and we look forward
to serving you better in the near future.

Sincerely,

Sherri Hermance
United Airlines
Customer Relations

The email was impressive enough, but the fact that they offered a token of appreciation (I got bonus miles) was even more surprising.

It’s refreshing to see major companies making the effort to win customer loyalty. Which companies do you think are doing it well?

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Love Citibank, Hate Wells Fargo

Never thought I’d use this blog to complain about a company, but Wells Fargo has officially pushed me over the edge. I am getting daily calls accusing me of being a deadbeat as a result of their own error.

Here’s a short history of my nightmare that never seems to end!

November 28, 2008: Requested an electronic payment of full amount due on the account be sent to Wells Fargo.
December 2, 2008: Those funds cleared my account.
Mid December: Received a bill from Wells Fargo indicating account had not been paid.
Following receipt of bill: Contacted Citibank. Filed a claim for a missing payment
December 17, 2008: Funds were recredited to my account.
December 22, 2008: Citibank sent letter confirming their inquiry and the mistake in processing (I received the letter after the holidays).
January 17, 2009: Authorized the second payment for full amount.
January 27, 2009: Check cashed.
February 10, 2009: Received phone call from Wells Fargo notifying me of delinquent payment. Immediately called Citibank to determine status of payment and file report. Citibank confirmed that the check was cashed by Wells Fargo on January 27, 2009.
February 12, 2009: Received written notification from Citibank that the paid check had been forwarded to Wells Fargo. I also sent my first letter via fax to Wells Fargo detailing all of the above. That letter put my account “into dispute” while they looked into it.

A couple of weeks later, I started getting more calls from Wells Fargo and was informed that they had determined they hadn’t cashed my check. So, I still owed them the original amount — plus growing interest and finance charges, of course. I was at a loss as to how to proceed at that point. What other recourse did I have? Who had my money?

Then I received a call on March 19th, from the only helpful person from Wells Fargo that I dealt with — Donald St. John. It was clear to him as I told my story that I was actually looking at a copy of the cashed check in question. So, he asked that I fax it to him, which I did the next day. That day, I saw a light at the end of the tunnel!

That happiness didn’t last long. Within days, I got a nasty note in the mail saying they had “researched” my claim and found that they did not have the payment and my account was past due. Again, what was I to do? Should I pay them again? Not a chance.

So, I called Citibank on March 31, explained the situation to them, and asked for their advice. The customer service representative (Gilbert) listened to my problem, pulled the documentation, and then conferenced in Wells Fargo. As we sat on the call and listened to the Wells Fargo representative verbally berate me, even Gilbert seemed appalled with how I was being treated.

Since Citibank had clear documentation of the check being cashed, they demanded that Wells Fargo complete an affidavit of non-receipt. Miraculously, on the day they were asked to sign that form, Wells Fargo found my missing payment.

However, there seems to be no end in sight. Despite the fact that they lost the payment, they are continuing to bill me for interest, finance charges and late fees. The calls from them resumed again last week and I can’t even describe the contempt in the voices of each of the people who have called me.

I just sent off my third letter detailing this saga for them and asked that they remove all interest, finance charges and late fees. For good measure I also asked that they retract their negative reports to the credit bureaus — since my credit reports show that I am delinquent.

We’ll see whether they comply. Either way, it’s a safe bet that I will never do business with Wells Fargo again.

On the flip side, I have grown eternally loyal to Citibank. Through each and every step in this saga, they have responded promptly and courteously. I suspect I will become a life-long customer!

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