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“Mental health services here are phenomenal in person and online,” Dr. Kumar said. Nationwide, the system comprises some 23,000 physicians, 60,000 nurses, 219,000 employees, 39 hospital, 701 medical offices. “We say at Kaiser Permanente that we are the largest private practice in the world,” Kumar said. In Santa Clara and Santa Cruz counties, Kaiser Permanente has more than 650,000 members and 1,300-plus physicians. In the Northern California region, more than 9,000 physicians serve four million plus members. “If I have a question, I have so many amazing colleagues to consult,” Kumar said. And because Kaiser Permanente uses Epic—an electronic health records system—the entire organization is integrated. Medical professionals have instant access to their patients’ medical histories regardless of which Kaiser Permanente facility or physician they visit. Kumar said that in cases where a patient’s healthcare need doesn’t require an office visit, they can access ‘My Doctor Online,’ available as a web- site and a mobile phone app. “You can have a virtual visit with your doctor,” Kumar said. “You can have a video consult if you’re in Bali and need to show a rash to your doctor. You can access your pharmacy services to renew your medications and have them shipped to you. You can check your labs, schedule classes, ask for referrals to other specialties, and email questions to your doctor (in non- emergency situations), who will get back to you online.” According to Sharon Ngo Tran, “We have Centers of Excellence, which means that some facilities specialize in specific areas of medi- cine. For example, one of my sons has a condition where he needs to see a pediatric thoracic surgeon who is located in Oakland. We can travel to Oakland to see him or do a virtual visit and see him online from home,” Tran said. She is the Community Engagement Manager for the Permanente Medical Group at the Kaiser Permanente San Jose Medical Center. Doctor Kumar added, “We have technology that can be used to allow a specialist at any other site to examine a patient at any time and assist in the care.” Preventing illness is one of the foundations of Kaiser Permanente. “It is our DNA,” Kumar said. “That’s how we started.” Kaiser Permanente has proactive outreach depending on each member’s stage of life. Members with children are notified when a particular routine service is coming up for their kids. Adult members are contacted by email, phone, letters, or postcards when they are due for routine exams, or specific screenings. Written notices can be sent in a member's preferred language. Members are linked to a personal physician who reaches out to them once a year, usually on their birthday. They will send a postcard reminding their patient about services they need in the coming year and recommending services that are advantageous to maintaining good health. “Ultimately,” Kumar said, “it’s all about the doctor-patient relationship. Your doctor is important and a person that you trust.” In addition, prevention and education can be accessed online through Kaiser Permanente’s web portal. Members can watch instructional videos and request a Personal Wellness Coach who will help them deal with issues such as GILROY • MORGAN HILL • SAN MARTIN FALL/HOLIDAY 2019 insomnia, anxiety, and stress, and instruct them on healthy exercise and eating. Wellness coaches are accessible, supportive, and encouraging. If letters, emails, and birthday cards are not successful at bringing mem- bers in for services, Kumar suggested that “when you are on campus for one service, we ‘grab’ you and get you into another service if we can. We call that in-reach. And because people are busy, we strive to make it convenient, so we try not to have all scheduled appoint- ments but also openings for walk-ins.” Even though Kaiser Permanente is primarily a member-based organiza- tion, they don’t turn anyone away. If someone arrives in their ER, they will be treated and admitted to a Kaiser Permanente hospital if needed. Almost twenty percent of emergency room visits at Kaiser Permanente San Jose Medical Center are non-members. In an emergency, if Kaiser Permanente is the closest facility, non-members shouldn’t hesitate to use their services. Conversely, Kaiser Permanente advises members to visit the closest emergency facility, Kaiser Permanente or non- Kaiser Permanente, when necessary. Kaiser Permanente Gilroy is very much a part of the local community. After the recent tragic events at the Garlic Festival, Kaiser Permanente offered drop-in counseling groups for both members and non-members. Dr. Kumar said, “We reached out to the community—the police depart- ment, schools—asking ‘How can we help you?’” “As a physician here, I do what’s right for the patient.” With so many dedicated professionals at Kaiser Permanente striving to provide the best possible care for their members, there will con- tinue to be opportunities for them to step up and say, “I Saved a Life.” gmhtoday.com 53