Posts Tagged ‘kaiser permanente’

“New Economy of Medicine:” An Idea for Which the Time Has Come?

posted on March 9, 2010

By Tom Debley

Harvard Business School Professor Clayton Christensen has taken to the pages of Business Week magazine to argue we would better off with health care systems in which doctors and insurers are on the same side of the ledger as the patient.  That would be a system such as Kaiser Permanente.  So what is the difference between his position and that of Sidney R. Garfield, the physician co-founder of Kaiser Permanente? Well, 65 years.

Professor Christensen, an expert on the topic of disruptive innovation, says that to do otherwise means “we’re guilty of business model malpractice on a grand scale.” As the headline on Christensen’s article put it, “The way to cut costs is to put care and insurance in the same bed.”

Dr. Sidney R. Garfield in 1975

Dr. Garfield, in designing Kaiser Permanente, made that argument 65 years ago when he addressed the Multnomah County Medical Association on April 4, 1945.

Garfield, talking about what he called his “new economy of medicine,” responded to the belief expressed a day earlier by another physician who claimed the most expensive thing in a hospital was an empty bed.

“He wasn’t referring to our hospital,” Garfield told his Portland, Oregon, audience, referring to the first Kaiser Permanente hospital in the Pacific Northwest, built during World War II in Vancouver, Washington.

“The most expensive thing in our hospital is a filled hospital bed,” Garfield added. “This new economy is geared to the preventive medicine of the future. It puts the patient, the doctor, the hospital, the employer and the insurance company all on the same side of the ledger. They all benefit by the patient remaining well.”

Garfield was a disruptive innovator long before the modern term was coined by Professor Christensen in 1995.  As Garfield once said, “We are talking about changes – and changes are irritating and disturbing, but being disturbed is essential to progress.”  (See my earlier blog, “Disruptive Innovation” at the Core of Kaiser Permanente History.)

Argues Christensen today, integrated delivery systems, including Kaiser Permanente, “can provide better care at 20 to 30 percent lower cost. Clearly, systemic problems require systemic solutions.”

If Dr. Garfield was 65 years ahead of the curve on that one, consider that it was 50 years ago this spring that he first argued that the computer should become the center of medical care delivery. Last week, on March 3, he would have been smiling as Kaiser Permanente announced that every medical facility within its health system — 431 medical offices and 36 hospitals — is now equipped with Kaiser Permanente Health Connect®, the largest private sector electronic health record in the world.

We’ll have more to say about Dr. Garfield and the computer on the 50th anniversary of his first talk on that topic in May.

Tom Debley is director of Kaiser Permanente’s Heritage Resources program and author of “The Story of Dr. Sidney R. Garfield: The Visionary Who Turned Sick Care into Health Care,” available directly from the publisher, The Permanente Press, as well as  from Amazon.com both in paperback and on Kindle.

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David Otey: KP Volunteer Spirit in Haiti

posted on February 26, 2010

Above, David Otey at radio control station in 1990 around the time of the Loma Prieta Earthquake in Northern California. At right, David on the ground in Haiti.

Our latest guest blog is by David Otey from the front line of volunteers who responded to the earthquake in Haiti in January. Some people inside Kaiser Permanente remember David from his years as an emergency management specialist. He worked on many projects not the least of which included organizing and directing emergency communications with Kaiser Permanente medical centers within minutes of the 7.1 magnitude Loma Prieta earthquake in 1989; managing our Regional Emergency Operations Center during the Oakland Hills Firestorm of 1991; directing the Center to support our Southern California Region after the 6.7 Northridge earthquake in 1994. We remember David, now retired, as the project manager who helped us get our Heritage Resources program up and running starting in 2003. David represents a historic commitment among Kaiser Permanente people on the front line of disaster volunteers. He was there in New York City after 9/11 and he was there in Haiti last month. Here’s his report from Haiti:

DMAT CA-6 Deployment to Haiti – January 13–26, 2010

I had an extraordinary experience last month assisting the relief effort in Haiti.

I joined 38 of my Disaster Medical Assistance Team, DMAT CA-6 (www. ca6dmat.org) colleagues as Communications Officer for a medical response assignment in Haiti following the devastating 7.0M earthquake on January 12. We departed Oakland the next day on a red-eye flight to Atlanta, where we met other responding DMAT teams. On Friday, we flew by charter to Port-au-Prince, Haiti and began a several day stay at the U.S. Embassy (camping on the garden lawn) while equipment arrived and security arrangements were finalized.

On January 20, (after a strong aftershock woke us) our team and DMAT NJ-1were assigned to operate jointly and transported to a nearby locality, called Petionville (“Pe-Shun”ville). We were co-located with the US Army’s 1-73rd Cavalry 82nd Airborne Division (what an outstanding group they are!) on a steep hill overlooking what was a golf course in pre-earthquake times but now is home to 30-50,000 Haitians.

I teamed up with two Communications wizards from the NJ-1 team, Mike, KC2GMM and Adam, KC2AEP, to establish field communications for our medical and support staff. Although no amateur radio equipment is utilized, the scene at the “commo” desk sure looked similar (and as cluttered) to “Field Day” setups I’ve seen (see picture). I remarked to my commo colleagues this seemed like a Field Day on steroids! While our medical staff managed treatment tents and formed “strike-teams” to hike and motor into the communities nearby, our commo team assisted in supporting radio, telephone and computer traffic between our field teams and the disaster management team at the U.S. Embassy in Port-au-Prince.

Once in the field, our joint medical teams treated more than 1000 patients over four days, including to the delight of all, the birth of two babies.

At the conclusion of field work on Sunday, January 24, our team was relieved by DMAT FL-1. The NJ-1 was scheduled to bring them up-to-speed and then rotate out three days later. We travelled back to the U.S. Embassy in Army Humvees for another night before returning to Atlanta for a debrief and team dinner. On Tuesday, January 26, we arrived safely back home.

Witnessing the devastation of Port-au-Prince and the dislocation of thousands of citizens was heart-wrenching. I am proud to have served with my DMAT colleagues and the American Haitian relief efforts. Much more recovery work remains to be done and I hope everyone able will find ways to assist.

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Myth Buster: Henry J. Kaiser and the Jeep

posted on February 3, 2010
By Tom Debley
Director, Heritage Resources, Kaiser Permanente

Kaiser at wheel of a Jeep

Many people think Henry J. Kaiser’s foray into the automobile business after World War II was a failure when his Kaiser automobiles disappeared from America’s roads after only a few years. If you are one of them, think again. Indeed, if you drive a Jeep or the next time you are sitting at a traffic light next to a Jeep, think Henry Kaiser.

The Jeep was Kaiser’s most successful automobile venture when, in 1953, he bought Toledo-based Willys Overland, maker of the Jeep that became world-famous with its service in World War II.

Willys Overland was the maker of engines for Kaiser’s “Henry J,” America’s first compact car. Kaiser had entered automotive manufacturing in 1946, but by 1953 he was losing money.  So when he bought Willys Overland that year for about $70 million in the biggest auto merger in history to date, some argued he was throwing good money after bad.

Kaiser Pink Jeep Surrey was a line of Jeeps in the 1960s

Not the case. As Patrick R. Foster concludes in his book “The Story of Jeep” (Krause Publications, Iola, WI, 1998), “There were several reasons why Kaiser wanted Willys, but the biggest was pride. Henry Kaiser had never failed at anything he tried, but it appeared that the auto business would break that streak.”

What followed was an all-out marketing campaign to capitalize on the public’s fascination with the Jeep. Kaiser’s faith in the Jeep began paying off.  Annual sales volume topped $160 million within two years, with a profit approaching $5 million. It was the first profit for Kaiser’s car manufacturing since 1948.

Designers at work at Kaiser Jeep Corp. in the 1950s.

By 1966, Kaiser Jeep Corp. was building sports and compact cars, stationwagons, and the Jeep Wagoneer, which some say was America’s first SUV. Where there had been one plant in Toledo, manufacture of the Jeep had spread to 32 other countries by the time of Kaiser’s death in 1967.

Five years after Kaiser died, Kaiser Jeep Corp. was sold in 1972 to American Motors. A few years later, Renault Company of France bought American Motors.

In 1987 Chrysler Corporation bought American Motors from Renault for the sole purpose of getting the rights to manufacture the Jeep. Lee lacocca, like Henry Kaiser before him, capitalized on America’s love for the ubiquitous, ‘go-anywhere’ Jeep. 

So while Henry Kaiser is mostly remembered today for co-founding Kaiser Permanente, you can also thank him for making the Jeep a popular American car around the world.

(Photos: The Bancroft Library, University of California, Berkeley and the Kaiser Permanente Heritage Archive)  

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Henry Kaiser’s Legacy Woven into Rich California Tapestry

posted on November 26, 2009
Kaiser on horseback at site of his first California road project

Kaiser on horseback at site of his first California road project

What do Henry Kaiser, Carol Burnett, and George Lucas have in common? Not obvious? How about John Madden, romance novelist Danielle Steel, bodybuilder Joe Weider – and Henry Kaiser? Not intuitive? OK, what about Clint Eastwood, restaurateur Alice Waters, and Color Purple author Alice Walker? Still stumped?

Try this combination: Henry Kaiser, Earl Warren, Leland Stanford, architect Julia Morgan, Hiram Johnson, photographer Dorothea Lange, pilot Amelia Earhart, and polio vaccine developer Jonas Salk. Starting to see a pattern here? These famous historical figures are all recent inductees into the California Hall of Fame.

Henry Kaiser, 20th Century industrialist and co-founder of Kaiser Permanente Health Plan, will be officially inducted into the California Hall of Fame (launched in 2006) in December.  This will be Kaiser’s eighth inclusion in lists of hall-of-fame honorees, including the U.S. Labor Hall of Fame in Washington, D.C., where he was honored in 1990.

California Gov. Arnold Swartzenegger and First Lady Maria Shriver announced the 2009 list of honorees this fall. They are (alphabetically): entertainer Carol Burnett, former Intel CEO Andrew Grove, governor and U.S. senator Hiram Johnson (19th Century), decathlete and philanthropist Rafer Johnson, Henry Kaiser, philanthropist and peace activist Joan Kroc, filmmaker George Lucas, football commentator John Madden, gay rights advocate Harvey Milk, artist Fritz Scholder, author Danielle Steel, fitness and bodybuilding pioneer Joe Weider, and Air Force test pilot General Chuck Yeager.

Inductees

To learn more about the 2009 inductees and the 38 from previous years, go to

http://californiamuseum.org/exhibits/halloffame/inductees

Schwarzenegger said the intent of the hall of fame is to highlight the broad range of California interests by honoring trailblazers who have distinguished themselves in more than one field and “impacted the world with their overall courage, determination, and creativity.”

Henry Kaiser, it can’t be disputed, personifies the governor’s definition of California’s best and brightest. His amazing career began in 1913 when he bought a failing road-building company and turned it to success with innovation in paving techniques and branching into building levees and dams.

When Kaiser lost his bid to build the Shasta Dam, he started a cement company to provide the six million tons needed for the northern California project and quickly became the world’s largest cement producer.

Kaiser's Barge 21 on Bay Bridge construction

Kaiser's Barge 21 on Bay Bridge construction

He played a major role in the construction of such pre-War wonders as the Hoover Dam on the Colorado River, the Grand Coulee Dam on the Columbia River in Washington State, and the 1933-built Oakland-San Francisco Bay Bridge. He even built roads in Cuba and levees in Mississippi.

During World War II, Kaiser established West Coast shipyards whose workers built war ships at record-breaking speed. Kaiser employed a mix of skilled and unskilled workers that included the first women shipyard workers, as well as African-Americans, Chinese, Hispanics, and Native Americans.

Making of a health care program

Taking care of workers, many transplanted from the South and other parts of the country, entailed the creation of a health care program that placed emphasis on workers’ safety and a healthy lifestyle to avoid illness and injury. With 100,000 shipyard workers in the four Richmond, Calif. shipyards alone, the Kaiser Health Plan became the largest civilian medical care program on the Home Front of World War II.

Sidney Garfield, MD, developed and ran the medical care program, based on a prepaid, group practice model he had found successful on earlier Kaiser worker care programs. When the shipbuilding contracts evaporated at the end of the War, Kaiser and Garfield opened the health plan to the public. Eventually, union agreements kept the plan afloat and allowed it to grow to serve 8.5 million members today.

After the War, Kaiser turned to other industrial endeavors — manufacturing automobiles, homes, dishwashers, aluminum, steel, chemicals, electronics, and aeronautics.  But Kaiser always wished — and believed — that he would be best remembered for his work to provide better health care for all people.

In the decade before his death in 1967, Kaiser often said:

“Of all the things I’ve done, I expect only to be remembered for . . .  filling the people’s greatest need — good health.”

– Ginny McPartland

Kaiser Permanente Historian Tom Debley will be interviewed Tuesday, Dec. 1, on Capitol Public Radio (KXJZ 90.9 FM) about Henry Kaiser’s legacy and his induction into the California Hall of Fame. The interview will air on Insight with Jeffrey Callison from 10:05  to 11:18 a.m.  For more information:

http://capradio.org/programs/insight

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Tom Debley to speak about Garfield biography on Red Oak Victory

posted on October 2, 2009
SS Red Oak Victory

SS Red Oak Victory

Heritage Resources Director Tom Debley will speak about his biography of Kaiser Permanente pioneering physician Sidney R. Garfield as part of the Richmond Home Front Festival this Saturday, Oct. 3, at the Rosie the Riveter/World War II Home Front National Historic Park.

Debley, author of Dr. Sidney R. Garfield: the Visionary Who Turned Sick Care into Health Care, begins his talk at noon on the main deck of the SS Red Oak Victory docked at Historic Shipyard No. 3. Debley will focus on the largest civilian medical care program on the World War II Home Front, which was created in the West Coast Kaiser Shipyards.

Also on the main deck of the Red Oak Victory, Bay Area Historian Steve Gilford will discuss why the ship was named after Red Oak, Iowa. Gilford‘s talk begins at 2 p.m. The ship boarding fee is $5 general, $4 seniors and children.

The Red Oak Victory, a World War II vessel, is the only ship built in the Kaiser Shipyards to be restored and maintained as a museum. The SS Red Oak Victory was launched on November 9, 1944, and commissioned as the USS Red Oak Victory in December 1944. The ship saw service in World War II, Korea, and Vietnam and has the distinction of being the only ship operated by both military and civilian personnel during its career.

USO Dance Friday Night

Another special feature of the Home Front festival is a USO dance Friday, Oct. 2, with The Junius Courtney Big Band.  They’ll be playing 1940s music on the Craneway Pavilion stage in the old Ford Assembly building at the end of Harbour Way South in the Richmond park. Tickets are $25 general, $20 for seniors at the door.  Big fun in Richmond from 7 to 10 p.m. for young and old swing dancers.  You can get in free if you come in period attire, wear a military uniform, or show a military ID.

Free shuttles will run at 30-minute intervals around the Rosie park throughout the day-long festival. For more information on the Home Front festival, go to: homefrontfestival.com

–Ginny McPartland

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Richmond Shipyard Workers Suffered Their Own Casualties of War

posted on September 4, 2009

In 1942, eighteen year-old Lucille “Penny” Price joined the shipyard workforce with little idea what lay ahead for her. Read on to hear a poignant account of what those days were like and the daunting challenges Penny faced.

Building warships was a dangerous enterprise. Workers in the Richmond shipyards during World War II learned the hard way how easy it was to be injured when working at a furious speed to fulfill orders for sorely needed war vessels.

Richmond shipyard workers 1943

Richmond shipyard workers 1943

The odd mix of people who converged at the Kaiser shipyards added to the complexity and worry associated with the safety of workers of all levels of skill and socialization. The majority of them had little or no experience building ships.

There were black and white men and women from the agrarian southern states and other parts of the country. There were native San Francisco Bay Area women and men. There were men who had medical conditions that totally disqualified them from serving in uniform (Class 4F). There were handicapped workers.

Risky Business
Injuries minor and major were common. In fact, working in a shipyard was one of the most dangerous jobs in the wartime industries, more risky than the manufacture of tanks, aircraft, and explosives. The shipyards of America reported an average of 33 disabling injuries per million hours worked in 1943. (This compared favorably to the iron and steel foundries whose average accident rate was 40 injuries per million hours worked.) About 700 shipyard workers were killed during 1943 and 1944 in accidents in the nation’s shipyards.*

Some injuries were purely accidental, some were from carelessness, and others were simply vicious.

“It Wasn’t All Beer and Skittles…”
An eighteen-year-old Oakland girl, Lucille “Penny” Price, joined the shipyard workforce in October 1942. She made good money as an electrician and considered the wartime work a great opportunity. She sums up the experience in this casual understatement: “It wasn’t all beer and skittles.”**

Price, an electrician in Yard 3, was almost scared away from the shipyards when she witnessed a fatal accident on her first night of work. A guide was taking a group of new employees, including Price, on an orientation tour when they heard “beep, beep, beep,” the sound of a crane in motion. “The guide was telling us that when you hear that sound you get the heck out of the way and stay away,” Price recalled. But some other workers didn’t heed the warning sound, and as the crane lifted a heavy sheet of steel aboard a ship, one of the cables broke and the load slipped and killed several of them.

“I tell you I was ready to run, and so were the other people in our group of electricians,” she said.

Price was quickly reassigned to the relative safety of the electrical shop to give her time to get over the shock. She stuck it out and by Christmas was wiring C-4 transporters and LSTs (landing ship, tanks) and continued to work in the yards until early 1945. During her tenure there, she would experience many injuries herself.

Threatened by Male Counterparts
Now 84 years old and living in Windsor, Calif., Price recalls the time a “chauvinist” kicked a ladder out from underneath her and caused her to fall over a stack of pipes. The man who made her fall was fined and fired, never to work again in the shipyards. Penny was taken to the shipyard Field Hospital where she was treated for two cracked ribs.

Price also recalls that men also liked to sneak up on her while she was working from a plank stretched across the open deck with six floors below. “They’d make the board vibrate and that scared the hell out of me.”

Male shipyard workers’ poor treatment of their female counterparts was not uncommon. “When women managed to enter jobs that seemed still to be the prerogatives of men, they were sometimes mistreated; “harassed” is the word we would use nowadays,” said Columbia University professor http://www.columbia.edu/cu/history/fac-bios/Kessler-Harris/faculty.html Alice Kessler-Harris in an interview on PBS.

“Men often played tricks on women by sending them for tools that did not exist. Men also sexually harassed women by whistling and cat-calling to them as they worked. Most of the resistance and hostility towards women workers disappeared as the novelty of women workers wore off, the labor shortage got worse, and women proved themselves, according to Susan M. Hartmann, http://history.osu.edu/people/person.cfm?ID=695 author of The Home Front and Beyond: American Women in the 1940s.

Victim of Double Pneumonia—Before the Days of Penicillin
Penny Price was also a victim of double pneumonia that developed after she was caught in a dark corner on the same level as a dozen hostile workmen during an air raid warning drill. Price had been doing some wiring by herself above the shaft alley when the “whoop, whoop” of the siren came and the lights went out. She huddled in a space near a boiler for two hours, shaking with fear as the burly workers made comments like: “Wait ‘til I get my hands on that little chick over there.”

Lucille "Penny" Price 1943

Lucille "Penny" Price 1943

When the drill was over, her leaderman, Charlie Ryder, swooped her up from the spooky pit. She couldn’t stop shivering, so her coworkers gave her coffee to warm her up. “To this day, I can’t stand the smell of coffee with cream in a paper cup.” She “upchucked” the coffee that night at home and returned to work the next day thinking she was fine. But the shaking returned, and she was taken to the field hospital where they took a chest X-ray and diagnosed double pneumonia.

This was in March 1943 before penicillin was available to civilians. At the Oakland hospital where our doctors were perfecting the treatment of pneumonia, she was given a “horrendous” clear liquid (probably horse or rabbit serum) every few hours. That liquid along with oxygen therapy cured her of the mysterious pneumonia.

Penny Price today

Penny Price today

During the war, Permanente physician Morris Collen experimented with the treatment of pneumonia as he managed a large number of shipyard cases. By the end of the war, Collen had published his findings and earned a national reputation as a pneumonia guru. His prestige was such that he was able to get some of the first civilian penicillin in 1944 to save the lives of the 7-year-old daughter of a shipyard worker in Vancouver, Wash., and a young man in a Richmond yard.

Hospital Visits—Much Too Frequent
Throughout her time at the shipyards, Penny Price was injured numerous times and was a frequent visitor to the First Aid Station and the Field Hospital. “I was in and out of the Field Hospital like a yoyo,” she said. She frequently cut herself using a linoleum knife to cut electrical cable. She vividly recalls the inside-out eyelid treatment administered when she got bits of steel mesh from the cable in her eyes. She also recalls that when working around fiberglass she sometimes got particles down her neck that irritated like a thousand flea bites.

Her most serious injury was caused by an accidental explosion that knocked her down from the ship’s superstructure onto the deck below where workers were using acetylene torches to shrink the deck. As a result of the fall, she suffered burns and an injury to her knee when it struck a bolt on the deck. She was burned so badly that she had to return for treatment for nine months before her leg was healed. “I still have scars on my leg to this day,” she said. She returned to work after a short hospital stay wearing a splint on her knee wound.

Price remembers an inspector coming around to urge the workers to follow the Maritime Commission safety rules to avoid injuries. “He’d show us a glass eye and say ‘do you want one of these?’” We’d shudder, and he would say: ‘then, wear your goggles!”

Safety Program Launched in 1943
In 1943, the U.S. Maritime Commission launched a safety program that ultimately reduced the injuries per million hours worked in the shipyards to 23.2 in 1944. “The work of the (commission) was of value in two ways – by allaying fears that working in a shipyard was more dangerous to life and limb than working somewhere else, and by making this true through insistence on a high standard of protection and precaution,” wrote Frederic Lane in his 1951 book Ships for Victory.

*Of the 655 reported private shipyard fatalities in the nation during 1943 and 1944, vehicles or loads striking workers was the second most common type of accident (25 percent) after falls (39 percent). Half of the “strike by” accidents involved cranes.

**’Beer and skittles’ is shorthand for a life of indulgence spent in the pub. Skittles, also known as Ninepins, which was the pre-cursor to ten-pin bowling, has been a popular English pub game since the 17th century. This definition is according to the Phrase Finder, a United Kingdom Web site: www.phrases.org.uk/meanings/230200.html.

– Ginny McPartland

You can watch a lecture about Dr. Sidney R. Garfield’s long quest for health care reform by Tom Debley to the Commonwealth Club of California.

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Dr. Sidney Garfield: His Ideas at Center of Health Care Debate

posted on August 19, 2009

A recent PBS News Hour with Jim Lehrer opened with this quote from President Barack Obama: “There are examples of how we can make the entire health care system more efficient. …What works? The Mayo Clinic. The Cleveland Clinic. Geisinger. Kaiser Permanente. There are health systems around the country that actually have costs that are as much as 20 percent or 30 percent lower than the national average and have higher quality. What is it that they are doing differently from other systems?”

Added correspondent Betty Ann Bowser: “What they are doing is providing excellent care at a low cost through an integrated system where doctors visits, tests, surgery, hospital care – the works – are all done under one roof.”

I will use this to lead off a talk at the Commonwealth Club of California on Tuesday (August 25) in San Francisco because there was little in the 10-minute report that said anything different from what Dr. Sidney R. Garfield, co-founder of Kaiser Permanente, said back in the 1930s – including his idea to put all needed care “under one roof.”

As author of The Story of Dr. Sidney R. Garfield: The Visionary Who Turned Sick Care into Health Care, the theme of my talk will be “The Long Quest for Health Care Reform: A Bay Area Doctor’s Belief in Health Care as a Right.” I will trace the story of Dr. Garfield’s life because so much less is known about him than his co-founder, Henry J. Kaiser.

The evening program begins with a 5:30 p.m. reception; program at 6 p.m. Tickets are $8 for members; $15 for nonmembers. Get tickets.

– Tom Debley

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Today’s Research and the Earliest Computer Medical Records

posted on August 4, 2009

Did you catch any of the news stories about the researchers who reported that elevated cholesterol levels in midlife significantly increase the risk of Alzheimer’s disease and dementia later in life? This was a collaborative piece of work by researchers from Kaiser Permanente and the University of Kuopio in Finland. And I’ll I bet you didn’t know that it was only possible because they could track almost 10,000 patients over four decades because of some of the earliest computer medical records in history!

Let me share the back story.

Recently, my colleague, Bryan Culp, and I got to spend an afternoon with Dr. Lester Breslow. He is the great public health leader in California who invented the “multiphasic exam” after World War II. The idea was to develop and use mass screening techniques to improve public health. He later became director of the California State Department of Public Health and served as dean of the School of Public Health at UCLA.

Dr. Breslow shared his memories of how an illustrious Permanente physician and classmate from the University of Minnesota Medical School, Dr. Morris F. Collen, adapted the “multiphasic exam” for use with thousands of longshoremen who joined Kaiser Permanente in 1951. Within a year, the exams were being expanded to other patients.

But the big news came in 1963-64 when, with partial support of a grant from the U.S. Public Health Service, Dr. Collen replaced paper records with a computerized “automated multiphasic screening program” that provided a total of a half million examinations in its first decade. Those were among the first computerized medical records in history and have been providing important long term medical information for researchers for more than four decades.

So, how does that relate to the new study? Well, the research findings came from tracking the medical data of members of Kaiser Permanente’s Northern California Region from 1967 to 2007 by using those very multiphasic testing records pioneered by Dr. Collen, who is widely regarded worldwide as pioneer of the field of medical informatics.

–Tom Debley

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President Obama Cites Kaiser Permanente Model; Learn More About Why Aug. 25

posted on July 29, 2009

Time Magazine reporter Karen Tumulty talked July 28 with President Barack Obama about health care reform, with a transcript published on the web July 29. Kaiser Permanente’s founding physician, Sidney R. Garfield, would have been proud if he were alive to hear the President say, “…If we could actually get our health-care system across the board to hit the efficiency levels of a Kaiser Permanente or a Cleveland Clinic or a Mayo or a Geisinger, we actually would have solved our problems.”

Dr. Garfield would have been proud because his vision on the Home Front of World War II was to build such a system for ordinary Americans. Indeed, it’s interesting, as well, to see Kaiser Permanente in the company of the Mayo Clinic. In 1943, the famed medical science writer Paul DeKruif wrote a book about what Dr. Garfield and Henry J. Kaiser were doing to develop a new model of medical care for working Americans, and nicknamed it the “Mayo Clinic for the common man.”

Interested in learning more about Dr. Garfield and his struggles to bring legitimacy to a revolutionary idea in health care? Kaiser Permanente Heritage Resources Director Tom Debley, author of the newly released Dr. Sidney R. Garfield: the Visionary Who Turned Sick Care into Health Care, will speak on this subject at Commonwealth Club in San Francisco on Tuesday, Aug. 25.

Conversations about Dr. Garfield’s ideas will be nothing new for the Commonwealth Club. As a young man pioneering his prepaid, group practice, Garfield spoke to the club members on two occasions during the war.

Sidney Garfield presented a talk titled “The Permanente Foundation and Shipworkers’ Health” to the Public Health Section of the Commonwealth Club on May 6, 1943. He was engaged again to speak to the club members toward the end of the war (March 22, 1945). The title of his presentation was “A Workable Health Plan on the Basis of Permanente Experience.”

Debley’s talk is titled “The Long Quest for Health Care Reform: A Bay Area Doctor’s Belief in Health Care as a Right.” The evening begins with a 5:30 p.m. reception; program at 6 p.m. Tickets are $8 for members; $15 for nonmembers. For tickets, go to:
https://tickets.commonwealthclub.org/auto_choose_ga.asp?area=1&shcode=1359
- Ginny McPartland

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