Can this man save Permanente medicine?

Jack Cochran to try to save The Permanente Federation

Nary a mention of it’s been made in the California media, but Francis J. Crosson (you can call him Jay) is resigning as head of The Permanente Federation, effective September 30. Jack Cochran, a plastic surgeon who currently heads up the Permanente Medical Group in Colorado, will be “elevated to [the] national role” of executive director of the Federation.

I’m not sure if “elevated” is the right word. Dr. Crosson has seen the Federation become increasingly irrelevant since he started as its founding executive director about a decade or so ago. While Kaiser Permanente’s initial electronic health record was truly spearheaded by Dr. Crosson and the Federation, since George Halvorson took over KP, both the Federation and the (now barely existent) “Kaiser Permanente Partnership Group” have barely any power left.

Perhaps the Federation is best known for its funneling of Kaiser Foundation Health Plan’s not-for-profit dollars into its nice little investment firm, KP Ventures?

I still remember, back in November, Dr. Crosson’s frantic emails to Dr. Weisz about the HealthConnect problems finally making the news. I suppose we all want to have a decent legacy, by the time it’s all said and done. How horrific it must be to Jay Crosson that HealthConnect will probably be his.

This story was originally posted at justendeal.com.

Again and again and again and again.

AHA, Benjamin Chu: HRDI all over again?

You could be forgiven for wondering why the name Benjamin Chu seems to appear whenever there is some questionable organization breaking the boundary that is supposed to exist between not-for-profit and for-profit healthcare. Ben Chu, who reports to George Halvorson, serves as the Southern California regional president for the not-for-profit Kaiser Foundation Health Plan.

You might recall that, earlier this year, the Connecticut Attorney General, Richard Blumenthal, admonished a group of healthcare executives, including Dr. Chu, for allowing “undue and improper influence” (that is, money) to potentially affect purchasing decisions at their not-for-profit organizations. It turned out that Dr. Chu and about three dozen other not-for-profit healthcare “leaders” had set up a firm called the Healthcare Research and Development Institute, or HRDI, a fancy name for an organization that apparently served to funnel perks from for-profit healthcare vendors to for-profit executives.

(Incidentally, Dr. Chu wasn’t the only Kaiser Permanente individual benefiting from HRDI. We later found out that Thomas Chapman was in on the game as well; Dr. Chapman serves on the Kaiser Foundation Health Plan and Kaiser Foundation Hospitals board, and also was an “individual member” of HRDI.)

Fast forward to today, and take note of a little organization called “AHA Solutions, Inc.” Tim, over at HIStalk, says it better than I ever could:

What the hell is the American Hospital Association doing running a for-profit subsidiary that shills vendor products to its members?

Perhaps we should let “AHA Solutions” speak for themselves:

AHA Solutions, Inc. is a for-profit subsidiary of the American Hospital Association. Our job is to “cut through the clutter” for AHA members by finding products and services that efficiently and effectively satisfy a hospital’s core operating needs. These high-quality products and services – provided by vendors that pass our tests for flexibility, stability, and customer service – are awarded the AHA endorsement.

That setup sounds so oddly improper familiar, does it not? Coincidentally, I’m sure, Dr. Chu just so happens to serve on the board of AHA. Could it be that once the Attorney General shut down HRDI, the scheme just up and moved to a new subsidiary of AHA? No, never.

Unfortunately, the never ending string of demonstrated lapses in ethics and judgment by Kaiser Permanente executives doesn’t end there. Kaiser Thrive has the story of a $3 million fine being levied against Kaiser Permanente, one of the largest in the history of the Department of Managed Health Care, for KP’s “haphazard investigations of questionable care, physician performance and patient complaints at its California hospitals.”

After hearing that, you might not be shocked to learn that Dr. Chu heads up Kaiser Foundation Hospitals, in Southern California, as well.

The $3 million fine is probably second to the $5 million penalty imposed on Kaiser Permanente just a few months ago by the Department of Managed Health Care. But, for an organization that generates more revenue each year than Disney, American Express, and even Coca-Cola, what’s a few million here to make some serious issues yesterday’s news?

This story was originally posted at justendeal.com.