There was a large number of on-line responses in BMJ  which, while taking
seriously some good practice shown by Kaiser Permanente, threw considerable
doubt on the comparability of case-load and performance between this health
care insurance and the NHS.  I hope that there will be some authoritative
(RAD)statisticians able to ask pertinent questions at this lecture.

 Janet Shapiro

-----Original Message-----
From: Peter Yuen <[log in to unmask]>
To: [log in to unmask]
<[log in to unmask]>
Date: Wednesday, April 10, 2002 5:20 PM
Subject: Office of Health Economics - 9th Annual Lecture and Dinner


'Can the NHS learn from the USA?  The Kaiser Permanente experience of
integrated care' by David Lawrence MD
To be held at: The Royal College of Physicians by kind permission of the
Treasurer

Thursday 20 June 2002 at 6.00 p.m.

A controversial recent BMJ article “Getting more for their dollar: a
comparison of the NHS with California’s Kaiser Permanente” argued that
Kaiser Permanente achieved better performance than the NHS in terms of both
health outcomes and efficiency because it was much more successful at
integrating care and managing information technology.  In this years’ OHE
lecture David Lawrence MD, Chairman and Chief Executive Officer of Kaiser,
the USA’s leading non-profit and integrated health care organization, will
discuss Kaiser Permanente’s record in achieving the key elements of
integrated care, and the implications for the NHS.  In particular:

- Getting physicians to work in teams, and how best to reward and
incentivise both physicians and managers;
- Using clinical practice guidelines and protocols to improve the
quality of care within and across traditional boundaries and overcoming
poor doctor compliance with guidelines;
- Measuring health care quality. What is the right mix of process and
outcome measures and how do patient reported experiences and outcomes get
taken into account?
- Using IT including electronic records to stimulating integration
across traditional boundaries, and the experience of and future development
of KP Online, an interactive internet service between patients and
physicians;
- Using integrated care to keep people out of hospital and to get
people out of hospital into community-based care;
- The overall efficiency benefits of an integrated financing and
delivery system.  Will the NHS move to greater use of non-NHS owned
hospitals threaten integrated care?

David Lawrence became Chief Executive Officer of Kaiser Foundation Health
Plan, Inc. and Kaiser Foundation Hospitals in 1991 and Chairman of the
Board in 1992.   He is a graduate of Amherst College (BA), the University
of Kentucky (MD), the University of Washington (MPH) and is Certified in
General Preventive Medicine (Johns Hopkins and University of Washington).
He is a member of the Institute of Medicine (National Academy of Sciences)
and serves on several Boards including Agilent Technologies, The
Rockefeller Foundation, and the RAND Health Advisory Board.


Admission to the 6.00pm lecture will be by ticket only, for which there is
no charge.  For those wishing to attend the dinner (7.00pm for 7.30pm)
following the lecture, there will be a charge of £69.00 (inclusive of
VAT).  Cheques made payable to: Office of Health Economics (OHE).

Please contact:  Mrs Liz Aulsford, E-mail: [log in to unmask]

___________________________________
Peter Yuen
Head of Statistics
Office of Health Economics
12 Whitehall
London SW1A 2DY

Dir Tel:    +44(0)20 7747 1418
Fax:         +44(0)20 7747 1419
email:       [log in to unmask]
Website:  www.ohe.org

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