Fall 2004 - Volume 8 Number 4

Clinical Contributions

The Role of Research in Integrated Health Care Systems: The HMO Research Network.
Thomas M Vogt, MD, MPH, FAHA; Jennifer Elston Lafata, PhD; Dennis D Tolsma, MPH; Sarah M Greene, MPH
This presentation describes the HMO Research Network, its unique ability to focus on improving health and health care delivery and gives an overview of some of the research being done by these groups.

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Initial Kaiser Permanente Southern California Experience Embracing the New Technology of Transcatheter Closure of Atrial Septal Defects.
Ronald M Rosengart, MD; Morris M Salem, MD; Timothy L Degner, MD; Samuel O Sapin, MD
This new procedure, which was made available to Southern California KP patients soon after FDA approval as a result of an individual physician's efforts, is described. Results are compared with the published results and benefits are analyzed.

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Corridor Consult
How Should We Screen Patients for Major Depression?
David Price, MD, FAAFP
The effectiveness of a straightforward, two-question screen for this common and frequently overlooked diagnosis is described.

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Heath Systems

Special Feature KP HealthConnect
to Supplement pdf
As the KP HealthConnect system is rolled out across the regions, the editors of The Permanente Journal gathered some of the significant picipants in the development of the electronic medical record (EMR) to share their thoughts, processes, insights, and learnings. This Special Feature delves into the history of the EMR at KP, the process for implementation throughout the regions, some valuable lessons on using the computer in the exam room and as a clinical tool, on the interface with the Clinical Library, and the potential to transform the medical encounter.

Introduction
This is Getting Serious.
Andrew M Wiesenthal, MD
Full-text PDF 

The Promise
Reengineering Care with KP HealthConnect.
George C Halvorson
Full-text PDF 

KP HealthConnect: Fulfilling the Vision of KP's Founding Physician.
Tom Debley
Full-text PDF 

The Driving Vision: Pioneers of the EMR.
Morris Collen, MD; Allan T Khoury, MD, PhD; Peggy Latare, MD
Full-text PDF 

Entering the Decade of Health Information Technology.
Brian Raymond, MPH
Full-text PDF 

Implementation
Adopting an Enterprise Health Care Automation and Information System: The Initial Implementation.
Peter DeVault
Full-text PDF 

The Reality of EMR Implementation: Lessons from the Field.
Homer L Chin, MD, MS
Full-text PDF 

Computers in the Exam Room--Friend or Foe?
Ward R Mann, MSN, FNP; Joanne Slaboch, MBA
Full-text PDF 

Sophistication
Making the Right Thing Easier to Do.
Paul Wallace, MD
Full-text PDF 

Population Care Information Systems (PCIS): Managing the Health of Populations with KP HealthConnect.
Joel Hyatt, MD; Warren Taylor, MD; Leslee Budge, MBA
Full-text PDF 

The Clinical Knowledge Management Process Behind KP HealthConnect.
Karen Woods; Melodi Licht, RN, MS; William Caplan, MD
Full-text PDF 


A Universe at Your Fingertips: The Clinical Library and KP HealthConnect.
Brad Hochhalter; Tom Stibolt, MD; Aaron Snyder, MD; David Levy, MD; Robert H Dolin, MD
Full-text PDF 

Transformation 
KP HealthConnect as a Transformational Tool.
Allan Weiland, MD
Full-text PDF 

Editorial Comments

Kaiser Permanente HealthConnect Crossing the Quality Chasm.
Full-text PDF 

Permanente Abstracts

Abstracts of Articles Authored or Coauthored by Permanente Physicians
Selected by Daphne Plaut, MLS, Librarian, Center for Health Research
10th Annual HMO Research Network Conference

Abstracts from the HMO Research Network
Full-text PDF 

KP in the Community

Permanente Physicians in the Combat Zone.
John Murray, MD; William Goldsmith, MD
Two Permanente physicians share their experiences in Iraq, Uzbekistan and Afghanistan and discuss how these experiences have changed their lives.

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Physicians in the News

Physician News Roundup.
Full-text PDF 

Letters to the Editor

Letters from our readers
Full-text PDF 

Book Reviews

Complications: A Surgeon's Notes on an Imperfect Science.
Full-text PDF 

Psychological Trauma and the Developing Brain: Neurologically Based Interventions for Troubled Children.
Full-text PDF 

Odysseus in America: Combat trauma and the trials of homecoming.
Full-text PDF 

The Great Influenza: The Epic Story of the Deadliest Plague in History.
Full-text PDF 

Soul of the Healer

"Sunrise"
Anna Marie Aguiar, PTA
Art

"Parisian Street"
 Jeffrey Brown, MD
Art

"Mélange"
Jeffrey Brown, MD
Art

"Reflective Moments"
Anna Marie Aguiar, PTA
Art

Recollections of Internship
J Richard Gaskill, MD
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Crossword

The "Tools" of Medicine.
Full-text PDF