kaiserfraud ([info]corphq) wrote,
@ 2006-11-07 10:45:00
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Entry tags:kaiser manipulates media, kaiser permanente, kaiser tech, kaiser workers

Halvorson Strikes Back With Blather!
Today Kaiser CEO George Halvorson sent his own freaking long blast email to respond to Justen's concerns. After dismissing Justen as a young pup who hasn't been at Kaiser very long (note Halvorson was hired in 2002), Halvorson then minces and picks and wiggles his way through a response that boils down to "you're just going to have to believe we did due diligence and here's the talking points for HealthConnect."

For those who like to torture themselves by reading the lame excuses of CEOs, here's the blather.

My favorite part was where Halvorson confirmed that Kaiser mainly wanted a billing system with more teeth:

We very much need the EPIC functionality. The billing system alone is crucial to our operational survival, as people actually involved in our billing process know. Our old home-grown CIS system simply did not have that needed functionality.

Woo hoo - I've been totally vindicated!!!

At least Halvorson didn't stick the trademark symbol beside HealthConnect like the PR weenie who sent out the response to Justen (link in my previous post).

Also, I found a couple articles about the HealthPartners investigation, with reference to Halvorson: the perks, more perks, the slap on the wrist, and the payoff. A week in Sao Paolo for a "trade mission"??? Oh, and Halvorson fired 220 people on his way out.

Update: Justen has been placed on "administrative leave"! Kaiser hasn't learned anything!!! Article here.
"What I'm doing is working to ensure the waste and abuse stops," said Deal, who lives in Los Angeles. "That's not something you get fired for."

Hmmm - obviously Justen hasn't yet realized that Kaiser doesn't need a reason - they'll just make something up to put on the documentation, count on HR to destroy the evidence in the event of a dispute, and deploy their Issues Management hacks to smear his name in public until he will never be able to work anywhere else again. And if that doesn't work, they might try framing him: hey, wasn't Justen standing awfully close to that $7 billion dollar deficit? Kaiser could just trick a state agency into decrying Justen and rely on NBC to re-arrange interview clips to make Justen look like he took that $7 billion himself. After all, KAISER GOT AWAY WITH IT BEFORE.

And another thing: The October 6 incident described a couple posts down wasn't caused by any power outage. It was caused by human error: a test server was pointed to production. DO SOME RESEARCH VICTORIA COLLIVER.

Amusing side note: Epic consultants apparently don't think to highly of their Kaiser partners. Update: Apparently the guy has modified his blog - I'm working on getting a copy of the original up now. Here it is: In the original post the Epic guy just says he did a job at Baldwin Park Medical Center and the "support staff" had a "remarkably poorer work ethic than Epic employees." He also added the bit about it all being the best for patient care.

Also, Epic seems to be garnering a reputation as an interminable money-suck. Were these implementations included in Kaiser's "inclusive review"? Update: Someone just reminded me that former Kaiser CA President Dick "under investigation" Pettingill imposed Epic on his new CEO gig at Allina. I keep seeing rumors that the Allina EMR is over-budget and under-working, but no mainstream media coverage. If anyone actually knows anything about this, please let me know.

Kaiser chatter: The HISTalk blog is getting some response from Kaiser employees. Check it out here and here. Update: The HisTalk blog has an excellent set of highlights on the home page of his blog. There's a note that Kaiser attempted to disappear Justen's email - but once more their slime tactics were foiled by the wonderful capacity of the grassroots to get the truth out. Also, there's more backup for Justen's claim that Epic doesn't scale. I've seen several weighty remarks on this, and I have a feeling Justen heard it quite a few times from the IT boots on the ground before he put it in his email.

There's also some chatter at Kaiser Thrive. She has also posted a link to the full text of Justen's email. I've never posted that here because I knew that Justen had just bought a world of hurt, and I didn't want to do anything to add to it. However, now several other blogs have posted it, so I guess that cat's out of the bag.

The new king chooses his new court: Temp-CIO Turkstra's New Senior Leadership Team

 




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[info]fiona64
2006-11-07 06:26 pm UTC (link)
"What I'm doing is working to ensure the waste and abuse stops," said Deal, who lives in Los Angeles. "That's not something you get fired for."

Funny ... it seems that a great number of people are fired by Kaiser for doing precisely that. :-(

I'm sorry to see that it's happened to someone *else* who was doing the right thing ... and at the same time I'm glad that the news media is talking about it.

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[info]corphq
2006-11-07 06:34 pm UTC (link)
The irony of this whole thing is Justen has been a huge Kaiser cheerleader all along. I thought his public paeans to Kaiser were so close to propaganda, I assumed he was being paid to do it. What an epic example of corporate blindness and ingratitude.

Yes, many people have been fired from Kaiser for trying to do the right thing, and I honestly don't see how Kaiser has been keeping the lid on that for so long. If Halvorson wants Kaiser to be an ethical organization, he has to start by facing the fact that he's been letting his lieutenants get way with "office politics" firings - and the whole organization has been corrupted by the efforts to cover this up.

Also interesting in light of the HealthPartners audit - one of the chief complaints I hear about Kaiser executives is their propensity for travel and their expensive perks. The Chronicle should be investigating that instead of trying to help Kaiser shaft poor Justen.

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Travel....
(Anonymous)
2006-11-07 07:44 pm UTC (link)
Yeah, the travel comment is rather ironical considering we were told in June to curtail travel. Of course that's us peons who need to travel for taking classes so we can do our jobs effectively....

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Re: Travel....
[info]corphq
2006-11-07 07:51 pm UTC (link)
Yep, I'm sure the VIPs are still enjoying unrestricted travel perks.

I have an interesting story about how Kaiser managers use "classes". When I was hired, I was told that everyone in the department got a certain amount of money for ongoing education. I was told to do my own research and then pick a class or a conference. However, every time I met with my manager to cover my work goals, she wouldn't approve the class - instead she would start complaining about my previous manager and asking for my agreement. In other words, if I didn't play ball with her scheme against my former manager, I wouldn't get a class.

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Re: Travel....
(Anonymous)
2006-11-10 12:46 pm UTC (link)
After working at Kaiser, I know the feeling. You were encouraged to pick your classes for ongogin education, but there was always a problem. The last I remeber was, well there is money for trainig/clsses, but no money for travel. And the clsses that did not have a travel aspect were never convenient for Kaiser.

A company run by Donkeys

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Re: Travel....
[info]corphq
2006-11-10 03:15 pm UTC (link)
There was money for travel...if you were Very Important.

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Silence so far
(Anonymous)
2006-11-07 08:22 pm UTC (link)
As of 11am pst, there has been no region wide notification of Dodds departure

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Re: Silence so far
[info]corphq
2006-11-07 08:37 pm UTC (link)
It's not in the news, either. But several people sent me the memo.

I wonder if Halvorson will try to un-resign him just to discredit me?

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Re: Silence so far
[info]corphq
2006-11-07 09:20 pm UTC (link)
News coverage of Dodd's resignation here.

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Moderated release of Dodds resignation
(Anonymous)
2006-11-07 10:22 pm UTC (link)
There is a limited email notification at 1:30pm today, of Dodds departure. It was restricted to certain departments, Administrators and IT personnel

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Re: Moderated release of Dodds resignation
[info]corphq
2006-11-07 10:36 pm UTC (link)
I wonder why the caginess? It's already been reported in the mainstream media. It's not like everyone doesn't already know.

I'm still laughing at the way Schiffgens is trying to convince that Dodd's resignation had nothing to do with the, sorry I have to say it, "swirl" over Justen's email. That schmuck can't open his mouth without a lie coming out. And Kaiser promoted him last year! If anyone is still wondering why Kaiser's reputation for business ethics has been plummeting, here's a clue: stop treating dishonesty as PR policy!

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Re: Moderated release of Dodds resignation
(Anonymous)
2006-11-07 10:58 pm UTC (link)
You write: "I'm still laughing at the way Schiffgens is trying to convince that Dodd's resignation had nothing to do with the, sorry I have to say it, "swirl" over Justen's email."

EXACTLY. Almost every coworker I have talked to about this, comments on this point. They say the same thing. How can Hal deny they are not related? I think he is self deluded. TaboutK :)

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Re: Moderated release of Dodds resignation
[info]corphq
2006-11-07 11:07 pm UTC (link)
To quote a Kaiser employee that's one of my personal heroes:

//They hire people with military titles like Communication Specialist and Director of ex-Communications. Search your intranet; do you have communication guidelines? Is there a link to corporate communications? Are you allowed to talk to the press without a communication specialist shill standing behind you with his hand up your ass? Probably not and if you think some brainless executive is going to allow you to blog about the companies next great widget that has all the appeal of a spa vacation in Chernobyl then you my friend are a lunatic. Stay in the asylum! And for gods sake do not blog at work!//

And also...

//Things I don't understand...Why Scott Adams insist he worked at Pac-Bell when it is obvious he worked at Kaiser Permanente.//

ROTFLMAO - I'd post a direct link, but he seems to be trying to keep his blog semi-quiet.

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Re: Moderated release of Dodds resignation
(Anonymous)
2006-11-08 03:23 am UTC (link)
CTO has had his resposibilites drastically reduced and a looks like some titles are different.

(Reply to this) (Parent)(Thread)

Re: Moderated release of Dodds resignation
[info]corphq
2006-11-08 03:37 am UTC (link)
Could someone give me a list of the regional CTOs and CIOs, too?

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Re: Moderated release of Dodds resignation
(Anonymous)
2006-11-09 05:56 pm UTC (link)
Larry Panatera - Georgia

(Reply to this) (Parent)(Thread)

Re: Moderated release of Dodds resignation
[info]corphq
2006-11-09 08:04 pm UTC (link)
Thanks! I could still use the whole list, guys!

(Reply to this) (Parent)

Epic joins in the cover up
(Anonymous)
2006-11-08 03:19 am UTC (link)
To summarize the rewrite of history:

"It was interesting to see how a company can love the software and Epic as a company, whereas the users at that same company hate it and quit over it."

has been changed to...

"It was interesting to see how a company can love the software and Epic as a company, whereas the users at that same company hate it and quit over being "forced" to use it. I guess to the caregiver it's harder to see that it's a move done for the patient and for improving patient care when all you know is know you have to 'use the computer to do that.'

This is such a blatant attempt to manipulate public perception it isn't funny. A "move done for the patient and for improving patient care" could have been written by the PR folks at Kaiser themselves, and it probably was!

The 2nd paragraph about the poor work ethic of Kaiser's support staff was changed to say the non-Epic, non-Kaiser folks were "less fun" to work with.

Big difference in the content and the tone! They must have promised to pay him for all of those missed days if he would let the PR department rewrite his blog. That guy really needs to grow a pair.

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Re: Epic joins in the cover up
[info]corphq
2006-11-08 03:33 am UTC (link)
I just think it's sad it didn't occur to someone who ostensibly works in the IT field that I'd easily be able to grab a copy of the original.

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The new SLT
(Anonymous)
2006-11-08 03:20 am UTC (link)
Notice that Watson has lost a lot of responsibility in this reshuffle. Dale, Garcia, and Cannon were previously direct reports to Watson. Seems this would reflect a no-confidence vote by Turkstra and relegates Watson hopfully to irrelevancy, too late after his disastrous leadership over Application Development and Tech Support/Operations. On the other hand, it might be payback from Turkstra. Anyone got a read on Turkstra?

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Re: The new SLT
[info]corphq
2006-11-08 03:35 am UTC (link)
Turkstra is surprisingly hard to pin down. Maybe he changed his name like "John C.Dodd" did, lol.

(Reply to this) (Parent)

Re: The new SLT
(Anonymous)
2006-11-08 04:19 am UTC (link)
Unfortunately, Turkstra runs KP HealthConnect, so I wonder what we're in for in IT. I never did understand why IT and HealthConnect were in separate organizations. It pretty much breeds contempt between them. But hey.... I'm a simple peon.

BTW, after reading the Epic dudes MySpace page, I've come to the conclusion that Epic has pretty much wasted the BILLIONS of dollars KP has given them. This guy is obviously clueless as to how Epic really works in a high volume environment. He just supports the go-live and then goes home. (And I'm sure he gets paid well for it.)

(Reply to this) (Parent)(Thread)

Re: The new SLT
[info]corphq
2006-11-08 04:23 am UTC (link)
I didn't even know that HealthConnect was a separate organization. That makes no sense at all. I think KP will be known as the proprietary inventor of the ERS: Electronic Rework System

Have you been reading the HISTalk comments? Several people have weighed in with reasons Epic doesn't scale.

Keep on speaking truth to power, guys! The Kaiser Powers That Be have to hear you now!

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Re: The new SLT
(Anonymous)
2006-11-08 05:31 am UTC (link)
Yeah. KP HealthConnect is a different organization than KP-IT. I think Halvorson had bigger fish (read that $$$$$ signs) to fry once he could prove that Epic was a viable system. Why else would you trademark the word HealthConnect? If the implementation were too integrated into your IT organization, then it would be more difficult to carve out a consulting arm that could implement it when someone came asking "how did you implement Epic in such a large environment?"

I always wondered with $3.2 billion invested, why not just buy the damn company. I think the answer was not to buy by to resell the software and consultancy. (I'm pretty sure that Epic is making a ton of money off of what they charge for consultants used in implementing Epic at Kaiser.)

No, I don't have anything but a gut instinct to back this up, but I think it's a widely held theory in KP-IT. There wouldn't be many other explanations for keeping the organizations separate.

Also, my understanding is that Kaiser is Citrix biggst customer, with the most citrix servers pressed into service.

I guess the new KP-IT data center in Napa is going to fly under the radar. ($50 million price tag, to go live in spring of '07.)

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Re: The new SLT
[info]corphq
2006-11-08 05:55 am UTC (link)
Interesting. I've been actively underlining the "resale" goal for the last three years, but the idea of setting up a consultancy to go with it never even occured to me. But why limit yourself to sales profits when you could have "revenue streams"?

This could even be done under the Kaiser umbrella in a way - sort of like how the for-profit medical groups are smuggled under the umbrella of the national not-for-profit organization. I'm not sure what the status of KPVentures is. Also, is the Care Management Institute non-profit? I seem to remember something about their huge bankroll.

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Re: The new SLT
(Anonymous)
2006-11-08 06:50 am UTC (link)
I've heard the budget for Napa is in the neigborhood of $160,000,000, which includes necessary renovations. $50 million here, $50 million there, sooner or later, it becomes real money . . .

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Re: The new SLT
[info]corphq
2006-11-08 06:59 am UTC (link)
The sad thing here is that when the media talking heads start griping, they will be focusing on the cost of "IT" instead of the cost of project management. :-p

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Another dAY with Health Connect
[info]meilin71
2006-11-16 10:18 am UTC (link)
Another fun day with Kaiser SSC Health Connect.
I'm an employee at the alpha site for inpatient healthconnect.
I can tell you that noone knows what is going on or how to do things correctly.
After spending at least an hour with Health Connect support team trying to admit a critical patient who needed a blood transfusion, poof....the orders disappeared leading to a DELAY IN GOOD PATIENT CARE.

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Re: Another dAY with Health Connect
[info]corphq
2006-11-16 03:51 pm UTC (link)
Kaiser needs to stop trotting out spokespeople and executives - and they need to start acknowledging and listening to people like you.

(Reply to this) (Parent)


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