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2000
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Government employees with close/questionable Kaiser
Permanente affiliations
This
is a short list of some
Former Kaiser Permanente physicians, other medical personnel and
"politicians" married to Kaiser
Administrators
that may have a conflict of interest with their new jobs at government
regulatory agencies and government contractees
overseeing patient
matters. First Understand What the definition of a
Conflict of Interest as per United States Law is.
Cross referenced with: http://selfincrimination.kaiserpapers.org/retiredoc.html and http://selfincrimination.kaiserpapers.org/pooldoc.html
Note
that most government agencies do not ask about this form of financial
information when clearing someone for ethics issues which could show a
potential conflict of interest. Probably it is because these
agencies are not aware that this gag clause and other gag clauses not
displayed on this web site are even in existence. Definitely
the
California Ethics rules do not cover this type of issue and should.
While it is highly illegal to have these gag clauses and
orders in any retirement contract and Kaiser and Permanente probably
will lose in any court action when any physician challenges
the
clause referenced above if it is enforced, it will still cost an
enormous amount of money for a physician to do so in any court.
The physician does not have to be retired to have these gag
clauses enforced. Several physicians that did decide to go
forward and not be compromised with their personal ethics have been
used as examples by Permanente and Kaiser as to what happens if they do
talk or do act responsibly when dealing with our government.
See: http://businesspractices.kaiserpapers.org/advisory.html
and http://businesspractices.kaiserpapers.org/specialemployees.html
and United State Office of Ethics at: http://www.usoge.gov/home.html
Public service is
a public trust, requiring employees to place loyalty to the
Constitution, the laws, and ethical principles above
private gain.
Employees shall
not hold financial interests that conflict with the
conscientious performance of duty.
Employees shall
not engage in financial transactions using nonpublic Government
information or allow the improper use of such information to further any private interest.
Volunteers,
non salaried appointees and retired physicians and other medical
personnel that obtain employment under Federal Personnel Jurisdiction
are still representatives of our government and still have to abide by
the law.
Many
people have had the experience of having government agencies stop
formal investigations into Kaiser questionable activities with the
excuse used that "Upstairs" ordered the investigation stopped.
This list of people may be who "Mr. Upstairs" actually is.
and
- http://businesspractices.kaiserpapers.org/scpmgretire.html
Page 74 of the SCPMG Retirement Program.
"11.2 Limitation on Participants' Rights.
"The Partnership
reserves the right to expel any
Partner without liability for any claim either against the Plan, except
to the extent provided for herein, or against the
Partnership."
It
is likely that current and former Kaiser Permanente physicians that
obtain jobs in government agencies where they have responsibilities
to oversee, investigate, inspect, etc., most likely have a
conflict of
interest that no matter what they may say about it, is still there.
The
terms of the vested Permanente
physicians contract states
very clearly that they may not do or say anything against Kaiser or the
Permanente or they risk losing their retirement package and anything
else that is held by the Permanente. See link above for
current
document clearly stating this fact. There are court documents
showing that Permanente and Kaiser have enforced this document for
those that dared to find wrong doing or talk to the authorities.
Do
the following individuals have a conflict
of interest with their jobs?
We
will be adding to the list those pertinent individuals from other
organizations and government agencies as time permits.
We
are beginning this list with those currently employed or financially
involved with the QIO Lumetra. A QIO is a
Quality Improvement
Organization. The one in California is Called Lumetra.
http://www.lumetra.com
It used to be
called CMRI or California Medical Review.
Lumetra has a really big contract with the Federal Government
to
review
Medicare Patient Medical Records.
It appears to us that the following former Kaiser Permanente physicians
do not belong on Lumetra decision making
or quality evaluation boards -
both by basic ethics and financial conflicts against their retirement
pot of gold.
Board
Members
of the QIO (Quality Improvement Organization) Lumetra
-
an organization with a really big Medicare
contract to review Medicare
Patient records where Kaiser is never found to have even been wrong. 12
Kaiser people
and still counting in the following list:
Linda
Sawyer - COO Lumetra -
- Current
-
- Past
-
District
Office Medical Consultant
 Janet
O’Brien provides utilization review services in
workman’s
compensation. She provided primary care service
at
the Woodland Clinic
Medical Group and has served as interim health officer for the Yolo
County Department of
Public Health, director of community education for
the Watsonville Community Hospital, and as medical economist
for the
Kaiser Foundation Health Plan.
Roderick
N. Seamster, MD, MPH
Vice-Chair,
Lumetra Board of Directors
Medical Director, Watts Healthcare Corporation
Roderick
Seamster is medical director and chief
physician in
internal medicine at the Watts Healthcare Corporation in Los Angeles.
He has served as medical
director and/or staff
physician in internal medicine and family practice settings, including
the Watts
Health Center, Compton Medical Center, Kaiser Permanente, and
the San Carlos Indian Hospital (United States Public Health Service).
Anthony
G. Wagner
Vice President, Kaiser Permanente, Oakland
Anthony Wagner currently serves as vice president of
the
Office of
Labor Management Partnership at Kaiser Permanente in
Oakland,
California,
Ann Von Gehr (MD)
unestablished
if Dr. Von Gehr is still directly affiliated with Kaiser Santa Teresa
http://www.healthpages.com/directory/physicians/427164/DR_Ann_Bremers_Von_Gehr_MD.html
Dr.
Ira Jeffry Strumpf
Dr.
Strumpf is physician in charge of the pulmonary division
at Kaiser Permanente Medical Center
in Woodland Hills.
http://www.zoominfo.com/people/Strumpf_Ira_88790770.aspx
JCAHO
Short background on JCAHO:
JCAHO
takes in $113 million annually, mainly from hospitals that pay large
fees to be accredited so they can receive Medicare dollars.
Accreditation means a hospital has successfully passed a JCAHO
inspection once every three years. Inspections are traditionally
announced well in advance, although JCAHO promises to begin “surprise”
visits next year. And, a subsidiary of JCAHO consults (for a hefty fee)
with hundred of hospitals each year to help them to get a passing grade
on their inspection. These “crib” courses bring in another $10.5
million to JCAHO each year. Source: http://www.medicalconsumers.org/pages/MedicareTurns40.html
http://www.jointcommission.org/NewsRoom/PressKits/InfectionControl/nielsen_bio.htm
Don
Nielsen, M.D.
Senior
Vice President for Quality
Leadership
American Hospital Association
 Don
Nielsen, M.D., is an infectious diseases physician and senior
vice president for Quality Leadership at the
American Hospital
Association (AHA).
In this role, Nielsen oversees
the AHA’s
Quality Agenda, which
focuses on improving patient safety, patient-centered care,
effectiveness, efficiency, timeliness and elimination of racial
disparities in care. Nielsen joined the AHA in 1998.
Previously,
Nielsen worked at the Permanente
Company as vice
president for performance assessment and with the 12
Permanente Medical
Groups as associate medical director for quality. He also served as a
partner and practicing physician with the Southern California
Permanente Medical Group where he was the director of the Los Angeles
Kaiser Foundation Hospital HIV Clinic and Outpatient Infusion
Center.
Nielsen is active on the boards of the American
Accreditation
HealthCare Commission/URAC and the National Patient Safety
Foundation. He has also served on the Board of Commissioners
of
the Joint
Commission on Accreditation of Healthcare Organizations.
Nielsen
serves on the editor boards of the World
Medical
Association’s WMA Global Health Care Report, Journal of
Clinical
Outcomes Management, Cliniguides, and the Institute for
Healthcare
Improvement’s Eye on Improvement. In addition, he has served
on the
editorial advisory boards of Monitor, a publication of the
Medical
Outcomes Trust, and the Bureau of National Affairs’ Managed
Care
Reporter. Nielsen speaks frequently on topics including
performance
measurement, accountability, patient safety and information
systems development needed to support measurement activities.
BARBARA
PAUL, M.D.,
http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=430
CMS Administrator Tom Scully
today announced
the appointment of Barbara
Paul, M.D., to direct the agency's initiatives to improve
health care
quality for Medicare and Medicaid beneficiaries.
Dr. Paul, a
board-certified internist, has been director of the
agency's Physicians' Regulatory Issues Team (PRIT) since 1999. She also
served as assistant to the deputy administrator for the Open-Door
initiative with physicians. Dr. Paul will replace Steve Clauser, Ph.D.,
who has taken a position with the National Cancer Institute.
Dr. Paul was a
full-time internist from 1987 to 1999 in Northern
California. She also was director of women's health services from 1993
to 1995 for Queen of the Valley Hospital in Napa, Calif. Currently, she
returns every few months to her former clinic in California to see
patients at the Kaiser Permanente facility in Vallejo, Calif.
Among her
professional activities, Dr. Paul served in 1998 on
the board
of trustees of the California Medical Association, representing
physicians in eight Northern California counties. She also was
president of the Napa County Medical Society from 1995 to 1996, and
served from 1993 to 1999 on the board of directors of the California
Health Facilities Financing Authority.
http://www.iom.edu/?id=22328
Barbara
R. Paul, M.D., is Senior Vice President and Chief Medical Officer of
Beverly Enterprises, a leading provider of elder care
headquartered in
Fort Smith, AR.. She was previously director of the Quality Measurement
and Health Assessment Group for the
Centers for Medicare and Medicaid
Services (CMS), Department of Health and Human Services, in Baltimore,
Md. While at CMS,
she led the launch of HHS Secretary Tommy G.
Thompson's Nursing Home Quality Initiative and Home Health Quality
Initiative, and
played a key role in the agency's overall quality
measurement and public reporting work. She represented the agency on
the boards
of the National Quality Forum and The Leapfrog Group.
Paul
J. Wallace, MD
 He
was previously the Executive Director of Kaiser Permanente’s
Care Management Institute (CMI) from 2000 – 2005 and
continues as a Senior Advisor to CMI and to KP Healthy Solutions, the
KP disease management company established in 2005. Dr. Wallace, an
Internist and Hematologist, joined Kaiser Permanente in 1989, and has
participated on Kaiser Permanente’s program wide New
Technology, Research, Guidelines and Diversity Committees. He is a
member of the National Advisory Council for the Agency of Healthcare
Research and Quality (AHRQ), the Institute of Medicine Board on
Population Health and Public Health Practice, the Medical Coverage
Advisory Committee for the Center for Medicare and Medicaid Services
(CMS), and the Committee on Performance Measurement for NCQA. He is the
Board Chair for the Center for Information Therapy, and is also a Board
member for the Disease Management Association of America (DMAA). In
2004 he was recognized by DMAA with the Karen Coughlin Individual
Disease Management Leadership Award.
AHRQ
Announces New Preventive Services Task Force
Members
Diane Petitti, M.D., M.P.H.,
senior scientific advisory for Kaiser
Permanente of Southern California, is the new vice chair.
Peter
Juhn is responsible for helping shape evidence-based medicine policies,
especially as payers use EBM as a basis for decisions on reimbursement
and coverage of pharmaceuticals and medical devices. He works with the
operating companies to anticipate the methods and types of
evidence
needed in this evolving payer environment. He also provides policy
coverage for developments in the Health Information technology
initiatives as well as quality-based "pay-for-performance" activities.
Most
recently, Dr. Juhn was
Vice President, Health Improvement Resources, at WellPoint Health
Networks, where he managed the disease management programs. He also
held senior positions at Kaiser Permanente, including Executive
Director, Care Management Institute and President and CEO of
CareTouch,
Inc., an e-health start-up venture. He has a BA from the University of
Chicago, an MD from Harvard and an MPH from the University of
Washington, where he was a Robert Wood Johnson Clinical Scholar. He
completed his Internal Medicine residency at the University of
Pennsylvania.
Sharon Levine, MD
STAKEHOLDER The
Permanente Medical Group, Kaiser Permanente
Dr.
Levine is a pediatrician
and has practiced with The Permanente Group since 1977. She has held
multiple leadership roles within the Medical Group and has
served as
Associate Executive Director of the medical group since 1991. She has
responsibility for human resources, (recruitment, compensation,
clinical education, management training and leadership development);
government and community relations, health policy and
community benefit
and pharmacy policy and drug use management.
Dr.
Levine is board certified
by the American Board of Pediatrics and is a member of the American
College of Physician Executives,
California Medical Association and the
American Medical Association. She is a member of the Board of Directors
of the Integrated
Healthcare Association, The Women's Foundation of
California, the California Hospital Association and the Public Health
institute of
California. She is a frequent speaker on issues of health
policy, drug use management and delivery of health care services. Dr.
Levine received her undergraduate degree from Radcliff College
at
Harvard University and her MD degree from Tufts University School of
Medicine.
The
Permanente Medical Group
employs 5,500 physicians and serves 3.2 million Northern California
members enrolled in the Kaiser
Permanente Medical Care Program, the
states largest HMO.
Jay Crosson - Member of the
Medicare Payment Advisory Commission appointed by Comptroller
General Walker.
http://businesspractices.kaiserpapers.org/pdfs/medpac.pdf
Comptroller
General
of
the United States
United States
General Accounting
Office
Washington, DC
20548
May 20,
2004
Comptroller
General Walker Announces
Appointment of Members to the Medicare Payment Advisory Commission
Francis
J. Crosson, M.D. is the executive director of the Permanente Federation
of medical groups that make up the physician
component of Kaiser
Permanente. He also co-chairs the Kaiser Permanente Partnership Group,
the organization’s management
committee. He also
has experience in connection with prescription drug arrangements. He
joined Kaiser Permanente in 1977
and was the Chief of Pediatrics and
Assistant Physician-in-Chief of one of Kaiser’s major medical
centers. In 1988 he was
appointed associate executive director of the
Permanente Medical Group and served in that position until his current
appointment.
He has led efforts on
comprehensive public
report cards on clinical quality, management of a drug formulary and
adoption of a
state-of-the-art electronic medical record. Dr. Crosson
received his undergraduate degree in political science from Georgetown
University and his M.D. degree from Georgetown’s School of
Medicine.
http://www.defenselink.mil/releases/release.aspx?releaseid=3134
WINKENWERDER
SWORN IN AS HEALTH AFFAIRS ASSISTANT SECRETARY
Dr.
William Winkenwerder Jr. took the oath of office yesterday as the new
assistant secretary of Defense. Winkenwerder was
nominated for the
position by President Bush on September 21, 2001, and confirmed by the
Senate on October 16, 2001.
Winkenwerder
has held a variety of senior-level positions in
the
healthcare industry. Most recently, he was vice chairman,
Office
of the
Chief Executive, and executive vice president of Health Care Services
for Blue Cross Blue Shield of Massachusetts, the
largest health
insurance plan in New England with more than 2.4 million enrollees.
Before moving to Massachusetts, Winkenwerder
served as associate vice
president for Health Affairs and vice president of Emory Healthcare at
Emory University in Atlanta, Ga.
From 1992 to 1995, Winkenwerder held
the position of vice president and chief medical officer for Southern
Operations for Prudential
Healthcare based in Atlanta. Prior to this
position, he served as the associate medical director at the Southeast
Permanente
Medical Group of Kaiser Permanente in Atlanta. From 1987 to
1988, Winkenwerder worked at the Health Care Financing Administration,
now Centers for Medicare and Medicaid Services, Department of Health
and Human Services, in Washington, D.C.
Winkenwerder
received his bachelor's degree of
science from Davidson
College, Davidson, N.C., in 1976, his medical degree from
the
University of North Carolina School of Medicine, Chapel Hill, N.C., in
1981, and his master's of business administration from
The Wharton
School, University of Pennsylvania, Philadelphia, Pa., in 1986.
Winkenwerder
has completed post graduate training
and fellowships in
internal medicine, epidemiology and health services
research. He also
completed a fellowship at the Department of Health and Human Services
where he helped develop a catastrophic
Medicare legislation proposal
for the Reagan Administration. Winkenwerder holds a number of board
memberships, has written broadly
on health policy issues, and is active
in a variety of professional associations.
As
the Assistant Secretary of Defense for Health
Affairs,
Winkenwerder serves as the principal staff assistant and advisor to the
secretary and deputy secretary of Defense and the under secretary of
Defense for Personnel and Readiness for all Department
of Defense
health policies, programs, and activities. He will have the
responsibility to effectively execute the department's healthcare
mission. This mission is to provide, and to maintain readiness to
provide, healthcare services and support to members of the
armed forces
during military operations. In addition, the department's healthcare
mission provides healthcare services and support to
members of the
armed forces, their family members, and others entitled to DoD
healthcare.
http://www.hrsa.gov/culturalcompetence/indicators/appendixA.htm
HRSA
- U.S. Department of Health and Human Services - Health Resources and
Services Administration
TECHNICAL EXPERT PANEL
The
Technical Expert Panel, although not convened as a consensus panel,
provided significant input and insight throughout the
course of the
projec.
Robert
Carson, PhD
Brecksville VA Medical Center
Brecksville, OH
Towie Fong, MD
Senior Staff
Internist and Geriatrician
Kaiser Permanente Medical Center
San Francisco, CA
NCVHS
Membership of the WORKGROUP on the
NATIONAL HEALTH
INFORMATION INFRASTRUCTURE
The
NCVHS serves as the statutory public advisory body to the Secretary of
Health and Human Services in the area of health data
and statistics. In
that capacity, the Committee provides advice and assistance to the
Department and serves as a forum for interaction
with interested
private sector groups on a variety of key health data issues. The NCVHS
home page is http://www.ncvhs.hhs.gov/
National
Director for Health Information Policy
Simon
P.
Cohn, M.D., M.P.H., FACP
Kaiser Permanente
Medical
Care Program
One Kaiser Plaza
Oakland,
California 94612
Phone: 510-271-6461
Fax: 510-267-2194
E-Mail: simon.cohn@kp.org
Term: 06/30/99 -
06/30/03
STATE OF CALIFORNIA
Assembly Speaker
Fabian Núñez
http://en.wikipedia.org/wiki/Fabian_N%C3%BA%C3%B1ez
Fabian Nunez is married to Maria Robles
"The wife of Assembly Speaker Fabian Núñez (D-Los Angeles) has come
under scrutiny for accepting a job that is partially funded
by
hospitals, a major stakeholder in the health care reform debate, the Sacramento
Bee
reports.
Maria
Robles was hired as president of the not-for-profit Californians for
Patient Care in
January, one month after Núñez introduced AB 8,
a bill seeking to overhaul California's health care system. The
organization says its mission is tied to preserving and improving the
health care system."
http://www.californiahealthline.org/articles/2007/10/16/N250241ezs-Wifes-Ties-to-Hospital-Industry-Draw-Fire.aspx?topicID=47
Ruth Liu, a former analyst at
Kaiser Permanente now
serves
as a health-policy expert in the Schwarzenegger administration.
http://www.capitolweekly.net/news/article.html?article_id=1019
LOS
ANGELES CITY AND COUNTY POLITICIANS
Paul Koretz
 http://en.wikipedia.org/wiki/Paul_Koretz
 Koretz's
wife Gail[2] serves as Director of Public
Affairs for Kaiser Permanente Los Angeles Medical Center.
Department
of Managed Health Care
http://www.dmhc.ca.gov/boards/cap/roster.pdf
Dr.
Bernadette C. Loftus
Clinical Advisory
Panel
Office of The Patient
Advocate
http://gov.ca.gov/index.php?/press-release/2553/
Governor
Schwarzenegger Announces Appointment of Sandra Perez as the
Director of the Office of the Patient Advocate
within the Business,
Transportation & Housing Agency
Since 2000,
Perez has served as the Director of the California
Executive Fellowship Program for the Center of California Studies at
the California State University, Sacramento. From 1994 to 2000, Perez
was the Principal Consultant of Perez Consulting Services,
an
administration, policy and media consulting firm. Her clients included
Kaiser Permanente, the University of California Davis Medical Center,
Catholic Diocese of Sacramento, California Rural Legal Assistance
Foundation, Rural Health Institute and the Sacramento Community
Services Planning Council. Ms. Perez served as an administrative
resident at Kaiser Permanente from 1991 to 1994. As the resident for
the Community Health Partnerships, she worked with the Sacramento Task
Force on the Medically Underserved, a collaboration of providers and
healthcare organizations in the Sacramento region.
Prior to this
experience, Perez worked for the California
State
Assembly, serving from 1985 to 1990 as the field representative
to
former-Assembly Member Phil Isenberg and from 1984 to 1985 as the
receptionist in the Speaker’s Office of Member Services.
Hienvu Nguyen, DPM was a
computer engineer working for the Department of Defense for about
10 years before he
went back to school. After completing his fellowship
training at the University of Texas Health Science Center in San
Antonio,
Texas; he joined the Kaiser Permanente, and has been there
since 1999.
Medical school
California College of
Podiatric Medicine, San Francisco, CA
Residency Veterans
Affairs Medical Center, Tucson, AZ
Fellowship
University of Texas Health Science Center At San
Antonio, School of Medicine, San Antonio, TX
Board
certification Foot Surgery, American Board of Podiatric
Surgery
Appointed by
Governor Schwarzenegger - announced on August
16, 2005
to The Board of
Podiatric Medicine as President of
the Board
http://www.bpm.ca.gov/about/index.htm
Conflict
of Interest Regulations - http://www.dca.ca.gov/publications/board_members/conflict_interest.shtml
UNITED STATES HOUSE
REPRESENTATIVES
HHS
Laws Governing Advisory
Committeeslxxxviii[88]
Federal
law requires that advisory committees be balanced in terms of points of
view of their members and that they conduct their business in public.
The law also requires that advisory committee members disclose their
financial interests and recuse themselves from matters in which they
have an interest.
Public service is
a public trust, requiring employees to place loyalty to the
Constitution, the laws, and ethical principles
above private
gain.
Employees shall
not hold financial interests that conflict with the
conscientious performance of duty.
Employees shall
not engage in financial transactions using nonpublic Government
information or allow the improper use
of such
information to further any private interest.
National Committee on Vital and Health Statistics
CHAIR
Simon
P. Cohn, M.D., M.P.H.
Associate
Executive Director
The Permanente
Federation
Kaiser Permanente
One Kaiser Plaza,
27L
Oakland,
California 94612
Phone:
510-271-6461
Fax: 510-267-2194
E-Mail:
simon.cohn@kp.org
Term: 12/01/03 -
12/01/07
Government
Agency Directors that take Vice
President positions with Kaiser Permanente
Diana Bonta, Former
California DHS Director,
Assumes New Role for Kaiser
Permanente's Southern California Region
PASADENA,
Calif.--(BUSINESS WIRE)--Oct. 21,
2004--Diana M. Bonta, R.N.,
Dr.P.H., former Director of the California Department of Health
Services,
has assumed the newly created position of Vice President of Public
Affairs
for Kaiser Permanente's Southern California Region.
Dr. Bonta
will direct Kaiser Permanente's public
policy agenda for Southern
California. "I look forward to sharing Kaiser Permanente's vision for
the
future--caring for people and helping them to thrive. I'm glad to be
part
of an organization that does so much to promote and enhance community
health,"
she said. Her responsibilities will include community benefit,
community
relations, government relations, grant management, corporate
communications,
media relations and multi-media activities.
http://californianews.kaiserpapers.org/dianabonta.html
To
The Kaiser Papers
|
Do
individuals employed at the following government agencies have a
conflict
of interest with their jobs?
We
will be adding to the list those pertinent individuals from other
organizations and government agencies as time permits.
|