440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700

November 3, 1999

03 00050 61 99110301

Ms. Jeanne Bradley
Administration Department
Kaiser Permanente
Permanente Medical Group, Inc.
Park Shadelands
320 Lennon Lane
Walnut Creek, CA 94598

Subject:   Team Care in Medical Practice
Communication Metrics

Dear Jeanne,

Thanks for your suggestions in our discussion on Monday. I jotted down the explanation we reviewed of meaning drift which makes routine communication a high risk problem in the modern era of information overload. There is also an explanation of alignment, and how Communication Metrics accomplishes this solution at minimum cost without requiring everyone to write everything down.

In a nutshell the idea is for one person or a few people who are trained to use tools that can not only write important things down, but can also connect information into a web of useful intelligence, and deliver it via the Internet to help everyone remember and apply critical details better, which you noticed in our discussion on August 2.

Communication training seems like a good way to help implement the good ideas in Kaiser's Healthwise Handbook on doctor/patient partnership, which strives to accomplish the aims of Communication Metrics by getting people to work together "intelligently."

See what you think, and let me know your thoughts on getting these ideas reviewed by the right people at Kaiser.

Thanks again for your support.



Rod Welch