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I have been working at Kaiser Permanente full-time (More than a year)
Working in a managed/integrated care system like Kaiser is incredible. The best system in the country, and one of the best in the world. Can easily see why their metrics for healthcare quality are so great!
Top down corporate environment. Not a lot of flexibility in decision making at time.
Advice to Management
You got quality down, now focus on the personalization of care!