60 years ago, Morris F. Collen, MD, recognized the potential of combining the power of information technology with clinical care and sophisticated data analytics. Since its inception in 1961, Kaiser Permanente’s Division of Research has become internationally respected for research that transforms health by discovering the key drivers of health and disease and identifying effective and efficient ways to deliver health care.
The 1960s: Creation of the Division of Research
Morris Collen, MD, becomes founding director of Medical Methods Research, later renamed the Division of Research, leading from 1961 to 1979.
The Division of Research receives its first grant from the U.S. Public Health Service to automate the multiphasic exam.
An IBM 1440 computer is used to store patient clinical data collected in the early detection of disease. The fledgling information system stored patient identification data, physician examination and patient history data, lab results, and EKG and X-ray interpretations.
Learn more about computers screening for better health
The Division’s Edmund (Ted) Van Brunt, MD, pilots a computer-based patient medical record system with a database that supports both patient care and health services research. Kaiser Permanente becomes one of a handful of places in the world to start this pioneering work.
The 1970s: Early pioneers of an integrated medical record
Investigators including Ted Van Brunt, MD, Morris Collen, MD, and colleagues publish a study about a “pilot medical information system” providing services for limited categories of patient data. This would go on to be known as the electronic health records system.
A computer medical record now exists for all health plan members. These earliest records are still used in research today, and they allow the Division of Research to develop a data-based research agenda.
Investigators publish in the New England Journal of Medicine on mortality in middle-aged smokers.
The 1980s: A major research operation in epidemiology
The Division opens a research clinic to support the Coronary Artery Risk Development in Young Adults (CARDIA) study — a longitudinal study of heart health and disparities that continues to this day and has resulted in more than 600 published papers.
The Kaiser Permanente Vaccine Study Center is founded to monitor vaccine safety and effectiveness.
Kaiser Permanente oncology clinical Trials (KPOCT) is established, enrolling hundreds of Kaiser Permanente patients each year in mostly multicenter, Phase 2 and 3 cancer studies.
A research team looks at the effectiveness of flexible sigmoidoscopy. Findings result in the Kaiser Permanente Colon Cancer Prevention Program and lead the U.S. Preventive Services Task Force to recommend colorectal cancer screening for the first time.
Learn more about the current status of a medical information system
A study of KPNC members links alcoholic beverage use to colon and rectal cancer.
The 1990s: Ushering in large-scale collaborative research
Vaccine Safety Datalink project founded in collaboration with the Centers for Disease Control and Prevention, with DOR’s Vaccine Study Center a founding site.
Morris Collen, MD, is honored by the American College of Medical Informatics (ACMI) as the first recipient of the highest honor it bestows, the Morris F. Collen Award of Excellence for Outstanding Contributions to the Field of Medical Informatics.
The confidential Member Health Survey begins. Conducted every 3 years, the survey explores sociodemographic and health-related characteristics of the adult membership of Kaiser Permanente Northern California.
Learn more about the Kaiser Permanente multiphasic evaluation study
The Division is a founding member of the HMO Research Network (now the Health Care Systems Research Network), ushering in an era of large-scale collaborations seeking to integrate research and practice for the improvement of health and health care in diverse populations.
The Division of Research is 1 of 40 clinical centers selected to enroll participants in the groundbreaking national Women’s Health Initiative, funded by the National Heart, Lung, and Blood Institute.
The 2000s: A new era of DOR collaborations
A DOR research team publishes a study in the New England Journal of Medicine that shows chronic kidney disease increases a person’s risk of heart disease, stroke, or death.
The Division of Research receives a $10 million grant from the National Cancer Institute to study whether lifestyle factors such as diet, exercise, and use of complementary and alternative medicine impact recurrence and survival rates for women with breast cancer.
The Women’s Healthy Eating and Living Study — the largest randomized trial to look at diet and breast cancer risk — reports in JAMA that a diet high in vegetables, fruits, and fiber does not lower risk of invasive breast cancer in postmenopausal women.
Learn more about the low-fat dietary pattern and risk of invasive breast cancer
A comprehensive colorectal cancer screening study is launched that would go on to show how an integrated screening program can save lives.
The Research Program on Genes, Environment and Health (RPGEH), now one of the largest such research projects in the United States, is established to examine genetic and environmental factors that influence a wide variety of common diseases such as heart disease, cancer, diabetes, and depression.
Learn more about Kaiser Permanente unveiling groundbreaking genetic research program
Study of more than 132,000 children suggests link between autism and advanced maternal and paternal age.
Learn more about risk of autism rises with age of moms, dads
DOR establishes the Comprehensive Clinical Research Unit (CCRU) to support clinical trials conducted by DOR research scientists and clinicians from The Permanente Medical Group across a variety of specialties. In 2018, this becomes the Clinical Trials Program.
The National Heart, Lung, and Blood Institute provides $7.5 million over 5 years to establish a collaborative Cardiovascular Research Network within the HMO Research Network to better study the epidemiology, prevention, management, and outcomes of cardiovascular diseases.
DOR receives a $25 million Grand Opportunities grant from the National Institutes of Health to conduct genotyping on 100,000 Kaiser Permanente members participating in the Research Program on Genes, Environment and Health, the largest population-based biobank in the United States.
The 2010s: Mentoring the next generation
Kaiser Permanente researchers alert the CDC to preliminary evidence of an increased risk of febrile seizures following measles, mumps, rubella, and varicella (MMRV) vaccination compared with separate MMR and V vaccines. CDC then recommends that families without a strong preference for MMRV should receive separate MMR and V vaccines.
DOR joins Mental Health Research Network, whose first project is an autism registry.
The Division becomes the lead site for the Cancer Research Network, a National Cancer Institute-funded initiative to support research in non-profit integrated health care delivery systems on all aspects of cancer care, from etiology through survivorship.
Tracy Lieu, MD, MPH, becomes fifth director of DOR, leading from 2012 to the present.
Learn more about DOR nameing Tracy Lieu, MD, MPH Its Fifth Director
The Division celebrates its 50th anniversary, with four of its five directors, scientists and staff, and leaders of Kaiser Permanente Northern California and The Permanente Medical Group.
The Delivery Science Fellowship Program is established to train postdoctoral fellows on identifying and implementing best practices for delivering care to diverse populations. The program has since attracted nationwide interest.
Researchers report in JAMA that Kaiser Permanente Northern California nearly doubled the rate of blood pressure control among adult members with diagnosed hypertension between 2001 and 2009 through one of the largest, community-based hypertension programs ever developed.
Learn more about large-scale Kaiser Permanente program linked to improved blood pressure control
DOR research contributes to development of a neonatal sepsis risk calculator, safely reducing newborn antibiotic use by nearly 50 percent.
A celebration of life takes place upon the death of Morrie Collen on September 27, 2014.
Trial of the Screening, Brief Intervention and Referral to Treatment (SBIRT) technique finds benefit in adolescent substance use problems.
First study of HIV pre-exposure prophylaxis in a diverse, real-world setting is cited as one of the most important papers of the year by NIAID Director Anthony Fauci.
Kaiser Permanente research published in Annals of Internal Medicine shows an annual fecal immunochemical test (FIT) is an effective screening tool for detecting colorectal cancer.
A comprehensive Enhanced Recovery After Surgery program implemented in Kaiser Permanente’s 20 Northern California medical centers is found to reduce postoperative complication and opioid prescribing rates.
DOR launches Physician Researcher Program with a mission to cultivate the research that drives evidence-based medicine.
A team led by DOR researchers developed a practical tool for identifying diabetes patients at highest risk for ending up in an emergency department or hospital due to severe hypoglycemia.
DOR study finds concerning increase in cannabis use by adolescents and pregnant women.
Recognizing the importance of early multiphasic exams, the Smithsonian’s National Museum of American History takes ownership of some DOR punch cards to help share an important part of our country’s health care history.
The Permanente Medical Group and DOR establish the Delivery Science and Applied Research (DARE) program to foster collaborations between clinician-investigators and DOR scientists. DARE provides infrastructure, connections, and analytic support to clinician-researchers for answering questions that will change care.
Kaiser Permanente data helps create street-level view of the health Impacts of air pollution in Oakland.
Researchers find that significantly increasing minimally invasive surgery for hysterectomies reduced racial disparities in the types of hysterectomies patients get.
The 2020s: Tackling new health care mysteries
Division of Research publishes study in JAMA showing wide age range of adults hospitalized with COVID-19, dispelling idea only older adults were being hospitalized with COVID-19.
Research scientists publish some of the first papers to explore the impact of the COVID-19 pandemic on cancer screening and heart attack and stroke care.
Autistic youth transitioning to adulthood have unique health needs and need assistance from the medical community, according to research from DOR’s Autism Research Program.
Learn more about clinicians needing to build bridges to transition care for young adults with autism
The Vaccine Study Center joins the clinical trial for Pfizer/BioNTech’s COVID-19 vaccine, enrolling adults and later teenagers aged 16 and 17, adolescents aged 12 to 15, and children aged 6 to 11.
DOR predictive analytics specialists teamed up with nursing and hospital leaders to create the Advance Alert Monitor system, which identifies hospital patients at risk of rapid deterioration. In an analysis published in the New England Journal of Medicine, the system is associated with lower mortality.
Learn more about real-time in-hospital alerts associated with lower patient mortality
Health systems could use data from routine clinical care to identify the onset of upcoming COVID-19 surges as many as 6 weeks before they occur, researchers reported in a study published in BMJ Open.
A study in JAMA of 6.2 million patients by Kaiser Permanente and CDC researchers found no serious health effects linked to the 2 mRNA COVID-19 vaccines, findings also reported in the New England Journal of Medicine and CDC publications.
A study in the New England Journal of Medicine found a method to remove race from controversial kidney function equations without losing accuracy. The findings helped inform new National Kidney Foundation-American Society of Nephrology Task Force guidelines on evaluating kidney function.
Kaiser Permanente researcher will co-lead $32.7 million colorectal cancer screening study to focus on older adults with low-risk polyps.
A study published in the New England Journal of Medicine showed that KPNC’s regionwide, structured colorectal cancer screening program eliminated disparities in outcomes between Black and white adults.
Researchers published findings in JAMA Internal Medicine showing that COVID-19 infection more than doubled the risk of severe complications during pregnancy.
Largest-ever study of thoracic aortic aneurysm provided high-quality evidence that most of the 33,000 patients diagnosed each year in the U.S. with this type of aneurysm are not likely to experience a tear or rupture — an aortic dissection — and may not need open-heart surgery.
Low rate of follow-up in-person care needed after early pandemic telehealth visits, finds study published in the American Journal of Managed Care. The results of the large analysis suggest telehealth is safe and effective.
DOR vaccine researchers led a large analysis published in Pediatrics finding COVID-19 vaccination waned in children and teens, but boosters increased protection.
A study published in Radiology showed that artificial intelligence algorithms trained to read mammograms were a better predictor of a woman’s future breast cancer risk than a commonly used breast cancer risk assessment tool.
A large study of more than 360,000 mothers and infants found increased likelihood of low birth weight and admission to the neonatal intensive care unit for babies whose mothers used cannabis during pregnancy; published in the American Journal of Obstetrics & Gynecology.
DOR women’s and children’s health investigators received significant funding from the Environmental influences on Child Health Outcomes (ECHO) program: $42 million to support a new 7-year initiative to recruit 1,800 pregnant patients, and $20 million to continue an ongoing project following 2,130 children begun in 2016.
The National Cancer Institute, part of the National Institutes of Health, selected Kaiser Permanente Northern California as one of the institutions that will help launch the new Cancer Screening Research Network to evaluate emerging technologies for cancer screening, with the goal of reducing cancer-related illnesses and deaths.