Dean History: 1990s- Dean - WI

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Dean Medical Group's History

A Tour Through The Decades

  • In 1918, Drs. John Pember, Thomas Nuzum and Thomas Snodgrass formed a medical partnership in Janesville, Wis. Like Dean Clinic, the Pember-Nuzum Clinic embraced the idea of a medical practice of physicians pooling their talents to provide better service.
  • The Pember-Nuzum Clinic changed its name to Riverview Clinic in 1973.
  • Riverview Clinic, along with its offices in Milton and Delavan, Wis., merged with Dean Medical Center in 1994. When St. Mary’s Janesville Hospital opened in 2012, Riverview moved onto the hospital campus and was renamed Dean Clinic-Janesville East.
  • A groundbreaking in the 1950s for the new Davis and Duehr Eye Clinic, well known at the time for its work treating glaucoma and cataracts.
  • In 1914, Corydon Greenwood Dwight and Frederick Allison Davis joined in practice, marking the beginning of the formation of Davis Duehr Eye Associates. The partnership would grow into one of the most respected eye care centers in the nation.
  • Davis and Duehr Eye Clinic partners Drs. Frederick Davis and Peter Duehr.
  • Davis Duehr officially became part of the Dean Clinic in January of 1995 and was renamed Davis Duehr Dean Eye Care.
  • The Dodgeville Clinic includes Davis, Duehr Dean to provide services to the Dodgeville community, located in Iowa County east of Madison.
  • Original illustrated design for the Crash Helmet mascot.

1990s: A Health System, Growth and More Collaborative Ventures with St. Mary's

By the beginning of the final decade of the twentieth century, Dean Medical Center had become one of the largest multispecialty clinics in the United States. There were 15 clinic locations in southern Wisconsin and two Urgent Care Centers in Dane County. Dean had recorded a combined half million patient visits through its 200-plus physicians in 1988 alone.

The astronomical expansion of Dean Medical Center’s facilities and services continued in the 1990s, both within and outside of Dane County. In 1994, Janesville’s Riverview Clinic merged with Dean Medical Center. In 1995, Dean made its first single-specialty acquisition when it merged with Davis Duehr Eye Associates.

Dean Health System formed

This period also marked a transformation of Dean Medical Center’s ownership structure. Dean had always been an organization owned and managed by physicians. But in 1995, they formed Dean Health System, a for-profit, integrated health care organization with a governing board to manage the growing organization.

The physicians now served on that governing board, chosen by the physician shareholders. The shareholder model was an attractive recruitment tool and played a large part in the number of physicians added to the organization in the 1990s.

This transformation was primarily driven two factors:

  • An attempt to limit the personal liability of physicians as a partial response to skyrocketing medical liability insurance premiums
  • A strategic decision to change Dean’s financial structure so profits could be reinvested and so planning for future growth, changes and expansion would be easier to accomplish.

Until 1995, profits were distributed among the physician owners at the end of each fiscal year. Under the new structure, profits were saved and/or reinvested in new buildings, information technology and other needs.

Serving the community

In 1998, the Neighborhood Asthma Clinic opened in a joint effort between Dean Foundation, Dean Clinic, Dean Health Plan, St. Mary's Hospital and others to help serve medically underserved families.

The clinic was formed in response to a community needs health assessment that identified treatment for asthma for low-income families as a gap in community health care services.

A small storefront in a local strip mall in south Madison was donated for the clinic, physicians volunteered their services and the clinic continues to provide educational services and quality and affordable health care for people who have asthma today.

New joint ventures

The 1990s also saw Dean Medical Center and St. Mary’s Hospital embark upon several new joint ventures. These included:

  • 1991 ‑ St. Mary’s Hospital and Dean Medical Center joined together to offer Aging Gracefully, a comprehensive range of health care programs, services and information designed to meet the individual needs of older adults and those who care for them.
  • 1992 ‑ The Department of Perinatology opened at St. Mary’s Hospital. Jointly operated by St. Mary’s Hospital and Dean Clinic, it provided assessment and management of high-risk pregnancies and offered prenatal diagnostic services.
  • 1994 ‑ The Midwest Integrated Delivery System formed. This was a joint partnership between St. Mary’s Hospital, Dean Medical Center and the Monroe Clinic. The new system allowed for joint contracting and the expansion of health care services available to residents of Green County, WI and selected counties in northern Illinois.

In 1995, Dean Medical Center and St. Mary’s took initial steps to fully merging the two organizations. St. Mary’s parent organization, SSM Health Care, purchased 47% of Dean Health Insurance, or Dean Health Plan as it had been renamed, and 5% of Dean Health System, marking the beginning of Dean and St. Mary’s integrated health system that encompasses clinics, hospitals, and health insurance.

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