The agreement was a main achievement of Gerald "Gerry" Coe, Group Health's acting executive vice president (formally lead attorney). The alliance had been worked out in principle by Dr. Howard Kirz, Group Health's Director of Medical Education since 1977, and Drs. Jack Chase and Jack Lein, respectively dean and director of continuing education at the School of Medicine.
The agreement followed a collaboration between the two institutions begun on several projects in 1968, including the family practice residency program.