Millie



Date: Wed, 06 Oct 2004 15:47:36 -0700

08 02 04 61 04100602




Ms. Sheridan L. Tinker
New Patient Coordinator
Admissions
University of California San Francisco
Medical Center
Carol Franc Buck Breast Care Center
1600 Divisadero, Second Floor
San Francisco, CA 94115
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Subject:   Meeting on Oct 15, Records Transfer

Dear Sheridan,

Thanks for your letter today scheduling a meeting on Oct 15, That's great!
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PLease let me know a time, preferably between 10a and 1p in order to minimize traffic issues, and the name of the doctor or other check in procedure. If this is in the docs you submitted, please direct my attention.
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Yesterday, Doctor Johnson explained a procedure for contacting the Business Office at Kaiser in Walnut Creek to arrange for transferring medical records. Your letter today includes an attached file "Oncology New Patient Records Checklist." As mentioned in my letter yesterday, I will be at Kaiser tomorrow. Do I just hand this checklist to Kaiser, and they then provide everything UCSF needs?
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For example, another document you submitted, Welcome to the UCSF... says in part, Please Provide... actual glass pathology slides of any biopsy... During the meeting with Doctor Johnson yesterday, I asked about transfer of test data, and he seemed to indicate that a 2nd opinion would only require text reports prepared by analysts that explain and interpret data, rather than the actual films, slides and so forth that seem to be listed as required in the material you submitted today. Frankly, I am pleased that the 2nd Opinion process looks at the data for a fresh interpretation, rather than rely on prior work product. But, this presents issues on both scope of transfer, and on cost.
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Since you have many referrals from Kaiser, then transferring records has been established by precedent, but want to clarify scope of what is needed in order to avoid delay. This is one reason I wanted Doctor Johnson to take the lead on the 2nd opinion project, because there can be more direct coordination on these admin issues.
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Your letter that begins, "Dear Breast Care Center..., sets out cost factors, and looks like we could be looking at $5K - $15K, especially, if new tests are needed. Do you have a ballpark idea of cost for referrals on IBC patients?

Thanks.
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Sincerely,



Millie