CONTACTS 

SUBJECTS
2nd Opinion Metastatic Cancer Treatment Chemotherapy New Trial Drug
600 Dollars Patients Must Pay for 2nd Opinion Metastatic Cancer Trea
Medical Records Transfer Authorize from Kaiser to UCSF Breast Care C
2nd Opinion Requested from UCSF, Stanford, UC Davis Cancer Centers
Medical Records Mistake Business Office Failed Follow Procedure Not

1207 -
1207 -    ..
1208 - Summary/Objective
1209 -
120901 - Follow up ref SDS 11 0000. ref SDS 10 0000.
120902 -
120903 -
120904 -
120905 -
120906 -
120907 -
120909 -  ..
1210 -
1211 -
1212 - Progress
1213 -
121301 - On 041007 Millie visited the Business Office at Kaiser in Walnut
121302 - Creek, and met with Tangi. ref SDS 10 GI9F
121304 -  ..
121305 - Tangi filled out a form with Millie's Kaiser account.
121306 -
121307 -                Authorization for Use and/or
121308 -                Disclosure of Member/Patient
121309 -                Health Information
121310 -
121311 -
121313 -  ..
1214 -
1215 -
1216 - Called Xray.................... 925 295 4789
1217 -
121701 - Verify order is being prepared for two sets of records called in
121702 - yesterday. ref SDS 11 PR4P
121703 -
121704 -     [On 041014 Nicole had records/films ready, received two packets.
121705 -     ref SDS 12 TC6X
121707 -  ..
121708 - Nicole Bratcher called following up discussions and messages
121709 - yesterday. ref SDS 11 PR4P
121711 -  ..
121712 - She has not received the list from Tina in the Medical Legal
121713 - department showing the records that the Xray department should
121714 - assemble.  We reviewed the report yesterday on 041011, when Tina
121715 - planned to submit copies of the Authorization to both Xray and
121716 - Pathology. ref SDS 11 TB43  Nichole explained that she has not had
121717 - enough time to call Tina today to ask for another copy.
121719 -  ..
121720 - I offered to call Tina, or to drive over the hospital and give Nicole
121721 - the patient's copy of the authorization signed last week in the
121722 - Business Office. on 041007. ref SDS 10 VN9O,
121724 -  ..
121725 - Nicole said she doesn't really need the Authorization.  She asked me
121726 - to read the list of records she should assemble, ref DRP 2 7R8Y, which
121727 - is attached to the Authorization. ref SDS 10 VN9O,
121729 -  ..
121730 - Read the list. ref DRP 2 7R8Y
121732 -  ..
121733 - Nicole asked if we really need two (2) sets of all films?  She said
121734 - there are thousands of these that would cost tens of thousands of
121735 - dollars to assemble.
121737 -  ..
121738 - Nicole said there is no charge to oncology patients for films from
121739 - the Xray department to get a 2nd opinion, however, she feels Kaiser
121740 - should be prudent and not send duplicate information.
121741 -
121742 -     [On 041014 Nichole had records/films ready, received two packets.
121743 -     ref SDS 12 TC6X
121745 -  ..
121746 - We went over the list of test records Nicole suggests sending.
121748 -  ..
121749 - She said that in...
121750 -
121751 -           2002............. there is  1 CT test
121752 -           2003............. there are 4 CT tests
121753 -           2003............. there are 5 CT tests
121755 -  ..
121756 - After discussion, Nicole decided to assemble all of the CT tests for
121757 - transfer to get a 2nd opinion.
121759 -  ..
121760 - Nicole advised there are thousands of Xrays, and that since CT tests
121761 - show more than Xrays, it should not be necessary to send the Xrays,
121762 - because that would be a duplication.  She feels there won't be enough
121763 - time to include all the Xrays, and so plans to send the CT tests, and
121764 - if they actually need the Xrays, she will send over the ones they
121765 - need.  Nicole said that Kaiser works with Cancer Centers all the time,
121766 - and this is a common procedure.
121768 -  ..
121769 - Nicole said that Millie has to call the Nuclear Medicine Department to
121770 - arrange for transfer of films on PET scans, and on Bone scans.
121771 -
121772 -     [On 041014 Nichole had records/films ready, received two packets.
121773 -     ref SDS 12 TC6X
121775 -  ..
121776 - Nicole said that normally the Xray Department coordinates with Nuclear
121777 - Medicine to assemble films when the patient authorizes a 2nd opinion,
121778 - but since the Business Department did not submit the Authorization to
121779 - the Xray Department, Nichole feels the patient should contact the
121780 - Nuclear Medicine department separately to obtain any films they have.
121782 -  ..
121783 - Since Kaiser failed to distribute the Authorization on time, and since
121784 - Nocole now has the Authorization, Nicole decided to contact Nuclear
121785 - Medicine for the films on PET scans and bone scans to include with the
121786 - submittal for getting a 2nd opinion at UCSF and Stanford.  Nicole said
121787 - she can do this quickly, because Nuclear Medicine is only across the
121788 - hall from the Xray Department.
121789 -
121790 -     [On 041014 Nuclear Medicine records do not show PET and Bone scan
121791 -     films were checked out, ref SDS 12 GV6O, examination of the
121792 -     packages received from Xray Department showed no PET and Bone
121793 -     scans. ref SDS 12 NP99  Nuclear Medicine prepared submission with
121794 -     the two PET scans in the medical records. ref SDS 12 GV6H
121796 -  ..
121797 - Millie and I can drive to the Hospital and hand carry another
121798 - authorization, if that can help Nicole.
121800 -  ..
121801 - Nicole suggested that instead of driving over to the hospital, she
121802 - asked about calling Tina again in Medical Legal, and ask her to fax
121803 - the authoriztion form again, so she can take it to Nuclear Medicine.
121804 -
121805 -     [...see below called Amelia in Medical Legal, and she is faxing a
121806 -     copy of the Authorization to the Xray Department. ref SDS 0 LX6P
121808 -  ..
121809 - Nicole is not sure she can get everything assembled by Thursday.  She
121810 - will try.  Nicole suggested that Millie stop by Thursday before 1600
121811 - after her chemo threatment, and if the medical records are available,
121812 - she can get them then at that time for the meeting at UCSF, otherwise
121813 - we can submit documents from Medical Legal, and from Pathology on
121814 - Friday, and advise that the CT scans, PET scans and Bone scans will be
121815 - available on Monday or Tuesday of next week.
121816 -
121817 -     [On 041014 Nuclear Medicine records do not show PET and Bone scan
121818 -     films were checked out, ref SDS 12 GV6O, examination of the
121819 -     packages received from Xray Department showed no PET and Bone
121820 -     scans. ref SDS 12 NP99  Nuclear Medicine prepared submission with
121821 -     the two PET scans in the medical records. ref SDS 12 GV6H
121822 -
121823 -
121824 -
121826 -  ..
1219 -
1220 -
1221 - 1107 Called Medical Legal Department............. 925 295 4350
1222 -
122201 - Talked to Amelia to verify assembling records for Millie to pick up on
122202 - Thursday. ref SDS 11 T76M
122204 -  ..
122205 - She asks to hold on...
122206 -
122208 -  ..
1223 -
1224 -
1225 - 1111
1226 -
122601 - Amelia comes back online.
122602 -
122603 - She has assembled the records for UCSF, and will make a copy for
122604 - Stanford.  Millie can up both packets at the Business Office on
122605 - Thursday.
122607 -  ..
122608 - Amelia will call Nichol in Xray Department, and advise that she is
122609 - faxing a copy of the authorization, per above. ref SDS 0 LX81
122610 -
122611 -
122612 -
122614 -  ..
1227 -
1228 -
1229 - 1537 called Pathology Department...... 925 295 4340
1230 -
123001 - Talked to Nancy Vaszuez verified order assemble two sets of records,
123002 - per call on 041011. ref SDS 11 RR3O
123004 -  ..
123005 - She received the copy of the Authorization in the fax machine
123006 - yesterday, per telecon with Tina in Medical Legal.
123008 -  ..
123009 - We have to pick up the pathology reports from the Pathology
123010 - Department.  It is located down the primary hall to the left after
123011 - entering the hospital lobby from Main street, near the gift shop and
123012 - the information center.
123014 -  ..
123015 - Nancy will have two sets of records available.
123016 -
123017 -
123018 -
123019 -
123020 -
123021 -
123022 -
123023 -
123024 -
1231 -