THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
S U M M A R Y
DIARY: August 24, 2005 02:21 PM Wednesday;
Called surgeon to coordinate 2nd opinion project at Kaiser.
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Attitudes Must Change to Enable Better Management by Improving Commu
Attitudes Must Change Transformation Good Management Advice Nurse An
2nd Opinion Surgery Mastectomy Patient History Submit to Surgeon Kai
1305 - ..
1306 - Summary/Objective
130701 - Follow up ref SDS 9 0000, ref SDS 8 0000.
130703 - Talked to Ann again, the advice nurse.
130705 - ..
130706 - Reviewed objectives for discussion with the surgeon, as shown in the
130707 - record on 050822. ref SDS 8 VZ5H
130709 - ..
130710 - Ann advised that the surgeon was not in the office this morning. Ann
130711 - seemed to indicate she expects to see the surgeon later today, and
130712 - will remind her again to call for collaborating under Kaiser's Team
130713 - Care practice, reviewed on 990625. ref SDS 2 4185
130715 - ..
130716 - We reviewed objectives to get an email address for the surgeon to
130717 - coordinate timely communication with the doctor in Kaiser's Oakland
130718 - office on the following issues...
130720 - 1. Notify of patient history for a 2nd opinion on the matter of
130721 - surgery discussed at Kaiser on 050727. ref SDS 6 OV5H
130723 - ..
130724 - 2. Empower the surgeon in Oakland to be prepared for an effective
130725 - meeting with the patient on 050826, previously scheduled on
130726 - 050805. ref SDS 7 V15F
130728 - ..
130729 - Ann commented that Kaiser's Team Care practice requires doctors, who
130730 - make internal referrals, to prepare a summary of the case explaining
130731 - background and purpose of the referral. Ann said that most likely the
130732 - surgon has called and talked to the doctor in the Oakland office to
130733 - further discuss the case. Ann feels that Kaiser's policies and Team
130734 - Care practice relieves the patient from responsibility to perform this
130735 - coordination in order for the referral doctor to be prepared to meet
130736 - with the patient.
130738 - ..
130739 - We reviewed Kaiser's doctor-patient partnership policy that helps make
130740 - Team Care practice effective, discussed on 050311, ref SDS 4 PB5J,
130741 - especially when doctor's have a hectic schedule, discussed in the
130742 - Oncology Department on 050329. ref SDS 5 X76G
130744 - [On 050826 referral doctor in Oakland was not familiar with Kaiser
130745 - organizational memory on patient history; background submitted
130746 - during the meeting was described as the only summary available, as
130747 - helpful, but was too late for the doctor to be prepared, so the
130748 - entire meeting was based on recollections of personal memory.
130749 - ref SDS 10 BL8N
130751 - ..
130752 - Ann said she will coordinate further to remind the surgeon to call the
130753 - patient in order to facilitate transfer patient history to the
130754 - referral doctor in Kaiser's Oakland office.
130756 - ..
130757 - Ann's persistance today supporting the patient aligns with the
130758 - surgeon's recommendations on 040419 for the patient to be persistant
130759 - contacting Kaiser to follow up on critical details. ref SDS 3 XU75
130761 - ..
130762 - Experience working with Ann today on coordinating to implement Team
130763 - Care practice helps transform attitudes that otherwise prevent good
130764 - management, reported on 990505. ref SDS 1 4732 Ann's support applies
130765 - requirements in Kaiser's Healthwise Handbook for timely, accurate
130766 - communications that leverage the doctor-patient partnership by
130767 - overcoming attitudes that prevent good management, reviewed on 990625.
130768 - ref SDS 2 QW5K Kaiser's call for doctors to prepare patient history,
130769 - and review patient communications using a "ping pong" system of
130770 - feedback seems difficult for doctors to implement without
130771 - encouragement of express requirements in the Healthwise Handbook,
130772 - also, cited on 990625. ref SDS 2 3960