CONTACTS 

SUBJECTS
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 -
1305 -    ..
1306 - Summary/Objective
1307 -
130701 - Follow up ref SDS 9 0000, ref SDS 8 0000.
130702 -
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...
130719 -
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
130743 -
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
130773 -
130774 -
130775 -
130776 -
130777 -
130778 -
130779 -
130780 -
130781 -
1308 -