CONTACTS 

SUBJECTS
Organize Kaiser's Medical Records On Patient History Facilitate Revi

1203 -
1203 -    ..
1204 - Summary/Objective
1205 -
120501 - Follow up ref SDS 14 0000. ref SDS 13 0000.
120502 -
120503 -
120504 -
120505 -
120506 -
120507 -
120508 -
120509 -
120511 -  ..
1206 -
1207 -
1208 - Progress
1209 -
120901 - Drove to Kaiser and went to the...
120902 -
120903 -     Business Office.............. 925 295 4935    906 2130
120904 -
120905 - ...on the 1st floor.  Advised that Melanie called earlier today, and
120906 - said that medical records are ready for Millie. ref SDS 14 GV6J
120908 -  ..
120909 - The attendant asked for identification.  Showed a driver's license.
120911 -  ..
120912 - Received two (2) sealed packets of documents, which the attendant said
120913 - were received in the Business Office about 30 minutes ago from Melanie
120914 - in Med Legal.  Getting two packets aligned with discussion with
120915 - Melanie finding more documents for submission after notifying that the
120916 - initial packet was ready for pickup.
120917 -
120918 -    [On 060810 head nurse in Oncology ordered and assembled packet of
120919 -    documents for 2nd opinion #3; saved a lot of time and effort.
120920 -    ref SDS 18 U76O
120922 -     ..
120923 -    [On 060819 2nd opinion #3 has fewer documents to organize, so fewer
120924 -    problems. ref SDS 19 PL6M
120926 -  ..
120927 - The attendant explained where to find the Pathology Department.
120929 -  ..
120930 - Walked down the hall to the main hospital loggy, and then further
120931 - down the hall across the lobby and found the....
120932 -
120933 -     Pathology Department......... 925 295 4340
120935 -  ..
120936 - Asked for pathology slides ordered on 050826, ref SDS 11 KG8H; these
120937 - have to be received separately, as reported previously on 041014.
120938 - ref SDS 6 RR3O
120940 -  ..
120941 - Jean said the Pathology Department was not notified to prepare the
120942 - slides.  She explained that communication problems and mistakes
120943 - working with the Business Office that are still being ironed out using
120944 - Kaiser's computer management system that expedites notifications.
120945 - Jean offered to go ahead and prepare a transmittal this afternoon for
120946 - the pathology slides.
120948 -  ..
120949 - Jean used the copy of the document production order prepared on 050826
120950 - to prepare the request the department needs for assembling and
120951 - releasing pathology slides to the patient for a 2nd opinion.  She
120952 - said it will take a few minutes to get everything assembled.
120954 -  ..
120955 - Walked back down the hall to Medical Imaging Radiology Department.
120957 -  ..
120958 - Received the CD with CT scan tests ordered on 050826. ref SDS 11 H44M
120959 - Paid $20 cash for the CD.
120961 -  ..
120962 - Walked across the halway to Nuclear Medicine to get the PET scan films
120963 - ordered on 050826. ref SDS 11 TE3I
120965 -  ..
120966 - Talked to Jessica again.
120968 -  ..
120969 - Jesicca said that since her call last week saying that Records Storage
120970 - was searching for Millie's PET scan test films, she has not heard
120971 - anything further on finding the films.  Jessica said she has not had
120972 - time to follow up.  She said they are having a lot of problems in
120973 - Records Storage so she has been reluctant to call them back.
120975 -  ..
120976 - Asked for a telephone number to follow up.
120978 -  ..
120979 - Jessica said she would call her contact in Records Storage, but still
120980 - seemed reluctant.
120982 -  ..
120983 - We decided to do the following...
120984 -
120985 -    1.  Jessica will not call the Records Storage people, since she has
120986 -        an understanding they are working the issue, and do not want to
120987 -        be interrupted from solving their own problems.
120989 -         ..
120990 -    2.  Jessica will call if the PET scan films are received tomorrow
120991 -        or next week, and if so we can pick them up and make
120992 -        distribution as needed for 2nd opinion review.
120994 -         ..
120995 -        If the films are not found, then doctors preparing 2nd opinions
120996 -        in Millie's case can note their analysis is based on narrative
120997 -        reports on contents of PET scan films, and not on seeing the
120998 -        actual films.
121000 -  ..
121001 - Walked back to the Pathology Department.
121003 -  ..
121004 - Jean said there have been delays assembling pathology slides, and
121005 - advised that this will take longer than expected.  She offered two (2)
121006 - chits for getting coffee and a sandwich at the cafateria, and
121007 - suggested I give them an hour to complete the work.
121009 -  ..
121010 - Decided to come back tomorrow since we do not need the slides until
121011 - Friday.
121012 -
121013 -     [On 050908 received biopsy slides from Pathology Department.
121014 -     ref SDS 15 7S3R
121015 -
121016 -     [On 050913 returned pathology slides. ref SDS 16 NP7M
121018 -      ..
121019 -     [On 050916 submitted biopsy container to Jean, which was omitted
121020 -     from initial delivery. ref SDS 17 254S
121021 -
121022 -
121023 -
121025 -  ..
1211 -
1212 -
1213 - 1742
1214 -
121401 - Mistake Medical Records Received Documents for Another Patient
121402 -
121403 - Examined medical records received from the Business Office.
121404 -
121405 - Opened the first sealed packet and discovered this is for another
121406 - patient...
121408 -                         ..
121411 -  ..
121412 - ...and not for Millie.
121414 -  ..
121415 - Looking at the other side of the packet Monika's name and patient ID
121416 - are written out, so this looks like a mistake, where the attendant got
121417 - mixed up, similar to getting the wrong person's Kaiser card, reported
121418 - on 990910. ref SDS 1 6305
121419 -
121420 -    [On 060819 2nd opinion #3 has fewer documents to organize, so fewer
121421 -    problems. ref SDS 19 PL6M
121423 -  ..
121424 - I can return these tomorrow, when I go to Kaiser to pickup the
121425 - pathology slides.
121426 -
121427 -
121429 -  ..
1215 -
1216 -
1217 - 1752
1218 -
121801 - Called Kaiser Business Office to report the mistake.
121802 -
121803 - Got an answering machine.  Left message that we were given medical
121804 - records for another patient, and will return them tomorrow.
121805 -
121806 -     [On 050908 returned incorrect documents, and picked up the medical
121807 -     records and documents for Millie's patient history. ref SDS 15
121808 -     PP5W
121809 -
121810 -
121811 -
121812 -
121814 -  ..
1219 -
1220 -
1221 - 1757
1222 -
122201 - Mistake Pathology Reports on Biopsies Missing from Medical Records
122202 -
122203 - Examined Medical Records for Millie.
122204 -
122205 - Looking through the packet of documents, cannot find reports on
122206 - biopsies.  Possibly, they were given to the other patient by mistake.
122208 -  ..
122209 - Need to check with Melanie in the morning.
122210 -
122211 -
122212 -
122213 -
122214 -
122215 -
1223 -

SUBJECTS
Medical Imaging Radiology Test Films Received from Kaiser Digitized

1303 -
1304 - 1832
130501 -  ..
130502 - CT Scan Films Viewable on Kaiser CD from Radiology Medical Imaging
130503 -
130504 - Examined CD with CT scan films.
130506 -  ..
130507 - Stored the films at....
130508 -
130509 -          G: 08 02 04 02 CPKG 050907CE
130511 -  ..
130512 - There is a program file....
130513 -
130514 -                     isitemediaviewer.exe
130516 -  ..
130517 - Windows will execute this file, and bring up a Kaiser screen, that
130518 - asks for a password.  Instructions in the CD submittal envelope say
130519 - to click on Log-in, and ignore the space for entering a password.
130521 -  ..
130522 - Clicking on "Log-in" opens a list of CT scans in the inventory.  The
130523 - dates are shown, which makes it easy to understand which image is
130524 - being examined.
130526 -  ..
130527 - Double click on any line in the list, and this opens the CT test.
130529 -  ..
130530 - There are two views of the body in windows on the left side.  There
130531 - is a horizontal scroll bar for scrolling through the images.
130533 -  ..
130534 - Double clicking an image opens a dedicated window for the image.  It
130535 - can then expanded to full screen size for careful examination.  There
130536 - seem to be zoom features, which have yet been used.
130537 -
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130539 -
130540 -
130541 -
130542 -
130543 -
130544 -
1306 -