CONTACTS
SUBJECTS
Kaiser Resperatory Department Denies Improvement Needed Refuses Supp
1403 -
1403 - ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 2 0000. ref SDS 1 0000.
140502 -
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140504 -
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140506 -
140508 - ..
1406 -
1407 -
1408 - Progress
1409 -
140901 - Hospital Care Improvement Feedback on Why Patient Checked Out
140902 -
140903 - Follow up ref SDS 2 PR5R, ref SDS 1 PR5R.
140904 -
140905 - Millie received ref DRT 1 0001 dated 060727 from Joel Griffin in
140906 - Member Services at Kaiser Walnut Creek, and responding to Millie's
140907 - letter, ref DIP 1 0001, submitted on 060615, ref SDS 2 PR5R, to
140908 - commend Kaiser's good work in the ER, ref SDS 2 TB5U, Kaiser's team
140909 - care practice, ref SDS 2 TB9X, and Doctor Sunitha Rao Annamaneni, MD
140910 - in Resperatory Department. ref SDS 2 TB5R She also provides feedback
140911 - that may aid the Respeatory Department in developing quality care
140912 - protocols.
140914 - ..
140915 - Letter from Joel says...
140916 -
140917 - 1. Thank you for brining your concern regarding your stay at the
140918 - Kaiser Permanente Walnut Creek Hospital to our attention. Your
140919 - concern was received on June 27, 2006. At Kaiser Permanente we
140920 - believe that feedback from our members is important and we
140921 - appreciate you taking the time to let us know when we have not
140922 - met your needs. ref DRT 1 0001
140924 - ..
140925 - 2. Jim Hopkins who is the RN Interim Manager has informed me about
140926 - the issues you encountered. It sounds as if there was a
140927 - communication breakdown between the Engineers and the
140928 - Registered Nurses regarding yor bed malfunctioning. Two calls
140929 - were placed to the engineering department on a special line.
140930 - Once there was no response, calls were escalated to the acting
140931 - manager and further escalated to Mr Russ Frisk who is the
140932 - Chief Engineer. The matter was handled the day he received the
140933 - call which was unfortunately the day of your discharge. Mr
140934 - Frisk will be refreshing the staff on how to contact the
140935 - Engineers for patient care for future situations such as these.
140936 - ref DRT 1 I86J
140938 - ..
140939 - 3. Regarding your concern for how the stool sample was handled in
140940 - a timely manner, Mr Hopkins states that stool samples are
140941 - processed at 7:00 am and 10:00 pm. The Nurse was interviewed
140942 - and has no recollection of the incident. ref DRT 1 I87U
140944 - ..
140945 - 4. Regarding the concern with the nurse awaking you when speaking
140946 - with the patient that was sharing the room with you, the
140947 - patient was hard of hearing and confused. It was a requirement
140948 - to communicate with the member for her special needs to be met.
140949 - ref DRT 1 I88P
140951 - ..
140952 - 5. HOW TO DISPUTE THIS DECISION, ref DRT 1 XQ8L
140954 - ..
140955 - 6. Binding Arbitration, ref DRT 1 OQ8O
140957 - ..
140958 - 7. Except for Small Claims Court cases and, if your group must
140959 - comply with ERISA, certain benefit-related disputes, and
140960 - dispute between Members, their Heirs, or associated parties (on
140961 - the one hand) and Health Plan, its health care providers, or
140962 - other associated parties (on the other hand) for alleged
140963 - violation of any duty arising out of or related to your Health
140964 - Plan membership, must be decided by binding arbitration, under
140965 - California law and not by lawsuit or resort to court process,
140966 - except as applicable law provides for judicial review of
140967 - arbitration proceedings. This includes claims for medical or
140968 - hospital malpractice, for premises liability, or relatig to the
140969 - coverage for, or delivery of, services or items, irrespective
140970 - of legal theory. Both sides give up all rights to a jury or
140971 - court trial, and both sides are responsible for certain costs
140972 - associated with binding arbitration. This is a summary; please
140973 - refer to your <I>Evidence of Coverage</I> for the complete
140974 - arbitration provision. ref DRT 1 I890
140976 - ..
140977 - 8. Please be advised that whether your arbitration provisios are
140978 - enforceable or are unenforceable will be determined by the
140979 - application and interpretation of various laws. These include
140980 - Health & Safety Code section 1363.1, which pertains to required
140981 - disclosures of arbitration provisions. ref DRT 1 I84V
140982 - Additional information regarding the California laws pertaining
140983 - to arbitration of healthcare claim(s) can be accessed on the
140984 - internet at
140985 -
140986 - http://www.hmohelp.ca.gov
140988 - ..
140989 - 9. <B>What if you have a quality of care complaint?</B> If you
140990 - are concerned about the quality of care you have received, you
140991 - may also file a complaint with the local Qality Improvement
140992 - Organization, by writing to Lumetra, One Sansome Street, Suite
140993 - 600, San Francisco, CA 94104-4448 (fax number 1-415-677-2185),
140994 - or by calling at 1-800-841-1602 (TTY 1-800-881-5980). Quality
140995 - Improvement Organizations are groups of doctors and health
140996 - professionals that monitor the quality of care provided to
140997 - Medicate beneficiaries. Teh Quality Improvement Organization
140998 - review process is designed to stop any improper practice.
140999 - ref DRT 1 I855
141001 - ..
141002 - 10. This completes Kaiser Permanente's grievance process. If I can
141003 - be of further assistance to you regarding this matter, please
141004 - feel free to contact me at (925) 295-4424, Monday through
141005 - Friday between 9:00 am - 5:00 pm. ref DRT 1 4S6M
141006 -
141007 -
141009 - ..
141010 - Millie submitted ref DIT 1 0001 to Kaiser Member Services, responding
141011 - to Joel's letter on 060727, per above, ref SDS 0 PR5R,
141013 - ..
141014 - Letter to Kaiser says...
141015 -
141016 - 1. We thank you for your letter of July 27, 2006 concerning my
141017 - experience at Walnut Creek Hospital. ref DIT 1 0001
141019 - ..
141020 - 2. It is good to know malfunctioning of equipment will be handled
141021 - in an expedited manner concerning patients' well being while in
141022 - a hospital setting. I understand the nurses have difficult
141023 - tasks tending to patients with a variety of illnesses and the
141024 - fact that I was ambulatory suggested I needed less attention.
141025 - ref DIT 1 5M5M
141027 - ..
141028 - 3. I have been a Kaiser patient for over 30 years and have had the
141029 - best of care and this last hospital stay is the only experience
141030 - I had, I felt that needed attention. ref DIT 1 SM6J
141032 - ..
141033 - 4. I do hope my appreciation of Doctor Natchak, attending
141034 - physician in ER, and Doctor Sunitha Rao Annamaneni, attending
141035 - physician in the hospital for their excellent care, and that
141036 - the ER team is noted. ref DIT 1 NM6O
141038 - ..
141039 - 5. I do not plan on carrying this matter any further. ref DIT 1
141040 - XM7J
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