THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: April 10, 2008 08:22 AM Thursday; Rod Welch

UCSF replies to requests documentation on Millie's disability entitlement.

1...Summary/Objective
2...UCSF Refers Written Notice Disability Documentation to Telephone Call
3...Communication Support Timely Accurate Case Management Requested
4...Cellulitis Studies Requested Health Care Cost Containment
5...Mistakes Case Management Conversation Document Work on Documentation
6...UCSF Says Telephone Conversation Documents Work Better Than Documents


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CONTACTS 

SUBJECTS
Disability Status Benefits Entitlement Documentation Employer Nixon

2203 -
2203 -    ..
2204 - Summary/Objective
2205 -
220501 - Follow up ref SDS 10 0000. ref SDS 8 0000.
220502 -
220503 -
220504 -
220505 -
220507 -  ..
2206 -
2207 -
2208 - Progress
2209 -
220901 - UCSF Refers Written Notice Disability Documentation to Telephone Call
220902 -
220903 - Follow up ref SDS 10 458O.
220904 -
220905 - Yesterday, Millie received a telephone call from Hope Albright with
220906 - Unum Insurance, and Teri Houseman called a few days earlier, both
220907 - asking about status of documentation requested from UCSF on Millie's
220908 - medical disability status. ref SDS 10 SO5I
220910 -  ..
220911 - Millie submitted ref DIP 1 0001 to Jackie following up the meeting at
220912 - UCSF on 080403, and responding to calls Millie received from N&P and
220913 - from Unum Insurance company asking about documentation on Millie's
220914 - medical disability, as reported yesterday on 080409. ref SDS 10 458O
220915 - Copies went to Hope Albright at Unun, and to Teri Housemane at N&P.
220916 - ref DIP 1 00W3  Copies also went to Doctor Rugo who has responsibility
220917 - to sign the documents, and to Brigid in case she can help.
220919 -  ..
220920 - Today, Millie received ref DRT 1 0001 from Brigid responding to
220921 - Millie's letter to UCSF yesterday on 080409. ref SDS 10 SO5I
220922 -
220923 -    1.  Just an FYI Jackie isn't involved with disability paperwork.
220924 -        Please call the main number 415-353-7070 and ask for Dr.Rugo's
220925 -        practice assistant EJ Foster to discuss the disability
220926 -        paperwork
220928 -  ..
220929 - UCSF referring a written inquiry on disability entitlement to call a
220930 - staff assistant, conflicts with the doctor's report on 080403 that
220931 - telephone calls are not efficient case management. ref SDS 7 IM87  At
220932 - that time, the doctor asked the patient to send a letter to Kaiser for
220933 - timely, effective communication on referral coordination. ref SDS 7
220934 - 4U9O
220936 -             ..
220937 -            [...below, Millie requests UCSF support for efficient,
220938 -            timely communication on case management for medical
220939 -            disability entitlement. ref SDS 0 Y13H
220941 -             ..
220942 -            [...below, UCSF refuses to use documentation for timely,
220943 -            accurate case management of disability documentation; asks
220944 -            customers to rely on telephone calls for "documentation."
220945 -            ref SDS 0 W56M
220947 -             ..
220948 -            [On 080411 Millie submitted UCSF's letter today telling
220949 -            people to call for response to written requests, to N&P,
220950 -            and to Unum so they can get answers to questions on medical
220951 -            disability status, ref SDS 13 PT4M, submitted to UCSF on
220952 -            080409. ref SDS 10 SO5I
220953 -
220954 -
220955 -
220956 -
2210 -

SUBJECTS
Disability Status Benefits Entitlement Documentation Employer Nixon

4503 -
4504 - 0834
450501 -  ..
450502 - Communication Support Timely Accurate Case Management Requested
450503 -
450504 - Millie submitted ref DIT 1 0001 to Brigid responding to her letter
450505 - earlier this morning, per above. ref SDS 0 PT4M
450506 -
450507 -    1.  Thanks for follow up on the docs issue [ref SDS 0 PT4M],  Do
450508 -        you have an email address for EJ?  We got something from her
450509 -        late last year in connection with the billing problem, but I
450510 -        evidently did not save her address.  If you just forward my
450511 -        letter yesterday, ref SDS 10 458O, to EJ with a copy to me, that
450512 -        will hook us up.
450514 -  ..
450515 - Relying on documentation of communication on disability entitlement
450516 - maintains an audit trail showing a chain of causation with
450517 - traceability to original sources, called out in ISO management
450518 - criteria, reviewed on 950721. ref SDS 2 1740
450520 -             ..
450521 -            [...below, UCSF refuses to use documentation for timely,
450522 -            accurate case management of disability documentation; asks
450523 -            customers to rely on telephone calls for "documentation."
450524 -            ref SDS 0 W56M
450525 -
450526 -
450527 -
4506 -

SUBJECTS
Cellulitis Research Cause Planning Methods Avoid Recurrence Patient

5403 -
540401 -  ..
540402 - Cellulitis Studies Requested Health Care Cost Containment
540403 -
540404 - Follow up ref SDS 12 WS5G, ref SDS 11 V45J.
540405 -
540406 -    2.  Not sure if you heard, but I was in the ER yesterday at Kaiser.
540407 -        They finally released me late last night, and said I can come
540408 -        into UCSF for assessment on getting treatment. ref SDS 11 M86M,
540409 -        ref DIT 1 FY6F
540411 -         ..
540412 -    3.  Stephanie is helping this morning in the Infusion Clinic,
540413 -        starting with more blood work. ref DIT 1 G76M
540415 -         ..
540416 -    4.  I am definitely feeling better today, but still a little shaky
540417 -        from the experience.  Do you know of any studies on what causes
540418 -        Cellulitis, so I can conform future conduct to avoid this
540419 -        problem, which has occurred 20 times or so, as shown in the
540420 -        case study on 061203. ref SDS 4 YT4M, ref DIT 1 FY6P
540422 -         ..
540423 -    5.  Thanks very much for assistance with the documentation matter.
540424 -        ref DIT 1 087O
540425 -
540426 -
540427 -
5405 -

SUBJECTS
UCSF Management Practice Accuracy Communication Directs Patient Tele

8203 -
8204 - 1348
820501 -  ..
820502 - Mistakes Case Management Conversation Document Work on Documentation
820503 - UCSF Says Telephone Conversation Documents Work Better Than Documents
820504 -
820505 - Follow up ref SDS 9 O76G, ref SDS 7 4U9O.
820506 -
820507 - Millie received ref DRT 2 0001 from Brigid saying...
820508 -
820509 -    1.  [Responding to your letter today asking me to forward your
820510 -        earlier letter to the doctor's practice assistant, EJ,
820511 -        ref SDS 0 Y13H, requesting UCSF to report progress preparing
820512 -        documentation on medical disability entitlement...],
820513 -        ref DRT 2 0001
820515 -         ..
820516 -    2.  We really need you to call and get it documented in the phone
820517 -        message system instead of the email track.  Thanks, ref DRT 2
820518 -        I45O
820519 -
820520 -            [On 080411 Millie submitted UCSF's letter today telling
820521 -            people to call for response to written requests, to N&P,
820522 -            and to Unum so they can get answers to questions on medical
820523 -            disability status, ref SDS 13 PT4M, submitted to UCSF on
820524 -            080409. ref SDS 10 SO5I
820526 -             ..
820527 -            [On 080411 copy of letter to N&P and to Unum sent to UCSF
820528 -            thanking Brigid for explaining UCSF documentation
820529 -            procedures. ref SDS 13 H88S
820531 -  ..
820532 - How can a conversation "document" an audit trail in the record better
820533 - than getting a document, proposed in the initial letter from UCSF
820534 - earlier today, per above, ref SDS 0 PT4M, and commented for Millie's
820535 - response citing ISO requirements for traceability to original sources,
820536 - also, per above? ref SDS 0 Y13H
820538 -  ..
820539 - UCSF proposes to "doucment" customer request for UCSF to report
820540 - progress preparing documentation by making a phone call, rather than
820541 - process the doucmentation submitted to UCSF.  Aligns with aversion to
820542 - reliance on documenation and preference for conversation, reported on
820543 - 080404. ref SDS 9 O166
820545 -  ..
820546 - This record reflects Drucker's worry that people have given up on good
820547 - management because communication is too complex, reviewed on 931130.
820548 - ref SDS 1 3851  Illustrates case study on 020504 indicating failure to
820549 - perform requirements for good management set by law, regulations,
820550 - contract, and industry standards. ref SDS 3 NS6F
820551 -
820552 -
820553 -
820554 -
820555 -
820556 -
820557 -
820558 -
8206 -