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: January 6, 2009 09:52 AM Tuesday; Rod Welch

Glenna called for help getting the report on Millie's CT test on Dec 30,
2008 from Kaiser for the meeting at UCSF on Jan 8, 2008.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 5 LL5H.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Glenna called this morning about getting the report for Millie's CT
040902 - test on 081230. ref SDS 4 3G5I  She got Millie's letter on 081230
040903 - reporting the test was completed, ref SDS 5 LL5H, and that Kaiser will
040904 - consolidate findings for efficient case management. ref SDS 5 RS3W
040905 - She feels this will solve problems with the report for the CT test on
040906 - 081107 discovered during the meeting on 081113. ref SDS 2 VL5L
040908 -  ..
040909 - Glenna advised that UCSF has still not received the report from
040910 - Kaiser for the CT test on 081230.  She explained having a hectic
040911 - schedule of many meetings today, so there is not very much time to
040912 - contact Kaiser.  Previously, on 080403 Doctor Rugo described
040913 - challenges coordinating between case management between hospitals.
040914 - ref SDS 1 SG7I  Today, Glenna requested assistance coordinating with
040915 - Kaiser to get the report in time for the meeting on Thursday, 090108.
040916 -
040918 -  ..
0410 -
0411 -
0412 - 0957
0413 -
041301 - Called Arlette at Kaiser Oncology Department in Walnut Creek.
041303 -  ..
041304 - Arlette disclosed that Kaiser issued 2 separate reports again for
041305 - Millie's CT test on 081230, despite the doctor's order on 081219 to
041306 - consolidate findings into a single report for efficient case
041307 - management. ref SDS 3 587G  She said there is nothing in Kaiser's
041308 - record that explains why the doctor's order would be ignored.
041309 -
041310 -        [On 090409 2018 Doctor Davidson, Director fo Radiology of
041311 -        Kaiser Mt Diablo Service Area, advised that Kaiser CT
041312 -        Department Walnut Creek made a mistake issuing multiple
041313 -        reports for the CT test on 090413, ref SDS 13 WB6G, and
041314 -        advised that findings for future CT tests will consolidate
041315 -        findings into a single report for each test. ref SDS 13
041316 -        XZ6U
041318 -  ..
041319 - Arlette will submit the 2 reports via fax to Glenna at UCSF so that
041320 - the medical team has time for reading the documents to be prepared for
041321 - meeting with Millie on 090108 0830.  She asked for Glenna's fax
041322 - number.
041324 -  ..
041325 - Provided the fax number for the UCSF Breast Care Clinic.
041326 -
041327 -        [On 090106 called and talked to Radiology Department about
041328 -        consolidating findings into a single report. ref SDS 6 CF5I
041329 -
041330 -        [On 010907 Millie drove to Kaiser, ref SDS 7 OR4I, and
041331 -        received 2 reports from Arlette in Oncology for the CT test on
041332 -        081230; these were printed on paper - 1 for the neck, and
041333 -        another report for the "chest, abcomen, and pelvis."
041334 -        ref SDS 7 YO7M
041336 -         ..
041337 -        [On 090109 UCSF did not get the report on Millie's CT test from
041338 -        Kaiser, reported in Millie's letter to medical team.
041339 -        ref SDS 8 UE6U
041341 -         ..
041342 -        [On 090127 Arelette asks for UCSF fax to send an EKG test
041343 -        report to Glenna. ref SDS 12 OX6G
041345 -  ..
041346 - Arelette explained that the Oncology Department is experiencing
041347 - problems with computer equipment, so there be some delay before they
041348 - are sent via fax to UCSF later today.
041350 -  ..
041351 - Arlette will ask Doctor Johnson to submit the report to Millie via
041352 - Kaiser's Knowledge Management electronic mail system, so that Millie
041353 - does not have to type the document manually into the record of patient
041354 - history required for efficient case management.
041355 -
041356 -        [On 090109 letter to medical team reminds the doctor to submit
041357 -        reports for the CT test on 081230. ref SDS 8 UE6X
041359 -         ..
041360 -        [On 090109 Millie received from the primary care physician
041361 -        using Kaiser's Knowledge Management system an electronic
041362 -        submission of the report for Millie's the CT test on
041363 -        081230; the doctor submitted only 1 of the 2 reports
041364 -        prepared by the CT Department, ref SDS 10 V53J; mistakes
041365 -        performing case management reflect confusion that increased
041366 -        cost and delayed work, reported on 081219, ref SDS 3 T59G,
041367 -        and caused by failing to consolidate findings into a single
041368 -        report for the CT test, which was ordered by the doctor on
041369 -        081219. ref SDS 3 WP30
041371 -         ..
041372 -        [On 090113 Millie received letter from Arlette expressing
041373 -        regret on hearing in Millie's letter today on 090109 that
041374 -        findings from examination on 090108 indicate slow recovery
041375 -        from 5th relapse of IBC. ref SDS 11 LN6G
041376 -
041377 -
041379 -  ..
0414 -
0415 -
0416 - 1336
0417 -
041701 - Called Arlette back.
041702 -
041703 - She has already submitted via FAX the 2 reports for the CT test on
041704 - 081230 to Glenna at UCSF.
041706 -  ..
041707 - Discussed Millie stopping by to get a printed copy so we can get the
041708 - documentation ID stuff in the header that is omitted from the
041709 - electronic version received from the doctor.
041710 -
041711 -        [On 090109 Millie's letter to medical team advised that Glenna
041712 -        reported UCSF did not receive the report from Kaiser on the CT
041713 -        test, and so UCSF used the copy Millie received from Kaiser
041714 -        today. ref SDS 8 UE6U
041716 -         ..
041717 -        [On 090109 Arlette reported that Kaiser got a return
041718 -        receipt showing the 2 reports for the CT test at Kaiser on
041719 -        081230 were received via FAX by UCSF on 090106. ref SDS 9
041720 -        HI6F
041722 -  ..
041723 - Arlette said a copy will be in an envelope at the front desk for
041724 - Millie.
041725 -
041727 -  ..
0418 -
0419 -
0420 - 1344
0421 -
042101 - Called Millie on the cellular telephone.  She has just completed the
042102 - cancer support group meeting at the Wellness Community.  Millie will
042103 - stop at Kaiser in Walnut Creek on the way home and get the copy of the
042104 - CT test which Arlette left at the front desk in Oncology.
042105 -
042106 -        [On 090113 Millie received letter from Arlette expressing
042107 -        regret on hearing in Millie's letter today on 090109 that
042108 -        findings from examination on 090108 indicate slow recovery
042109 -        from 5th relapse of IBC. ref SDS 11 LN6G
042110 -
042111 -
042112 -
042113 -
042114 -
042115 -
042116 -
042117 -
042118 -
0422 -