CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 9 0000.
040502 -
040503 -
040504 -
040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - The receptionist was not aware of Chris' work on 090106 setting up to
040902 - ask Doctor Mates for assistance correcting problems with CT test
040903 - reporting. ref SDS 7 OO4S The receptionist advised that Chris did not
040904 - leave a report explaining about contacting Doctor Mates, which Chris
040905 - discussed yesterday on 090107. ref SDS 8 5Y92
040907 - ..
040908 - The receptionist asked for Dennis, the supervisor.
040910 - ..
040911 - Dennis came out and we met in the lobby.
040913 - ..
040914 - Dennis said he received Millie's letter on 081231, ref SDS 6 LL5H,
040915 - reporting successful CT test using Millie's Power Port. ref SDS 5 FF74
040917 - ..
040918 - During our meeting in the lobby, Cassandra walked through to the
040919 - adminiistration section. She waved. Commended her work on Millie's
040920 - CT test, and Cassandra laughed and said to tell that to Dennis, who of
040921 - course was observing and hearing this exchange.
040923 - ..
040924 - Also saw Pat briefly, and thanked her for excellent work on 081230 for
040925 - Millie's CT test. ref SDS 5 FF6X
040927 - ..
040928 - Dennis was aware of Kaiser's records reported by Chris on 090106 that
040929 - Millie's doctor ordered a consolidated report for the CT test on
040930 - 081230. ref SDS 7 OO82,
040932 - ..
040933 - Dennis explained that the CT Department started issuing multiple
040934 - reports for below the neck from above the collar bone because this
040935 - requires 2 passes of equipment, and so the hospital can bill Medicare
040936 - and other insurance companies for 2 CT tests rather than just 1.
040937 -
040938 - [On 090407 1442 Katie indicated government regulations require
040939 - multiple reports for each pass of CT equipment and for the
040940 - purpose of quality control to improve patient care. ref SDS 12
040941 - L86F
040943 - ..
040944 - [On 090407 1442 Katie related that Al Hutchins explained
040945 - multiple reports are required by government regulations
040946 - concerning differences in tissue softness. ref SDS 12 YQ6F
040948 - ..
040949 - [On 090714 1504 HP tells customers they have to spend days
040950 - searching the Internet for drivers to upgrade the HDX 18t
040951 - computer in order to run mission critical legacy software to
040952 - save lives, time, and money, because HP saves money by not
040953 - disclosing that drivers for the Elitebook 8730w can be used to
040954 - replace Vista 64-bit with Windows XP 32-bit on the HDX 18t.
040955 - ref SDS 14 F25W
040957 - ..
040958 - Dennis initially commented that multiple reports should not cause
040959 - medical problems using CT Department reports to care for the patient,
040960 - because everything is in the reports.
040961 -
040962 - [On 090409 2018 Doctor Davidson, Director fo Radiology of
040963 - Kaiser Mt Diablo Service Area, advised that Kaiser CT
040964 - Department Walnut Creek made a mistake issuing multiple reports
040965 - for the CT test on 090413, ref SDS 13 WB6G, and advised that
040966 - findings for future CT tests will consolidate findings into a
040967 - single report for each test. ref SDS 13 XZ6U
040969 - ..
040970 - Reviewed the basis for publishing consolidated reports to save lives,
040971 - time, and money discussed with Chris on 090106. ref SDS 7 OO85
040973 - ..
040974 - Dennis asked how serious is the problem?
040976 - ..
040977 - We reviewed risks of misunderstanding and mistakes that occur from
040978 - issuing separate reports for a single radiology test. Reports get
040979 - separated and issued on different days; nobody is aware there are
040980 - other reports, shown in the record on 081113. ref SDS 2 VL5L On
040981 - 081218 Tara advised that Kaiser did not submit to UCSF the 2nd report
040982 - on the neck for the CT test on 081107, and asked Millie to submit the
040983 - report to UCSF. ref SDS 3 LM4I
040984 -
040985 - [On 090109 1547 later this afternoon, Millie received only 1 of
040986 - 2 reports for the CT test on 081230, ref SDS 11 U88M, despite
040987 - the doctor's order on 081219 to consolidate reports for a well
040988 - ordered record that reduces mistakes. ref SDS 4 587G
040990 - ..
040991 - [On 090409 2018 Doctor Davidson, Director fo Radiology of
040992 - Kaiser Mt Diablo Service Area, advised that Kaiser CT
040993 - Department Walnut Creek made a mistake issuing multiple reports
040994 - for the CT test on 090413, ref SDS 13 WB6G, and advised that
040995 - findings for future CT tests will consolidate findings into a
040996 - single report for each test. ref SDS 13 XZ6U
040998 - ..
040999 - Additionally, common findings that overlap scanned areas, e.g.,
041000 - supraclavicular in the neck, and axillary regions in the chest, are
041001 - described differently in each report. The same nodes are reported in
041002 - different sizes in different reports, shown in the record on 090108.
041003 - ref SDS 10 UE6X Busy people are easily confused, and make mistakes
041004 - when the complexity of health care data is compounded by having to
041005 - read multiple reports for the same test.
041007 - ..
041008 - Dennis feels this issue requires review.
041010 - ..
041011 - We discussed submitting feedback from the patient and doctors to
041012 - explain ideas that will make CT Department reports more useful for
041013 - patient care when all findings for CT tests are consolidated into a
041014 - single report, as specified by Millie's doctor in the e-consult
041015 - referral on 081219. ref SDS 4 587G
041017 - ..
041018 - Wanted to make sure Kaiser is recenptive to feedback, rather than
041019 - object to intrusive criticism.
041021 - ..
041022 - Dennis called for Doctor Mates to discuss getting feedback on
041023 - requirements for consolidating findings in a single report for each
041024 - test.
041026 - ..
041027 - After about 20 minutes, Doctor Mates had not called back. Dennis
041028 - feels that feedback should be submitted to the Department that can be
041029 - constructive fostering better patient care. He said that Doctor Mates
041030 - is very conscientious about communication on matters that affect
041031 - patient care. He feels Doctor Mates will call back to investigate
041032 - this issue and take corrective action.
041034 - ..
041035 - [On 090409 2018 Doctor Davidson, Director fo Radiology of
041036 - Kaiser Mt Diablo Service Area, advised that Kaiser CT
041037 - Department Walnut Creek made a mistake issuing multiple reports
041038 - for the CT test on 090413, ref SDS 13 WB6G, and advised that
041039 - findings for future CT tests will consolidate findings into a
041040 - single report for each test. ref SDS 13 XZ6U
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0411 -