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: February 2, 2009 09:40 AM Monday; Rod Welch

Called Kaiser to resolve problem authorizing Millie's treatment at UCSF.

1...Summary/Objective
2...Treatment Delayed because Code Needed for Authorization Form


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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Tried calling Arlette at Kaiser.
040902 -
040903 - Receptionist in Oncology said that Arlette is off work today.
040905 -  ..
040906 - Florida is Arlette's substitute, and she is busy with another
040907 - customer.
040908 -
040909 -
040910 -
040912 -  ..
0410 -
0411 -
0412 - 0944
0413 -
041301 - Called Kaiser main number...
041302 -
041303 -               925 295 4000
041305 -  ..
041306 - Got a number for...
041308 -  ..
041309 - Outside Referrals
041310 -
041311 -                  925 295 7635
041312 -
041314 -  ..
0414 -
0415 -
0416 - 0955
0417 -
041701 - Called Kaiser back.
041702 -
041703 - Talked to Jeff, a receptionist in the Oncology Department.
041705 -  ..
041706 - Explained the call this morning saying Millie's treatment at UCSF is
041707 - held up, per call from Michelle on 090202 0920. ref SDS 6 9Y5I
041709 -  ..
041710 - Jeff took down an explanation of the problem, and said he would try to
041711 - find someone who can facilitate a solution.
041712 -
041713 -
041715 -  ..
0418 -
0419 -
0420 - 1002
0421 -
042101 - Called Outside Referrals again.
042102 -
042103 - Left message that Michelle Jones at UCSF wants documentation for
042104 - Doctor Johnson's referral for Millie's treatment, ref SDS 6 9Y5I, in
042105 - order to release Millie for getting urgent treatment today by Doctor
042106 - Hsu at UCSF, recommended by Doctor Rugo on 090129, reported on 090130.
042107 - ref SDS 3 TZ6H  Further explained that Millie received a letter from
042108 - Doctor Johnson on 090131 advising that authorization for Millie's
042109 - treatment on 090130. ref SDS 4 GV4M
042110 -
042111 -
042112 -
042114 -  ..
0422 -
0423 -
0424 - 1006
0425 -
042501 - Treatment Delayed because Code Needed for Authorization Form
042502 -
042503 - Florida called back.
042504 -
042505 - She has talked to Pam in the Outside Referrals Department.
042507 -  ..
042508 - Pam told Florida that the Outside Referrals Department now has
042509 - Authorization from Doctor Johnson for Millie's treatment at UCSF, as
042510 - reported in the doctor's letter on 090131, ref SDS 4 GV4M, but the
042511 - department cannot send authorization to UCSF for Millie's urgent
042512 - treatment today, because the doctor did not enter a code for the type
042513 - of treatment Millie will get at UCSF.
042515 -  ..
042516 - Florida said the problem is that the doctor is out of the office today
042517 - and tomorrow.  This aligns with the letter Millie received yesterday
042518 - on 090201 saying the doctor is out of the office. ref SDS 5 Y35M
042520 -  ..
042521 - Florida was told that when the doctor returns to the office, he can
042522 - enter the code in the Authorization form.  Then the Outside Referral
042523 - office will finish processing Millie's referral, and send
042524 - Authorization to UCSF for Millie's urgent treatment.
042525 -
042526 -            [...in another record today on 090202 1028 letter notified
042527 -            medical team of work in progress to discover and resolve
042528 -            Kaiser referral issues for Millie's treatment prescribed by
042529 -            Doctor Rugo on 090129 and ordered by Doctor Johnson at
042530 -            Kaiser on 090131, so that the medical team can help
042531 -            expedite Millie's treatment. ref SDS 8 FR6V
042533 -  ..
042534 - This could be tomorrow, a few days, a week.
042536 -  ..
042537 - Florida was sorry to hear Millie was in the Emergency last week and so
042538 - missed her Neupogen, per the record on 090122, when the Chemotherapy
042539 - Infusion Clinic was notified. ref SDS 1 PT4U
042541 -  ..
042542 - Thanked Florida for investigating and reporting the cause for Kaiser
042543 - delaying authorization for Millie's treatment on referral to UCSF.
042544 -
042546 -  ..
0426 -
0427 -
0428 - 1012
0429 -
042901 - Called Outside Referrals again to resolve code problem for Millie's
042902 - treatment at UCSF.
042903 -
042904 -                  925 295 7635
042906 -  ..
042907 - Left a message for Pam citing the call from Florida that authorization
042908 - is delayed pending submission of a code by Doctor Johnson, ref SDS 0
042909 - 025C, and that the doctor notfified Millie a few days ago, that he is
042910 - out of town for several days. ref SDS 5 Y35M  Asked Pam to call back
042911 - as soon as possible today in order to expedite authorization for
042912 - referral because Millie needs urgent treatment, per earlier message
042913 - above. ref SDS 0 PQ4V
042915 -  ..
042916 - Suggested Pam send written notice to Michelle Williams Jones at UCSF
042917 - that authorization is on file at Kaiser, and will be submitted to
042918 - UCSF, so that Millie's treatment can be initiated concurrently.
042919 -
042920 -        [...in another record today on 090202 1028 Millie sent a letter
042921 -        to Doctor Rugo and the medical team notifying authorization for
042922 -        treatment scheduled today was delayed by Kaiser, ref SDS 8
042923 -        GV4M, and that Michelle at UCSF and Pam at Kaiser are
042924 -        coordinating to fix the proble, so that work can procede.
042925 -        ref SDS 8 FR7U
042927 -         ..
042928 -        [...in another record today on 090202 1028 letter notified
042929 -        medical team of request for Kaiser Outside Referral Department
042930 -        to mitigate damages of delayed authorization by notifying UCSF
042931 -        that authorization has been filed in the department so that
042932 -        UCSF can continue work without delaying Millie's treatment.
042933 -        ref SDS 8 FR7U
042935 -         ..
042936 -        [...in another record today on 090202 1047 Pam called back and
042937 -        took immediate action applying innovation to resolve code
042938 -        problem, and then another problems, and issued authorization
042939 -        for Millie's urgent treatment on referral. ref SDS 9 9Y5I
042940 -
042941 -
042942 -
042943 -
042944 -
042945 -
042946 -
042947 -
042948 -
042949 -
0430 -