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 10:47 AM Monday; Rod Welch

Kaiser delayed Millie's treatment because doctor forgot to enter a code.

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000, ref SDS 5 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
0410 -
041001 - Pam called with Kaiser Outside Referrals in Walnut Creek, returning
041002 - the call earlier this morning, reported in another record, ref SDS 6
041003 - W17K, and following up the call from Florida in the Kaiser Oncology
041004 - Department, who reported that authorization for Millie's treatment on
041005 - referral to UCSF was delayed because the doctor forgot to enter a code
041006 - in the computer form. ref SDS 6 025C
041008 -  ..
041009 - Pam advised that Doctor Johnson did not enter a code in the computer
041010 - form authorizing Millie's urgent treatment on referral to UCSF, which
041011 - was filed on 090130 in response to Doctor's recommendation the day
041012 - before on 090129 (reported in the record also on 090130, ref SDS 3
041013 - HK3V), as noted in the doctor's letter to Millie received on 090131.
041014 - ref SDS 4 GV4M
041016 -  ..
041017 - Pam said she called and left a message for the doctor to submit the
041018 - missing code, and she also sent an internal email to make sure the
041019 - doctor is notified that Pam cannot send his authorization for Millie's
041020 - treatment at UCSF until the code is entered in the form.
041022 -  ..
041023 - Pam was planning to wait for response from the doctor.  She called
041024 - this morning after getting the telephone voice mail message that the
041025 - doctor is out of town, and Millie needs urgent treatment at UCSF.
041026 - ref SDS 6 W183
041028 -  ..
041029 - Pam feels she can take immediate action to solve the authorization
041030 - code problem today, based on urgency of treating Millie in time to be
041031 - effective, as presented in the telephone message earlier this morning.
041032 - ref SDS 6 W17K
041034 -  ..
041035 - Pam needs the type of treatment Millie will get, and gave an example,
041036 - asking if Millie is getting chemotherapy?  She can fill in the code
041037 - for that and send the form to Krshna at UCSF right away.
041039 -  ..
041040 - Advised treatment will be "hyperthermia," which is performed in the
041041 - Radiation Oncology department at UCSF, as set out in Doctor Rugo's
041042 - letter to Doctor Johnson at Kaiser on 090129. ref SDS 3 HK3V
041044 -  ..
041045 - Pam said Kaiser does not have a code for "hypethermia" nor for
041046 - "Radiation Oncology."
041048 -  ..
041049 - Suggested using a code for "Radiology."
041051 -  ..
041052 - Pam said that will work.  So problem solved.
041053 -
041054 -        [...in another record today on 090202 1140 Millie letter
041055 -        notified medical team Kaiser authorization problem solved. for
041056 -        Millie's treatment on referral to UCSF for hyperthermia
041057 -        treatment of 6th relapse for IBC. ref SDS 8 M88H
041059 -  ..
041060 - Pam said she will send the doctor's authorization to Krshna at UCSF
041061 - immediately via fax, as Krshna requested on 090130. ref SDS 2 PP8U
041062 -
041063 -        [On 090202 1347 Krshan in UCSF Radiation Oncology commends
041064 -        Pam's work in Kaiser Outside Referrals for expediting
041065 -        authorization on Millie's urgent treatment in just a few days,
041066 -        noting this often takes weeks. ref SDS 9 SP6H
041068 -         ..
041069 -        [On 090205 1426 Millie received Pam's letter that explains
041070 -        Kaiser's authorization for Millie's care on referral to UCSF.
041071 -        ref SDS 11 278T
041072 -
041073 -
041075 -  ..
0411 -
0412 -
0413 - 1117
0414 -
041401 - Pam called back.
041402 -
041403 - Pam asked if Millie will have in-patient or out-patient treatment?
041404 - That is another part of the authorization form that was not filled
041405 - out.
041407 -  ..
041408 - Advised there is nothing in the record that clarifies this issue.
041410 -  ..
041411 - UCSF has not submitted an explanation of hyperthermia treatment, and
041412 - there has been no contact from Doctor Hsu, following Doctor Rugo's
041413 - letter to the Kaiser on 090129 recommending hyperthermia treatment.
041414 - ref SDS 3 HK3V
041416 -  ..
041417 - Since radiation is often out-patient care, and since initial
041418 - discussions did not indicate Millie will have to stay in the hospital,
041419 - most likely, treatment will be "out-patient."
041421 -  ..
041422 - Pam coded the form for out-patient care.
041423 -
041424 -        [On 090202 1347 Krshan in UCSF Radiation Oncology commends
041425 -        Pam's work in Kaiser Outside Referrals for expediting
041426 -        authorization on Millie's urgent treatment in just a few days,
041427 -        noting this often takes weeks. ref SDS 9 SP6H
041429 -         ..
041430 -        [On 090205 1426 Millie received Pam's letter that explains
041431 -        Kaiser's authorization for Millie's care on referral to UCSF.
041432 -        ref SDS 11 278T
041433 -
041434 -
041436 -  ..
0415 -
0416 -
0417 - 1151
0418 -
041801 - Called Pam.
041802 -
041803 - She has faxed the authorization for Millie's treatment on referral
041804 - from Doctor Jonnson, to Krshna in Radiation Oncology at UCSF, per her
041805 - telecon with Krshna last Friday on 090130. ref SDS 2 PP8U
041807 -  ..
041808 - We reviewed the record showing Michelle called this morning and
041809 - requested the same authorization for Millie's referral, ref SDS 5
041810 - 9Y6Y, which Krshna requested from Pam last Friday on 090130.
041811 - ref SDS 2 PP8U
041813 -  ..
041814 - Do we need to fax duplicate documentation for referral authorization
041815 - to Michelle?
041817 -  ..
041818 - Pam asked for Michelle's fax number?
041820 -  ..
041821 - Provide the number Michelle presented earlier this morning.
041822 - ref SDS 5 9Y6Y
041823 -
041824 -               Attention Michelle Williams Jones
041825 -               fax  415 353 7071
041827 -  ..
041828 - Pam checked her files.  She said that the fax number for Michelle is
041829 - different from the number where she sent the authorization documents
041830 - just 20 minutes ago.
041832 -  ..
041833 - Pam said she knows Krshna at UCSF.  Works with her all the time.
041835 -  ..
041836 - Pam will call Krshna and ask if Radiation Oncology needs a second
041837 - submission of Authorization for Millie's treatment sent to
041838 - Michelle at the alternate fax number.
041839 -
041840 -
041842 -  ..
0419 -
0420 -
0421 - 1121
0422 -
042201 - Pam called back.
042202 -
042203 - She called and talked to Krshna within the past few minutes.  Krshna
042204 - said that she had received Pam's fax earlir today transmitting Doctor
042205 - Johnson's authorization for Millie's referral to the UCSF Radiation
042206 - Oncology Department, and Krshna further said that she would expedite
042207 - scheduling Millie's treatment.
042208 -
042209 -        [On 090205 1426 Millie received Pam's letter that explains
042210 -        Kaiser's authorization for Millie's care on referral to UCSF.
042211 -        ref SDS 11 278T
042213 -  ..
042214 - Pam asked Krshna about Michelle's call to the patient this morning
042215 - requesting that Kaiser fax authorization documentation, ref SDS 5 9Y6Y
042216 - Krshna said that UCSF has everything required for Millie get treatment
042217 - on referral from Kaiser.
042219 -  ..
042220 - Pam said that just to make sure there are no further delays for
042221 - Millie's treatment, she went ahead and sent a duplicate set of
042222 - authorization documents to the other fax number Michelle gave this
042223 - morning. ref SDS 5 9Y6Y
042225 -  ..
042226 - Thanked Pam for timely follow up and extra effort.
042227 -
042228 -        [...in another record today on 090202 1138 called Krshna at
042229 -        UCSF Radiation Oncology Department and left message asking for
042230 -        timely scheduling of Millie's urgent treatment based on Pam's
042231 -        report that UCSF has received Kaiser authorization for
042232 -        referral. ref SDS 7 9Y5I
042234 -         ..
042235 -        [On 090202 1353 Krshna called and commended Pam for excellent
042236 -        work submitting Kaiser's referral for Millie's treatment with
042237 -        hyperthermia in the UCSF Radiation Oncology Department.
042238 -        ref SDS 9 FO8H
042240 -         ..
042241 -        [On 090205 1426 Millie received Pam's letter that explains
042242 -        Kaiser's authorization for Millie's care on referral to UCSF.
042243 -        ref SDS 11 278T
042244 -
042245 -
042246 -
042247 -
042248 -
042249 -
0423 -