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: June 17, 2009 08:42 AM Wednesday; Rod Welch

Coordinate Kaiser report on Millie's CT test Jun 12.

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 24 0000. ref SDS 23 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
0410 -
041001 - Yesterday at UCSF, Doctor Rugo asked for Kaiser's radiology report,
041002 - shown in the record on 090616 1245. ref SDS 27 356G, for Millie's CT
041003 - test on 090612. ref SDS 25 02D6  This unexpected, because UCSF had
041004 - requested Kaiser's scan files to make an independent review of
041005 - Millie's CT test on 090612, and the scan files were hand-delivered to
041006 - UCSF immediately after the test reported on 090612 1439. ref SDS 26
041007 - UD5H
041009 -  ..
041010 - After the meeting, a letter was sent notifying the medical team that
041011 - Doctor Rugo needs Kaiser's report for the test on 090612, and reported
041012 - on 090617 0112, ref SDS 28 VS7X
041014 -  ..
041015 - Called and talked to Chris in the CT Department for Kaiser in Walnut
041016 - Creek.
041018 -  ..
041019 - Chris suggested talking to Al Hutchins.
041021 -  ..
041022 - Called...
041023 -
041024 -            925 295 4799
041025 -
041026 - ...left message for Al.
041027 -
041029 -  ..
0411 -
0412 -
0413 - 0937
0414 -
041401 - Al called back.
041402 -
041403 - Explained problems during meeting at UCSF yesterday, on 090616,
041404 - because Kaiser did not have time to submit the report for the CT test
041405 - on 090612 in time for the meeting on 090616 1245. ref SDS 27 JH48
041407 -  ..
041408 - Al said the report for the CT test on 090612 is ready and can be
041409 - picked up at the Radiology customer counter in the basement at the
041410 - hospital.
041412 -  ..
041413 - Al apologized for delay sending the report to UCSF.  He agreed with
041414 - Doctor Rugo's comment that radiology reports are required to be
041415 - completed within 24 hours from the date of the test. ref SDS 27 JH48
041416 -
041418 -  ..
0415 -
0416 -
0417 - 1432
0418 -
041801 - Drove to Kaiser to get the report on Millie's CT test on 090612.
041802 -
041803 - Received a copy from the Customer Counter for Radiology in the
041804 - basement.
041806 -  ..
041807 - Review shows Kaiser made the same mistake again issuing multiple,
041808 - separate, and overlapping reports for the neck and everything below
041809 - the neck, which conflicts with Doctor Davidon's letter on 090409
041810 - saying Kaiser policy requires consolidated reporting to prevent
041811 - mistakes, ref SDS 8 XZ6U, and was implemented for Millie's CT test on
041812 - 090413, shown by the report received on 090415 1642. ref SDS 11 RU6R
041813 -
041814 -            [On 090617 1737 Kaiser Radiology Department failed to
041815 -            consolidated findings for Millie's CT test on 090612.
041816 -            ref SDS 29 SQ8M
041818 -  ..
041819 - Asked the Attendant to contact Al Hutchins for a meeting.
041820 -
041822 -  ..
0419 -
0420 -
0421 - 1449
0422 -
042201 - Al Hutchins met in the hallway outside the Customer lobby for the
042202 - Radiology Department.
042204 -  ..
042205 - Al looked at the report prepared by his department for Millie's CT
042206 - test on 090612.  He concurred this was issued in multiple reports, and
042207 - agreed this conflicted with Kaiser's policy to consolidate findings
042208 - into a single report for each CT test, and for the purpose of avoiding
042209 - medical mistakes caused by confusion from overlapping scope and
042210 - conflicting language, noted in the letter to Doctor Davidson on
042211 - 090409. ref SDS 9 4R4K
042213 -  ..
042214 - Al threw up his hands in frustration.  He apoligized for mistakes on
042215 - the recent CT test.  He said there are changes in the Department which
042216 - are still being worked out, and so uneven performance occurs
042217 - sometimes.
042218 -
042219 -            [On 090617 1737 Kaiser Radiology Department failed to
042220 -            consolidate findings for Millie's CT test on 090612.
042221 -            ref SDS 29 SQ8M
042222 -
042223 -
042224 -
042225 -
042226 -
042227 -
042228 -
042229 -
042230 -
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042232 -
0423 -