Welch Company
San Francisco, CA


S U M M A R Y


DIARY: October 2, 2010 08:00 AM Saturday; Rod Welch

Gerry meeting to continue lease St Matthew Pl in Concord.

1...Summary/Objective
2...Townhouse Well Ordered through Tenant Maintenance for 15 Years
3...Rental Rate for Budget Requirements Difficult to Accomplish
4...Slow Economy Limits Opportunities to Meet Budget Requirements
........Las Vegas home prices fall again
........Standard & Poor: May figures show LV dropped to new index low
5...Lease Agreement Signed $1100 Per Month 12 Months $1100 Deposit
6...Sublease to Close Gap on Cash Flow Budgeting Agreed
7...Accounting Business Losing Clients Due to Economy Downturn
8...Complex Case Management Requires Patient Assistance Role and Tools
9...Patient Assistance Role and Tools Essential Complex Case Management
10...Health Care Complex Requires Tools and Roles to Improve Patient Care
11...400% Life Extended Stage IV Cancer Using SDS for Case Management
12...Patient Assistant Extends Life 400% through Effective Case Management
13...Feedback Well Ordered Record Specified by Kaiser' Healthwise Handbook
14...Health Care Suffers Chronic Information Overload
15...Transform Information into Power of Knowledge Only Solution
16...Conferences Need New Ideas on Saving Lives Time Money in Health Care
17...Millie 1st Tenant Gerry Pleased 1st Home Purchase Well Maintained


..............
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CONTACTS 

SUBJECTS
Real Estate Landlord Inspection 1158 St Matthew PL Townhouse Well Or

2203 -
2203 -    ..
2204 - Summary/Objective
2205 -
220501 - Follow up ref SDS 29 0000. ref SDS 27 0000.
220502 -
220503 -
220504 -
220505 -
220507 -  ..
2206 -
2207 -
2208 - Background
2209 -
220901 - On 100817 Gerry called and offered to continue the current lease
220902 - agreement.  Planned to visit firstr week in October to make
220903 - arrangements on siging a new lease. ref SDS 22 X65H
220905 -  ..
220906 - On 100818 1528 letter notifies Pam, Ron, and Steve about call from
220907 - Jerry with condolences on Millie's death, and that Gerry wants to
220908 - continue current lease agreement a few more years. ref SDS 23 3N9Q
220910 -  ..
220911 - On 100819 0649 letter to Gerry confirms plans to meet the first part
220912 - of October to discuss signing a new lease. ref SDS 24 649V
220914 -  ..
220915 - On 100924, Gerry called and left a message to call him to schedule
220916 - signing a new lease. ref SDS 26 PP8X   Received a letter from Gerry
220917 - asking about meeting to enter a new lease agreement. ref SDS 26 N34I
220918 - Sent a reply to call tomorrow morning. ref SDS 26 O05O
220920 -  ..
220921 - On 100925 called Gerry and discussed meeting next weekend to sign a
220922 - new lease.  Considered ways to meet budget objectives while continuing
220923 - the current lease. ref SDS 27 T69H   Letter to Gerry confirms planning
220924 - to meet next weekend. ref SDS 27 T76Y
220926 -  ..
220927 - On 100927 1638 letter from Gerry confirming plans to meet this weekend
220928 - to discuss continuing the lease at 1158 St Matthew Pl. ref SDS 29 T69H
220930 -  ..
220931 - On 100927 1717 notified Pam of schedule to meet Gerry this weekend on
220932 - terms for continuing lease. ref SDS 30 M36Q
220934 -  ..
220935 - On 101002 0800 meeting at home with Gerry to sign new lease agreement.
220936 - ref SDS 0 T69H
220937 -
220938 -
220940 -  ..
2210 -
2211 -
2212 - Progress
2213 -
221301 - Background on continuing lease is reported on 100925 0927. ref SDS 27
221302 - T69H, and citing the call on 100817 2043, ref SDS 22 X65H, and
221303 - planning to meet on signing a new lease confirmed in the letter to
221304 - Gerry on 100819 0649. ref SDS 24 649V
221305 -
221307 -  ..
221308 - Townhouse Well Ordered through Tenant Maintenance for 15 Years
221309 -
221310 - Gerry looked through the house upstairs and downstairs.  He
221311 - complimented how well everything looks after 15 years.  Gerry asked
221312 - when Millie last had the townhouse painted, and was surprised learning
221313 - that the home has not been painted since the original lease in 1995.
221314 - Checking the downstairs bathroom, Gerry commented that his wife did
221315 - the wallpaper all those years ago, and will be pleased to hear today
221316 - how nice everything looks.  He feels the carpeting looks great, and
221317 - everything in the home seems so neat and organized.
221319 -  ..
221320 - Millie would be very pleased hearing that annual cleaning, with stain
221321 - protection, most recently in May on 100528 1233. ref SDS 16 BS6K, has
221322 - been effective extending the life of carpeting, noted by Gerry today.
221324 -  ..
221325 - Gerry's comments further align with observations a few months ago,
221326 - when Rob and Joyce visited on their way back from Kattie's wedding in
221327 - Oregon.  Joyce said on leaving that the home seems so well maintained
221328 - and orderly, reported on 100802 1707. ref SDS 21 QY8N
221330 -  ..
221331 - Gerry feels responsible tennant care helps reduce maintenance and
221332 - repair costs that occur through property depreciation.
221334 -  ..
221335 - Thanked Gerry, and noted I was well trained by Millie, echoing
221336 - compliments Jennifer made on Millie's claim filed on 100527, and
221337 - reported on 100609 1522. ref SDS 18 XL76  Millie's daugher Pam
221338 - deservers credit for recent letter reminding to clean the house for
221339 - Gerry's visit today.
221340 -
221341 -
221342 -
2214 -

SUBJECTS
Rental Rate $800 Budget Requirements Difficult to Accomplish 1158 St

5203 -
520401 -  ..
520402 - Rental Rate for Budget Requirements Difficult to Accomplish
520403 - Slow Economy Limits Opportunities to Meet Budget Requirements
520404 -
520405 - Gerry has considered with Mrs Fernandez lowering the rent to $800, as
520406 - discussed on 100925 0927. ref SDS 27 V64I  They have had recent
520407 - setbacks.  Gerry owns two homes in Las Vegas.  Due to the economy,
520408 - they are suffering losses because customers are unable or unwilling to
520409 - pay enough rent to cover the mortguage.
520415 -  ..
520416 - Recent reporting indicates Las Vegas leads the nation in falling real
520417 - estate prices...
520418 -
520419 -        Las Vegas Sun
520421 -         ..
520422 -        Las Vegas home prices fall again
520423 -        Standard & Poor: May figures show LV dropped to new index low
520424 -
520425 -              http://www.lasvegassun.com/news/2010/jul/27/las-vegas-home-price-fall-again/
520427 -         ..
520428 -        By Steve Green (contact)
520429 -        Tuesday, July 27, 2010 | 9:44 a.m.
520431 -         ..
520432 -        Las Vegas home prices fell again in May and among big U.S.
520433 -        cities, only Detroit's housing market has performed worse than
520434 -        Las Vegas's during the recession.
520435 -
520436 -
5205 -

SUBJECTS
Real Estate Property Living Quarters Sign Agreement Lease 1158 St Ma

6903 -
690401 -  ..
690402 - Lease Agreement Signed $1100 Per Month 12 Months $1100 Deposit
690403 -
690404 - Gerry offered to continue the current lease for $1100 per month, which
690405 - is $75 less than Millie was paying the past year, and reflects in part
690406 - reduced maintenance costs, noted by Gerry today, per above.
690407 - ref SDS 0 IP6N
690409 -  ..
690410 - Gerry related that Pam paid rent for October by telling Gerry to keep
690411 - Millie's deposit.  The new lease begins 101101.  Gerry wants payment
690412 - of $2,200 for 1st and last months rent.  Payment of rent is due at end
690413 - of each month, and within 5 days.
690414 -
690415 -            [On 101006 0127 letter notifies Gerry payment has been
690416 -            ordered electronically using Wells Fargo online banking,
690417 -            and will be issued within 5 days, per agreement today.
690418 -            ref SDS 34 C54G
690420 -  ..
690421 - Signed contract.  Gerry will submit a copy via email.
690423 -  ..
690424 - Payment of $2,200 is due at the end of October, OA 101101.
690426 -  ..
690427 - Advised that monthly payments will be made electronically through
690428 - Wells Fargo bank, an account Mil set up on 100610 1110. ref SDS 19
690429 - KD5I
690430 -
690431 -            [On 101004 0926 notified Bobbi decided to stay at 1158 St
690432 -            Matthew Pl, ref SDS 31 6Q78
690434 -             ..
690435 -            [On 101004 1049 letter to Gerry confirms agreement to lease
690436 -            1158 St Matthew Pl, and requests submission of signed
690437 -            rental agreement. ref SDS 32 C54G
690439 -             ..
690440 -            [On 101005 1253 received letter from Gerry requesting
690441 -            immediate payment of $1100 for security deposit.
690442 -            ref SDS 33 4F8O
690444 -             ..
690445 -            [On 101006 0127 letter notifies Gerry payment has been
690446 -            ordered electronically using Wells Fargo online banking,
690447 -            and will be issued within 5 days, per agreement today.
690448 -            ref SDS 34 C54G
690450 -             ..
690451 -            [On 101201 1044 paid $1,100 rent for December 2010.
690452 -            ref SDS 37 DN8Y
690453 -
690460 -
690461 -
6905 -

SUBJECTS
Sublease Close Gap Cash Flow Monthly Lease $1100 Over Budget $1000 I

9803 -
980401 -  ..
980402 - Sublease to Close Gap on Cash Flow Budgeting Agreed
980403 -
980404 - Gerry agreed that to meet expenses, 1158 St Matthew Pl can be sublet
980405 - to split the cost for rent and utilities.
980407 -  ..
980408 - Initially, he said the rent would go up to $1,200, if the unit is
980409 - sublet.  We discussed importance of moderating expenses, since the
980410 - current rent is already above fixed income of $1K per month.  Gerry
980411 - therefore decided not to specify a rent increase in the lease
980412 - agreement, in the event of subletting.  He said that once a rental is
980413 - agreed upon, he should be notfied for discussion.  Agreed to this
980414 - work plan.
980416 -  ..
980417 - Explained plans to look for someone over 40 to ensure getting a
980418 - responsible person.  Gerry indicated that older tenants typically are
980419 - more reliable, and cause less damage to rental units.
980420 -
980421 -
9805 -

SUBJECTS
Accounting Business Losing Clients Slow Economy Cannot $800 Rental R

AU03 -
AU0401 -  ..
AU0402 - Accounting Business Losing Clients Due to Economy Downturn
AU0403 -
AU0404 - Gerry explained working part time as a CPA consultant doing tax
AU0405 - returns and other financial support for individuals and small
AU0406 - businesses.  This year some clients have discontinued his services due
AU0407 - a slowing economy.
AU0409 -  ..
AU0410 - Pam might consider Gerry to replace Ed Traille for doing tax return on
AU0411 - Millie's estate.  Ed at SJ Gallina has done Millie's taxes since about
AU0412 - 1985, and so is familiar with her record.  Pam indicated Ed wanted
AU0413 - $1,000 deposit to start work the estate tax return.  In year's past he
AU0414 - has never charged more that $300 and usually in the range of $250 for
AU0415 - Mil's tax returns.  Estate taxes may be more complicated and so
AU0416 - require more work, but in any case, not sure why Ed would need advance
AU0417 - payment to start work, unless he really didn't want the job.  Most of
AU0418 - his clients are construction contractors, so he was doing Mil's taxes
AU0419 - as a favor.  Pam indicated she already has another person in mind for
AU0420 - the job who would not require $1,000 advance payment.  In any case,
AU0421 - will notify Pam to consider talking to Gerry.
AU0422 -
AU0423 -
AU05 -

SUBJECTS
Health Care Medical Clinic Executive Specialize Treatment Back Injur

B303 -
B30401 -  ..
B30402 - Complex Case Management Requires Patient Assistance Role and Tools
B30403 - Patient Assistance Role and Tools Essential Complex Case Management
B30404 - Health Care Complex Requires Tools and Roles to Improve Patient Care
B30405 -
B30406 - Gerry works full time as a health care executive for a hospital or
B30407 - clinic that specializes in back injury and pain recovry.  He
B30408 - coordinates administration of health care services, which includes
B30409 - responding to claims, managing doctors, administration, planning,
B30410 - procurement, facilities, and financial management.
B30412 -  ..
B30413 - Gerry cited benefits of patients having assistance for medical care.
B30414 - He related patients getting spinal treatment can suffer severe anxiety
B30415 - on learning and later seeing they will have a long needle injected
B30416 - into their back.  Emotional trauma focusing on pain and suffering
B30417 - hinders doctor patient partnership for case management.  Patient
B30418 - assistance provides objective analysis that facilitates communications
B30419 - and planning to improve outcomes for patients through better
B30420 - coordination.
B30422 -  ..
B30423 - Many examples from Millie's patient history illustrate emotional
B30424 - trauma hinders care, see meeting at Kaiser on 070105. ref SDS 6 Y642
B30425 - Her letter to the medical team on 081016, shows constant struggle
B30426 - doctors encounter to handle complexity. ref SDS 9 NW6M  The CT test on
B30427 - 081107 was particularly difficult for Millie and Kaiser's staff,
B30428 - ref SDS 10 AN6H  A month later patient assistance solved the problem
B30429 - for the test on 081230. ref SDS 11 MX6K
B30431 -  ..
B30432 - Experience at Gerry's health care organization aligns with national
B30433 - reporting that medical mistakes are rising because coordinating case
B30434 - management is becoming more complex.  Better care enables people to
B30435 - live longer, so patient histories get very large.  Better testing
B30436 - increases the number of maladies doctors can treat.  Better research,
B30437 - technology, and market dynamics have increased the number of
B30438 - treeatments exponentially in the last 20 years.  At the same time,
B30439 - regulations and insurance coverage terms and conditions have made
B30440 - health care vastly more complex.  Communicaiton mistakes caused by
B30441 - rising complexity was cited as the primary cause of rising medical
B30442 - mistakes coordinating patient care, reported on 990912. ref SDS 2
B30443 - 0001
B30444 -
B30445 -
B305 -

SUBJECTS
Life Extended 400% Stage IV Cancer Using Patient Assistant SDS for C
Analyst Project Role Expanded to Use SDS for Communication Support N
Analyst New Work Role Co-evolve Education Training Culture of Knowle
Work Role Analysis Complexity Intelligence Sensemaking Communication
Work Role Communication Analyst Intelligence Project Analyst Role Ex

C007 -
C00801 -  ..
C00802 - 400% Life Extended Stage IV Cancer Using SDS for Case Management
C00803 - Patient Assistant Extends Life 400% through Effective Case Management
C00804 - Feedback Well Ordered Record Specified by Kaiser' Healthwise Handbook
C00805 -
C00806 - Kaiser's Healthwise Handbook specifies a well ordered record and
C00807 - feedback to verify accuracy of communications that improve care,
C00808 - reviewed on 990625. 990625 0945, ref SDS 1 4185  This however is very
C00809 - difficult to implement due to limited time, skills and tools for
C00810 - coordinating care.  Doctors only have time for cursory understanding
C00811 - of complex correlations between patient history of evolving symptoms,
C00812 - tests, and response to care in making decisions on treatment.  A few
C00813 - weeks ago, Doctor Shell with the VA in New York commented that doctors
C00814 - do not write good progress notes, reported on 100911 0800. ref SDS 25
C00815 - OL5M
C00817 -  ..
C00818 - In a meeting at Kaiser last year in July, Millie's primary care
C00819 - physician Doctor Johnson, told Pam that her mom's life was extended by
C00820 - "yoemen's work" providing patient assistance to leverage the doctor
C00821 - patient partnership coordinating Millie's care. reported on 090725
C00822 - 2017. ref SDS 15 T53T  On 090325, Doctor Johnson drew a graph showing
C00823 - at that time, Millie had lived 300% longer than expected for her
C00824 - disease trajectory. ref SDS 14 P39M  Ultimately, Millie lived 400%
C00825 - longer than other patients with stage IV cancer.
C00827 -  ..
C00828 - A few examples of Millie's patient history to coordinate her care at
C00829 - UCSF and Kaiser include records on...
C00830 -
C00831 -           040318................................. ref SDS 3 0001
C00832 -           041230................................. ref SDS 5 0001
C00833 -           070105................................. ref SDS 6 0001
C00834 -           070130................................. ref SDS 7 0001
C00835 -           070329................................. ref SDS 8 0001
C00836 -
C00837 -
C009 -

SUBJECTS
Default Null Subject Account for Blank Record

C103 -
C10401 -  ..
C10402 - Health Care Suffers Chronic Information Overload
C10403 - Transform Information into Power of Knowledge Only Solution
C10404 -
C10405 - The problem to solve is preventing critical details from "falling
C10406 - through the cracks," noted by Doctor Johnson in his letter on 090205
C10407 - 1318. ref SDS 12 278T  The problem is increased by a hectic schedule,
C10408 - cited in a recent letter on 100927, explaining the doctor is still
C10409 - running around like a chicken with his head cut off." ref SDS 28 H68J
C10411 -  ..
C10412 - "Hectic schedule" with doctors overwhelmed by information overload
C10413 - from cell phones and email is endemic to complex work and causes
C10414 - endless mistakes, reported in case study on Millie's care, listed on
C10415 - 040416 1045. ref SDS 4 GN7J  Discovering impending problems and
C10416 - enabling the doctor to make adjustments in time to avoid negative
C10417 - outcomes was noted in the memoriam for Millie on 100731 2221.
C10418 - ref SDS 20 RZ5H
C10420 -  ..
C10421 - SDS technology deployed through patient assistance leverages doctor's
C10422 - time, training, and experience for transforming daily information into
C10423 - the power of knowledge for getting things done correctly and in time
C10424 - to be effective, explained in POIMS. ref OF 1 1X6G  An example is the
C10425 - record on 081016, scheduling treatment for Mil's 6th relapse.  Just 1
C10426 - of 13 items in the work plan required 50 tasks to accomplish.
C10427 - ref SDS 9 W26G  Doctor Johnson noted on 090213, that most doctors and
C10428 - patients cannot bear the crushing weight of such complexity.
C10429 - ref SDS 13 FZ4H
C10430 -
C10431 -
C105 -

SUBJECTS
Default Null Subject Account for Blank Record

C203 -
C20401 -  ..
C20402 - Conferences Need New Ideas on Saving Lives Time Money in Health Care
C20403 -
C20404 - Gerry advised that he has contacts who sponsor and organize health
C20405 - care conferences.  The next event is scheduled for May 2011.  He will
C20406 - submit names for contacting about presenting Millie's story on
C20407 - prospects for improving outcomes for patients through better case
C20408 - management.
C20409 -
C20410 -            [On 101004 1049 letter to Gerry confirms he will submit
C20411 -            contact information on presenting case management solutions
C20412 -            for next professional conference. ref SDS 32 OL4H
C20414 -  ..
C20415 - The current push is to transform SDS into 64-bit technology.  This
C20416 - will take at least until the end of the year.  Hopefully, there will
C20417 - be time to do some marketing events like professional conferences.
C20418 -
C20419 -
C205 -

SUBJECTS
Default Null Subject Account for Blank Record

C303 -
C30401 -  ..
C30402 - Millie 1st Tenant Gerry Pleased 1st Home Purchase Well Maintained
C30403 -
C30404 - Gerry related that Millie's townhouse was the 1st property he
C30405 - purchased over 15 years ago.  His parents gave him $10K, as reward for
C30406 - doing well graduating from college.  Rather than spend it, he invested
C30407 - to buy the townhouse.  Gerry lived in the house for a year or so,
C30408 - before moving to the penninsula, and renting to Millie.  He now lives
C30409 - in Pacifica.
C30411 -  ..
C30412 - So, 1158 St Matthew PL #103 has a special place in Gerry's heart, and
C30413 - he was pleased finding today that it remains in good shape, per
C30414 - inspection above. ref SDS 0 IP6N
C30415 -
C30416 -
C40442 -
C40443 -
C40444 -
C40445 -
C40446 -
C40447 -
C40448 -
C40449 -
C40450 -
C40451 -
C40452 -
C405 -