CONTACTS 
0201 - Kaiser Permanente - Shadelands       925 906 2204
020101 - Walnut Creek
020102 - Ms. Jeanne Bradley; Coordinator =925 906 2209
020103 - Jeanne.Bradley@ncal.kaiperm.org
020104 - Administration Department

SUBJECTS
Medical Practice Requires Records
Risk Communication Main Factor of Management Success
Risk Management Communication Main Task of Managers, Largest Risk
Telephone Game Shows Meaning Drift, Need to Maintain Shared
Common Administration
Team Care in Medical Practice
Kaiser Medical Group

1209 -    ..
1210 - Summary/Objective
1211 -
121101 - Follow up ref SDS 26 0000, ref SDS 25 0000.
121102 -
121103 - There was a mixup in reviewing the record for 991103.  Based on
121104 - further discussion today, Jeanne will review the letter on 991103,
121105 - ref DIP 4 0001, and contact me about her understanding of meaning
121106 - drift and the solution of alignment, explained in the record on
121107 - 991101. ref SDS 25 1448
121108 -
121109 - Didn't discuss Communication Training. ref SDS 0 5933
121110 -
121111 - She will visit with Mark today about progress scheduling a meeting on
121112 - Team Care issues. ref SDS 0 0966
121113 -
121114 -     [On 991109 received letter from Mark. ref SDS 28 0001]
121115 -
121116 -
121117 -
121118 -
1212 -
1213 -
1214 - Progress
1215 -
121501 -  ..
121502 - Meaning Drift Makes Communication Biggest Risk in Enterprise
121503 -
121504 - Jeanne has not read the letter, ref DIP 4 0001 submitted on 991103,
121505 - ref SDS 26 0001, confirming action items and the explanation of the
121506 - cause of medical mistakes, meaning drift, and the solution, alignment,
121507 - reviewed with Jeannie on 991101. ref SDS 25 2800
121508 - ..
121509 - Jeanne recalled we talked on 991101, ref SDS 25 1180, and that
121510 - she read a letter on 991101. ref DIP 3 0001  She explained having
121511 - thought that the letter and discussion were related, and therefore
121512 - assumed that the letter on 991103 was on another matter, which she was
121513 - planning to read today.
121514 -
121515 - I explained that the letter on 991101 was to set an agenda for the
121516 - discussion later that day, and that the letter on 991103 confirms the
121517 - understandings of our discusion on 991101.
121518 -
121519 - Jeanne noted this is an example of a mental mistake called...
121520 -
121521 -
121522 -                        meaning drift
121523 -
121524 -
121525 - ...in the 990924 letter on medical mistakes, ref DIP 1 1680, and that
121526 - she requested an explanation of the meaning drift problem in our
121527 - discussion on 991101. ref SDS 25 2800
121528 -
121529 - Meaning drift is explained in NWO... paper. ref OF 1 9449
121530 -
121531 - A letter to Morris Jones at Intel, ref DIP 2 5933, explains that
121532 - communication becomes maddeningly complex, and overwhelms the minds
121533 - ability to remember sequence of chronology, sent 991014. ref SDS 19
121534 - 5600  Just a few letters and the passage of time lead to strong
121535 - memories that are incorrect.  The SDS tool is a much stronger way to
121536 - remember chronology, and thereby avoid the fear and aversion to having
121537 - a bunch of papers to keep organized, which always turns out to be a
121538 - losing battle.  If people have so much trouble keeping documents
121539 - organized, then it stands to reason that our thoughts are much more
121540 - jumbled than we realize.  The difference is that we can see the papers
121541 - messed up, but we cannot look into the mind and see a jumble of mixed
121542 - up thoughts.
121543 -
121544 -
121545 -
1216 -

SUBJECTS
Communication Training
Partnership Doctor/Patient
Medical Practice
Medical Training Communication
Training Executives What they Want, Not to Improve Earnings

1808 -
180801 -  ..
180802 - Training Communication for Doctors Patient Partnership
180803 -
180804 - Follow up ref SDS 26 5933, ref SDS 25 1718.
180805 -
180806 - We did not discuss the idea for communication training, ref DIP 4
180807 - 1650, linked to discussion with Jeanne on 991101. ref SDS 25 1718
180808 -
180809 - The letter on solving high cost of medical mistakes, ref DIP 1 2601,
180810 - developed on 990924, ref SDS 12 0009, explains this idea, from work
180811 - on 990625 reviewing Kaiser's guidelines.
180812 -
180813 - Will follow up if Jeanne calls back.
180814 -
180815 -     [On 991130 discussed with Jeanne. ref SDS 29 0829]
180816 -
180817 -     [On 991206 discussed with Tom Driscoll. ref SDS 30 2208]
180818 -
180819 -
180820 -
180821 -
1809 -
1810 -

SUBJECTS
Patient Assistant
Questions, Suggestions
Medical History, Xrays Not Submitted for Meeting
Medical Chart Missing Information
Policy Procedures on Communication
Team Care, Primary Care Physician
Patient Assistance Delays Action 2 Weeks

2810 - Progress
2811 -
281101 -  ..
281102 - Contact Bob Pearl's Office about Meeting on Quality Team Care
281103 -
281104 - Follow up ref SDS 25 0966, ref SDS 21 0001.
281105 -
281106 - Jeanne has not talked to Mark on his progress contacting Bob Pearl's
281107 - office to set up a meeting on Team Care, which we discussed doing on
281108 - 991101, ref SDS 25 0297, based on telecon with Mark, ref SDS 25 1176,
281109 - and my letter. ref DIP 5 0001
281110 -
281111 -     [On 991109 received letter from Mark. ref SDS 28 0001]
281112 -
281113 -
281114 -
281115 -
281116 -
281117 -