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1...KM in health care is not new.
2...Would like some examples of "achievements" that relate to "knowledge"
CONTACTS
SUBJECTS
Patient Complaint SDS Record on Internet Planning Treatment for Mill
Patient Organize Medical Record Organizational Memory Critical Facto
Complaint Patient SDS Record on Internet Stifles Case Study Scalable
Meeting Doctor Planning Start of Chemotherapy Treatments for IBC Inc
1006 -
1006 - ..
1007 - Summary/Objective
1008 -
100801 - Follow up ref SDS 30 0000. ref SDS 28 0001
100802 -
100803 -
100804 -
100805 -
100806 -
100807 -
100808 -
100810 - ..
1009 -
1010 -
1011 - Progress
1012 -
101201 - Knowledge Management Dilemma Shock Causes Objection to Accuracy
101202 - Shock Objection Knowledge Management Dilemma Resolved by Experience
101203 - Dilemma Shock Worry Confidentiality Prevents Discovering Improvements
101204 -
101205 -
101206 - Received ref DRT 1 0001 a letter from a patient dated 050413, and who
101207 - is being treated for cancer by Millie's doctor. This patient cites
101208 - the record on 041230 and says...
101209 -
101210 - 1. I'm a patient ....Stage 4 breast cancer. ref DRT 1 0001
101212 - ..
101213 - 2. [Recently I found a record on the Internet, ref DRT 1 1N5T,
101214 - that reports meeting with Millie's Doctor on December 30,
101215 - 2004... ref SDS 27 0001
101217 - ..
101218 - 3. My question is this -Why is it so easy for me to find all this
101219 - information, which I assume should be confidential. Why do I
101220 - know he was 10 minutes late for a meeting, why Millie has been
101221 - diagnosed with IBC or what his comments were along with... info
101222 - and opinion [by Millie's surgeon]? ref DRT 1 1N5J
101223 -
101224 - [On 050422 Kelly thought the recrod on 041230 was prepared
101225 - by a doctor. ref SDS 32 F47L
101227 - ..
101228 - 4. I have clicked on dozens of links at this site and know way too
101229 - much about Millie, her treatments, dr.'s comments on her
101230 - condition etc... The page I cut and pasted is just one of
101231 - dozens. ref DRT 1 1N6G
101233 - ..
101234 - SDS records on the Internet are a new way of working to provide
101235 - "intelligence" for efficient communications that reduce mistakes and
101236 - helps solve difficult, complex problems. "Intelligence support"
101237 - empowers people looking for solutions to find critical details quickly
101238 - when needed, as occurred in this case, and further explained on
101239 - 971021. ref SDS 2 JN6J
101240 -
101241 - [On 050421 submitted example of patient requesting background
101242 - working with doctor at Kaiser on treating knee problems.
101243 - ref SDS 31 T47J
101245 - ..
101246 - Initial surprise, shock and concern (see also below, ref SDS 0 TE6X)
101247 - present a knowledge dilemma from the legend of Prometheus, reviewed on
101248 - 991108. ref SDS 6 ST61 Experience overcomes ignorance, fear, and
101249 - denial that drives an innovation loop that prevents people from
101250 - gaining experience to learn that people get used to benefits of
101251 - working intelligently to save lives, time, and money, reported on
101252 - 000208. ref SDS 8 2726 Fear of cognitive overhead, boggling the
101253 - mind, from opening links, fear of accountability, and fear of losing
101254 - privacy wains after people discover that useful intelligence can be
101255 - developed to save lives, time, and money without harming anyone.
101256 - Subsequent consideration restored balance between benefits of
101257 - knowledge weighed against privacy concerns. ref SDS 0 F44Q
101258 -
101259 - [On 050421 patient requests additional information on working with
101260 - Kaiser and medical treatment, demonstrating balance to strike
101261 - between benefits weighed against concerns for confidentiality.
101262 - ref SDS 31 I15M
101264 - ..
101265 - [On 050422 doctor introduces Kelly at Kaiser prior to meeting with
101266 - Millie, ref SDS 32 6U6K; Kelly comfortable with SDS support for
101267 - timely, accurate communication, and, also case history for lessons
101268 - learned that helps others. ref SDS 32 F499
101270 - ..
101271 - This adds to the list of 10 or so people who have complained about SDS
101272 - records on the Internet, reported on 010907, ref SDS 11 ZN3M, balanced
101273 - against 1000s who have benefited from scalable knowledge, also,
101274 - represented by examples reported on 010907. ref SDS 11 KX3L
101276 - ..
101277 - On 000125 Eric Armstrong worried that links on the Internet showing
101278 - connections of cause and effect would boggle the mind. ref SDS 7 GE65
101279 - As noted, above, Eric needed experience working with a connected
101280 - record to become acclimated to a faster paced world. ref SDS 8 2726
101281 - He objected to connections on the Internet that link an audit trail
101282 - for knowledge of causation, reported on 000811, ref SDS 9 0001, and a
101283 - few weeks later Eric reported on 000824 that he hates having instant
101284 - access to archives provided by SDS. ref SDS 10 7O9I
101286 - ..
101287 - After gaining experience working with a connected record for about 18
101288 - months, Eric reported on 010916 that SDS enables amazing memory.
101289 - ref SDS 12 0001 About 12 months later, Eric reported people will use
101290 - SDS to create a connected record of knowledge. ref SDS 15 RK5M
101291 -
101292 - [On 050421 letter to Kelly cites experience showing benefits of
101293 - sharing model for organizational memory that helps everyone with
101294 - lessons learned. ref SDS 31 VQ3O
101295 -
101296 -
101297 -
101298 -
101299 -
101300 -
1014 -
SUBJECTS
Surgeon Disagnosed Cancer Incorrectly as Cyst Compounding Recovery o
Medical Mistake Surgeon Disagnosed Cancer Incorrectly as Cyst for 3
Kaiser Oncologist Gifted Care Givers Patient High Confidence in Doct
1705 -
170601 - ..
170602 - Kaiser Oncologist and Surgeon Gifted Care Givers
170603 - Patient High Confidence in Doctor and Hospital Aids Recovery
170604 -
170605 - Patient continues...
170606 -
170607 - 5. I am extremely blessed to have [my...] oncologist, wouldn't
170608 - trade for the world. ref DRT 1 1N6M
170610 - ..
170611 - 6. The [surgeon] on the other hand misdiagnosed my lemon size lump
170612 - as a cyste, when it was in fact a very aggressive stage 3
170613 - tumor. If I keep digging further, I might find something that
170614 - would help if I ever decided to take action against her. I'm
170615 - not going to do that. ref DRT 1 1N6R
170617 - ..
170618 - Millie had the opposite experience -- the surgeon discovered IBC with
170619 - proactive action on 040419. ref SDS 17 789F
170620 -
170621 - [On 060809 case study on opportunities to strengthen
170622 - medical practice, ref SDS 33 LX5H, reflects Millie's letter
170623 - reporting experiencing more than adequate care. ref SDS 33
170624 - 1L5X
170626 - ..
170627 - Time limits span of attention that drives errors in the "fog of war"
170628 - on the battlefield, in the boardroom, and in the examination room.
170629 - The challenge is how to empower doctors and patients to strengthen the
170630 - partnership through stronger communications that lift the quality of
170631 - care for everyone, while recognizing that ultimate failure is certain,
170632 - reviewed on 020221, ref SDS 14 Y27F, and illustrated by work on
170633 - 040517. ref SDS 19 SU7G
170634 -
170635 -
170636 -
170637 -
1707 -
SUBJECTS
Worry Fear Shock Negative Attitude Anxiety Slow Recovery Seeing Fami
Fear Confidentiality Loss of Control Worry Shock Negative Attitude A
2204 -
220501 - ..
220502 - Worry Fear Shock Negative Attitude Anxiety Slow Recovery
220503 - Shock Seeing Familiar Names Induces Worry Negative Attitudes
220504 - Confidentiality Fear Invasion of Privacy Slows Knowledge Growth
220505 -
220506 - Patient continues...
220507 -
220508 - 7. I'm trying to make a point. I wonder if Dr. Niver knows how
220509 - readily available all this is on the internet. I have no
220510 - medical backround, I just googled [the doctor's name] and was
220511 - shocked when all this came up. Except for Millie herself, I
220512 - recognized every single name mentioned. ref DRT 1 1N7O
220514 - ..
220515 - Shock from seeing familiar names of professional support staff drives
220516 - objection to spreading the word for reducing deviations and meaning
220517 - drift with improved accuracy, per analysis above. ref SDS 0 YQ6H
220518 - Public concern for privacy prevents consideration of what is actually
220519 - disclosed that justifies suppression for confidentiality.
220520 -
220521 - [On 050421 submitted example of patient requesting background
220522 - working with doctor at Kaiser on treating knee problems.
220523 - ref SDS 31 T47J
220525 - ..
220526 - A letter to the patient below notifies that Kaiser did not disclose
220527 - confidential patient information on the Internet, ref SDS 0 E37Q, and
220528 - further notifies that familiar names have been redacted from the
220529 - Internet in order to reduce initial shock that impairs recovery.
220530 - ref SDS 0 E36Q
220532 - ..
220533 - Patient continues...
220534 -
220535 - 8. This [SDS record on the Internet showing treatment in the
220536 - Cancer Clinic on May 4, 2004..., ref SDS 18 Q65L, ] was equally
220537 - disturbing to me:, ref DRT 1 1N8N
220539 - ..
220540 - 9. Arlette, please show or forward this to Dr. Johnson for me.
220541 - I'm seeing him next week and want to ask him about it.
220542 - ref DRT 1 FJ9K
220543 -
220544 - [On 050421 letter to Kelly asks for feedback on meeting
220545 - with the doctor. ref SDS 31 VQ3O
220547 - ..
220548 - [On 050421 submitted example of patient requesting
220549 - background working with doctor at Kaiser on treating knee
220550 - problems. ref SDS 31 T47J
220552 - ..
220553 - Notified the doctor to be prepared for patient questions. ref SDS 0
220554 - XG6M
220555 -
220556 -
220557 -
220558 -
220559 -
2206 -
SUBJECTS
Kaiser Professional Care Outstanding No Disclosure Confidential Data
2403 -
2404 - 0845
240501 - ..
240502 - Kaiser Professional Care Outstanding No Disclosure Confidential Data
240503 -
240505 - ..
240506 - Submitted ref DIT 1 0001 responding to the letter, per above,
240507 - ref SDS 0 AD5I,
240509 - ..
240510 - 1. I'm very sorry to hear of your cancer, and am pleased you have
240511 - had good results woking with the doctor..., ref DIT 1 0001, as
240512 - reported in your letter today. ref SDS 0 AD5I
240513 -
240514 - [On 050422 the doctor introduced Kelly at Kaiser, and we
240515 - had time to meet and visit for about 10 minutes.
240516 - ref SDS 32 F47L
240518 - ..
240519 - 2. [Millie's doctor and surgeon...] have been outstanding handling
240520 - a complex case with skill, focus and determination, as shown in
240521 - records you found on the Internet. ref SDS 0 TE4P You should
240522 - be assured that Kaiser has not in any way disclosed
240523 - confidential patient information on the Internet. ref DIT 1
240524 - U45M
240525 -
240526 -
240527 -
240528 -
2406 -
SUBJECTS
Case Study Scalable Knowledge Doctor Patient Partnership Medical Man
Health Care Personal Medical Management Growing Requirement Minutes
4004 -
400501 - ..
400502 - Knowledge of Cancer Treatment and Response Helps Everyone
400503 - Scalable Knowledge Leverages One Experience into Case Study
400504 -
400505 - 3. Why then is the record for one patient on the Internet?
400506 - ref DIT 1 I56J
400508 - ..
400509 - 4. Knowledge about ebbs and flows in treatment helps everyone be
400510 - prepared to treat future cases, which inevitably entail
400511 - scenarios that are difficult to anticipate but for knowledge of
400512 - prior work. ref DIT 1 RF6M Personal experience can be
400513 - leveraged on the Internet to benefit other patients with an
400514 - alert to make further inquiries that aid diagnosis with a
400515 - doctor patient partnership, called out by Kaiser's Healthwise
400516 - Handbook, reviewed on 990625. ref SDS 4 4185
400517 -
400518 - [...below, patient sees how patient histoy for case study
400519 - helps everyone. ref SDS 0 F47F
400521 - ..
400522 - [On 050421 submitted example of patient requesting
400523 - background working with doctor at Kaiser on treating knee
400524 - problems. ref SDS 31 T47J
400526 - ..
400527 - 5. We have been asked often about our experience with Kaiser, and
400528 - have always reported good results. ref DIT 1 QC7N For example,
400529 - the "Kaiser Papers" has numerous complaints of difficulties
400530 - getting treatment, which is universal in health care, reported
400531 - in the news on 990912. ref SDS 5 0001
400532 -
400533 - [On 050422 meeting with Kelly at doctor's office; she liked
400534 - seeing SDS records on Internet helping patients and doctors
400535 - work on difficult problems. ref SDS 32 F444
400537 - ..
400538 - 6. Notice that most medical mistakes are attributed in the report
400539 - to communications failure. ref DIT 1 AD8M On 020221 we
400540 - reported favorable experience working with Kaiser, ref SDS 14
400541 - WJ5V, based on recognition that the only path to improvement is
400542 - through continual review and analysis, as further explained in
400543 - the record on 020221. ref SDS 14 Y27F
400545 - ..
400546 - 7. Again, we have found [Millie's doctor and surgeon...] to be
400547 - supportive and vigorous in their practice to explore
400548 - correlations, implications, and nuance that flow from tests and
400549 - examinations in assessing diagnosis and fashioning treatment
400550 - plans. ref DIT 1 UD4F
400552 - ..
400553 - 8. If you feel that encountering familiar names on the Internet is
400554 - disturbing, we can remove the names. ref DIT 1 UE4M Since
400555 - these names appear elsewhere on the Internet removing them from
400556 - SDS records seems pointless, except it is understandable that
400557 - patients can be startled, ref SDS 0 TE6X, by the prospect that
400558 - their information may be exposed, even though that is not the
400559 - case nor the intent.
400560 -
400561 -
400562 -
4006 -
SUBJECTS
Worry Fear Shock Negative Attitude Anxiety Slow Recovery Seeing Fami
4803 -
480401 - ..
480402 - Medical Management Dilemma Confidentiality Reduces Accuracy
480403 - Dilemma Avoid Review Reduces Accuracy Causing Increased Pain
480404 -
480405 - 9. Illness, especially cancer, is an emotional experience, so it
480406 - is imperative to maintain a positive frame of mind for both
480407 - doctors and patients to focus all their attention on fashioning
480408 - treatment based on an accurate record, rather than worry about
480409 - exposure of confidential information, as you mention today.
480410 - ref SDS 0 TE4W This presents a knowledge management dilemma of
480411 - how to get an accurate case study that helps everyone improve
480412 - treatment, without causing worry about confidentiality for
480413 - others? ref DIT 1 SY6F
480415 - ..
480416 - Slow progress new way of working intelligently, per above, ref SDS 0
480417 - MQ4K, takes 50 years for transformation from information to a culture
480418 - of knowledge, discussed on 011210, ref SDS 13 R66K, illustrated by
480419 - record today where no harm occurs, and shock seeing a new way of
480420 - working creates pressure to use familiar ways of working.
480422 - ..
480423 - Other patient has comparable fears that extend transformation.
480424 - ref SDS 0 N74M
480426 - ..
480427 - Letter to patient continues...
480428 -
480429 - 10. Again, I am sorry for your situation, and hopeful that your
480430 - discussions with the doctor on this matter will be sensitive to
480431 - the feelings of all concerned. ref DIT 1 QZ3F
480433 - ..
480434 - 11. Please respond if you would like more on these matters.
480435 - ref DIT 1 513K
480437 - ..
480438 - 12. Good luck with your treatment. ref DIT 1 F13N
480440 - ..
480441 - 13. Post Script
480443 - ..
480444 - By copy I will try to get a copy of this letter to the doctor
480445 - so that he can be prepared for the discussion you plan next
480446 - week. ref SDS 0 TF4Q
480447 -
480448 -
480449 -
480450 -
480451 -
4805 -
SUBJECTS
Clinical Trial Medical Management Intelligence Support Improves Disc
6303 -
6304 - 1259
630501 - ..
630502 - Clinical Trial Intelligence Support Improves Discovery Reduces Error
630503 - Attitudes Change When People Recognize Benefits Organizational Memory
630504 -
630505 - Received ref DRT 3 0001 from patient commenting on letter that
630506 - explains use case for case study on the Internet, and answering her
630507 - letter yesterday, reported above. ref SDS 0 1T3L
630509 - ..
630510 - Patient says...
630511 -
630512 - 1. Thank you so much for such a quick and informative letter back.
630513 - ref DRT 3 0001
630514 -
630515 - [On 050422 the doctor introduced Kelly at Kaiser, and we
630516 - had time to meet and visit for about 10 minutes.
630517 - ref SDS 32 F47L
630519 - ..
630520 - 2. What you said makes sense and I can understand why this is
630521 - available. Based on what you said, I assume that last names
630522 - and medical record numbers are not included. ref DRT 3 245J
630524 - ..
630525 - The patient references the letter sent this morning, per above,
630526 - ref SDS 0 E38Q, and reports that reasonable explanations change
630527 - attitudes of emotional patients from initial opposition, cited above,
630528 - ref SDS 0 TE4W, to support for organizational memory.
630529 -
630530 - [On 050421 submitted example of patient requesting
630531 - background working with doctor at Kaiser on treating knee
630532 - problems. ref SDS 31 T47J
630534 - ..
630535 - Patient continues...
630536 -
630537 - 3. As someone who is always on line looking for new info, clinical
630538 - trials, latest breast cancer treatments etc...looking at that
630539 - site in a different light, I can see where it would be useful
630540 - to other doctors and patients who are researching. ref DRT 3
630541 - 245P
630543 - ..
630544 - We are doing a clinical trial using "intelligence support" for medical
630545 - management to facilitate communciation in the doctor and patient
630546 - partnership, per the letter to the patient. ref SDS 0 Y53H
630547 -
630548 - [On 050421 submitted example of patient requesting
630549 - background working with doctor at Kaiser on treating knee
630550 - problems. ref SDS 31 T47J
630552 - ..
630553 - [On 050422 meeting with Kelly at doctor's office; she liked
630554 - seeing SDS records on Internet helping patients and doctors
630555 - work on difficult problems. ref SDS 32 F444
630557 - ..
630558 - In a call with Millie this morning, she suggested that researchers
630559 - should develop improvements from her case. Upon discusison, she feels
630560 - that if the SDS records in Millie's case are not on the Internet, then
630561 - nobody can discover the lessons learned from this case.
630563 - ..
630564 - Patient continues...
630565 -
630566 - 4. Aside from my personal experiance with the surgeon, I have
630567 - always loved having Kaiser and knew that going to a different
630568 - hospital was unnessasary as I was getting the gold standard
630569 - treatments right where I was. ref DRT 3 246L My experiances
630570 - with Kaiser have always been positive and I get upset when
630571 - people who have never even been there make the cracks and
630572 - comments about Kaiser not being a good health plan.
630574 - ..
630575 - 5. Your very quick response and info when I'm sure you are a very
630576 - busy man is a good example of that. Thank you again for
630577 - explaining and taking the time to address my concerns.
630578 - ref DRT 3 247K
630579 -
630580 - [On 050422 the doctor introduced Kelly at Kaiser, and we
630581 - had time to meet and visit for about 10 minutes.
630582 - ref SDS 32 F47L
630583 -
630584 -
630586 - ..
6306 -
6307 -
6308 - 1327
6309 -
630901 - Submitted ref DIT 1 0001 expressing appreciation that explanation of
630902 - case study benefits was helpful....
630903 -
630904 - 1. Thanks very much for your follow up letter, and generous
630905 - comments (shown below) on the role of organizational memory for
630906 - scalable knowledge that helps everyone. ref DIT 3 0001
630908 - ..
630909 - 2. You are correct that patient last names and ID numbers are
630910 - redacted from the published record. Following your earlier
630911 - letter this morning, I talked to Millie, and we decided to
630912 - remove names of professionals from the Internet version of the
630913 - record. Hopefully, this will allow practitioners and patients
630914 - to focus on improving the work. ref DIT 3 RX5L
630916 - ..
630917 - 3. Knowledge Management is new in health care so we have to
630918 - experiment to find the most effective form of delivery. Like
630919 - clinical trials, you can have a really good system, but it
630920 - takes time for transformation to meet individual needs and
630921 - practices. ref DIT 3 BZ6J
630922 -
630923 - [On 050421 submitted example of patient requesting
630924 - background working with doctor at Kaiser on treating knee
630925 - problems. ref SDS 31 T47J
630927 - ..
630928 - 4. Thanks again for your comments, and best wishes in your
630929 - treatment. ref DIT 3 LZ7G
630931 - ..
630932 - 5. Post Script
630933 -
630934 - No need to respond, but feel free to write back if you wish;
630935 - maybe we will hook up at the chemo clinic. ref DIT 3 00W2
630936 -
630937 -
630938 -
630939 -
630940 -
6310 -
SUBJECTS
Knowledge Management UCSF KM Exerts Collabria Not New to Medical Pra
Knowledge Management KM Not New to Medical Practice Applied at UCSF
7404 -
7405 - 1518
740601 - ..
740602 - KM Not New to Medical Practice Applied at UCSF
740603 -
740604 - Received ref DRT 4 0001 from John Maloney objecting to describing
740605 - Knowledge Mangaement as "new" in medical management, ref SDS 0 LX5G,
740606 - John says...
740607 -
740608 - 1. KM in health care is not new.
740609 - ref DRT 4 0001
740611 - ..
740612 - 2. The University of California at San Francisco (UCSF) Center for
740613 - Knowledge Management (CKM), ref DRT 4 Y45L, is a remarkable
740614 - place.
740615 -
740616 - http://kmblogs.com/public/item/87026
740618 - ..
740619 - Below, John describes "earth-shattering achievements" for 10 years by
740620 - UCSF Knowledge Management support. ref SDS 0 JY5Y
740622 - ..
740623 - Experience working with UCSF reported on 041014 did not demonstrate
740624 - knowledge management for medical practice. ref SDS 24 EN5L
740625 -
740626 - [On 060821 UCSF reliance on conversation to get the gist of
740627 - the story for complex patient history avoids stress of
740628 - cognitive overhead for preparing accurate written 2nd
740629 - opinion without reviewing written chronology fits model of
740630 - Knowledge Management through conversation. ref SDS 34 YK6N
740632 - ..
740633 - On 041013 Enterprise Architect at Boeing cited Kaiser for the most
740634 - advanced application of Knowledge Management. ref SDS 22 W14V Work
740635 - with Kaiser on 041014 yielded experience on challenges using Knowledge
740636 - Management to support medical practice. ref SDS 23 T49J
740638 - ..
740639 - Work with Kaiser on 041130 illustrates challenges implementing tools
740640 - for knowledge work. ref SDS 26 YR8F Weeks later on 041230 the doctor
740641 - was unable to use Kaiser knowledge technologies to support treatment
740642 - planning. ref SDS 27 XQ84
740643 -
740644 - [On 050212 Doctor Kim could not find details of patient history in
740645 - the medical chart stored by Kaiser's computer knowledge base in
740646 - time for emergency treatment; relied on personal memory of
740647 - medicated patient, traumatized by fairly dangerous condition, for
740648 - obtaining relevant case history over the past three (3) years;
740649 - similar to Doctor Benz at UCSF. ref SDS 29 VC8H
740651 - ..
740652 - The web site John references to demonstrate UCSF support for Knowledge
740653 - Management opens an excellent Internet location for...
740654 -
740655 - Colabria
740656 -
740657 - ...with headings for....
740658 -
740659 - 1. Colabria
740660 -
740661 - http://colabria.com/
740663 - ..
740664 - Colabriac does one thing: building the collaborative
740665 - capabilities of people and their organizations.
740667 - ..
740668 - Colabria's customer offerings operate at the intersection
740669 - of people, process and technology. Breakthroughs in the
740670 - speed and effectiveness of collaborative information work
740671 - in knowledge-intensive environments are achieved.
740673 - ..
740674 - Colabria unifies and refines business processes,
740675 - strengthens collaborative behaviours and leads successful
740676 - technology deployments.
740678 - ..
740679 - Colabria enables leaders to advance their collaborative
740680 - enterprise vision and improves their ability to execute.
740682 - ..
740683 - Colabria Mission
740685 - ..
740686 - Colabria singular focus is sharp financial improvement of
740687 - core business processes through collaborative techniques,
740688 - technologies and methods.
740690 - ..
740691 - Client offerings include proven deployment techniques,
740692 - effective process architecture, performance measurement and
740693 - robust collaborative technology leadership.
740695 - ..
740696 - Colabria Profile
740698 - ..
740699 - Colabria is an expert services network. Value is created
740700 - through relationships and exchanges of expertise to assure
740701 - the success and financial rationale of collaborative
740702 - business processes, behaviours and technology.
740704 - ..
740705 - "Colabria is a new breed. By swarming expertise around our
740706 - opportunity and Colabria's multidisciplinary network, we
740707 - enjoyed a very high degree of success for our collaborative
740708 - business processes. The network approach made the
740709 - difference." Martin Phillips, Mercer Interactive
740710 -
740712 - ..
740713 - 2. Offerings
740714 -
740715 - Education
740716 - Extended Enterprise Excellence begins with Education.
740717 - Colabria offers a suite of varied educational and
740718 - developmental offerings tuned to your needs.
740720 - ..
740721 - Assessment
740723 - ..
740724 - Measurement, surveys, benchmarks and metrics are key
740725 - elements of leading successful collaborative projects.
740726 - Colabria aids in building collaborative assessment and
740727 - making them operational.
740729 - ..
740730 - Simulation
740732 - ..
740733 - The advantages of collaboration are not immediately
740734 - apparent to people. Colabria uses simulation techniques to
740735 - allow suspension of disbelief for collaborative
740736 - technologies. This achieves diffusion and adoption of the
740737 - highest order.
740739 - ..
740740 - Deployment
740742 - ..
740743 - Enterprise deployment services assure end-to-end success
740744 - of your collaborative information workers, business
740745 - processes and technologies.
740747 - ..
740748 - Process
740750 - ..
740751 - Process design and metrics services legitimize
740752 - collaborative business processes and maximize both the
740753 - financial and other benefits.
740755 - ..
740756 - Technology
740758 - ..
740759 - Expert technology services are key to an effective
740760 - collaborative strategy. Expanding the collaborative
740761 - capabilities and infrastructure architecture, free of
740762 - vendor and industry hype, is necessary to maximize
740763 - competitive advantage.
740765 - ..
740766 - 3. Network
740767 -
740768 - Colabria is an expertise network and professional
740769 - federation.
740771 - ..
740772 - Collaborative business value is created at the
740773 - intersection of people, process and technology. This
740774 - complex challenge can only be met through a constellation
740775 - of expertise. Colabria unifies the vision for clients and
740776 - swarms experts for execution.
740778 - ..
740779 - Colabria's relationship capital is brought to bear on
740780 - opportunities. The firms methods and techniques are
740781 - proven. Negotiation, contracting, delivery and measurement
740782 - are uniform. This assures substantial economic benefit.
740784 - ..
740785 - Today's interfirm opportunities are different. They are
740786 - more complex. Solutions span many disciplines.
740787 - Conventional linear approaches have been replaced with
740788 - networks. Colabria is the new network.
740790 - ..
740791 - Creating value has evolved. Colabria creates value with
740792 - conventional financial objectives. What's new is is also
740793 - creating relationship value. Colabria provides this
740794 - combination in its expertise network.
740796 - ..
740797 - John's letter continues on the UCSF KM center...
740798 -
740799 - 3. The center was forming in the late 80s, established in 1991...
740800 - ref DRT 4 V46H
740802 - ..
740803 - Review of the link in John's letter opens...
740804 -
740805 - UCSF
740806 - Center for Knowledge Management
740807 -
740808 - The mission of the UCSF Library and Center for Knowledge
740809 - Management (CKM), established in 1991, is primarily to advance
740810 - health care research and instruction through the collection,
740811 - development, organization, preservation and dissemination of
740812 - the world's health sciences knowledge base.
740813 -
740814 - [On 060821 UCSF reliance on conversation to get the gist of
740815 - the story for complex patient history avoids stress of
740816 - cognitive overhead for preparing accurate written 2nd
740817 - opinion without reviewing written chronology fits model of
740818 - Knowledge Management through conversation. ref SDS 34 YK6N
740820 - ..
740821 - UCSF does not explain how the "knowledge" base that underlies the CKM
740822 - effort advances or otherwise improves upon their "information" base.
740823 - John's letter on 020608 cited Dave Snowden for the best source on
740824 - Knowledge Management. ref SDS 16 KJ6G Dave's article relates IBM's
740825 - research that reports KM failed to meet expectations. ref SDS 16 ZN6I
740826 - Researching Snowden's thesis showed that generally, knowledge"
740827 - management" efforts merely substitute "knowledge" for "information" in
740828 - prior "information management" systems tools, and practices.
740829 - ref SDS 16 JA4L An example is IBM's "business intelligence" product
740830 - reported on 980226. ref SDS 3 2716 Other examples are listed on
740831 - 020608. ref SDS 16 OG8I
740833 - ..
740834 - Per above, experience working with UCSF reported on 041014 did not
740835 - demonstrate knowledge management for medical practice. ref SDS 24 EN5L
740837 - ..
740838 - On 041013 Enterprise Architect at Boeing cited Kaiser for the most
740839 - advanced application of Knowledge Management. ref SDS 22 W14V Work
740840 - with Kaiser on 041014 yielded experience on challenges using Knowledge
740841 - Management to support medical practice. ref SDS 23 T49J
740842 -
740843 - [On 050212 Doctor Kim could not find details of patient history in
740844 - the medical chart stored by Kaiser's computer knowledge base in
740845 - time for emergency treatment; relied on personal memory of
740846 - medicated patient, traumatized by fairly dangerous condition, for
740847 - obtaining relevant case history over the past three (3) years;
740848 - similar to Doctor Benz at UCSF. ref SDS 29 VC8H
740850 - ..
740851 - Review of the UCSF Center for KM Internet resources indicates similar
740852 - support available at Stanford Medical Center, reviewed on 041019.
740853 - ref SDS 25 8Z31
740855 - ..
740856 - Work with UCSF on 041018 shows the doctor did not mention using the
740857 - Center for Knowledge Management at UCSF. ref SDS 24 0001 Moreover,
740858 - the doctor was unable to prepare for the meeting on 041018, despite
740859 - considerable effort to provide case history. ref SDS 24 EN63 On
740860 - 041004 a UCSF staff person recommended reviewing the doctor's
740861 - credentials on the Internet. ref SDS 20 WO4R This was restated later
740862 - on 041012. ref SDS 21 MQ4J Is this a work product of the CKM?
740864 - ..
740865 - CKM website review continues...
740866 -
740867 - CKM Development Projects
740868 -
740869 - 1. Laptop Internet Access (LIAS) Pilot Project
740870 - Network Connectivity for Laptops at UCSF Library
740872 - ..
740873 - LIAS is a pilot projected conducted by the UCSF Library and
740874 - Center for Knowledge Management.
740876 - ..
740877 - The primary objective is to determine the demand for
740878 - laptop-computer access to the UCSF network and Internet by
740879 - students and staff at the Library. Students and staff of UCSF
740880 - are welcome to participate. Instructions on how to get set up,
740881 - get registered to use LIAS, and more, is below.
740883 - ..
740884 - Overview
740886 - ..
740887 - With increasing use of laptop computers at UCSF, there is a
740888 - growing need for network access for students, faculty and
740889 - staff. Departments are beginning to require laptop
740890 - computers as part of the basic equipment for students.
740891 - This project will test the technical feasibility and demand
740892 - for walk-in, plug-in network access to the UCSF network and
740893 - Internet at the UCSF Library.
740895 - ..
740896 - 2. Network Based Printer and Content Access Charging
740897 -
740898 - Charging for access to online content (e.g., journal
740899 - articles, database records) and for printing from library
740900 - public access workstations provides a way to distribute
740901 - expenses for these services among the people who use them.
740902 - This project will implement a Web-based charging system
740903 - initially targeted at recovering printing costs, and later
740904 - at content costs. In the stateless Web environment, one
740905 - challenge is accurately to associate individuals with
740906 - accounting information and resource usage. This project
740907 - involves several components, including a campus community
740908 - profile database, an account management system, a printer
740909 - management system, and an access/resource control user
740910 - interface.
740912 - ..
740913 - 3. SFizer Authenticate-Once Campus Dialin Access
740914 -
740915 - Currently for UCSF Library staff test purposes only, this
740916 - is an experimental web proxy aimed at making it easy for
740917 - UCSF students, faculty, and staff to use UCSF-only web
740918 - information services (e.g., site-licensed journals) even if
740919 - they use an off-campus internet service provider (such as
740920 - Pacific Bell). Currently it requires an ITSA account, but
740921 - will likely be enhanced to use the community profile
740922 - database being developed for the network based charging
740923 - (for printing and content) system described above.
740925 - ..
740926 - 4. UCSF Digital Library Infrastructure
740927 -
740928 - The UCSF Digital Library, GALEN II,
740929 -
740930 - http://www.library.ucsf.edu/
740931 -
740932 - ...is housed and supported by an array of machines and
740933 - software maintained by the Center for Knowledge Management.
740934 - Work on enhancements is ongoing. Significant effort went
740935 - into the GALEN redesign and public workstation rollout in
740936 - July 1997; this included URL link validation, a server
740937 - component upgrades, and search interface improvements
740939 - ..
740940 - A paper is cited explaining Galen II...
740941 -
740942 - Recent Developments in GALEN II
740943 - Evolution of a Digital Library for the Health
740944 - Sciences
740945 -
740946 - http://www.dlib.org/dlib/march96/03galen2.html
740948 - ..
740949 - The paper is dated March 1996 and is published by Library
740950 - and Center for Knowledge Management University of
740951 - California, San Francisco
740953 - ..
740954 - 5. Z39.50 Access to PREMEDLINE (in collaboration with UCOP)
740955 -
740956 - The PREMEDLINE database, produced by the National Library
740957 - of Medicine (NLM)....
740958 -
740959 - http://www.nlm.nih.gov/
740960 -
740961 - ...gives basic citation information and abstracts for the
740962 - most recent bio-medical literature before the records are
740963 - complete enough to go into MEDLINE. We worked with the
740964 - University of California Office of the President (UCOP) to
740965 - incorporate PREMEDLINE access into the MELVYL Web
740966 - interface...
740967 -
740968 - http://melvyl.cdlib.org/F/?func=file&file_name=find-b&local_base=cdl90
740970 - ..
740971 - PREMEDLINE search and retrieval with this interface is
740972 - conducted behind the scenes through a Z39.50 protocol
740973 - connection directly to the source data residing on an NLM
740974 - Z39.50 server.
740976 - ..
740977 - John's letter concludes...
740978 -
740979 - 4. A globally respected, worldwide institution, operational for
740980 - more than a decade, with earth-shattering achievements,
740981 - generally would not meet the criterion of 'new,' in my humble
740982 - opinion. ref DRT 4 656K
740984 - ..
740985 - Would like some examples of "achievements" that relate to "knowledge"
740986 - that is distinct from "information." Is John's referent the list of
740987 - CKM development projects at the UCSF Internet location, per above?
740988 - ref SDS 0 665G
740989 -
740990 - [On 060821 UCSF reliance on conversation to get the gist of
740991 - the story for complex patient history avoids stress of
740992 - cognitive overhead for preparing accurate written 2nd
740993 - opinion without reviewing written chronology fits model of
740994 - Knowledge Management through conversation. ref SDS 34 YK6N
740996 - ..
740997 - Per above, experience working with UCSF reported on 041014 did not
740998 - demonstrate knowledge management for medical practice. ref SDS 24 EN5L
741000 - ..
741001 - On 041013 Enterprise Architect at Boeing cited Kaiser for the most
741002 - advanced application of Knowledge Management. ref SDS 22 W14V Work
741003 - with Kaiser on 041014 yielded experience on challenges using Knowledge
741004 - Management to support medical practice. ref SDS 23 T49J
741005 -
741006 - [On 050212 Doctor Kim could not find details of patient history in
741007 - the medical chart stored by Kaiser's computer knowledge base in
741008 - time for emergency treatment; relied on personal memory of
741009 - medicated patient, traumatized by fairly dangerous condition, for
741010 - obtaining relevant case history over the past three (3) years;
741011 - similar to Doctor Benz at UCSF. ref SDS 29 VC8H
741012 -
741013 -
741014 -
741015 -
741016 -
7411 -
SUBJECTS
Improvement 50 Years Adopt New Way Working Buckmeister Fuller SDS Co
Patient Worried Names of Care Givers on Internet Fear Knowledge of T
7904 -
7905 - 0852
790601 - ..
790602 - Millie Worried about Names of Care Givers on Internet
790603 -
790604 - Received ref DRT 2 0001 from Millie saying...
790605 -
790606 - The copy of the letter to the patient that references my
790607 - treatment at Kaiser is disturbing. Who is the patient? What
790608 - is her reference to names appearing on the internet.
790609 - ref DRT 2 0001
790611 - ..
790612 - Called Millie and discussed concerns.
790614 - ..
790615 - This scenario reflects the patient's concerns that lead to fear
790616 - causing transformation to a new way of working to take 50 years, per
790617 - above. ref SDS 0 Y53H
790618 -
790619 -
790621 - ..
7907 -
7908 -
7909 - 1048
7910 -
791001 - Submitted ref DIT 2 0001 answering Millie's letter, and saying...
791002 -
791003 - 1. This is a patient of your doctor at Kaiser. ref DIT 2 0001
791005 - ..
791006 - 2. As we discussed, she did a search on the Internet for the
791007 - doctor and found an SDS record, and so she wrote to ask if
791008 - Kaiser is putting patient information on the Internet.
791009 - ref DIT 2 UU5O
791011 - ..
791012 - 3. As we further discussed, your name does not appear in any SDS
791013 - record on the Internet. ref DIT 2 7V6J In your subsequent
791014 - letter today, you found a letter on 960406 that readacted names
791015 - using an older method, ref SDS 1 6K49, and so it slipped
791016 - through the cracks when a new method was adopted I think in
791017 - 2003 when the Booing matter came up. I fixed it, and you can
791018 - check to see that names do not appear. ref DRP 1 0001
791020 - ..
791021 - 4. This morning, I went ahead and checked for names of the doctor,
791022 - the surgeon, and for the radiologist. ref DIT 2 DV7J There
791023 - were a few records that still had their names, so I changed the
791024 - string to "the doctor," "the surgeon," and "the radiologist."
791026 - ..
791027 - 5. I have not heard back from the patient, but in any event a
791028 - future search for these names will not yield SDS records on
791029 - your case, once I submit a robots.txt file to Google.
791030 - ref DIT 2 MV8F
791031 -
791032 -
791033 -
791034 -
791035 -
791036 -
791037 -
791038 -
791039 -
791040 -
7911 -