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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000, ref SDS 6 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Two (2) reports were issued for the CT test on 081107, received on
040902 - separate days.  The first on 081112, ref SDS 1 YO7M, and the second
040903 - report was received the next day on 081113. ref SDS 2 6V5I  Receiving
040904 - multiple reports for a single CT test caused confusion at UCSF during
040905 - the meeting on 081113. ref SDS 2 6V5I
040907 -  ..
040908 - Yesterday, on 090106, Arlette in the Oncology Department advised that
040909 - Kaiser issued 2 separate reports again for Millie's CT test on 081230,
040910 - rather than consolidate findings into a single report to avoid
040911 - confusion and prevent mistakes. ref SDS 6 JW5N
040913 -  ..
040914 - After talking to Arlette, also, on 090106 called the CT Department and
040915 - talked to Chris, the receptionist. ref SDS 7 TQ6K  Chris looked on
040916 - Kaiser's computer and found the referral by Millie's primary care
040917 - physician in Oncology specified a consolidated report for the CT test
040918 - on 081230. ref SDS 7 OO82  Chris also advised during the call
040919 - yesterday that a year or so ago, Kaiser changed policy and procedure
040920 - to publish separate reports on the neck and head. ref SDS 7 OO77
040921 - During the same call with Chris yesterday on 090106, explained
040922 - problems caused for case management, cited at UCSF on 081113,
040923 - ref SDS 2 GR8L, when multiple reports are issued for the same test.
040924 - ref SDS 7 OO85
040926 -  ..
040927 - Chris planned to contact Al Hutchins about consolidating findings into
040928 - a single report. ref SDS 7 OO91
040930 -  ..
040931 - Today, Chris advised that Doctor Mates is a radiologist in charge of
040932 - setting policy and procedure for reporting standards on CT tests.  As
040933 - a result, Chris has not talked to Al Hutchins, the manager of
040934 - Radiology, nor to Susan Hobbs, who wrote the report for Millie's CT
040935 - test on 081230, and prepared two reports again, which was planned in
040936 - the telecon yesterday on 090106. ref SDS 7 OO4S
040938 -  ..
040939 - Chris explained that Doctor Mates is not in the office today, and
040940 - since she works Monday - Wednesday, she cannot follow up tomorrow when
040941 - the doctor is scheduled to be onsite.
040943 -  ..
040944 - Chris has prepared a report on patient feedback from the telecon
040945 - yesterday on 090106. ref SDS 7 TQ6K
040947 -  ..
040948 - Chris plans to leave the report at her desk for her replacement
040949 - tomorrow to follow up with Doctor Mates, as suggested by Dennis.
040950 -
040951 -        [On 090109 0840 CT Department receptionist was not aware of a
040952 -        report nor of notes Chris left on the desk for contacting
040953 -        Doctor Mates. ref SDS 8 Y75I
040955 -         ..
040956 -        [On 090109 0840 meeting with CT Department manager indicates
040957 -        that within the past 4 - 6 months, Kaiser changed the policy
040958 -        from issuing a single consolidated report that is efficient for
040959 -        doctor's to use, to issuing separate reports for each pass the
040960 -        CT equipment makes to complete a test; this change increases
040961 -        Kaiser's revenues from billing for each pass of the equipment;
040962 -        since Millie's tests for the neck, chest, abdomen, and pelvis
040963 -        require 2 passes of the CT equipment, Kaiser publishes 2
040964 -        reports in order to increase revenues. ref SDS 8 CE7R
040966 -         ..
040967 -        [On 090109 1537 Millie received from the primary care physician
040968 -        using Kaiser's Knowledge Management system an electronic
040969 -        submission of the report for Millie's CT test on 081230; the
040970 -        doctor submitted only 1 of the 2 reports prepared by the CT
040971 -        Department, ref SDS 9 V53J; mistakes performing case management
040972 -        reflect confusion that increased cost and delayed work,
040973 -        reported on 081219, ref SDS 3 T59G, and caused by failing to
040974 -        consolidate findings into a single report for the CT test,
040975 -        which was ordered by the doctor on 081219. ref SDS 3 WP30
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