CONTACTS 
0201 - Kaiser Permanente - Shadelands       925 906 2200
020101 - Walnut Creek
020102 - Mr. Mark Margrai; 925 906 2209
020103 - Patient Assistance

SUBJECTS
Medical, Kaiser
Exam 990910 Knee Treatments
Patient Assistant
Xrays on Knees, 990813
Questions, Suggestions
Medical History, Xrays Not Submitted for Meeting
Medical Chart Missing Information

0909 -    ..
0910 - Summary/Objective
0911 -
091101 - Follow up ref SDS 56 0000, ref SDS 54 0000.
091102 -
091103 - Received ref DRT 1 0001 from Mark, responding to my letter, ref DIP 9
091104 - 0001 submitted on 990907, requesting for patient assistance to support
091105 - communications, and confirm medical history was been submitted to
091106 - Craig, per request on 990829. ref SDS 55 7387
091107 - ..
091108 - Mark was sick on 990907, and so Kaiser was unable to submit
091109 - medical history to Craig on 990910, which was requested in my letter
091110 - to Mark on 990907. ref DIP 9 9919  This explains in part the problems
091111 - on 990910. ref SDS 57 3038
091112 -
091113 - Mark asks if there is still something he can do?
091114 - ref DRT 1 8933
091115 -
091116 - Submitted ref DIT 1 0001 with following actions...
091117 -
091118 -      [On 990915 Mark was out of the office, Jeanne Bradely submitted
091119 -      the record to Sylvia and Craig. ref SDS 59 0001]
091120 -
091121 -      [On 990921 Mark responds. ref SDS 61 0001]
091122 -  ..
091123 -    1.  Visit with Doctor Syed Naqvi and Kaiser management to develop
091124 -        report on disposition of patient request on 990813 that medical
091125 -        history and new therapies be submitted to Craig, ref SDS 52
091126 -        1457, as provided by Kaiser's Team Care policy reviewed on
091127 -        990625. ref SDS 36 6970
091128 -
091129 -        Include in the report disposition of request on 990829.
091130 -        ref SDS 55 7387
091131 -
091132 -          [On 990921 renewed request for report. ref SDS 61 0477]
091133 -
091134 -          [On 991006 report from Patient Assistance says Kaiser failed
091135 -          to submit medical information to the doctor because the
091136 -          patient requested it using web mail. ref SDS 63 0002]
091137 -
091138 -
091139 -  ..
091140 -    2.  Submit the letter to Doctor Craig Boulris on the meeting held
091141 -        990910, ref SDS 57 0001, per below. ref SDS 0 7728
091142 -
091143 -        Submit medical history to Craig, including explanations of new
091144 -        knee therapies, so he can address these in the report he is
091145 -        submitting on my knee. ref SDS 57 3555
091146 -
091147 -        Need to develop procedures to support doctors, as explained by
091148 -        Craig on 990910. ref SDS 57 2040
091149 -
091150 -         [On 990915 I did this through Jeanne. ref SDS 59 3408]
091151 -
091152 -         [On 990927 requested help and proposed procedure for Patient
091153 -         Assistance to support web mail. ref SDS 62 3966]
091154 -
091155 -    3.  Add missing patient history to medical chart reported on
091156 -        990816. ref SDS 54 2601
091157 -
091158 - Cited in second para, ref DIT 1 4640, report on 990912 about high cost
091159 - of medical mistakes. ref SDS 58 0001
091160 -
091161 - Decided not to submit the following at this time, because Mark's time
091162 - is limited.  The goal is to avoid high cost of medical mistakes
091163 - reported on 990912. ref SDS 58 0001
091164 -
091165 -    a.  Advise how patient can help accomplish guidelines in Healthwise
091166 -        Handbook on doctor/patient partnership, ref SDS 36 4185, and
091167 -        communications, reported on 990625, ref SDS 36 0806, in light
091168 -        of doctor preferences to avoid using web mail for clear,
091169 -        concise, complete communication, due to limited time and
091170 -        inexperience, as reported by...
091171 -
091172 -         [On 991028 Kaiser's CEO Bob Pearl indicates goal to support
091173 -         Team Care, cites studies to develop better methods.
091174 -         ref SDS 64 0800]
091175 -
091176 -         [On 991101 discussed meeting with Kaiser medical management
091177 -         staff on this issue under Team Care. ref SDS 65 0966]
091178 -
091179 -        a.  Doctor Sylvia Connolly on 990625. ref SDS 36 1846 and,
091180 -            ref SDS 36 2652
091181 -
091182 -        b.  Doctor Syed Naqvi on 990802. ref SDS 49 4293
091183 -
091184 -        c.  Doctor Syed Naqvi on 990813. ref SDS 52 1254
091185 -
091186 -        d.  Doctor Craig Boulris on 990910. ref SDS 57 3038
091187 -                                    ..
091188 -    b.  Develop doctor/patient communication training program, as
091189 -        proposed on 990625. ref SDS 36 5358
091190 -
091191 -         [On 991028 Kaiser needs communication training to support Team
091192 -         Care. ref SDS 64 8499]
091193 -
091194 -         [On 991101 discussed training for doctor/patient
091195 -         communication. ref SDS 65 1718]
091196 -
091197 -
091198 -
091199 -  ..
091200 -
091201 - Submitted ref DIT 2 0001 to Craig linked to record of meeting on
091202 - 990910. ref SDS 57 0001  Linked to report on cost of medical mistakes
091203 - on 990912. ref SDS 58 0001
091204 -
091205 - Since we do not have an email address for Craig, per Kaiser policy
091206 - cited on 990910, ref SDS 57 2040, linked the letter to Craig in the
091207 - letter to Mark, and ask Mark to forward to Craig. ref DIT 1 5664
091208 -
091209 -         [On 990915 I did this through Jeanne. ref SDS 59 3408]
091210 -
091211 -         [On 990917 sent link to Anne Blackman on using the web for
091212 -         medical work. ref SDS 60 0001]
091213 -
091214 - Linked to medical history on 990625. ref SDS 36 5152
091215 -
091216 - Linked to article on 8 new therapies. ref OF 2
091217 -
091218 - Sent a copy to Sylvia and Syed so they can see what transpired.
091219 -
091220 -
091221 -
091222 -
091223 -
0913 -