CONTACTS 
0201 - Kaiser Permanente - Shadelands       925 906 2200
020101 - Walnut Creek, CA
020102 - Ms. Jeanne Bradley; Coordinator =925 906 2200
020103 - Administration Department
0202 - Kaiser Permanente - Shadelands       925 906 2200
020201 - Walnut Creek, CA
020202 - Dr. Syed E. Naqvi, M.D.; Physician
020203 - yourname@organization.xxx
020204 - Primary Care =925 206 2040

SUBJECTS
Medical, Kaiser
Exam 990910 Knee Treatments
Xrays on Knees, 990813
Medical History, Xrays Not Submitted for Meeting
Medical Chart Missing Information
Syed Doesn't Like Email
Click Links Objectionable, Takes Time

1209 -    ..
1210 - Summary/Objective
1211 -
121101 - Follow up ref SDS 73 0000, ref SDS 72 0000.
121102 -
121103 - Received ref DRT 1 0001 from Jeanne which is a copy of a letter from
121104 - Syed to her, evidently giving notice he refuses to read mail
121105 - delivered via the web, stating in total...
121106 -
121107 -     Pl remind him, I don't visit web sites. If its a health related
121108 -     matter that I need to address, let me know or send me email or a
121109 -     message thanks
121110 - ..
121111 - This seems to indicate Syed has not read the letter to Mark,
121112 - ref DIP 14 0001, submitted on 990921, ref SDS 73 0477, requesting
121113 - follow up for visiting Craig on 990910. ref SDS 73 0477
121114 -
121115 -     [On 990924 Mark Mangrai, Kaiser's Patient Assistant, explained
121116 -     some doctors have difficulty clicking on links. ref SDS 74 2479]
121117 -
121118 - Syed's preference to avoid communication with patients by clicking to
121119 - open a letter aligns with his report on 990802, ref SDS 55 9108, and
121120 - again on 990813. ref SDS 59 1254   Lack of experience with web mail
121121 - justifies Syed's perference.  On 990712 an Intel executive objected to
121122 - web mail, ref SDS 47 5837, but two months later on 990905, reported
121123 - experience with increased efficiency of web mail led him to adopt the
121124 - practice. ref SDS 63 0966  On 990804 advantages of web mail were
121125 - reviewed. ref SDS 57 1280
121126 -
121127 - It takes less effort to open a letter on the web, than it does to open
121128 - a letter in the mail.  Organization and links in web mail improves
121129 - conventional email to ensure effective communication, as reported by
121130 - Bill DeHart on 990909. ref SDS 65 0001
121131 -
121132 - Rejection of cost and time advantages using web mail is explained by
121133 - Grove in his book "Only the Paranoid Survive," reviewed on 980307,
121134 - pointing out that people like to work on familiar things in familiar
121135 - ways, regardless of how inefficient they may be, and feel insulated
121136 - from consequences by the inertia of success.
121137 -
121138 - On 990625 Sylvia recommended Syed as a forward thinking physician who
121139 - would be open to improving doctor/patient communications, ref SDS 41
121140 - 0970, called out in Kaiser's Healthwise guidelines. ref SDS 41 4185
121141 -
121142 - Work with Syed on 990628 supports Sylvia's recommendation. ref SDS 43
121143 - 2223  Syed's professional opinions and work ethic are of the highest
121144 - order.  Deployment of these assetts requires effective communication,
121145 - which has been difficult to accomplish, per above, ref SDS 0 0001, due
121146 - to lack of experience at Kaiser with web mail.  On 960624 Doctor Tom
121147 - Landauer advised that experience with new methods is essential to
121148 - overcome fear of changing work practice. ref SDS 19 1037
121149 -
121150 - Leadership helps people overcome fear of better methods that change
121151 - existing work habits, explained on 970703, ref SDS 23 9603, and
121152 - discussed with Kaiser on 990802. ref SDS 55 2500
121153 -
121154 -     [On 990924 Mark Mangrai left message with constructive ideas on
121155 -     improving communications. ref SDS 74 0001]
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1212 -