CONTACTS 
0201 - Kaiser Permanente - Shadelands       925 906 2200
020101 - Walnut Creek, CA
020102 - Ms. Jeanne Bradley; Coordinator =925 906 2204
020103 - Jeanne.Bradley@ncal.kaiperm.org
020104 - Administration Department
0202 - Kaiser Foundation Health Plan, Inc.  510 ... ....
020201 - Mr. Tom Driscoll; Director of Operations =510 987 4921
020202 - tom.driscoll@kp.org
020203 - Call Center

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
Imploding Not Enough Time to Think
National Inititive Reduce Mistakes, 991207

1511 -    ..
1512 - Summary/Objective
1513 -
151301 - Follow up ref SDS 22 0000, ref SDS 21 0000.
151302 -
151303 - National initiative was announced today to address the high cost of
151304 - medical mistakes, which aligns with the letter to Kaiser yesterday.
151305 - ref DIP 11 0001
151306 -
151307 - Submitted ref DIT 1 0001 to Tom linked to this record and the article
151308 - published by Reuters.  Sent copy to Jeanne.
151309 -
151310 -     [On 991210 called Tom to follow up. ref SDS 23 0001]
151311 -
151312 -     [On 991221 study shows critical information missing from 90% of
151313 -     communciation between doctors and patients. ref SDS 24 0001]
151314 -
151315 -     [On 000407 listed agenda issue for DKR project meetings.
151316 -     ref SDS 25 6973
151317 -
151318 -
151319 -
151320 -  ..
1514 -
1515 -
1516 - Progress
1517 -
151701 - Management Imploding in New World Order of Guess and Gossip
151702 - Leadership Changes Culture of Denial to Reduce Cost Medical Mistakes
151703 -
151704 - Follow up ref SDS 20 2703, ref SDS 10 2800.
151705 -
151706 - President Clinton announced an initiative to reduce the high rate of
151707 - medical mistakes found by the Institute of Medicine, reported by
151708 - Reuters, ref OF 4 0001, via Yahoo Internet....
151709 -
151710 -
151711 -      http://dailynews.yahoo.com/h/nm/19991207/ts/clinton_health_4.html
151712 -
151713 - ..
151714 - This follows up the report on 990912, ref SDS 4 0001, and the
151715 - letter explaining the cause and solution to mistakes, ref DIP 2 0001,
151716 - prepared on 990924. ref SDS 5 0001
151717 -
151718 -     [On 991221 study shows critical information missing from 90% of
151719 -     communciation between doctors and patients. ref SDS 24 0001]
151720 - ..
151721 - The letter to Kaiser, ref DIP 10 0952, on 991130 cited the goal
151722 - to reduce the high cost of medical mistakes, which has been reported
151723 - in the national media the past few days. ref SDS 20 1260
151724 -
151725 - The discussion with Tom yesterday furthered this goal, ref SDS 22
151726 - 1891, per the letter confirming planning. ref DIP 11 0001  Kaiser's
151727 - goals for quality team care reviewed on 991028 support the President's
151728 - initiative today for reducing mistakes. ref SDS 8 0800
151729 - ..
151730 - The report today says medical mistakes cost $29B per year,
151731 - ref OF 4 6486, which reflects the high cost reported on 990912.
151732 - ref SDS 4 0583
151733 -
151734 - A study by the National Academy of Sciences found that 98,000 people
151735 - die every year due to medical mistakes. ref OF 4 4970, which aligns
151736 - with the report on 990912. ref SDS 4 0001
151737 -
151738 - A federal task force is to report in 60 days on how to reduce medical
151739 - mistakes and improve patient safety. ref OF 4 0930  A major concern
151740 - is confidence in medicine.
151741 -
151742 - Approximately 7,000 mistakes occur in prescribing or dispensing the
151743 - wrong drugs. ref OF 4 0528   One focus to reduce mistakes is on using
151744 - an electronic keypad for entering prescriptions. ref OF 4 2728
151745 - ..
151746 - President authorized $25M for research, and to increase the
151747 - budget to improve health care quality and prevent medical errors.
151748 - ref OF 4 8532
151749 -
151750 - Awareness about the growing rate of mistakes aligns with analysis in
151751 - the New World Order... paper that management is imploding in a morass
151752 - of guess and gossip, ref OF 7 8303, due to over reliance on talking
151753 - and too little analysis, as reviewed on 991108. ref SDS 13 7426
151754 -
151755 -
151756 -
151757 -
151758 -
1518 -
1519 -
1520 - 1544 called Tom
1521 -   ..
152101 - Left message about email on Clinton.
152102 -
152103 -
152104 -
152105 -
152106 -
152107 -
152108 -