kaiserfraud ([info]corphq) wrote,
@ 2005-11-09 15:30:00
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Entry tags:kaiser patients, kaiser permanente

Banner Week for Kaiser Negligence, Corruption, and Fraud
During the past couple of weeks, Kaiser has confirmed three patient deaths caused by medical error. This spate of incidents have come to light in conjunction with the discovery that Kaiser rewarded Dr. Patel despite escalating malpractice claims and the suspicious deaths of at least five of his patients in the U.S. Update: Kaiser has now admitted to four medical error deaths. Kaiser wouldn't comment when asked whether there are more that they haven't reported yet.

It will be interesting to watch how Kaiser attempts to worm their way out of this. Kaiser never takes responsibility for what harm they do to people, and Kaiser's spinmeisters aren't above lying and revictimizing the people they've harmed as they engage in "Issues Management". Kaiser has yet to answer for trying to frame me - they haven't so much as apologized. As far as Kaiser is concerned, lying works: neither government nor public opinion has yet discouraged them.

The woman who runs Kaiser Papers Hawaii has struggled for 2 1/2 YEARS to bring to light Kaiser's substandard care and subsequent record tampering. She was burdened with amassing documentation to prove her case, forced to tell her traumatic story over and over, and subjected to the nasty, derogatory comments of Kaiser's representatives. The relevant government agency, Hawaii's Insurance Division, seems just as uninterested in helping people as California's Department of Managed Health Care. Here's an article by the American College of Obstetricians and Gynecologists that sheds some light on Kaiser's brutal treatment of women in labor. Her story is not unique: everyone with a Kaiser complaint has been through such lengthy, demeaning, costly, and often useless bureaucratic procedures. This system is obviously geared to discourage people from complaining about Kaiser rather than addressing their complaints. Even if the medical problem is ultimately fixed, people never get redress for the time, effort, and insulting treatment involved in simply filing a complaint.

While the public is distracted by Kaiser's mounting death count, no one seems to be paying much attention to the slow-boiling issue of Kaiser outsourcing. While Kaiser denies outsourcing medical transcription overseas, 35% of transcription in Northern California alone get contracted out to the notorious MedQuist and other outside agencies. When Kaiser claims it doesn't outsource transcription, it's like Bush saying that the U.S. armed forces are adhering to the Geneva Convention because they are hiring consultants to do all the torture.

Kaiser has been using the threat of outsourcing to crank up quota demands on its own in-house typing slaves. The fix is in. As in-house transcriptionists flee poor working conditions, Kaiser pleads that their "inability" to retain qualified transcriptionists "forces" them to outsource. Kaiser has been using its acclaimed "Labor-Management Collusion" to exclude workers from all union bargaining and present them with sets of "non-negotiable demands".

Kaiser has also been busy adding subjective criteria to transcriptionist performance reviews such as "team participation," "cooperative attitude," and "not being divisive by faction-building." This gives Kaiser managers a way to arbitrarily fire people for union activity (as well as supplying a pretext for racial discrimination, etc.). There needs to be a curse on the head on whoever gave Big Business the idea to use pop psychology to circumvent all existing worker's rights.

I just read an article that pointed out twice as many people lose their jobs for ostensible "personality problems" as performance issues. Who wants to bet a good many of the performance issues were actually bald-faced lies to cover up for managers with personality problems? Sadly the article notes the corporate rush to use personality tests to promote conformity: this is just going to make the problem worse as the corporate ranks fill with sociopaths who blithely beat such tests, while good workers who are honest about their personality quirks get weeded out. Also, since managers always provide one half of the personality conflict, why are corporations putting yet more discretionary power in their hands? While the people who do the work are treated as expendable, managers are being rewarded for abrasive, retaliatory, and corrupt behavior.

I ask people who read this to urge their political representatives to take action to make Kaiser accountable. Find your political representatives here. Kaiser currently has no incentive at all to do the right thing: all they do is trot out their Issues Management team and attempt to manipulate public perceptions. Kaiser won't bother to check in with their conscience as long as they think this approach works.




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Make that four patient deaths due to medical error
(Anonymous)
2005-11-10 08:22 pm UTC (link)
Fourth patient has died after mistake at Kaiser hospitals

November 10, 2005, SAN JOSE, Calif. - Kaiser Permanente remains under scrutiny after the report of yet another death at one of its facilities. After state health regulators confirmed three people have died at two Kaiser hospitals in the South Bay in a little more than a year, Kaiser acknowledges another person has died after a mistake in the patient's care.

State health records show a 77-year-old man died at Kaiser-Santa Clara in October of last year after being given the wrong food.

Because the man was having difficulty breathing, he was not supposed to be given any food by mouth. He died after a nurse gave him the wrong dinner.

He's the fourth patient to die in a Kaiser hospital in the South Bay because of a mistake in patient care in the past 13 months.

Full Story

http://www.kaiserthrive.org

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Re: Make that four patient deaths due to medical error
[info]corphq
2005-11-10 11:14 pm UTC (link)
Thanks for calling my attention to this! After all the covering up for Kaiser, I wonder what finally turned things around?

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Re: Make that four patient deaths due to medical error
(Anonymous)
2005-11-11 06:24 pm UTC (link)
What turned things around? Perhaps your tireless efforts have succeeded in finally penetrating the public conciousness about this highly corrupt and nefarious organization. They have no concious. They have no moral center. Consequently a discontented constituency is emerging and their awareness is starting to achieve critical mass. All the money in the world will not overcome an informed public which stands up for its rights. What goes up must come down. Kaiser is poised to crumble and fall. Just like the Berlin Wall.

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Re: Make that four patient deaths due to medical error
[info]corphq
2005-11-11 07:01 pm UTC (link)
I'm still wondering how this is all getting reported. The press is strongly pro-Kaiser, and they haven't been particularly interested in exposing the death count. In fact, since Kaiser forces patients into arbitration, most of it is covered up by settlements with a gag clause. The fight to make Kaiser accountable has largely been the scattered efforts of bereaved families. Anyway, it bothers me that the reported deaths are just the ones "confirmed" by Kaiser. If reporters did their own investigation, I bet the death (and maiming) count would be a lot higher.

I just started collecting Kaiser complaints I've found around LiveJournal. It will take a while, but here are the ones I've found so far:
http://www.livejournal.com/tools/memories.bml?user=corphq&keyword=%2A&filter=all

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Re: Make that four patient deaths due to medical error
[info]corphq
2005-11-15 08:57 pm UTC (link)
New link for Kaiser Complaints: http://www.livejournal.com/tools/memories.bml?user=corphq

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(Anonymous)
2005-11-11 04:06 pm UTC (link)
It is ironic that none of this will affect Kaiser's NCQA quality rating!

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[info]corphq
2005-11-11 06:52 pm UTC (link)
Not so ironic since NCQA is owned by a consortium of HMOs! NCQA is where Kaiser will get some press release for good PR to try to replace the bad news. And they will also probably donate money for building something.

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(Anonymous)
2005-11-11 11:28 pm UTC (link)
You called that one right!

http://sacramento.bizjournals.com/sacramento/stories/2005/11/07/daily38.html?jst=b_ln_hl

Kaiser awards $7.6M in grants

Kaiser Permanente said Friday that it is awarding $7.6 million in grants to Northern California clinics and hospitals that care for the uninsured and underinsured, including six-figure grants to organizations active in Greater Sacramento.

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[info]corphq
2005-11-12 12:20 am UTC (link)
Kaiser does the exact same thing every time! I've been watching this pattern for a while.

Kaiser's Issues Management Team obviously believes it's better to court public opinion than repair individual wrongs: justice will only be appreciated by the victim, while big showy grants will buy a lot of votes.

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(Anonymous)
2005-11-12 12:31 am UTC (link)
Like the Bush Administration and terror alerts. Duck and distract.

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[info]corphq
2005-11-12 12:51 am UTC (link)
Or loom over people, speak forcefully, and bombard with visual cues so people will give in to whatever you have to say through sheer intimidation.

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(Anonymous)
2005-11-11 07:10 pm UTC (link)
Note Kaiser's "no comment" when asked if there are other deaths that haven't come to light. If the answer was "no" they would have said so, so while Kaiser is "taking full responsiblity" out of one side of its mouth, out the other they prove they intend to do no such thing.

Cristy Wolf
http://www.kaiserthrive.org
http://www.kaiserpapershawaii.org

----------------------------

Hospitals blamed in more deaths

By David L. Beck

Mercury News

Kaiser Permanente officials have confirmed the deaths of two more patients caused by staff errors at its South Bay hospitals. The deaths bring to at least four the number of fatal incidents at Kaiser facilities during the past 13 months.

Three of the deaths involved either the wrong medications, or the right medications in the wrong dosage. The fourth was an elderly man who choked on food he was not supposed to have been given.

As it has before, Kaiser issued written statements saying that it “has expressed its deepest regret and sympathy to the family for their tragic loss'’ and accepting “full responsibility'’ for the errors.

Kaiser would not comment when asked whether there were any more cases that have not yet come to light.

A Mercury News search of state Department of Health Services files found that:

• A 77-year-old man was admitted to Kaiser-Santa Clara on Oct. 28, 2004, having difficulty breathing. On Nov. 1, according to the state report, his physician wrote an order to give the patient nothing by mouth because he was having difficulty eating.

According to Kaiser spokesman Kevin McCormack, a nurse saw the order and put the man’s dinner in a refrigerator. But an aide, “not realizing that she wasn’t supposed to,'’ retrieved it and fed him at 6 p.m. By 6:30 he was having trouble breathing, and she summoned the nurse, who found him ‘unresponsive,'’ according to the state report. He died at 7:30 p.m. of what McCormack called “aspiration pneumonia.'’

• Last Christmas Eve, a 64-year-old San Jose man was admitted to Kaiser-Santa Clara complaining of “vision changes'’ and having trouble speaking.

He was diagnosed as having suffered a stroke and put on a drug called a tissue plasminogen activator, or TPA. Approved for use in 1987, the drug is commonly given to stroke or heart attack victims to dissolve clots.

The total dosage ordered for the man was 67 milligrams, and his nurse set the IV to shut off at that point. But according to state records, another nurse, finding that there was still medication in the 100-milligram container, administered that, too. The man died in the intensive care unit on Dec. 26.

No report was made to the state until Jan. 20, and Kaiser was cited by the state for the delay.

Kaiser said it has added additional safeguards to prevent similar errors from occurring again.

The Mercury News reported last week that a 12-year-old girl was mistakenly given a double dose of a drug at Kaiser-Santa Clara in July, and that the overdose may have caused her death.

And 21-year-old Christopher Wibeto was given another patient’s chemotherapy drug at Kaiser’s Santa Teresa hospital in August. He died three days later.

In Wibeto’s case, Kaiser confirmed that it had reached a financial settlement with the family. McCormack declined to say whether there had been settlements in the other cases.

Full Story:

http://www.mercurynews.com/mld/mercurynews/news/13129841.htm

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[info]corphq
2005-11-11 07:19 pm UTC (link)
Yep, Kaiser doesn't fess up until they're caught and can't weasel their way out of it.

On the other hand the big spinmeisters like Bernard Tyson and Matthew Schiffgens haven't been trotted out yet. They will probably try to call these deaths "anomalous incidents" - reducing them to something scientific, statistical, and neutral.

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(Anonymous)
2005-11-12 06:15 am UTC (link)
Schiffgens is still trying to pull his pants up after the systems diagrams debacle!

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[info]corphq
2005-11-12 06:35 am UTC (link)
I wonder if he actually went into a Kaiser meeting and recommended trying to frame me...?

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(Anonymous)
2005-11-11 07:18 pm UTC (link)

Fmr. Kaiser Doctor Talks To ABC7
Claims Many Medical Mistakes
KGO By Debora Villalon

Nov. 11 - KGO - A doctor who once worked at Kaiser Permanente in South San Francisco claims preventable medical mistakes happened too often at that hospital. He says cost-cutting moves put patients' lives in danger, and when he tried to warn Kaiser, he was fired.

Dr. Cyrus Safai, former Kaiser doctor: "It was an uphill battle, sometimes a daily battle."

Surgical radiologist Cyrus Safai worked at Kaiser for 13 years, the final years a battle he says as budget cuts made quality care impossible.

Stephen Schear, attorney: "He was just not provided the staffing, the technology or the nurse to be able to the procedures that needed to be done and so the linkage between cost and inadequate care was clear in many of these cases."

Patients whose conditions worsened and patients who died waiting for a procedure.

Dr. Safai's lawsuit against Kaiser claims, case after case, where patients were "denied and delayed care" and suffered "gross misdiagnosis with serious harm."

He complained all the way up to the state medical board, telling them:

Dr. Cyrus Safai, former Kaiser doctor: "There was an unwritten policy of let the patient die but save the budget."

Kaiser is under scrutiny now, after acknowledging four patient deaths due to medical mistakes: overdoses or drug mix-ups, and in one instance, feeding a patient solid food against doctor's orders.

It's estimated as many as 98,000 Americans die from medical errors each year.

Dr. Lonnie Bristow, former president, American Medical Association: "Healthcare has gotten so complex, particularly during the last 30 to 40 years, that it now becomes very error-prone because of the complexity."

But Dr. Safai believes many mistakes come from cost-cutting because staff is over-burdened and under-equipped.

State inspectors found many of the same deficiencies he complained about at his hospital and his colleagues launched a petition drive to get Kaiser to reinstate him.

Instead, Safai says, they ousted him to silence him about mistakes he believes continue to this day.

Dr. Cyrus Safai: "In my experience and incidents I was involved in & many of them were covered-up."

Dr. Safai's case goes to trial in January.

ABC7 contacted Kaiser about his claims and his wrongful termination lawsuit, but the health care giant had no comment.

Kaiser's still trying to formulate a statement about the rash of fatal mistakes in the South Bay other than to say they are taking full responsibility and are taking corrective action.

Take Action Into Your Own Hands

State senator Elaine Alquist says she will propose legislation in January mandating hospitals report serious medical errors within 48 hours and require the state to create a database to make that information public. Tell her what you think by sending her an e-mail through our ABC7 Taking Action page.

http://abclocal.go.com/kgo/story?section=local&id=3626588

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[info]corphq
2005-11-11 07:22 pm UTC (link)
Wow, go Dr. Safai! There's my blog entry for this afternoon.

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(Anonymous)
2005-11-11 07:46 pm UTC (link)
Anybody hear any "Thrive" commericals lately?

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Kaiser Wrongful Death
(Anonymous)
2005-11-14 06:24 pm UTC (link)
My sister was admitted to Kaiser December 17, 2004 for a colostomy. After her surgery she kept getting weaker and weaker until they finally did an "Emergency" surgery on Jan 2, 2005 to repair a leak in her colon. Needless to say, they were to late, and she passed on Feb 12, 2005, never getting out of the hospital.

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Re: Kaiser Wrongful Death
[info]corphq
2005-11-14 06:37 pm UTC (link)
That's more or less the definition of Kaiser medicine: never diagnose and keep delaying until the patient gets better on their own, leaves the Kaiser system for better insurance (re: dumping the expensive patients through providing bad service that makes them "choose" to go elsewhere), or dies. I'm sorry about your sister.

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My Kaiser experience
(Anonymous)
2005-11-15 02:22 am UTC (link)
I was atmitted in Kaiser hospital in January,there I almost died twice. First the doctor informed me he did not know what was wrong with me. We informed him we need to get a second opinion,that is when they sent me to UCLA and they did a bone morrow biopsy on me. UCLA determined that I had a rare bood disese. Kaiser would not let me leave their facility to be treated at UCLA and informed me they could treat it. They treated it alright,WRONG. They gave me a chemo treatment in a vein instead of a pic line, which in turn made me very ill, with infections and causing me to be hospitalized for 3 more months, and just about dying from the treatment that they administered incorrectely.

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Re: My Kaiser experience
[info]corphq
2005-11-15 03:08 am UTC (link)
Kaiser seems particularly inept when it comes to cancer (I just added another one with deadly consequences to the Memories section of my LiveJournal (there's a link to "Patient Complaints" in the left-hand navigation bar).

I'm also compiling a list from other blogs, but I can't add these to my LiveJournal Memories. I'm still trying to figure out what to do with them. Just this casual search, however, reinforces my opinion that Kaiser doesn't incentivize diagnosis, so the diagnosis is usually made too late. And then on top of that, Kaiser doesn't support top quality treatment: they try to convince the patient that mediocre treatment is the right way to go.

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adding subjective criteria to transcriptionist performance reviews such as "team participation," "co
(Anonymous)
2005-11-20 10:36 pm UTC (link)
The transcriptionists have also been instructed that when processing a physician's dictation to written word for charts, if the physician dictates anything at all that would make Kaiser look bad, or doctor look bad, the transcriptionist is NOT TO TRANSCRIBE it but to send it to manager who in turn sends it to someone who has the job of determining if what the doctor dictated can actually be made a part of the medical record of if it needs to be changed. In addition to that, the MTs are to watch out for doctors dictating anything that may be construed as being HIPAA noncompliant -- Some MTs are overzealous; for example, one sent in: "...After the stress test I interviewed the patient in the presence of her husband, who has had multiple coronary interventions." and the supervisor sent a copy of that sentence to the MTs saying "The language in green above could possibly be construed as HIPAA non-compliant as the verbage is reporting on an individual who is NOT the patient. While family history would be acceptable....Please keep your ears out for such things so that we do not fall into a trap....Please ask if in doubt." How bad is it when the physicians cannot just dictate their perspective on what happens and MT type it if it is truth it should all be okay. Kaiser is trying to mandate what physicians can and cannot say on reports and make MTs responsible for flagging these things. Personally, I let it all pass. I THINK IF A DOCTOR SCREWED UP IT SHOULD NOT BE COVERED UP.

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Re: adding subjective criteria to transcriptionist performance reviews such as "team participation,"
[info]corphq
2005-11-21 01:32 am UTC (link)
//physician dictates anything at all that would make Kaiser look bad, or doctor look bad, the transcriptionist is NOT TO TRANSCRIBE it but to send it to manager//

Just peachy. Obviously patients should just bring a tape recorder with them to protect themselves. Kaiser's willingness to manipulate documentation to the detriment of others bugs the heck out of me. The DMHC needs to sponsor some legislation to penalize this practice.

Do you mind if I quote your comment in future blog posts.

Ps. I answered your cache question in the server post.

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Re: adding subjective criteria to transcriptionist performance reviews such as "team participation,"
(Anonymous)
2005-11-21 02:13 am UTC (link)
This is what happened to me. If there's a Kaiser MT out there with a conscience that can help me prove this, PLEASE contact me at admin@kaiserthrive.org. The positive effect on your Karma will last a lifetime. =)

Cristy Wolf
www.kaiserthrive.org
www.kaiserpapershawaii.org

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Re: adding subjective criteria to transcriptionist performance reviews such as "team participation,"
[info]corphq
2005-11-21 02:55 am UTC (link)
I have some ideas for this, too, so feel free to contact me privately as well. kaiser_scapegoat@hotmail.com

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Make that thousands - thousands have died
(Anonymous)
2006-03-21 05:24 pm UTC (link)
My parents were never informed of their illness until it was too late.

My mother died as a result on March 7, 2005. My father nearly died as a result in May of 2005.

Kaiser does not inform the elderly to keep the revenue from their membership fees and keep the costs down by not providing care.

Kaiser senior advantage program is a fraud and I hope all seniors move out of Kaiser senior advantage.

Get copies of your medical records now to make sure what you are being told about your health is true. Don't end up like my parents, they were never told and lied to.

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Re: Make that thousands - thousands have died
[info]corphq
2006-03-21 05:40 pm UTC (link)
Kaiser has been actively trying to change the profile of their membership to younger people for years: younger people don't utilize services and thus give Kaiser money for doing nothing.

I also agree that Kaiser physicians will jump through any hoop rather than diagnose. That not only harms the elderly and people with catastrophic diseases, it makes it difficult for people to get disability accomodation and it endangers people's jobs because they can't perform their best while their doctors are stringing them along.

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