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17 November 2005 @ 01:35 pm
Kaiser Permanente's Bureaucracy  
This post by Robb reminds me of trying to get my medical records out of Kaiser Permanente after I moved to a new job with new insurance. Every doctor I ever saw in Kaiser's system had immediate access to the records. They always had a copy when I reached their office.

When I requested the records be sent to my new doctor (in writing on their form). No records arrived.

I called and put pressure on them in the records office. No records arrived.

I called and put pressure on the hospital administrator who is supposed to clean up messes. My doctor got a copy of a single hospital visit (from when I got rear-ended). This wasn't what I (or my doctor) cared about at all. It's been about a month now.

I called the hospital administrator back and was told everything would be at my doctor in a week. Guess what, no records have arrived in a week.

I went to the local Kaiser Hospital armed with a summary of HIPAA and some other medical rights laws. I filled out their little form and informed them that they could either have the records in my doctor's office in time for my next appointment (in about a week) or I would be returning with an attorney.

Guess what? They finally arrived on the day of my appointment. The doctor had me reschedule for the next day so he'd have time to read them.

Thank goodness this was a private company with legal obligations. If it had been the government, I'd have been screwed.
 
 
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Anthony, Man About Town[info]antoniusrex on November 17th, 2005 02:08 pm (UTC)
Dude, believe it or not, that's *normal* with Kaiser (it's one of mom's pet peeves--she used to work down in Records, and said it was kinda ridiculous). It's mainly records fault. There are like 8 people at any given location, pulling charts for all the patients for a given day, backlogging in new visits, photcopying for insurance, court, etc., and getting stuff for transfers.

They are notoriously bad for even in house pulls.

Mom says they are trying to manage this, mainly by making EVERYTHING electronic, with paper backups. they've installed new computers that basically serve as the chart then and there. They've been scanning stuff in like mad. The idea is to be able to just print it up and hand it to you, or just email it for the future.

yeah, I'll believe it when it happens, too...
jminnis[info]jminnis on November 17th, 2005 03:16 pm (UTC)
I'd say I'm surprised, but I'm not...

I've found that as long as you stay in Kaiser's regularly scheduled little box, they provide very solid health care. Once you step outside that box (e.g. wanting records sent out), you're screwed.

A friend of mine spent spent literally over a year getting Kaiser to pay for an out of coverage ER visit. Apparently going to the closest ER with an allergic reaction and her throat swelling shut wasn't within Kaiser's little box...
minorninth[info]minorninth on November 18th, 2005 11:28 am (UTC)
I just switched from Kaiser to Blue Cross a month ago. I couldn't take their bureaucracy anymore. Many of their doctors were great, but the process of getting to them drove me crazy.

Thanks for the heads up. I'll start the process of sending my records over now! Luckily nothing major has changed for me, medically, in the four years I've been with Kaiser.
jminnis[info]jminnis on November 29th, 2005 12:51 pm (UTC)
Hopefully you won't have as much trouble as I did.

To tell the truth, I was very happy with the doctors at Kaiser. I was also happy with the short delays I experienced in doctor visits. My big problem was getting my records after the fact.