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2000
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This web site is in no manner affiliated with any Kaiser entity and the for profit Permanente
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Kaiser and The Permanente
Sanctions,
Fines and Audits as a result of numerous investigations by Government
Agencies
This section is by no means complete but is added to as time
provides.
Kaiser on average pays the State of California Department of Managed Health Care a little over $1,000,000.00 per year in fines and has since that department was created in 2000.
 Federal
Fines and SanctionsCalifornia
Fines and
Santions(59)$7,805,000.00  City of Los
Angeles Fines$555,000.00 Colorado
State Sanctions and FinesMaryland
Sanctions and fines$100,000.00 + Missouri
Fines and Sanctions$550 Ohio
Sanctions and Fines$49,963.00 Oregon
Sanctions and Fines$105,624 Texas
Sanctions and Fines$1,000,000.00 Official Order of the Commissioner of Insurance of the State of Texas Washington
State Sanctions and Fines$65,000 MAMMOGRAM
STAFF AND EQUIPMENT PROBLEMSFor the average citizen to
better understand why small fines are given
to Kaiser - further insulting the people that have been
victimized by Kaiser proven criminal actions | Federal Fines and Sanctions June 4, 2007 "Review of Vendor Rebates Paid to Hospitals-Kaiser Foundation Hospitals and Health Plans, Inc., Oakland, California (A-05-07-00051) The objective of the review was to determine whether Kaiser Foundation Hospitals and Health Plans, Inc. (the provider) reduced costs reported on its fiscal year 2003 Medicare cost report by the $35,438 vendor rebate it received. The provider did not reduce costs reported on its fiscal year 2003 Medicare cost report by the $35,438 rebate, contrary to Federal regulations and CMS guidance. ...recommended that the provider (1) revise and resubmit its 2003 Medicare cost report, if not already settled, to properly reflect the $35,438 rebate as a credit reducing its health care costs and (2) consider performing a self-assessment of its internal controls to ensure that future vendor rebates are properly credited on its Medicare cost reports. The provider agreed http://oig.hhs.gov/oas/reports/region5/50700051.htm April 15, 2003 Kaiser Foundation Hospital –Sunset, Los Angeles, California, agreed to pay $20,000 to resolve its liability for CMPs under the patient dumping statute. The OIG alleged that Kaiser was a hospital that had specialized capabilities or facilities that refused to accept the transfer from another hospital of an 83-year-old patient needing Kaiser’s capabilities for coronary bypass surgery. The OIG alleged that Kaiser’s cardiac surgeon refused to accept the transfer saying that the patient was too unstable to transfer and that he was going to die anyway. The patient was transferred to another hospital where he underwent successful surgery and was discharged. December 05, 2005 Kaiser Foundation Hospital, California, agreed to pay $20,000 to resolve its liability for CMPs under the patient dumping statute. OIA Kaiser Hawaii Agreement Kaiser needed corrective actions requested by HHS for human research Oct, 23, 2000 Kaiser caught overbilling Medicare. Fall 2002 HHS It is the decision of the Medicare Appeals Council that Kaiser Foundation Health Plan, Inc. is financially responsible for the ambulance services obtained on February 27, 2002. National Summit on Medical Errors UNITED STATES DEPARTMENT OF LABOR BENEFITS REVIEW BOARD The Board held that the administrative law judge's dismissal of a claim by Permanente Medical Group/Kaiser Foundation Hospital an intervenor-petitioner, constituted an abuse of discretion. SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS- 103rd Congress FOIA WARNING LETTERS USA B4 FEDERAL TRADE COMMISSION MESA COUNTY PHYSICIANS INDEPENDENT PRACTICE ASSOCIATION Kaiser Foundation Research problems with procedures for human protection July 22, 1998 http://www.fda.gov/foi/warning_letters/t1936m.pdf Kaiser Colorado Guaifenesin extended relief Tablet non FDA approval notice http://www.fda.gov/foi/warning_letters/g3575d.pdf April 8, 2003 In April 2001, Coventry took over the Medicare contract for Kaiser Permanente and received payments under contract number H1751 through December 31, 2000 http://oig.hhs.gov/oas/reports/region7/70200148.pdf Kaiser Sanction of April 25, 2001 L A, Ca This is the Sanction regarding the lack of care that Vickie Travis' father, Adam Wesley Arnold received which led to his death. Medicare Overpayment Kaiser Santa Clara of - $179,018.00 - Audit completed 2002 http://oig.hhs.gov/oas/reports/region7/70102630.pdf Kaiser Sanction by The Department of Health and Human Services - April 25, 2001 http://fines.kaiserpapers.info/sanction.html April 27, 1998 Review of Medicare Payments for Beneficiaries with Institutional Status, Kaiser Foundation Health Plan, Portland, Oregon(A-05-97-00023 ) Sanction levied against Kaiser Permanente Sunset Facility by the County of Los Angeles, Department of Health Services on behalf of the Federal Government http://horror.kaiserpapers.info/heart/512.html It clearly states that once again, that an investigation was initiated by the reporting of The Los Angeles Times. The report states that when articles, such as this appear, it is necessary a regulatory investigation of the event mentioned in the article occurs. - This means that if the only reason the government investigated this facility was because of The Los Angeles Times, how many dozens of other hospitals or medical facilities are the same or worse but are not investigated because there is no large scale publicity? NOTE: This is a large document. If it does not readily open online for you I suggest that you right click with your mouse and "save link as" to download it to your computer. http://kaiserpapers.info/pdfs/cmsfresnrecdfeb2008.pdf FDA Warning Letters Warning letter of February 26, 2007 to George Halvorson regarding the marketing by Kaiser of Belladonna Alka/Ergotamine and PB (Bellamine S) tablets, a drug product containing ergotamine tartrate. FDA Warning Letters to Kaiser Permanente - Kaiser Vallejo http://fines.kaiserpapers.info/fda.html Recalled Plasma - Kaiser http://www.fda.gov/bbs/topics/ENFORCE/ENF00257.html _____________ PRODUCT Recovered Plasma, Recall #B-359-3 CODE Units numbers: A21838, A22033, A22066, A22135, A22137, A22155, A22184, A22207, A22234, A22245, A22309, A22346, A22371, A30030, A30059, A300068, A30087, A30101, A30111, A30114, A30159, A30183, A30184, A30195. MANUFACTURER Southern California Permanente Medical Group/dba Kaiser Foundation Blood Donor Center, San Diego, California. RECALLED BY Manufacturer by telephone March 11, 1993 and by letter March 17, 1993. Firm-initiated recall ongoing. DISTRIBUTION Florida, California. QUANTITY 24 units were distributed. REASON Recovered Plasma, collected from autologous donors who did not meet the following suitability requirements for allogeneic use was distributed or: 1) reported histories of hepatitis or jaundice; 2) exhibited signs or symptoms of AIDS; 3) reported recent tattoos, ear piercing or acupuncture treatment; 4) reported receiving an allogeneic transfusion within the twelve months prior to donating; 5) reported a history of cancer; 6) reported current use of medications. RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS III ================== _______________ PRODUCT Recovered Plasma. Recall #B-360-3 CODE Unit numbers: A21987, A22019, A22187, A22224, A22269, A22272, A22277, A22340. MANUFACTURER Southern California Permanente Medical Group/dba Kaiser Foundation Blood Donor Center, San Diego, California. RECALLED BY Manufacturer by telephone March 11, 1993, and letter March 17, 1993. Firm-initiated recall ongoing. DISTRIBUTION Florida, California. QUANTITY 8 units were distributed. REASON Recovered Plasma, collected from autologous donors who did not meet the following suitability requirements for allogeneic use were distributed: 1) reported histories of hepatitis or jaundice; 2) exhibited signs or symptoms of AIDS; 3) reported recent tattoos, ear piercing or acupuncture treatment; 4) reported receiving an allogeneic transfusion within the twelve months prior to donating; 5) reported a history of cancer; or 6) reported current use of medications. MAMMOGRAM STAFF AND EQUIPMENT PROBLEMS Kaiser Vallejo WARNING LETTER November 4, 2004 and also in pdf form at: http://www.fda.gov/foi/warning_letters/g5069d.pdf Oct. 15, 2003 Kaiser Parma, Ohio http://www.fda.gov/foi/warning_letters/g4343d.pdf and http://www.fda.gov/foi/warning_letters/g4343d.htm Kaiser Vallejo Dec. 10, 2001 http://www.fda.gov/foi/warning_letters/g2051d.pdf Kaiser Hayward WARNING LETTER November 6, 2002 and in pdf form at: http://www.fda.gov/foi/warning_letters/g3672d.pdf Kaiser Baldwin Park June 8, 2001 http://www.fda.gov/foi/warning_letters/g1375d.pdf Kaiser Panorama City June 8, 2001 http://www.fda.gov/foi/warning_letters/g3257d.pdf Sept. 14, 2000 Pleasant Hill, California http://www.fda.gov/foi/warning_letters/m4200n.pdf Sept. 14, 2000 Antioch, California http://www.fda.gov/foi/warning_letters/m4199n.pdf September 29, 2000 Kaiser Mountain View, California http://www.fda.gov/foi/warning_letters/m4246n.pdf Oct. 19, 1998 Charlotte, NC http://www.fda.gov/foi/warning_letters/m2130n.pdf Oct, 22, 1999 Charlotte, NC http://www.fda.gov/foi/warning_letters/m3096n.pdf Sept. 2, 1999 - Chapel Hill, NC http://www.fda.gov/foi/warning_letters/m2981n.pdf Kaiser San Francisco May 7, 1998 - http://www.fda.gov/foi/warning_letters/d1771b.pdf Kaiser San Francisco - May 14, 1998 http://www.fda.gov/foi/warning_letters/d1781b.pdf Kaiser on average pays the State of California Department of Managed Health Care a little over $1,000,000.00 per year in fines. In comparison for the 7 years that DMHC has been in existence - : Aetna was ordered to pay - $ 385,375.00; Healthnet - $ 972,500.00; Blue Cross - [taking into consideration that 3 documents are missing and one was found misfiled in the Health Net section, so some data is missing] - $1,309,000.00; Blue Shield - [again some documents could not be located as indexed on the DMHC web site] - $487,500.00. California Fines and Santions 1-/26/07 - Department of Public Health on Kaiser Permanente regarding the Santa Clara Hospital fine of $25,000 at:http://www.cdph.ca.gov/certlic/facilities/Documents/2567KaiserFoundation.pdf and http://californianews.kaiserpapers.info/pdfs/2567KaiserFoundation.pdf text version of the above pdf file is at: http://californianews.kaiserpapers.info/kaiserpermanentesantaclaratextfine.html For a complete list of DMHC enforcement actions against Kaiser please see this very lengthy list at: http://www.dmhc.ca.gov $2,500.00July 30, 2007 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/23251.pdf $5,000.00July 30, 2007 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/24017.pdf $3,000,000.00July 30, 2007 Consent Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/24139.pdf July 30, 2007Kaiser Foundation Health Plan, Inc: Consent Agreement Re: Oversight of Quality Assurance Programs, http://www.dmhc.ca.gov/library/enforcements/noteworthy/enf_notew.asp $250,000.00May 3, 2007 Kaiser Foundation Health Plan, Inc: Letter of Agreement Re:Reasonable Person Standard for ER Claims, http://www.dmhc.ca.gov/library/enforcements/actions/055/22560.pdf $7,500.00April 18, 2007 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/23092.pdf $225,000.00March 1, 2007 Kaiser Foundation Health Plan, Inc.: Letter of Agreement Re: Post Claims Underwriting, http://www.dmhc.ca.gov/library/enforcements/actions/055/22337.pdf $2,500.00February 21, 2007 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/22113.pdf $100,000.00December 13, 2006 Kaiser Foundation Health Plan, Inc.: Letter of Agreement Re: Post Claims Underwriting, http://www.dmhc.ca.gov/library/enforcements/actions/055/21519.pdf October 6, 2006Kaiser Foundation Health Plan, Inc.: Order To Reinstate Enrollee's Health Care Coverage - October 6, 2006 http://www.dmhc.ca.gov/library/enforcements/actions/055/doc000.pdf $2,500.00September 12, 2006 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/20819.pdf $5,000.00September 8, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/19496.pdf $5,000.00August 21, 2006 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/20480.pdf $7,500.00August 18, 2006 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/20271.pdf $2,000,000.00(Kidney Transplant Services 06-162) August 9, 2006 Consent Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/20533_2.pdf $5,000.00March 7, 2006 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/18550.pdf (Kidney Transplant Services 06-162) May 12, 2006 Order re: Kaiser Foundation Hospitals' San Francisco Kidney Transplant Medical Center http://www.dmhc.ca.gov/library/enforcements/actions/055/19793.pdf (Kidney Transplant Services 06-162) May 10, 2006 Stipulated Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/19729.pdf $2,500.00April 24, 2006 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/19390.pdf April 4, 2006ORDER RE: COMPLIANCE WITH California Code of Regulations, title 28, section 1300.65(c)(4) http://www.dmhc.ca.gov/library/enforcements/actions/055/19412.pdf $2,500.00December 6, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/17902.pdf $200,000.00$25,000.00
carry over from violation levied in 2001 and no longer reflected on the
DMHC website but is referenced in this document.July 18, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/16686.pdf $2,500.00Handling of Grievance 05-189) July 14, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/16273.pdf $5,000.00(Handling of Grievance 05-188) July 14, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/16233.pdf $10,000.00April 28,2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/15583.pdf $2,500.00April 11, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/15439.pdf (Order against former Kaiser
employee 05-081)
April, 15, 2005 Amended Order for Discontinuance of Injurious Practices http://www.dmhc.ca.gov/library/enforcements/actions/055/16009.pdf March 17, 2005Order for Discontinuance of Injurious Practices http://www.dmhc.ca.gov/library/enforcements/actions/055/14886.pdf $5,000.00February 25, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/14514.pdf $2,500.00January 7, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/13661.pdf $5,000.00December 7, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/13663.pdf $5,000.00(Handling of Grievance 04-162) October 8, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf $5,000.00October 8, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf $2,500.00(Handling of Grievance 04-119) August 4, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/12069.pdf $2,500.00(Handling of Grievance 04-039) April 14, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10842.pdf $2,500.00(Handling of Grievance 04-037) April 14, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10844.pdf $2,500.00(Handling of Grievance 03-423) March 17, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10670.pdf $2,500.00(Handling of Grievance 03-422) March 17, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10732.pdf $2,500.00(Handling of Grievance 03-421) March 17, 2004 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10737.pdf $2,500.00(Handling of Grievance 03-230) December 16, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10108.pdf $10,000.00(Handling of Grievance 03-185) December 15, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10095.pdf $7,500.00(Handling of Grievance 03-186, 03-187, and 03-188) December 15, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10096.pdf $2,500.00(Handling of Grievance 03-350) December 15, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/10097.pdf $2,500.00(Handling of Grievance 03-352) December 15, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/97142.pdf $10,000.00(Handling of Grievance 03-119) October 9, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/9045.pdf $40,000.00(Handling of Grievance 03-085) August 28, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/8986.pdf $50,000.00(Handling of Grievance 02-084) June 13, 2003 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/8126.pdf $1,000,000.00Kaiser Foundation Health Plan (Margaret Utterback) December 3, 2002 Dismissal of Amended Accusation http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf $1,100,000.00 - $100,000.00
later removed and above referrenced item - payment made.November 15, 2002 Stipulation, Decision, and Order http://www.dmhc.ca.gov/library/enforcements/actions/055/6053.pdf $5,000.00November 15, 2002 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/5636.pdf $100,000.00(Adopting IMR Decision 01-047, 02-033) August 26, 2002 Letter of Agreement: Home Health Care http://www.dmhc.ca.gov/library/enforcements/actions/055/5086.pdf (Kaiser Foundation Health Plan,
Inc. v. Daniel Zingale) June 27, 2002 Court of Appeal Opinion http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra020727.pdf $110,000.00Kaiser Foundation Health Plan (Timothy Waters) May 24, 2002 Stipulated Settlement Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/4192.pdf March 19, 2002Cease and Desist Orderhttp://kaiserpapers.info/images http://www.dmhc.ca.gov/library/enforcements/actions/055/3695.pdf $5,000.00(Handling of Grievance 01-156) November 16, 2001 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/2459.pdf $5,000.00(Handling of Grievance 01-143) November 16, 2001 Letter of Agreement (Handling of Grievance 04-162) http://www.dmhc.ca.gov/library/enforcements/actions/055/2420.pdf $500,000.00November 15, 2001 Accusation and Assessment of Administrative Penalty http://www.dmhc.ca.gov/library/enforcements/actions/055/2331.pdf (Prescription Drug Benefits 00-245) July 6, 2001 Ruling on Submitted Matter http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra_ruling.pdf $25,000.00Kaiser Foundation Health Plan (KP On-line) December 27, 2000 Assessment of Administrative Penalty http://www.dmhc.ca.gov/library/enforcements/actions/055/001227.pdf Kaiser
Permanente faces record fine http://www.latimes.com/news/local/la-me-kaiser26jul26,0,351981,full.story?coll=la-home-centerFrom
DMHC http://www.dmhc.ca.gov/aboutTheDMHC/gen/ann/ann_prkaiserqap.aspFINAL REPORT http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055full072607.pdf in html/text form at: http://fines.kaiserpapers.info/dmhc72007 Kaiser
Told to Reinstate Coverage Regulators'
action
in a kidney patient's case comes as scrutiny over cancellations grows.
State regulators for the first time have ordered a health plan to
reinstate the insurance coverage of a patient whose policy was ruled to
have been illegally canceled. http://www.latimes.com/business/la-fi-kaiser19oct19,1,3274480.story?coll=la-headlines-business&track=crosspromo mirrored at: http://californianews.kaiserpapers.info/oct192006.html Kaiser
says it
will finally pay fine of $1,000,000.00 levied by Department of Managed
Health Care in 2000./Nov. 2002 http://fines.kaiserpapers.info/kaiser1milliondollarfine.htmlKaiser
fined1/2
Million Dollars by DMHC in California for death of 19 year old for
denial
of medical treatment http://fines.kaiserpapers.info/november15.html 1999 - Karl
Jacobs and
Tami Michelle Cope appeared before the Southern Compliance Committee
as the result of an investigation that revealed that Kaiser Hospital Pharmacy incorrectly filled narcotic requisitions, and pharmacy staff did not follow the pharmacy’s policy and procedures. http://fines.kaiserpapers.info/karltami.html 1998 Kaiser
Cited Again
For ImproperUse Of Unlicensed Surgical Technicians!!! CNA received written notice from the DHS that they had issued another Statement of Deficiencies (SOD) against Kaiser-Sacramento (Morse Ave.) facility for their improper use of unlicensed surgical technicians. Kaiser was using the unlicensed technicians as first assistants during orthopedic procedures. Nurses reported numerous eye-witness accounts of unlicensed technicians suturing, cutting tissue, using a bovie on vessels, and drilling pins and screws. The hospital was cited in 1996 for allowing the unlicensed technician to administer marcaine into the joints of patients in the OR. http://horror.kaiserpapers.info/cnatechno.html 1998 Kaiser Permanente Hospital in Santa Rosa has been cited by the state
Department of Health Services for allowing a technician to perform medical
procedures during orthopedic operations.The Santa Rosa hospital is the third Kaiser facility to be cited by the state for using an unlicensed assistant during operations. Kaiser hospitals in Sacramento and in San Jose were also cited by the agency, which licenses and regulates the state's hospitals. The investigation of Kaiser in Santa Rosa, conducted in June and completed Aug. 7, revealed that the hospital's four orthopedic surgeons were using an orthopedic assistant, who is a technician, to perform such procedures as suturing deep tissue wounds, placing pins in bones and cauterizing veins.http://horror.kaiserpapers.info/cnamoreunlicen.html 1998 The death
investigation of 7 - year - old Gregory McCan was the latest in a string
of state queries into
patient deaths, emergency room delays and other problems at Kaiser
facilities
in the East Bay.http://californianews.kaiserpapers.info/gregorymccan.html Kaiser
Radiation Event 1999 Los Angeles May 24, 1999 U.S. Nuclear Regulatory Commission Operations Center L.A. COUNTY DEPT OF HEALTH SERVICES |NOTIFICATION DATE: 05/21/1999 LICENSEE: KAISER PERMANENTE MED CARE PROGRAM THERAPEUTIC MEDICAL MISADMINISTRATION AT KAISER PERMANENTE MEDICAL CARE | | PROGRAM OF SOUTHERN CALIFORNIA. | | | | A PATIENT WAS SCHEDULED FOR THREE THERAPEUTIC TREATMENTS FOR CANCER OF THE | | CERVIX USING THE HIGH DOSE RATE AFTERLOADER. PRIOR TO THE INITIATION OF THE | | FIRST TREATMENT ON 04/23/99, THE AUTHORIZED USER MADE A "LAST MINUTE" CHANGE | | IN THE TREATMENT PLAN WITH RESPECT TO THE SOURCE TRAVEL DISTANCE. AFTER THE | | CHANGE WAS MADE, THE SETUP CALLED FOR THE SOURCE TO BEGIN AT 989 | | MILLIMETERS. THE PHYSICIST, HOWEVER, SET UP THE UNIT SO THAT THE SOURCE | | BEGAN ITS TRAVEL AT 889 MILLIMETERS. PRIOR TO INITIATION OF THE TREATMENT, | | THE AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THIS | | TREATMENT PLAN. THE PATIENT WAS THEN TREATED. THE SOURCE TRAVEL DISTANCE | | WAS 100 MILLIMETERS SHORTER THAN THE TREATMENT PLAN REQUIRED, AND DIFFERENT | | FROM THAT INTENDED. IT WAS NOT NOTED DURING OR AFTER COMPLETION OF THIS | | TREATMENT. | | | | THE SECOND TREATMENT OCCURRED ON 04/30/99. A SECOND PHYSICIST, WITHOUT | | VERIFYING THE ACCURACY OF THE FIRST TREATMENT, SET UP THE SECOND TREATMENT | | USING THE SAME PARAMETERS, A TRAVEL DISTANCE OF 894 MILLIMETERS. THE | | AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THE SECOND | | TREATMENT PLAN. THE TREATMENT WAS ADMINISTERED TO A DIFFERENT LOCATION THAN | | INTENDED. THE ERROR WAS NOT NOTED PRIOR TO, DURING, OR AFTER THIS | | TREATMENT. | | | | THE THIRD TREATMENT PERFORMED ON 05/07/99 BY A THIRD PHYSICIST WHO SET UP | | THE PARAMETERS CORRECTLY, AS PLANNED (TRAVEL DISTANCE OF 994 MILLIMETERS) | | WAS COMPLETED WITHOUT INCIDENT. | | | | THE THIRD PHYSICIST PERFORMED A CHART REVIEW ON 05/11/99 AND FOUND THE ERROR | | IN THE 04/23/99 AND 04/30/99 TREATMENTS AND NOTIFIED THE RADIATION THERAPY | | ADMINISTRATOR AND CHIEF OF SERVICE. | | | | THE REGIONAL RADIATION SAFETY OFFICER (RSO) WAS NOTIFIED ON 05/17/99 BY THE | | SITE RSO IN VIOLATION OF THE REQUIRED 4 HOUR NOTIFICATION TIME. | | | | THE PATIENT AND HIS REFERRING PHYSICIAN WERE NOTIFIED OF THIS INCIDENT ON | | 05/18/99. | | | | A COMPLETE INVESTIGATION OF THESE INCIDENTS, INCLUDING A DOSE ASSESSMENT, | | AND THE DEVELOPMENT OF AN ACTION PLAN TO PREVENT FURTHER OCCURRENCES WILL BE | | MADE. http://www.nrc.gov/reading-rm/doc-collections/event-status/event/1999/19990524en.html DMHC
for the
State of California Enforcement Actions Against Kaiser Permanete
This case is brought pursuant to the provisions of the Knox-Keene Health Care Service Plan Ac t of 1975, as amended (the "Act")1 based on the failure by Kaiser Foundation Health Plan, Inc. ("Kaiser"), the largest health care service plan in California, to provide three (now deceased) Kaiser enrollees, Margaret Utterback, Wolfgang Spunbarg, and James West with care and services as mandated by the Act. Also at: http://www.hmohelp.ca.gov/library/enforcementsand $1,000,000.00 Kaiser Foundation Health Plan (Margaret Utterback) December 3, 2002 Dismissal of Amended Accusation http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf and http://fines.kaiserpapers.info/enforcement.html Kaiser
Fined
for Phlebotomy Practices, Policies; Safety Needles Called Ineffective
http://fines.kaiserpapers.info/bloodletter.html Department
of Health Services Sanction Against Kaiser Permanente Santa
Clara http://kaiserpapers.info/pdfs/kaiserDHSReport.pdf 21 pages Kaiser Permanente Final Medical Survey Report - 1989 - CA Dept. of Corporations Numerous deficiencies were found in all inspected facilities http://businesspractices.kaiserpapers.info/1989.html Colorado State Sanctions and Fines FYI 2001-02 Dept of Health Care Financing - Colorado http://www.state.co.us/gov_dir/leg_dir/jbc/hcphrg.pdf Kaiser Radiation Events 2001 Colorado http://www.nrc.gov/reading-rm/doc-collections/event-status/event/2001/20010705en.html PNO-IV-01-27, Kaiser Permanente, TWO MEDICAL MISADMINISTRATIONS INVOLVING IODINE 131. http://www.nrc.gov/reading-rm/doc-collections/commission/secys/2001/secy2001-0129/2001-0129scy.html
State of Maryland Sanctions and fines $100,000.00 + http://mdinsurance1.mdinsurance.state.md.us/sa/documents/MIA-2007-01-025-Kaiser.pdf mirrored for historical purposes at: http://fines.kaiserpapers.info/pdfs/MIA-2007-01-025-Kaiser.pdf The Examination, the details of which are contained in the Administration Report Number 857-03 ("the Report"), concluded that Respondent committed violations of the following sections of the Insurance Article, the Health-General Article and the Code of Maryland Regulations (“COMAR”): • Section 2-207(b)(1) of the Insurance Article; • Section 15-112 of the Insurance Article; • Section 15-123(k)(1) of the Insurance Article; • Section 15-822(2)(b) of the Insurance Article; • Section 15-830(f) of the Insurance Article; • Section 15-1005(c) of the Insurance Article; • Section 15-1005(e)(3) of the Insurance Article; • Section 15-1005(f) of the Insurance Article; • Section 15-10A-02(f) of the Insurance Article; • Section 19-712.1 of the Health-General Article; • Section 19-713(a)(2) of the Health-General Article; • COMAR 31.10.16.03B; • COMAR 31.10.16.03C; • COMAR 31.10.16.03F; • COMAR 31.12.02.04A; • COMAR 31.15.08.05. ORDER WHEREFORE, pursuant to § 2-204 and § 4-113 of the Insurance Article it is ORDERED by the Commissioner and AGREED to by Respondent, as follows: 3 A. Respondent shall correct the violations of Maryland laws and regulations stated herein within ninety (90) days from the date of execution of this Order. B. Respondent shall pay an administrative penalty to the State of Maryland for the violations stated herein in the amount of one hundred thousand dollars ($100,000.00) within thirty (30) days of the date the Commissioner or his designee signs this Order. Payments shall be made by check or money order made payable to the Maryland Insurance Administration and include the case number or name. Payment should be sent to the attention of, Appeals Clerk, 525 St. Paul Place, Baltimore, MD 21202-2272. C. Respondent agrees that all amounts paid under Paragraph B of this Order shall not be included in or recoverable as expenses in any rate filing filed with the Administration or any other regulatory authority. MIA levies fines against HMO http://baltimore.bcentral.com/baltimore/stories/2000/04/24/daily9.html Missouri Fines and Sanctions $550 State of Missouri Dept. of Insurance Fines Kaiser Permanente Pulls out of Kansas City several fines and sanctions on this web page. http://news.kaiserpapers.info/kansascity1.html State of Oregon Sanctions and Fines Kaiser was overpaid $10,472 for 20 patients that they had reported as Institutionalized. This was based on a quick check of 100 patients which were a random sample of 2,391 Medicare beneficiaries reported as Institutionalized. Medicare determined that Kaiser overall was being overpaid $105,624 of patients incorrectly reported as being Institutionalized. It was determined that part of the overpayment was related to the poor record keeping of Kaiser Permanente. It was determined that Kaiser had been overpaid by at least $105,624 for patients Institutionalized. http://oig.hhs.gov/oas/reports/region5/59700023.pdf STATE OF OREGON DEPARTMENT OF CONSUMER AND BUSINESS SERVICES INSURANCE DIVISION REPORT OF MARKET CONDUCT EXAMINATION http://fines.kaiserpapers.info/kaiser96mc.html Texas Sanctions and Fines $1,000,000.00 Below is information regarding Kaiser and the for profit Permanente's conduct while working in the State of Texas. Rather than conform to the Texas State laws and provide decent medical care, Kaiser and the for profit Permanente left the state. Official Order of the Commissioner of Insurance of the State of Texas, Austin, Texas - April 18, 1997 Kaiser Foundation Health Plan of Texas, Dallas, Texas Consent Order - Docket No. C-97 97-0389 text and document http://fines.kaiserpapers.info/texasorder.html articles related to above action and referenced materials at: http://news.kaiserpapers.info/kickedoutnews.html TDI Announces April 1997 Disciplinary Actions News article regarding the Texas Department of Insurance Action. Ehlmann v. Kaiser Foundation Health Plan of Texas Synopsis: ERISA: No Duty to Disclose Physician Compensation Arrangements-Ehlmann v. Kaiser Found Health Plan of Texas1--The United States Court of Appeals for the Fifth Circuit held that Health Maintenance Organizations (HMOs) have no fiduciary obligation to disclose physician compensation under ERISA absent special circumstances or specific inquiry. Washington State Sanctions and Fines $65,000 Kaiser Foundation Health Plan has been fined $65,000 for denying claims from 299 policyholders in Southwest Washington who received care in emergency rooms during 2003 and 2004. Originally Posted At: http://seattletimes.nwsource.com/html/health/2003160415_kaiser29m.html Mirrored for historical purposes at: http://www.kaiserpapers.info/65gs.html CITY OF LOS ANGELES FINES MAY 15, 2007 LA CITY ATTORNEY ROCKY DELGADILLO
ANNOUNCES LANDMARK SETTLEMENT ...http://www.lacity.org/atty/index/attyindex56045233_05152007.pdfFEB. 14, 2007LA CITY ATTORNEY DELGADILLO DECRIES
HOSPITAL’S STONEWALLING OF ...http://lafind.lacity.org/search?q=cache:Q4pK3QTl_uwJ:www.lacity.org/atty/index/attyindex56043354_ 02142007.pdf+KAISER&access=p&output=xml_no_dtd&ie=UTF-8&client=LACITY&site=ATTY&proxystylesheet= LACITY&oe=UTF-8 NOV. 16, 2006 LA CITY ATTORNEY ROCKY
DELGADILLO FILES LANDMARK CRIMINAL, CIVIL ACTIONSAGAINST KAISER FOR DUMPING HOMELESS PATIENT ON SKID ROW http://www.lacity.org/atty/attypress/attyattypress6941681_11162006.pdf In November 2006, the City Attorney’s
Office filed criminal charges and commenceda civil enforcement action against Kaiser Foundation Hospitals stemming . SPONSORSHIP OF LEGISLATION TO CRIMINALIZE HOMELESS PATIENT DUMPING $555,000.00http://www.iht.com/articles/ap/2007/05/15/america/NA-GEN-US-Homeless-Dumping.php Kaiser
agrees to reforms in
settlement with Los Angeles aimed at ending homeless 'dumping'Kaiser will create new protocols for discharging homeless patients in its chain of hospitals, train staff and allow retired U.S. District Court Judge Lourdes G. Baird, a former U.S. attorney, to monitor its progress, officials said Tuesday mirrored for historical purposes at: http://www.kaiserpapers.info/news/ca/reformbyda.html http://abclocal.go.com/kabc/story?section=local&id=5307645&ft=print Homeless
Dumping Case Settled Ohio Sanctions and Fines May 19, 2000 Kaiser received Medicare overpayments of $11,214 for 15 beneficiaries. The 15 beneficiaries were part of a statistical sample of 100 beneficiaries reported as institutionalized between January 1, 1996 and December 31, 1998. Based on these sample results Medicare determined that Kaiser was overpaid $49,963.00 for beneficiaries incorrectly listed as institutionalized. Kaiser was advised to only refund the $11,214.00 although they were advised to investigate themselves and if their figures agree with Medicare to return all the money. http://oig.hhs.gov/oas/reports/region5/59900045.pdf KAISER FOUNDATION HEALTH PLAN OF KANSAS CITY, INC., No. 01-1135 RV http://fines.kaiserpapers.info/kaisermissouri.doc For the average citizen to better understand why small fines are given to Kaiser - further insulting the people that have been victimized by Kaiser proven criminal actions please read: Twenty Things You Should Know About Corporate Crime 21 Corporate Crime Reporter 25, June 12, 2007 from Corporate Crime Reporter in Washington D.C. http://corporatecrimereporter.com/twenty061207.htm |