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kaiserpapers.com/fines
Government
Sanctions,
Fines and Audits against Kaiser Permanente
as a result of numerous
investigations
Out of 41 investigations reported in the State of California for all counties by the California Department of Public Health in the year 2012, 11 involved Kaiser Hospitals. That equates to roughly 20% of all investigated complaints were of Kaiser Hospitals. However, it appears that this information is based on the public lodging of complaints and nothing else. If the public doesn't complain there is no true way to determine how serious any problems are with any hospital unless you want to blindly trust a paid published corporate PR statement.
Verify the data yourself at: http://www.cdph.ca.gov/certlic/facilities/Pages/default.aspx
Kaiser is NOT listed as the Top Hospital, Health Care System, Teaching System, nor Top National Hospital as per Thomson Reuters. Nor did they make any of the lists although they were part of the studies. Read the Reports Here: http://www.100tophospitals.com/top-national-hospitals/
Also as the reports listed on this page are only some of the highlights of regulatory action taken against Kaiser be sure to check with DMHC at:http://www.dmhc.ca.gov/ and HHS at: Patient Dumping. OIG Actions.
INDEX June 2013 -- Kaiser Hit with 4 Million Dollar Fine for Behavioral/Mental Health Issues
March 2013 - Kaiser Mental Health Final Report of Routine Medical Survey
Jan 2012 - Non-routine Medical Survey - Ambulance Use
Feb 28 2011 - California orders Kaiser to stop denying physical, occupational and speech therapy to certain patients mirrored for historical purposes here
December 09, 2011 - Kaiser fined over vaccine monitoring
Dec. 8, 2011 Two patients who had received compromised pneumonia vaccines later died from the illness
Kaiser Foundation Hospital in Fontana faces two fines totaling $75,000 - April 2010 Source: Mercury News
2010 Doc located here https://kaiserpapers.com/fines/ pdfs/2010-Kaiser-Fontana- Event.pdf Source:CA Dept of Public Health Document
2009 Doc located here: https://kaiserpapers.com/fines/ pdfs/2009-Kaiser-Fontana- Event.pdf - Source:CA Dept of Public Health Document
11-2009 Kaiser Permanente's Oregon-based unit has agreed to pay $1.8 million to settle charges of false billing brought by the federal Medicare program.
KFHP paid approximately $715,000.00 in regulatory fines during 2008 - pdf file download.
Office of Inspector General (OIG) Audits of Kaiser
FDA Warning for experiments on patients
Violation of Patient Privacy Fines
California Fines and Sanctions(67+) roughly - $8,267,500.00
City of Los Angeles Fines $555,000.00
Colorado State Sanctions and Fines
Maryland 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 PROBLEMS
Dr. Andris Skuja, a Kaiser psychologist, offered strong words in reaction to the news of the $4 million fine and cease-and-desist order.
"This action confirms what every Kaiser clinician knows," Skuja said. "Kaiser doesn't take mental health care for its patients seriously." (as published in the Sacramento Bee -- http://www.sacbee.com/2013/06/26/5524446/kaiser-mental-health-care-lacking.html )
Here is the cease and desist order. http://wpso.dmhc.ca.gov/enfactions/docs/1974/1372174528050.pdf
Here is the original accusation: http://wpso.dmhc.ca.gov/enfactions/docs/1974/1372174518706.pdf
January 2012 Non-Routine Medical Survey conducted by the California Department of Managed Health Care - Pertaining to Ambulance/Transport Services and patient reporting of denial of service.This survey took two years to prepare and appears to be thorough. Numerous complaints were investigated and are cited in the report. You may read the DMHC Report in clear English here: http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055Full013012.pdf You may read Kaiser's response to the DMHC Survey here: http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055fullplanresponse013012.pdf
The U.S. Justice Department said Kaiser's hospice program billed for services without obtaining written certifications of terminal illness required by federal regulations. http://www.oregonlive.com/portland/index.ssf/2009/11/kaiser_northwest_agrees_to_pay.html mirrored for historical purposes at: https://kaiserpapers.com/fines/hospice-justice-department-kaiser-settlement.html
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
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 https://kaiserpapers.com/fines/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
https://kaiserpapers.com/horror/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. https://kaiserpapers.com/pdfs/cmsfresnrecdfeb2008.pdf
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.
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.
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
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
$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
$2,500.00 Handling 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
$10,000.00 April 28,2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/15583.pdf
$2,500.00 April 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, 2005 Order for Discontinuance of Injurious Practices http://www.dmhc.ca.gov/library/enforcements/actions/055/14886.pdf
$5,000.00 February 25, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/14514.pdf
$2,500.00 January 7, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/13661.pdf
$5,000.00 December 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
$5,000.00 October 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$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
$2,500.00 Handling 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
$10,000.00 April 28,2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/15583.pdf
$2,500.00 April 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, 2005 Order for Discontinuance of Injurious Practices http://www.dmhc.ca.gov/library/enforcements/actions/055/14886.pdf
$5,000.00 February 25, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/14514.pdf
$2,500.00 January 7, 2005 Letter of Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/13661.pdf
$5,000.00 December 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
$5,000.00 October 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
$1,000,000.00 Kaiser Foundation Health Plan (Margaret Utterback) December 3, 2002 Dismissal of Amended Accusation http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf
$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
$5,000.00 November 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
(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
$1,000,000.00 Kaiser Foundation Health Plan (Margaret Utterback) December 3, 2002 Dismissal of Amended Accusation http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf
$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
$5,000.00 November 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
$110,000.00 Kaiser Foundation Health Plan (Timothy Waters) May 24, 2002 Stipulated Settlement Agreement http://www.dmhc.ca.gov/library/enforcements/actions/055/4192.pdf
March 19, 2002 Cease and Desist Orderhttps://kaiserpapers.com/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 $500,000.00 November 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
$25,000.00 Kaiser 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 By Tracy Weber and Charles Ornstein, Times Staff Writer 9:09 PM PDT, July 25, 2007 LOS ANGELES -- Kaiser Permanente will be assessed a record fine Thursday for its haphazard investigations of questionable care, physician performance and patient complaints at its California hospitals, state HMO regulators said Wednesday.
The California Department of Managed Health Care said it will levy a $3 million fine against Kaiser, the largest health maintenance organization in the state, with 29 medical centers and more than 6 million members. If Kaiser makes necessary improvements, agency director Cindy Ehnes said, she will forgive $1 million of that. http://www.latimes.com/
From DMHC http://www.dmhc.ca.gov/aboutTheDMHC/gen/ann/ann_prkaiserqap.asp FINAL REPORT http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055full072607.pdf in html/text form at: https://kaiserpapers.com/fines/dmhc72007.html
Kaiser Told to Reinstate Coverage Regulators' action in a kidney patient's case comes as scrutiny over cancellations grows. By Lisa Girion, Times Staff Writer October 19, 2006 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: https://kaiserpapers.com/californianews/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 https://kaiserpapers.com/fines/kaiser1milliondollarfine.html Kaiser fined1/2 Million Dollars by DMHC in California for death of 19 year old for denial of medical treatment https://kaiserpapers.com/fines/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. https://kaiserpapers.com/fines/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. https://kaiserpapers.com/horror/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. https://kaiserpapers.com/horror/cnamoreunlicen.html1998 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. https://kaiserpapers.com/californianews/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/enforcements and $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 https://kaiserpapers.com/fines/enforcement.htmlKaiser Fined for Phlebotomy Practices, Policies; Safety Needles Called Ineffective https://kaiserpapers.com/fines/bloodletter.html
Department of Health Services Sanction Against Kaiser Permanente Santa Clara https://kaiserpapers.com/pdfs/kaiserDHSReport.pdf 21 pages
Kaiser Permanente Final Medical Survey Report - 1989 - CA Dept. of Corporations Numerous deficiencies were found in all inspected facilities https://kaiserpapers.com/businesspractices/1989.html
Colorado State Sanctions and Fines
Kaiser fined $367,000 by state insurance division By Staff
July 15, 2009 -- DENVER - Two units of Kaiser Permanente have paid a total of $367,000 for 2007 market violations.
The Colorado Division of Insurance, which announced the violations yesterday, conducted two market examinations covering the 2007 calendar year. Kaiser Foundation Health Plan of Colorado and Kaiser Permanente Insurance Co. received fines of $201,000 and $166,000, respectively. Payment was received on July 6.
The Division of Insurance, part of the Colorado Department of Regulatory Agencies, carries out market conduct examinations of insurance companies to ensure compliance with state insurance law and regulations related to rating, underwriting and claim practices.
The Kaiser reports identified a number of issues, many dealing with items in contracts and other forms. The reports also included issues with claims, such as failure, in some instances, to:
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: https://kaiserpapers.com/fines/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
$550 State of Missouri Dept. of Insurance Fines
Kaiser Permanente Pulls out of Kansas City several fines and sanctions on this web page. https://kaiserpapers.com/news/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 https://kaiserpapers.com/fines/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 https://kaiserpapers.com/fines/texasorder.html
articles related to above action and referenced materials at: https://kaiserpapers.com/news/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.
$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: https://kaiserpapers.com/65gs.html
MAY 15, 2007 LA CITY ATTORNEY ROCKY DELGADILLO ANNOUNCES LANDMARK SETTLEMENT ...http://www.lacity.org/atty/index/attyindex56045233_05152007.pdf
FEB. 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 ACTIONS AGAINST 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 commenced a civil enforcement action against Kaiser Foundation Hospitals stemming . SPONSORSHIP OF LEGISLATION TO CRIMINALIZE HOMELESS PATIENT DUMPING
$555,000.00 http://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: https://kaiserpapers.com/news/ca/reformbyda.html
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., Petitioner, vs. DIRECTOR OF REVENUE, Respondent.
No. 01-1135 RV
https://kaiserpapers.com/fines/kaisermissouri.doc
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