JAN 2011PATIENTS REFERRED

NO

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DISTRICT PATIENT REFERRING MD

1 1/3/11 1 LUCAS, SARAH KOIZUMI, ARLENE

2 1/3/11 1 PCLINIC PANG, FREDERICK STEPHENSON, KEITH

3 1/3/11 1 MARYKNOLL FINN, MARY SMEDEGAARD, ERIC

4 1/3/11 1 DANG, COI STEPHENSON, KEITH

5 1/3/11 1 PROCK, BENJAMIN STEPHENSON, KEITH

6 1/3/11 1 ESPINDOLA, GRACIE STEPHENSON, KEITH

7 1/3/11 1 COONS, VELINDA BARKDULL, THAD

8 1/4/11 1 PEARL CITY SAKAGUCHI, JAMES LEUNG, ALBERT

9 1/4/11 1 SWAIN, AARON TADAKI, STELLA

10 1/4/11 1 WAIPAHU SAKATA, MILDRED OISHI,CALVIN

11 1/4/11 1 KONG, BRIDGETTE IZUTA, FRANK

12 1/4/11 1 VINYARD CHING, LLOYD WOO, KEITH

13 1/4/11 1 HEWLETT, AMIYA PEDERSON, ROBERT-

14 1/4/11 1 EHIA, REGINA TANG, XUONG

15 1/4/11 1 PCLINIC SESOKO, RUTH KIM, YOUNG SIL

16 1/5/11 1 CHARLTON, KIMBERLY SMITH,SYDNEY

17 1/5/11 1 SHANKS, WILLIAM CHONG, ELAINE

18 1/5/11 1 ENTENDENCIA, CHRISTO IZUTA, FRANK

19 1/6/11 1 HEGE, JOHN CORDERO,ANTONIO

20 1/6/11 1 VERNON, ROBERT STEPHENSON, KEITH

21 1/6/11 1 TUCKER, FELICIA HAWKINS, CAMILLE

22 1/6/11 1 TROWBRIDGE, GWENDOLCHANG, SPENCER

23 1/7/11 1 COCKRELL, REIKO SUMERS, MARK ROBERT

24 1/7/11 1 PEARL CITY AKASAKI, GEORGE OH, ROBERT

25 1/7/11 1 CHRISTENSEN, CYNTHIA OKIMOTO,EDWARD

26 1/7/11 1 DURRETT,ANTHONY ROWAN,LINDA

27 1/7/11 1 KCLINIC JOHNSON, CHAD CHOW, GREGORY

28 1/7/11 1 MAKAKILO GANTZ, HOWARD ORCHOWSKI, JOSEPH

29 1/7/11 1 AIEA KAWAMOTO, KAZUO SCHIFF, ROBERT

30 1/7/11 1 WAIPAHU COSTA, KATHERINE NGUYEN, MARISA

31 1/9/11 1 LLEWELLYN, GRANT ANEGAWA, NORIFUSA

32 1/10/11 1 NAIHE, KAREN URAMOTO, KRISTINE

33 1/10/11 1 WARD POKRAJAC LEVAI, MARY CHRISTENSEN, KEVIN

34 1/10/11 1 MADELA, DARYL RIDAO, RICHARD

35 1/10/11 1 VERHOFF, BOON HOGLUND, CHRISTIN

36 1/10/11 1 ABENES,BRANDY NISHIHARA,MARK

DATE REFERE

D

37 1/11/11 1 ROSARE, CLARISA MARUMOTO, JAY

38 1/11/11 1 AIEA NAKAMURA, FRANCES OISHI,CALVIN

39 1/11/11 1 CLAMOR, ERLINDA WITT, WARREN

40 1/11/11 1 OCHOA, SHAENIAH SEABOLT, SARAH

41 1/12/11 1 WAIPAHU ADLER, MATILDA TOM, LINDA

42 1/12/11 1 DAVIS, ROBERT MARUMOTO,JAY

43 1/12/11 1 MALUINA, CYRIL MARUMOTO,JAY

44 1/12/11 1 PEARL CITY TASOE, TOSHIKO BURGERS, KRSITINA-TAMC

45 1/12/11 1 RUSSELL, EBBA TOM, LINDA

46 1/12/11 1 KAPOLEI KARAPANI, MARETA PIEN, FRANCIS

47 1/12/11 1 KAPOLEI WONG, PAULINE DEVERE, TODD

48 1/12/11 1 FREIMARK,JAMES BAYBAYAN,CARMEN

49 1/13/11 1 WAIPAHU SCHUBERT, HAMILTON HINCHEY, SHERIFAT

50 1/13/11 1 HAGY, NANCY PIEDAD, EMERICH

51 1/13/11 1 MCVAY,GLENDA KAWAMOTO,SCOTT

52 1/13/11 1 MARYKNOLL SIAZON, ANTONIO LACHKY,ROBERT-TAMC

53 1/13/11 1 LIEM, INGE STPEHENSON, KEITH

54 1/13/11 1 EWA BEACH CARRANCHO, JOSE OISHI,CALVIN

55 1/14/11 1 PCLINIC PLACE, JANEEN STEPHENSON, KEITH

56 1/14/11 1 PCLINIC BAUMGARTNER, JOHN ANEGAWA, NORIFUSA-V

57 1/14/11 1 WAHIAWA ALAMEDA,CARLA DEWEESE,NATHAN

58 1/14/11 1 PCLINIC AMINA, EDWARD MCCAFFREY,SCOTT

59 1/14/11 1 BROUILLARD,YVETTE MCCAFFREY,SCOTT

60 1/14/11 1 MATTHEWS, DANIEL MITSUNAGA,MORRIS

61 1/17/11 1 PEARL HARBOR ACACIO, VIRGINIA BAYBAYAN,CARMEN

62 1/17/11 1 KANIAUPIO, FRANCIS MARUMOTO, JAY

63 1/17/11 1 PEARL CITY PATTERSON, THOMAS AHU, TIMOTHY

64 1/18/11 1 GAUI, JENNIE OKAMURA, GARY

65 1/18/11 1 LEMUS, JOSE SMITH, SYDNEY

66 1/18/11 1 RUSSELL, ELIZABETH P. KWON,EDWARD -TAMC

67 1/18/11 1 CREWS, CHARLES SEIFRIED, REBECCA-TAMC

68 1/18/11 1 HIROMASA, ABRAHAM HAMASAKI, CRAIG

69 1/18/11 1 BAUGH, RICHARD CHANG, SPENCER

70 1/19/11 1 GREENWELL, SONJA BECKER, PAUL

71 1/19/11 1 URMY, CHERYL WITT, WARREN

72 1/20/11 1 PCLINIC MARIANI, STEVAN ANEGAWA, NORIFUSA-V

73 1/20/11 1 PCLINIC CABACUNGAN, ANATOLIOMCCAFFREY,SCOTT

74 1/20/11 1 CARR, ROBERT MCCAFFREY,SCOTT

75 1/20/11 1 MARYKNOLL FUJIMOTO,CALISTA KING, JENNIFER

76 1/20/11 1 ZAHN, DANIEL TANG, XUONG

77 1/20/11 1 SOO, ROSA SOWERS, NATHALIE

78 1/20/11 1 MOBILE KEMETERIO, JOSEPH OISHI,CALVIN

79 1/20/11 1 EWA BEACH YAMAMOTO, SHUNSO KATSURA, BRUCE

80 1/20/11 1 KANESHIGE, MILDRED DAS, NEALAJON-TAMC

81 1/20/11 1 BEAMAN, ADELE OKIMOTO,EDWARD

82 1/21/11 1 DUNN, JASON ANEGAWA, NORIFUSA-V

83 1/21/11 1 MOANALUA MORITA, EDITH SUZUKI, MONA

84 1/21/11 1 ALBERTSON, PEGGY OTAKA,DEAN

85 1/24/11 1 ALBRIGHT, WILLIAM TADAKI, STELLA

86 1/24/11 1 CENO, MELVEEN MORIOKA, SCOTT

87 1/24/11 1 SANDELL,EDDIE GRAHAM, JON

88 1/24/11 1 GROENLEER, ARISA MITSUNAGA,MORRIS

89 1/25/11 1 BANKS, VIOLA JEAN LEE, RONALD

90 1/25/11 1 AKEO, MELANIE VERNOY,TERRY

91 1/25/11 1 KCLINIC LEONG, CELESTINE OKI, ALAN

92 1/25/11 1 HALEIWA GHOST, PERRY CHENG, SUSANNA

93 1/25/11 1 HALEIWA ROITMAN, MARILYN TERUYA, SUMMER

94 1/25/11 1 HALEIWA RADUZINER, PAUL NAKAMURA, JAMES-TAMC

95 1/25/11 1 HALEIWA BOLO, THERESO

96 1/25/11 1 kclinic BENNETT, SYLVESTER WOLFE, STACEY-TAM

97 1/25/11 1 MCCLELLAND, ANDREW OISHI,CALVIN

98 1/25/11 1 BAYBAYAN, ROSITA AWAYA, DARIN

99 1/26/11 1 BONOTAN, ANDRES KIMURA, RICHARD

100 1/26/11 1 KANO, RUBY KANESHIRO, OWEN

101 1/26/11 1 KCLINIC YIM, MICHELE LEE, RONALD

102 1/26/11 1 HAMILTON,SAMUEL IZUTA, FRANK

103 1/26/11 1 WAIKIKI JOHNSON, MARJORIE HARAP, SEAN

104 1/26/11 1 LIMA, VICTOR TANG, XUONG

105 1/26/11 1 ALAKEA SMITH, MIYOKO MITSUNAGA,MORRIS

106 1/26/11 1 ALA, TUU YAMAOKA, RONALD

107 1/26/11 1 HALEIWA CHALKER , MICHAEL HIURA, TIMOTHY S.

108 1/26/11 1 WAIPAHU SANTOS, ALEXANDER OISHI,CALVIN

109 1/26/11 1 FLOERKE, JANE MURRAY,PATRICK

110 1/27/11 1 RAMOS, JOSEPHINE SINGER, DANIEL

111 1/27/11 1 ADAMS, LOUISE MONTGOMERYSUBER, JANICE

112 1/27/11 1 XIE, TING BARKDULL, THAD

113 1/27/11 1 KAPOLEI RICHARDSON, GAIL MORIOKA, SCOTT

114 1/27/11 1 RUSSELL, ELIZABETH M. KATSURA, BRUCE

115 1/28/11 1 COSTA, AARON JAY, MARUMOTO

116 1/28/11 1 NAPUTI-PEREZ, FAITH WITT, WARREN

117 1/28/11 1 FERNANDEZ, SCOTT BAYBAYAN,CARMEN

118 1/28/11 1 NANAKULI SEGOOL, KEALIILALANIKUKWAN, SIULING

119 1/28/11 1 KCLINIC ALMANZOR, NOEL CHING, LISA

120 1/28/11 1 GORDON, EVE KAUHANE, AARON

121 1/28/11 1 JONES, H. STANLEY EVERLINE, CLAYTON

122 1/31/11 1 ITO, SHUYA THOMAS KUROSAWA, MICHAEL

123 1/31/11 1 YAMASHIRO, KOSABURO LANGE, DAVID

124 1/31/11 1 BURTNESS, ELIZABETH SUMIDA, RYAN

125 1/31/11 1 HECK, BILLIE MCLEAN, BRIAN -TAMC

126 1/31/11 1 KAULIA, ABRAHAM HIURA, TIMOTHY S.

127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169

170171172173174175

Tot 103 23 58 22 0 23

RIBS

Patient name CaseTEAM member1/6 TROWBRIDGE,GWENDOLYN CHRISTOPHER

1/17 ACACIO, VIRGINIA JULIE K.

1/25 RADUZINER, PAUL KYLE K.1/31/ ITO, SHUYA JULIE K.

Date

PATIENTS REFERRED

COMMENTS A B COMMENTS

676-5000 1-4-11 NF MT IE: will call nxt. Wk Wed. 12th/ wi 4 no response/ patient doesn't show interest

1/3/11 Not approved by HMSA HMO Straub 6 approved for Straub only

676-5000

5

432-2200

AQUA

AQUA

1/10/11 IE: ? Pt. in hosp. per grand dtr 1-7/ pt. in nur ### 7

696-7081

692-6331 3

676-5000

522-4232 CHRIS'S RIB 4

SUMERS, MARK ROBERT

1/12/11

AQUA

528-2184 1/7/20111/10-NOTIFIED WILLY patient requests to 3 pt. schd appt.w/ another facilty

483-6400 7

AQUA 1

1/25/10 IE: ? 1-11 x COLLEEN SENT NR LETTER

5

DATE MD CONTACTED

Total per DAY

1/13/11 HMSA QUEST PRIMARY 792-5560 8 3

1/12/10

BURGERS, KRSITINA-TAMC

1/18/10 pt. will go to Waianae 1st phsysical due t 3 pt. finish work after 5 p.m.

432-7450 x3 KAISER INS. PRIMARY s/w Vanessa 8

6

LACHKY,ROBERT-TAMC

6

1/25/2011 IE: ? 1-14 x Colleen sent NR letter 1-25 7

AQUA 1-20 IE: ? Verify pt. info NO RESPONSE 1-20 No response to my 6 messages left/ NF letter sent to VA

1/14/11 DON'T COVER AREA 9

AQUA 1-21 IE: 676-5331 Rcvd. Non working #'s , pt's nxt. 7 Dr's office has NO contact # for patient

AQUA

AQUA 3

JULIE'S RIB

521-8150

1/23/2011 IE: ? LISA IN ICU-COMA ### IN ICU-COMA disregard per Fei (NCM) 2

550-0498

KWON,EDWARD -TAMC

SEIFRIED, REBECCA-TAMC

486-9119

6

2

AQUA IE: ? 1-20 x schd for lumpectomy first. Colleen 7 Colleen-NR 1-27

AQUA IE: ? 1-20 x 1/28-waiting for approval fr d 6 pt. need to sch dr's appt. for WC rx

AQUA

945-3766 2-1-11

1/20/11 HMSA QUEST PRIMARY 8

2/28/2011

7

AQUA

484-2904 1-28 need PT for urinary incontinence per urologist

3

432-2200 2-1-11

AQUA

AQUA 4

484-2042 1/31/11IE: 672-9256 NR letter 1-31-11 3 pt. requests to continue PT at Kapuna Wai Ola

ALOHA CARE PRIME INS. KYLE KIKUCHI REFER 8

637-5087 9 KYLE WILL NOT TAKE ESO MOBILE PTS.

NAKAMURA, JAMES-TAMC KYLE WILL NOT TAKE ESO MOBILE PTS.

IE: need Triwest Auth 722-3873 Kyel's RIB 9 KYLE WILL NOT TAKE ESO MOBILE PTS.

2/8/11 IE: ? 1-26 x HOLD therapy due to GOUT 2- 4 NO RESPONSE FROM PATIENT TO START PT

5

599-4456

521-83881-31-11Don't need therapy per pt. 1-31-11 1 Yurie-Pt. NOT interested in PT at all.

522-9633

AQUA

HMSA QUEST KYLE. K 8

9

536-2261

MONTGOMERYSUBER, JANICE

676-5331 KYLE

5

625-6444 1/31/ DON'T COVER AREA 9

01/28/11 7 YURIE- NO RESPONSE LETTER 2-4-11

2/3/11

AQUA 5

JULIE'S RIB

IE: waiting for Triwest Auth Kyle's RIB

MCLEAN, BRIAN -TAMC

5

103

TotalA

1 123 34 256 2

B7 58 59 4

10111213 2

No response to my 6 messages left/ NF letter sent to VA

FEB 2011PATIENTS REFERRED

NO

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DISTRICT PATIENT REFERRING MD

1 2/1/11 1 MANZANO, ARIEL IZUKA, BYRON

2 2/1/11 1 KCLINIC LINDBERG, TRACY GREENLY, GARY

3 2/1/11 1 FLOWERS, CYNJYN SUZUKA,RANDAL

4 2/1/11 1 SALT LAKE FURUYA, ETHEL SUZUKI,MONA

5 2/1/11 1 PEARL CITY TAKAI, HIROKO BUTO, FRANCIS

6 2/2/11 1 KCLINIC TAKAYAMA MILLER, KAMI IZUKA, BYRON

7 2/2/11 1 MARYKNOLL MATSUYAMA, ZENZO TAKAI, MASAO

8 2/2/11 1 FISER, AMELIA BECKER, PAUL

9 2/2/11 1 ABIVA,JOSHUA IZUTA,FRANK

10 2/2/11 1 AGUSTINO FLORA, MIGN WITT, WARREN

11 2/2/11 1 SALT LAKE TANI, JANE SUZUKI,MONA

12 2/2/11 1 HALEIWA DURAN, MARK AGSALDA-ROSENBUSH, VANESSA

13 2/2/11 1 HASSLER, FUMIKO LEE, GREGORY

14 2/2/11 1 ROEDER, JOHN CHANG, SPENCER

15 2/2/11 1 AIEA TANJI, TAKAO OTAKA,DEAN

16 2/2/11 1 KELII, THOMAS OTAKA,DEAN

17 2/2/11 1 TAKASUGI, PAULA LAM, JASON

18 2/2/11 1 KUNIA BIO, LEONTINA OSHIRO, SHARI

19 2/2/11 1 MANOA KANESHIGE, LINCOLN OISHI, STEPHEN

20 2/3/11 1 LUM, WES SAITO,DAVID

21 2/3/11 1 ALCANTRA, GENARA HARPSTRITE, JEFFREY

22 2/3/11 1 WYNN,WILLIAM DAULA,JOHN

23 2/3/11 1 TERADO, MICHAEL STEPHENSON,KEITH

24 2/3/11 1 KAIMUKI MUNCK, JEAN JOHNSON,GARY

25 2/3/11 1 ORNELLAS, LEONARD DEWEESE, NATHAN

26 2/4/11 1 GAUER, MICAH BUI, THERESA

27 2/4/11 1 REIS, MAYLYNN CHRISTENSEN, SUSAN

28 2/4/11 1 LYMAN, RAYMOND KOBAYASHI,JOEL

29 2/4/11 1 AIEA LAORON, GLORIA POLLARD, THOMAS

30 2/4/11 1 JONES, KENNETH WILSON,CHARLES

31 2/4/11 1 FERREIRA, MICHAEL IZUTA,FRANK

32 2/5/11 1 KCLINIC TAKAHASHI, MICHELLE IZUKA, BYRON

33 2/5/11 1 MILILANI SANTOS, BEVERLY SCHIFF, ROBERT

34 2/5/11 1 PACHECO, JASON KANESHIRO,STEVEN

35 2/5/11 1 PEARL CITY HASEGAWA, GERALDINE TAKAI, MASAO

36 2/6/11 1 GREENWOOD, DENNIS CHANG, JASON

DATE REFERE

D

37 2/7/11 1 PETTY, DEAN LEE, JEFFREY

38 2/7/11 1 GUALDARAMA, CHRISTOPCHUN,MICHAEL

39 2/7/11 1 NUUANU ISHIDA, KAZUKO TAKAI, MASAO

40 2/7/11 1 WON,LINDA LAWLER, SHARON

41 2/7/11 1 WARLICK, ANNA WILSON,CHARLES

42 2/7/11 1 NUUANU SENSUI, GRACE KANESHIRO,STEVEN

43 2/7/11 1 PCLINIC KUWANA, LANCE LAWLER, SHARON

44 2/7/11 1 MUDER, JAMES JONES, LAURA

45 2/8/11 1 SMITH, CHRISTINA TADAKI, STELLA

46 2/8/11 1 AIEA YAMAMOTO, ELAINE OISHI,CALVIN

47 2/8/11 1 ESPERANZA, KELLY SINGER, DANIEL

48 2/8/11 1 SULLIVAN, JONATHAN AKAU, CEDRIC

49 2/8/11 1 PCLINIC PALAKIKO, CHERYL BRUNO, MICHIKO

50 2/8/11 1 NORTHCUTT, ALAN CHRISTENSEN, KEVIN

51 2/8/11 1 VALDEZ, JOE LEE, JEFFREY

52 2/8/11 1 ZANE, NADINE KAUHANE, AARON

53 2/8/11 1 RIVERA, JOSEPH GRAHAM, JON

54 2/9/01 1 GUM, EDGAR MORIOKA, SCOTT

55 2/9/11 1 BARKER, SUE ARAKAWA, KEN

56 2/9/11 1 KAIMUKI LAW, JACQUELINE SHAHAN, BRIAN

57 2/9/11 1 MURATO, PAUL KANESHIRO,STEVEN

58 2/10/11 1 KCLINIC TAVARES, LEROY CHOW, GREGORY

59 2/10/11 1 PEARL CITY AKI, VIOLET SUZUKI,MONA

60 2/10/11 1 MAKIKI STEVENS, HERTA CHIANG, TON MING

61 2/11/11 1 MANLEY, COREY BARKDULL,THAD

62 2/11/11 1 MENDOZA, RICHARD CHOW,GREGORY

63 2/11/11 1 KAIMUKI STAFFORD, MARGARET LANGE,DAVID

64 2/11/11 1 PCLINIC EPENESA, VIEFU LANGE,DAVID

65 2/11/11 1 LIMA, VICTOR MCCAFFREY, SCOTT

66 2/14/11 1 TURBAN,JOSEPH M.D HAMASAKI, CRAIG

67 2/14/11 1 TAMASHIRO, MARSHA AWAYA, DARIN

68 2/14/11 1 SOUZA, EVELYN VAN METER ,JERRY

69 2/14/11 1 KALIHI TACHERA, RICHARD JEFFORDS, MARK

70 2/14/11 1 FOX, CHARLES TAKATA,JAYSON

71 2/14/11 1 MILILANI COWPER, JAMES KAUHANE, AARON

72 2/15/11 1 KCLINIC PILATO, BRYAN MIYASHIRO,JAMES

73 2/15/11 1 GOMEZ, ELEANOR CECILIO, SALVADOR

74 2/15/11 1 BONILLA, JEAN CUNNINGHAM, SCOTT

75 2/16/11 1 FABRAO, DAWN VERNOY,TERRY

76 2/16/11 1 HERMANN, HUBERT KOBAYASHI,JOEL

77 2/16/11 1 DURAN-RAYMOND, TITA SUSSMAN,ROBERT

78 2/16/11 1 MIZUMOTO, GRACE NAKAMURA, JASON

79 2/16/11 1 KALAELOA LERBACK, JENNI BESS SUZUKI,MONA

80 2/16/11 1 MOLETA SR, PHILIP KOBAYASHI,JOEL

81 2/16/11 1 BEEKES, MARIO MARUMOTO,JAY

82 2/16/11 1 GUZMAN-HERNANDEZ, S KAWAMOTO,SCOTT

83 2/17/11 1 DORSEY, THEODORA STEPHENSON,KEITH

84 2/17/11 1 BENEDIX, DEREK BAYBAYAN,CARMEN

85 2/17/11 1 PCLINIC HOTCHKISS, ERIN LUM,PETER

86 2/17/11 1 SALT LAKE KEKAHUNA, MARY YACOUB, ATOR

87 2/18/11 1 PCLINIC DYLL,VICTOR ROSENGREN,MARK

88 2/18/11 1 SALT LAKE MALOATA, ROBERT SCHULTE,JEFFREY

89 2/18/11 1 PAKAU, JUNIOR LUM,PETER

90 2/18/11 1 BRADBURY, BOUVEY IZUTA,FRANK

91 2/18/11 1 WAIPAHU PALEAFEI, AFATIA OSHIRO, SHARI

92 2/18/11 1 MAAFALA, ESAU KATSURA,BRUCE

93 2/18/11 1 D'ANDREA,MELANIE WILLIAMS, KAREN

94 2/18/11 1 EWA BEACH SAVAIINAEA, ROCKY OISHI,CALVIN

95 2/21/11 1 TAMURA, CLIFF AKAU, CEDRIC

96 2/21/11 1 COBILE,NIEVES METTIAS,MAGDY

97 2/21/11 1 KAPOLEI ROCHAT, MAURICE HARPSTRITE, JEFFREY

98 2/21/11 1 KCLINIC BERMAN, EVE BERMAN, JOSEPH

99 2/21/11 1 MILLER,CYNTHIA STEPHENSON,KEITH

100 2/22/11 1 PCLINIC PAOLILLO, VICENTA SHAHAN, BRIAN

101 2/22/11 1 FREDRITZ, CAROL OISHI,CALVIN

102 2/22/11 1 POLITANO,ELLEN URAMOTO,KRISTINE

103 2/22/11 1 SALT LAKE SHIMABUKURO, CY KATSURA,BRUCE

104 2/22/11 1 PCLINIC AUALA, JOHNATHAN TANG, XUONG

105 2/22/11 1 KAWAMOTO,JAMES AWAYA, DARIN

106 2/23/11 1 BOUCHER, FRANCIS IZUTA,FRANK

107 2/23/11 1 KAIMUKI CHOW,CAROLINE OMORI,SEAN

108 2/23/11 1 BRADBURY, LEZLEY IZUTA,FRANK

109 2/24/11 1 AIEA YAMAGUCHI,JACK MATSUMOTO,BRYAN

110 2/24/11 1 WELLS, JERRY SINGER, DANIEL

111 2/24/11 1 KELIINUI, PAULA NISHIHARA,MARK

112 2/24/11 1 LEE, BAKHEE MICKEY,JOHN

113 2/25/11 1 ENRIQUEZ,CHRISTOPHER BARR,PHYLLIS

114 2/25/11 1 CAMACHO,ROBYN SAITO,DAVID

115 2/25/11 1 JAMES, HYDI MCCAFFREY, SCOTT

116 2/25/11 1 MAERTENS JR, PETER HARPSTRITE, JEFFREY

117 2/28/11 1 HOLI, AMBREH AKITA, NAOMI

118 2/28/11 1 PEARL CITY SASANO, HAZEL NOMURA, RYAN

119 2/28/11 1 BUCHANAN, TYRONE SMITH,SYDNEY

120121122123124

125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169

170171172173174175

Tot 104 15 59 16 0 29

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTS

373-2167/ 2-9-11pt. will "pass", "doing better" 1 NO NEED FOR THERAPIST TO CALL PER PATIENT

637-5087

488-0990 4

2/2/11 HMSA QUEST SENT LETTER TO MD OFC. 8

AQUA

484-2904

AGSALDA-ROSENBUSH, VANESSA

AQUA

486-5556

523-8611 13

6

AQUA

CHRISTENSEN, SUSAN

692-6331 6

485-8985 2/11/11IE: NR f #485-8986 7 FAXED NR LETTER/CALLED DR'S OFC.-YURIE

3

1

DATE MD CONTACTED

Total per DAY

REID 2-8 ataxia

JULIE 2-4/ REID #671-3715 fmr fx dos 1-13

REID 2-8 decon.

REID 2-10 IE THEN PRE CERT HMSA

REID/ steven 2-9 THA

733-5111 2-14 CXL PATIENT FINISH WORK AFTER 6 P.M. 3 colleen offered Kclinic -too far per pt.

AQUA 2/11/11 7

537-9105 2/11/11IE: ? 2-11 COLLEEN NR F# 537-9269 7 COLLEEN NR LETTER SENT/DR'S OFC. NOTIFIED

522-9633

2/10/2011 523-8833 pt. hung up on me during conversation.

)550-4939AQUA 8

4

2/28 IE: ? 2-11 x 9 YURIE NO RESPONSE

2/28 IE: ? 2-16 x req. to sch. Later this wk 2-28 7 NO RESPONSE FOR A MONTH-colleen

1

2/16

3/7/2011 7 COLLEEN- NO SHOW FOR IE THAT WAS SCHEDULED TWICE

4

532-2056

625-6444 6

2/21 IE: ? 2-16 Employer sending pt back home to ###

2

550-4924

REID shld fx

521-8150

8

432-3100 3/1/11 WC MT IE: denied pending investigation 6 dr's office will contact ESO once approved

3

2/28 IE: ? 2-18Colleen sent NR letter/ has cast 1

3/2/11

531-7277

7

1 2-23 pt. doing better, no call needed by a therapist per Dr.Joseph Berman

4

2/25 IE: ? 2-22 Wants to sch. At a later time 2 4 Not interested, No further contact per pt. request colleen

2/28

3/1

AQUA 676-5331patient in wheel chair/ need lift for pool 5 case manager already notifieid-colleen

532-2056 2/28/11 ### 3

3

536-2261

4

AQUA

536-2261 4

536-2261 3

104

TotalA

1 323 14 15 16 1

B7 48 19 1

101112 113 1

COLLEEN- NO SHOW FOR IE THAT WAS SCHEDULED TWICE

2-23 pt. doing better, no call needed by a therapist per Dr.Joseph Berman

Not interested, No further contact per pt. request colleen

MAR 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

1 3/1/11 1 KCLINIC DAVIS, KULIAIKANUU STEPHENSON,KEITH

2 3/1/11 1 LUI YUEN, CODY KANESHIRO, STEVEN

3 3/1/11 1 CONSTANTINO, CLIFF TOM, RUSSELL

4 3/1/11 1 PCLINIC FLAX, COLETTE ROWAN, LINDA

5 3/1/11 1 pclinic PAGARIGAN, GRANT KIMBRELL, MARK

6 3/1/11 1 MARYKNOLL SALVADOR, ARLENE OISHI,CALVIN

7 3/1/11 1 KCLINIC LOMBARDI, RONALD KELLER, HOWARD

8 3/1/11 1 JARALBA, DELIA WONG, MELVIN

9 3/1/11 1 PCLINIC KAPUA, CHARLENE RUMBAOA,DONNA

10 3/2/11 1 FABELLA, JUSTINE SUZUKA, RANDALL

11 3/2/11 1 LIMA, PENINA MARUMOTO, JAY

12 3/2/11 1 SOTO, CLYDE SR. SMITH, SYDNEY

13 3/2/11 1 MCKAIG, BOBBY IGNACIO, ELIZABETH

14 3/2/11 1 HAMPTON, BRENDA SINGER, DANIEL

15 3/2/11 1 AIEA SORAKUBO, NOBUKO KIMURA, CLAUDINE

16 3/2/11 1 INES, JOANNA ROWAN, LINDA

17 3/2/11 1 ROBINSON, JAMES TANG,XUONG

18 3/2/11 1 COLLIGNON, MARY ANN CHRISTENSEN, KEVIN

19 3/3/11 1 KOROLEV, VLADIMIR KOBAYASHI,JOEL

20 3/3/11 1 CLEMONS, LESTER IGNACIO, ELIZABETH

21 3/3/11 1 CHOI, SARA WOO, KEITH

22 3/3/11 1 MAKAKILO MARTIN,HILDA MORIOKA, SCOTT

23 3/3/11 1 WAIPAHU CHUNG, NORA YAZAWA, ALBERT

24 3/3/11 1 ALCARAZ, DANIEL STEPHENSON,KEITH

25 3/3/11 1 NELSON,ERIC JOHNSON, ARTHUR

26 3/3/11 1 KANEOHE YOUNG, ELSIE SCHIFF, ROBERT

27 3/3/11 1 KAUIHOU, GORDEAN MIURA, DAWN

28 3/3/11 1 FLETCHER, UILANI STEPHENSON,KEITH

29 3/3/11 1 UJIMORI, GEORGE OSHIRO,SHARI

30 3/4/11 1 TERAMAE, CYNTHIA NOON,SANDRA

31 3/4/11 1 VINEYARD AWA, MARGARET KIMURA, RICHARD

32 3/4/11 1 KCLINIC SOUZA, BRITTANY CHANG,SPENCER

33 3/4/11 1 TIQUI, MARCELINO PRAKASH, NEAL

34 3/7/11 1 DAVIS, MADISON DURKIN, ROBERT

35 3/7/11 1 KCLINIC MAXWELL, AMANDA CHANG, SPENCER

36 3/7/11 1 NAVOR, JONATHAN MIYASATO, STEPHEN

DATE REFERE

D

37 3/7/11 1 KEYES, JACQUELINE GROTH, ADAM

38 3/7/11 1 SHIMIZU, PAUL IIDA-TAKASHIMA, MA

39 3/7/11 1 KORYCINSKI, KERRI SMITH, SYDNEY

40 3/7/11 1 AIEA HEADY, DONALD STERBIS, JOSEPH

41 3/8/11 1 JORDAN, LUCILLE TANG,XUONG

42 3/8/11 1 WALKER, LAVERNIS HARPSTRITE, JEFFREY

43 3/8/11 1 KCLINIC SOUSA, CAROL YEE, MELVIN

44 3/8/11 1 PCLINIC LECOURS, IAN TANG,XUONG

45 3/8/11 1 ROBERT, WARREN WING, ADRIENNE

46 3/8/11 1 STICHTER, SHANE KATSURA,BRUCE

47 3/8/11 1 TAKAHASHI, TROY IZUTA,FRANK

48 3/8/11 1 BUMANGLAG, KELLY KIM, JONATHAN

49 3/9/11 1 RALYA, JACQUELINE SMITH, SYNDEY

50 3/9/11 1 SOO, ROSA ATKINSON,ROBERT

51 3/9/11 1 PEARL CITY TANAKA, KENNETH OISHI,CALVIN

52 3/9/11 1 DRURY,VERNON MORIOKA, SCOTT

53 3/10/11 1 DUFFY, ROBERT TOKISH,JOHN

54 3/10/11 1 MCFEELEY,LAURENE IZUTA,FRANK

55 3/10/11 1 KCLINIC FUNAYAMA,CHARLOTTE IIDA-TAKASHIMA, MALIS

56 3/10/11 1 FELTON, PEYTON IZUKA, BYRON

57 3/10/11 1 GREEVER, SHAWNA IIDA-TAKASHIMA, MALIS

58 3/10/11 1 KCLINIC PAVAO, SHANE LEY, GENEVIEVE

59 3/10/11 1 YEE, LINDA STEPHENSON,KEITH

60 3/11/11 1 ZABALA, ELLIE HARPSTRITE, JEFFREY

61 3/11/11 1 ROMERO,PATRICIA AWAYA,DARIN

62 3/11/11 1 TORII, KASEY IZUKA,BYRON

63 3/11/11 1 CUSTINO-HUNKIN, CAROLSTEPHENSON,KEITH

64 3/11/11 1 KAPOLEI TU, WILLIAM HARPSTRITE, JEFFREY

65 3/12/11 1 TOLENTINO, NENITA CHOW,GREGORY

66 3/14/11 1 ESPIRITU, NANCY GUINTO, ROY

67 3/14/11 1 WAIPAHU KAKEHI, SHINAYO GALINDO, BENEDICTO

68 3/14/11 1 HALAWA MAEDA, VIOLET OISHI, CALVIN

69 3/14/11 1 PCLINIC BOULTINGHOUSE, MEGH MCCAFFREY, SCOTT

70 3/14/11 1 BING, SHEILA LUM, PETER

71 3/14/11 1 CAMPOS, JOSEPH LUM, PETER

72 3/14/11 1 GATDULA, ROMEO VAN METER, JERRY

73 3/14/11 1 JOAQUIN, JENNIFER OISHI,CALVIN

74 3/14/11 1 PCLINIC LEOPOLDO, RAYMOND OISHI,CALVIN

75 3/14/11 1 ADAMS, LOUISE BECKER, PAUL

76 3/14/11 1 CARGANILLA, AMELIA RAGUNTON, LUIS

77 3/14/11 1 ERUB, ALWYN ITO, JENNIFER

78 3/14/11 1 FAAMATAU, PIO MARUMOTO, JAY

79 3/14/11 1 PALLETT, NICHOLAS MAH, DONNA

80 3/14/11 1 UMIAMAKA, HOLLIE GACKLE, R.H

81 3/15/11 1 ALFEROS, ANDRE PRAKASH, NEAL

82 3/15/11 1 AURIO, TIMOTHY KAU, KENNETH

83 3/15/11 1 NAPUELUA, LIWAI GRAHAM,JON

84 3/15/11 1 PAJELA, MANUEL STEPHENSON,KEITH

85 3/16/11 1 KCLINIC ANDERSON, ROSANNE CHOW,GREGORY

86 3/16/11 1 BAYBAYAN, ROD LEE BAYBAYAN, CARMEN

87 3/16/11 1 MILANES, IRENE MCCARTHY, MARYLOU

88 3/16/11 1 ALCARAS, JANIS GREGORY, LEE

89 3/16/11 1 MARYKNOLL RABAGO,GILBERT SONIDO,CHARLIE

90 3/16/11 1 RODRIGUES, CLEMENT LIOW, KORE

91 3/17/11 1 BAUTISTA, ROMANA IGNACIO,ELIZABETH

92 3/17/11 1 GUBICH, SUZZANE LANGE,DAVID

93 3/17/11 1 FONG,CAMEO BELLO,ERLAINE

94 3/17/11 1 ANGUAY, PHYLLIS MATSUMOTO,BRYAN

95 3/17/11 1 AIEA OTSUKA, RUTH OKI, ALAN

96 3/17/11 1 CHUNG, JOHN JR LANGE,DAVID

97 3/17/11 1 KCLINIC BLY, PETER NAKATSU,CURTIS

98 3/17/11 1 PIA, ANGELA MARUMOTO, JAY

99 3/17/11 1 RAPOSA, JULIAN HAMASAKI,CRAIG

100 3/17/11 1 SLABIAK, GINA MORIOKA, SCOTT

101 3/18/11 1 PEARL CITY KIMURA, KIYOKO OISHI, CALVIN

102 3/18/11 1 FUJITA, VELVET TADAKI,STELLA

103 3/18/11 1 AIEA ROBINSON, JAMES W. TOM, LINDA

104 3/18/11 1 WAIPAHU TOMITA, CHIEKO EBISU,ROY

105 3/18/11 1 PCLINIC MCDONALD, ARLENE LIN NAKATSU,CURTIS

106 3/21/11 1 FERNANDEZ, TIYANA SCHEPER, STEPHEN

107 3/21/11 1 ENCARNACION, PEDRO IZUTA,FRANK

108 3/21/11 1 ACHIU, BRITTANY STEPHENSON,KEITH

109 3/21/11 1 ALAKEA KAGESA, SANDRA UYENO, BRENT

110 3/21/11 1 WAIPAHU PARK, HERBERT DEBOARD,EDWARD

111 3/22/11 1 LEMIEUX, ALECIA MARUMOTO, JAY

112 3/22/11 1 NACNAC,MARGARET JOHN, DAVID

113 3/22/11 1 WYNN,HELEN MARSHALL,JOHN

114 3/22/11 1 HEINE, HEALII MARUMOTO, JAY

115 3/23/11 1 STYPE, ANTHONY SCHIFF,ROBERT

116 3/23/11 1 SALT LAKE ONAGA,YOSHIKO YAZAWA, ALBERT

117 3/23/11 1 KARIMOTO,MICKEY SAHAI, AMOGH

118 3/23/11 1 KAPOLEI REID JR, PETER PORTNER,BERNARD

119 3/23/11 1 AHHEE, KIMBERLIN MCCAFFREY, SCOTT

120 3/23/11 1 CABANAS, HELEN SELF REFERRED

121 3/24/11 1 WALTER, PISAMAI SMITH,SYDNEY

122 3/24/11 1 FREDRITZ,CAROL OISHI,CALVIN

123 3/24/11 1 KALIHI EVANGELISTA, FRANCISC OKI, ALAN

124 3/24/11 1 ALIAMANU MENDEZ, RICHARD WINSTON, BRIAN

125 3/24/11 1 AIEA PURDY,FIDELIA GONZALEZ, MARILOU

126 3/24/11 1 KALINOWSKI, CHARMAIN MITSUNAGA,MORRIS

127 3/25/11 1 HERNANDEZ, MACK IGNACIO,ELIZABETH

128 3/25/11 1 PEARL CITY YASUDA, PAUL RAELSON-SKONICKI,REBECCA

129 3/28/11 1 WAIPAHU JENNINGS, DONNA OISHI,CALVIN

130 3/28/11 1 MARYKNOLL KUWAYE, KRISTEN SUGIBAYASHI, SHERA

131 3/28/11 1 CABICO, GELANEY MARUMOTO, JAY

132 3/28/11 1 PCLINIC CHONG, KATHLEEN SUZUKI,MONA

133 3/28/11 1 KOBA, JANA SUZUKA, RANDALL

134 3/28/11 1 NGUYEN, MY TU BUI, THERESA

135 3/28/11 1 KOKOHEAD TAMANAHA,CLIFFORD OISHI,CALVIN

136 3/28/11 1 IMBO, DONNA VERNOY,TERRY

137 3/30/11 1 PUUNUI KAULUKUKUI, SOLOMON LARSON, SHANE

138 3/30/11 1 NGUYEN, HUNG PANG, GLENN

139 3/30/11 1 BERRY, TAMMY BECKER, PAUL

140 3/30/11 1 FETZER, BRIDGET LEE, GREGORY

141 3/30/11 1 PEARL CITY PRYNE, JUDITH CORDERO,ANTONIO

142 3/30/11 1 SAGUIBO, KAREN CHOW,GREGORY

143 3/31/11 1 CALAIRO, GLENN HAWKINS, CAMILLE

144 3/31/11 1 BABINO, DAVID GOH, JODI

145 3/31/11 1 DAVIS, CHRISTINA ROWAN, LINDA

146 3/31/11 1 PARIS, JULIA CHOW,GREGORY

147 3/31/11 1 ARCE, ENRICO KOBAYASHI,JOEL

148 3/31/11 1 VILLA, JOSEPH CONCEPCION,LEHUAL

149150151152153154155156157158159160161162163164165166167168

169170171172173174175

Tot 125 23 72 28 0 25

RIBS

Patient name CaseTEAM member3/1 SALVADOR, ARLENE KEN

3/2 SORAKUBO, NOBUKO JULIE K.

3/14 KAKEHI, SHINAYO JULIE K.3/30 PRYNE, JUDITH JULIE K.

Date

PATIENTS REFERRED

COMMENTS A B COMMENTS

3/24/11 676-5000 WC doesn't need PT anymore 1 cancel orders per MD and adjustor-pt return to full duty

AQUA 538-7700 1 Colleen- pt. will call when ready 3-16

3/7 pt enquired about PT NR/ waiting for referral 7 pt. has busy schedule per Dr's office

KEN'S RIB

3/14 IE: ? 3-2 x kristine- NR 7

AQUA 3-8-11 KAISER PRIME INS. PT DENIED BY KAISER 4

637-5087

JULIE RIB

AQUA

9

832-6132

488-9250 3/4/2011DON’T' COVER AREA 9 CALLED DR'S OFC/SENT LETTER

676-5000

566-3458 10

AQUA

599-4456

3/10 IE: NR- 3/16 S/WJEN 7

486-6656 3

3/14 req. to go elsewhere, will use other doctor 3

MIYASATO, STEPHEN

DATE MD CONTACTED

Total per DAY

IE: ? KELLIE 3-4/ steven 3-4/ Julie 3-7/ REID 3-8

3/22 IE:? 3-7 req. to sch. At the end of the month 7 Colleen faxed NR letter

536-2261

6

676-5331

3/9/2010 523-5885busy sch., pt. house on market, not ready 1 patient will call when ready

3/15 IE: SENT NR LETTER 676-5331/f#678-1531 7

692-6331

6

536-2261

536-2261

4

3/11 pt. requests to go Waipahu, area where s 3 Notified dr's office. s/w Tanya

488-0990

3/18- shirley 585-7414IE: NR- faxed/ called dr's ofc. 7 S/W SHIRLEY AT DR'S OFC. NO RESPONSE

5

532-2056

676-5000

536-2261 REID 5

1

GALINDO, BENEDICTO JULIE RIB

AQUA 676-5331 TOO FAR, SENT LETTER 3-21 3

3/18- peggy432-3100

3/18- peggy

3/14 IE: OHANA MEDICIAID 953-7379 8 NOTIFIED MAY @ DR'S OFC.

3/23 3 Colleen- pt going to Sports Medicine

REFERRED BY NINO CAMILLO-CNA CAREHOME OPERATOR

521-8150

CHRIS

432-2200 12

627-3200/ 623-7872HMSA QUEST PRIMARY 8 Gail @ physicians center will contact patient

550-4939

AQUA 3

3/31 IE: ? 3-16 X 7 HELEN-NO RESPONSE LETTER SENT

487-7077

5

536-2261

537-6335

3/31/11 IE: ? 3-17 ###pt returned home back to HILO

9

AQUA 3/31 IE: ? 3-21 x pt req. to start 4/15 7 COLLEEN- NR- 4-26-11 4

3/22- Jennifer676-5000

3/21 requests to go to Rehab outpatient 3 NCM notified, she will contact pt.

4

521-8150

4

3/25 832-6132 3 fax'd letter to dr's ofc. /S/W LINDA @ dr's ofc.

596-7300

3/29/201676-53311

MASSAGE 5

KIM 3-25 / REID

kim/ REID 3-25 M & F 10 A.M. ONLY

522-9633 AQUA 6

RAELSON-SKONICKI,REBECCA 2

3/28 HMSA QUEST PRIMARY 8 NOTIFIED DISCHARGE PLANNER-ELIPIDIO

546-1199 KENS RIB

4/26 IE: ? 3-29 x will see surgeon first 7 COLLEEN-NR 4-26-11

528-4484

REID / KIM

6

3/31- s/w Jan IE: waiting for auth from Dept. of VA

6

538-7700 AQUA

263-9100 6

125

TotalA

1 323 6456

B7 98 39 1

101112 113

cancel orders per MD and adjustor-pt return to full duty

APR 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

1 4/1/11 1 HOOHULI, STANFORD CHUN, MICHAEL

2 4/1/11 1 CHRISTLE, PAMELA ORCHOWSKI, JOSEPH

3 4/1/11 1 PONCE, CAROLINE MITSUNAGA, MORRIS

4 4/2/11 1 KAHALA AHEARN, KATHERINE LEUNG,ALBERT

5 4/4/11 1 BLAKE, AMBAR BAYBAYAN, CARMEN

6 4/4/11 1 HOLTZ, KYOKO BARR,PHYLLIS

7 4/5/11 1 REED, ABBIE AVINO, ATTILIO

8 4/5/11 1 GLENISTER, SONJA RAELSON,SKONICKI, REBECA

9 4/5/11 1 PEREZ-MCDONALD, LORI SILVA, MARIO

10 4/5/11 1 KUBA, JASON FLORIMONTE, JASON

11 4/5/11 1 RELLIN,FELISA TOM,LINDA

12 4/5/11 1 FOSTER VILLAGEKIM, LOTUSS WOO, KEITH

13 4/6/11 1 GONSALVES, DEWAYNE LUM, PETER

14 4/6/11 1 MELENDY, STUART LUM, PETER

15 4/6/11 1 MIYAMOTO, AMY HARPSTRITE,JEFFREY

16 4/6/11 1 MARTIN,OSCAR ADAMS, KEVIN

17 4/6/11 1 WYNN, WILLIAM MARSHALL, JOHN

18 4/6/11 1 COSTELO, TRACIE LI PA-C, MICHAEL

19 4/6/11 1 REED, ANTONIA GONZALEZ, MARILOU

20 4/7/11 1 AIEA IKUTA, MITSUE HARADA, JANICE

21 4/7/11 1 SPOHN, FRANCES LUM, PETER

22 4/7/11 1 PEARL CITY FUNAYAMA, MASAHIRO LE, KY

23 4/8/11 1 PCLINIC GERMAINE, JOHN JOHNSON,ARTHUR

24 4/8/11 1 KAHALOA, ZACHARY LUM, PETER

25 4/8/11 1 LACALAMITO, SUAD PRAKASH, NEIL

26 4/9/11 1 FAGARAGAN, JEFFREY RIDAO,RICHARD

27 4/11/11 1 MAKIKI KRANTZ, JUNKO TOM, LINDA

28 4/11/11 1 WAIKIKI COWING, MARY SHEN, DWIGHT

29 4/11/11 1 LILIEQUIST, CARL KANESHIRO, STEVEN

30 4/11/11 1 DREWS, DOUGLAS STEPHENSON,KEITH

31 4/11/11 1 MAURER, LOU ANN GOH, JODI

32 4/11/11 1 KCLINIC ACORDA, JADE STEPHENSON,KEITH

33 4/12/11 1 RIDINGS, THERESA LANGE, DAVID

34 4/12/11 1 TUPUA, GEORGE PORTNER,BENARD

35 4/12/11 1 CENCI, LAUREN BARTON-TAYLOR, KARE

36 4/12/11 1 WAIKELE PARK, BONGJU WOO, KEITH

DATE REFERE

D

37 4/12/11 1 KCLINIC WYKE, NEDRA LAWLER, SHARON

38 4/12/11 1 GRUNE, ERNEST OTAKA,DEAN

39 4/12/11 1 KAIMUKI MORIKAWA, LORRAINE HIMEDA,SCOTT

40 4/13/11 1 KALIHI JARRETT, BARBARA YAZAWA, ALBERT

41 4/13/11 1 PUNAHOU TANAKA, CHIYOKO CHRISTENSEN, KEVIN

42 4/13/11 1 KCLINIC MONTALBO, ANDREW LEE, JEFFREY

43 4/13/11 1 NAGRAMPA, VIRGILIO OKIMOTO,EDWARD

44 4/13/11 1 DAMIAN, VIOLA OLDERR, TIMOTHY

45 4/13/11 1 MIYATAKI, SCOT IGNACIO,ELIZABETH

46 4/14/11 1 OKADO, JODEANNE RAGUNTON, LUIS

47 4/15/11 1 REYES, ANTHONY ITZUTA, FRANK

48 4/15/11 1 YAMADA, SUSAN SELF

49 4/15/11 1 CRUZ, CONSOLACION SANTOS-OCAMPO, ALBERTO

50 4/15/11 1 MANUEL, VICTORIA KIM, ROSALYNN

51 4/18/11 1 CRUZ, STACY STEPHENSON,KEITH

52 4/18/11 1 KEAULII, KAINOA FLORES, MICHELLE

53 4/18/11 1 HENRIQUES, ROBERT FITZ-PATRICK, DAVID

54 4/18/11 1 AIEA FONG, RODERICK OISHI,CALVIN

55 4/18/11 1 VENTI, GINO STEPHENSON,KEITH

56 4/18/11 1 OHELO, ANGELA MARUMOTO, JAY

57 4/18/11 1 KCLINIC FONOIMOANA, CHRISTIN MCCAFFREY, SCOTT

58 4/18/11 1 GONZALES, MARCIA CHAN, DARWIN

59 4/18/11 1 NIXON, DONNA WILSON,CHARLES

60 4/20/11 1 LEE, RUBY EBISU, ROY

61 4/20/11 1 ROBB, ANNE KOBAYASHI,JOEL

62 4/20/11 1 LAZARTE-ORTIZ, VIKKI AWAYA,DARIN

63 4/20/11 1 AGUSTIN, JAMES OLDERR, TIMOTHY

64 4/20/11 1 MAGSAYO, JERRY KAWAMOTO, SCOTT

65 4/20/11 1 BLAND, JOHNNY WILSON,CHARLES

66 4/21/11 1 OSHIRO,SHIRLEY CHOW,GREGORY

67 4/21/11 1 NOVAK,RACHEL IZUKA, BYRON

68 4/21/11 1 AIEA HILLYER, MARGIE LANGE,DAVID

69 4/21/11 1 KUKAC, GARY KOLB, CAROLINE

70 4/21/11 1 SCARIANO, JENNIFER SIMMONS, DAVID

71 4/21/11 1 WARD YU, MABEL ANN PEARL-NURSING FACILITY

72 4/21/11 1 LUCERO, FRANK AKAU,CEDRIC

73 4/21/11 1 STEPHAN, KATHY BARTON-TAYLOR, KARE

74 4/22/11 1 KCLINIC VINCENT, DARLENE SCHEPER, STEPHEN

75 4/22/11 1 HATZKY, ANICIA MAY STEPHENSON,KEITH

76 4/22/11 1 BARSATAN, HERMAN SCHIFF,ROBERT

77 4/22/11 1 KCLINIC SOMERA, SELENA MATSUMOTO, BRYAN

78 4/23/11 1 KAHUKU SANCHEZ, ANTHONY TAN, THOMAS

79 4/23/11 1 PASCUA, LILIANA LEE, RONALD

80 4/23/11 1 KAIMUKI TERUKO, MORITA SUZUKI,MONA

81 4/25/11 1 CHOI, RUTH HARPSTRITE, JEFFREY

82 4/25/11 1 ALAKEA SUR, TAKAKO CARDILE, ANTHONY

83 4/25/11 1 PCLINIC AI, CHASSI SOWERS, NATHALIE

84 4/25/11 1 FIGUEROA,PATRICK KAAN,KENNETH

85 4/26/11 1 SWARTZ, JEFFREY OISHI,CALVIN

86 4/26/11 1 ISAACS, MARGARET CHOW,GREGORY

87 4/26/11 1 KCLINIC THOMAS, CHRISTINA RASSMUSSEN, LINDA

88 4/26/11 1 MURAYAMA, KATHERINE SCHEPER, STEPHEN

89 4/26/11 1 AIEA VETTER, PEGGY LANGE, DAVID

90 4/26/11 1 QUiOCHO, RANDALL HANNON, JOHN91 4/26/11 1 KCLINIC MORREIRA, KEONE HANNON, JOHN

92 4/26/11 1 SCHWARTZ, SUSAN MORIOKA, SCOTT

93 4/27/11 1 CHANG, AMANDA OTAKA,DEAN

94 4/27/11 1 EWA BEACH ZEOLI, ANTHONY LARSON, SHANE

95 4/27/11 1 BASQUE, ETHEL OLDERR, TIMOTHY

96 4/27/11 1 LEANOJR, RICHARD IZUKA, BYRON

97 4/27/11 1 KCLINIC ARAKAKI, ASHLYN CHANG,SPENCERR

98 4/27/11 1 WAHIAWA ESTABILLO, CARMEN TOM, LINDA

99 4/28/11 1 KCLINIC MINER, ANNA KAAN,KENNETH

100 4/28/11 1 YAMASATO, BARBARA MORIOKA, SCOTT

101 4/28/11 1 KCLINIC PARK, JULIA KAN, DARRYL

102 4/28/11 1 CUADRABO, GIANNI SELF, KALAELOA FACILITY

103 4/28/11 1 ENDO, MICHELE WILSON,CHARLES

104 4/29/11 1 LAM HO, BRUCE SINGER, DANIEL

105 4/29/11 1 SILVA, RODNEY MONTEMAYOR,ANDREW

106 4/29/11 1 PEARL CITY FUJIOKA, HAROLD MIHARA,MICHAEL

107 4/29/11 1 CHOY, AVERY OISHI,CALVIN

108109110111112113114115116117118119120121122123124

125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169

170171172173174175

Tot 88 19 51 22 0 15

RIBS

Patient name CaseTEAM member4/7 IKUTA, MITSUE JULIE K.

4/12 MORIKAWA,LORRAINE KEN

4/26 DR.JOHN HANNON KRISTEN'S RIB

Date

PATIENTS REFERRED

COMMENTS A B COMMENTS

488-8101

3

955-5929 STEVEN/ KIM 1

2

RAELSON,SKONICKI, REBECA

6

676-5000

7

JULIE's RIB

AQUA

4/12/11 Don't want PT, will have new prosthetic le 1 per patient and NCM- patient doing better 2

4/8/11 IE: CAN'T SCHEDULE UNTIL SURGERY PER 1

486-6656 2

4/20/11 4-11 X NR-Colleen contact dr's ofc. 1

4/13/11 waiting for updated rx Requests to start in 2 weeks 5/10/11

531-0663

4/20/11 NF MT IE: ? 4-12 CAN'T MAKE APPTS. 3 WILL GO TO CLINIC NEAR WORK Colleen noti 5

596-7300

AQUA 261-7246

DATE MD CONTACTED

Total per DAY

4-12 733-5111 OHANA MEDICAID PRIMARY 8 letter sent to dr's ofc.

544-2600 6

522-9633

4-13-11 523-8833ALOHA CARE PRIMARY 8 notified Dina @ dr's ofc.

5

488-8750 1

SANTOS-OCAMPO, ALBERTO

4

676-5000 5/2/11 IE: ? 4-26 Nicole- NR

AQUA 531-6886

521-8150

676-5331 4-28 fax'd NR letter / s/w shirley 7

8

532-2056

523-2911

STEVE 6

528-2184

485-8985-ELLY IE: ? 4-26 x BEATA Nicole-s/w Tanya 5-2

ANN PEARL-NURSING FACILITY

AQUA 8

596-7300 4/28-EDNAWANTS TO GO NEAR WORK 3 CALLED DR'S OFC.

676-5000

488-0990- 4-29 IRENEIE: pt requesting chiro-she'll call dr for ref 3 dr. office notified pt. requests chiro not PT 2

4/25- EVELYN DON'T COVER AREA 9 FAX'D LETTER/ & S/W EVELYN

2

KEN'S RIB

4/26/11 CXL Per Jan Takata. pt refuse 4-26-11 1

4/25- CHERRY HMSA QUEST PRIMARY 8 FAX'D LETTER/ CALLED DR'S OFC.

2

4-26-11 SHERRI HMSA QUEST PRIMARY 8 called dr's ofc/ faxed letter 4-26-11

486-5556

4323103 5-12-11WC IE: denied pending investigation 6 S/W NCM AND SENT LETTER

6

486-5556

522-4232 4-28- AnnaIE: ? 5-13 Nicole-NR letter 5-16 7 Doctor- "it's ok if pt. doesn't want to do it"- 5-5-11

4/28 HSE don’t cover area 9 S/W Dinelle SW 4-28-11 4

533-3393 IE: HMSA QUEST PRIMARY 8 DISREGARD PER DR'S OFC.

5/3 fax'd letter to dr's ofc.. L/M w/ Delia

536-2261 5-11-11NICOLE-NR 7 Nicole-fax'd NR letter 5-11-11

SELF, KALAELOA FACILITY

STEVE 3

5/6/11 IE: ? 4-29 x Angel- NR 7

488-0990 5/5 Lisa- pt refuse therapy. Dr's ofc. notified 1

2

88

TotalA

1 423 3456 1

B7 48 59 2

10111213

MAY 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

1 5/2/11 1 SAUER, EMIKO HMC-E, WONG, RUSSELL2 5/2/11 1 CASTILLO, PAIGE SUMIDA, RYAN

3 5/2/11 1 OBANIA, KATHLEEN LAU, RICHARD

4 5/2/11 1 KCLINIC HONORE- MOORER, RACHSTEPHENSON,KEITH

5 5/2/11 1 LILIHA MATSUOKA, HARRIET CHANG,JASON

6 5/2/11 1 VALDRIZ, CHERYL OTAKA,DEAN

7 5/2/11 1 ADLER, JUNIPER OTAKA,DEAN

8 5/2/11 1 KCLINIC MAHARAJ,PRIANKA STEPHENSON,KEITH

9 5/2/11 1 MOBLEY, ROBYNNE NAKATSU,CURTIS

10 5/3/11 1 KCLINIC WONG, JENNIFER MURRAY,PATRICK

11 5/3/11 1 BORGES,BRIAN WILSON,CHARLES

12 5/3/11 1 ABREGANA, JESSICA IZUTA,FRANK

13 5/3/11 1 MARTIN,RAYMOND HANNON,JOHN

14 5/3/11 1 KCLINIC DEFRANCIA, FLORENCE BUTO,FRANCIS

15 5/4/11 1 BANDA, NATHANIEL IZUTA,FRANK

16 5/4/11 1 BRANSFIELD, DENNIS CHANG,SPENCER

17 5/4/11 1 SMITH, CHERYL SINGER,DANIEL

18 5/5/11 1 ROSKE,LAURA KELII,BOBBIE

19 5/5/11 1 SIRUNO, JONORA SMITH, SYDNEY

20 5/5/11 1 MENA,BENEDICT GACKLE, R.H

21 5/5/11 1 FAJARDO, FITZGERALD BAYBAYAN,CARMEN

22 5/5/11 1 KAIMUKI TAMAYOSHI, YOSHITOKU NOMURA, RYAN-rehab

23 5/5/11 1 DITTMER, JOSEFINA SCHIFF, ROBERT

24 5/5/11 1 YAMAGUCHI, JACQUELINEPOLLARD, THOMAS

25 5/5/11 1 PEARL CITY CUMMINGS, DOLORES HAMASAKI,CRAIG

26 5/6/11 1 WOODS, SUNGCHA FORBUSH, CHRISTOPHER

27 5/6/11 1 SCHUBERT,PAMELA HARPSTRITE, JEFFREY

28 5/6/11 1 NEUER, ROBERT EDWARDS, ROBIN- BIG ISLAND DR

29 5/6/11 1 AKEN PAGDILAO, WENDE MARUMOTO,JAY

30 5/6/11 1 KCLINIC LEE, MINI KAAN,KENNETH

31 5/7/11 1 DAVIS, JOANN HORI,ARTHUR

32 5/9/11 1 MOANALUA KAYA, HAZEL CHANG, JASON-REHAB

33 5/9/11 1 BENNETT,SYLVESTER WOLFE, STACEY

34 5/9/11 1 PEARL CITY SHINKAWA, JOHN SELF REFERRED

35 5/9/11 1 EFRON YOUNGBLOOD, MICHANG, SPENCER

36 5/9/11 1 MALUFAU, MALIA SMITH,PAUL

DATE REFERE

D

37 5/9/11 1 KUPIHEA, HANNAH BARTON TAYLOR,KERREY

38 5/9/11 1 BOULLION, BENJAMIN SUZUKA, RANDALL

39 5/9/11 1 PAULE, JOY SMITH, PAUL

40 5/10/11 1 KAWAZOE, JUDITH POLLARD, THOMAS

41 5/10/11 1 ARREDONDO, BRANDON BOYENS,CHRISTIAN

42 5/10/11 1 HAMADON, HARVEY SMITH, SYDNEY

43 5/10/11 1 MIZUNO, SABURO LEE, JEFFREY

44 5/10/11 1 OHORI, DESERIE SUGA, WAYNE

45 5/10/11 1 ROGERS, JOSEPH SMITH,SYDNEY

46 5/10/11 1 KANEOHE WHITE, LEILA SHIMAMOTO, TERRY

47 5/11/11 1 HOY,FELISA OKAMURA,GARY

48 5/11/11 1 AHRENS, ROBERT self referred KAPOLEI CLINIC

49 5/11/11 1 KALIHI VILLANUEVA, INOCENCIO PANGILINAN,RONALD- H

50 5/11/11 1 KANEOHE LARRUA, ENID

51 5/12/11 1 MARYKNOLL GOODIN,MAILE JOHNSON, LYNNETTE

52 5/12/11 1 KCLINIC MOSSMAN, JUDEE GOH,JODI

53 5/12/11 1 ENRIGHT, JASON CHRISTENSEN, KEVIN

54 5/12/11 1 KANEOHE BOLIBOL,FRANCES OKAMOTO,GARY

55 5/12/11 1 JARALBA, DELIA NAKAYAMA,DENNY

56 5/12/11 1 NUUANU, ABRAHAM VAN METER, JERRY

57 5/12/11 1 MAY, CHARLES SUZUKA, RANDALL

58 5/12/11 1 BRITT,SHAWN MORIOKA, SCOTT

59 5/12/11 1 NGUYEN, HUNG MORIOKA, SCOTT

60 5/12/11 1 AIEA CHING, LAVAINA HARA,KEVIN

61 5/12/11 1 KCLINIC BAKER, RICHARD IZUTA,FRANK

62 5/12/11 1 QUINONES, GINO SMITH,PAUL

63 5/12/11 1 O BRIEN,JOHN MARUMOTO,JAY

64 5/13/11 1 CRUZ-PEREZ, SHARLEEN CHUN,MICHAEL

65 5/13/11 1 FOSTER VILLAGETIAHRT, HAROLD BERENBERG, JEFFREY

66 5/13/11 1 AIEA WATANABE, BETSEY EBISU,BETSY

67 5/13/11 1 WAIKIKI MCATEER,GERALD CIRIGLIANO,VITO

68 5/13/11 1 ROTHERMEL, MARIA AMBROCIO,DERYLL

69 5/16/11 1 SALES, PERPETUA AWAYA,DARIN

70 5/16/11 1 WONG, ROSANA MITSUNAGA,MORRIS

71 5/16/11 1 GABOYA, DENNIS CHOW,GREGORY

72 5/16/11 1 GUSHIKUMA, RODNEY KANESHIRO,STEVEN

73 5/17/11 1 KUNIA DAVIS, BARBARA ARTER, JOEL

74 5/17/11 1 KCLINIC KILE, BEKKA SUSSMAN,ROBERT

75 5/17/11 1 THOMAS, JAMES REF BY FORMER ESO PATIENT- Anna

76 5/17/11 1 GRANT, TALAYA NGUYEN, OANH

77 5/17/11 1PEARL HARBOR/HICKAMWARD, GURNEY TAKAOKA,CHRISTY

78 5/18/11 1 MANOHA, LILINOE OISHI,CALVIN

79 5/18/11 1 BALGOS, CARLOS LANGE,DAVID

80 5/18/11 1 KCLINIC MONCATO, ELENA JON, DAVID

MORESCA/ HARPSTRITE, JEFFREY

81 5/18/11 1 AGUSTINO-FLORA, MIGN WITT,WARREN

82 5/18/11 1 PCLINIC HIGA, THOMASINE MCCAFFREY,SCOTT

83 5/18/11 1 JORDAN, LUCILLE TANG,XUONG

84 5/18/11 1 TOGUCHI, GERMAINE NIP,IVY

85 5/19/11 1 ONO, SEIKO MORIOKA, SCOTT

86 5/19/11 1 BALAND, THOMAS SAITO,DAVID

87 5/19/11 1 KAMANA,GWENDOLYN CORDERO,ANTONIO

88 5/19/11 1 MILILANI AMA, KAZUKO SOMAL, AMENDEEP

89 5/19/11 1 SALVADOR, PRECY IZUTA,FRANK

90 5/19/11 1 KCLNIC DIAS, LORNA OKAMOTO,JAMES

91 5/19/11 1 PCLINIC FAUSTO, ELAINE KATSURA,BRUCE

92 5/19/11 1 WAIKELE HINES, ERROL PANG,ERIKA-VA

93 5/20/11 1 MACIAS, JORDAN IZUKA,BYRON

94 5/20/11 1 NUUANU KONDO, ALICE SOMAL, AMENDEEP

95 5/20/11 1 CHIANG, KAREN HARPSTRITE,JEFFREY

96 5/20/11 1 DECIEDRO, JOVITo IGNACIO, ELIZABETH

97 5/20/11 1 MAHIAI, MYRA AMBROCIO,DERYLL

98 5/20/11 1 MILILANI SATO, ALICE MIHARA,MICHAEL

99 5/20/11 1 SUBIA, FERNANDO ROWAN,LINDA

100 5/20/11 1 WERILLI, GERTRUDE NAKASONE,CASS

101 5/20/11 1 LEE, CORA MIURA, DAWN

102 5/23/11 1 VALENZUELA, PRECIOUS IZUKA,BYRON

103 5/23/11 1 OCLARAY, MICHAEL CHUN,MICHAEL

104 5/23/11 1 KCLINIC PARENGIT, JOYCIE ANN MORIOKA, SCOTT

105 5/23/11 1 PEARL CITY AKIONA, RAYMOND KIM, YOUNG

106 5/23/11 1 MARUMOTO, NANCY MARUMOTO,JAY

107 5/23/11 1 ORTIZ+ RODRIGUES, VALSAITO,DAVID

108 5/24/11 1 KALIHI HIGA, EUGENE WONG, RUSSELL

109 5/24/11 1 DRAXLER, ROXANNE LEE, JEFFREY

110 5/24/11 1 KAPOLEI NADZIEJA,KENNETH OISHI,CALVIN

111 5/24/11 1 TASHIMA, JUDY GRAHAM, JON

112 5/24/11 1 AKEO, KAULANA MIHARA,MICHAEL

113 5/25/11 1 SHIGEMOTO,VAN HANNON,JOHN

114 5/25/11 1 CHING, LORILU SINGER,DANIEL

115 5/25/11 1 POCH,WYATT JAYMEE- PT AT AIEA

116 5/26/11 1 NUUANU HO AZADA, BERNICE WONG, RUSSELL-HMC-E

117 5/26/11 1 KINAU KAWACHI, MITSUE LUMENG,JAMES-HMC-E

118 5/26/11 1 PEARL CITY SASAKI, KIMIYO SHERYL ODA, LSW-PCITY NURSING HOME

119 5/26/11 1 CHRISTENSEN, CYNTHIA IGNACIO, ELIZABETH

120 5/27/11 1 UNIVERSITY FUKUDA, MARY

121 5/31/11 1 SHOWERS, JANE KELLEY, RUSSELL

122 5/31/11 1 CLYNE,JAMES HAWKINS, CAMILLE

123 5/31/11 1 SEGO, KEARSTEN

124 5/31/11 1 HAWAII KAI YAHIRO, DAVID OISHI,CALVIN

EVAN PT-ST.FRANCIS HOME CARE YEE, MELVIN

internet/ FORBUSH, JULIE

125 5/31/11 1 GRACEY,JEREMY CHONG, BLANE

126 5/31/11 1 NAMOCOT, VERNA CHUN, MICHAEL

127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169

170171172173174175

Tot 104 22 63 18 0 23

RIBS

Patient name CaseTEAM member5/2 Castillo, Paige Jason

5/3 BORGESS, BRIAN COLLEEN

5/13 WATANABE,BETSY JULIE

Date

PATIENTS REFERRED

COMMENTS A B COMMENTS

HMC-E, WONG, RUSSELL

JASON'S RIB

955-3636

676-5000 5-11-11WC CLAIM NOT ACCEPTED/ PENDING INVE 6 FAX'D LETTER TO DR'S OFC.-S/W ROSE

486-5556 5-6 Jojo

676-5000 5-10 going else where per Nicole 3 Nicole-contacted dr.

AQUA 7

973-3917 5-3 ALOHACARE PRIMARY 8 FAX'D CS/MAILED 5-5-11

677-8008

692-6331

5/13/11 WC IE: PENDING INVESTIGATION OWCP 6 fax'd letter to dr's ofc. s/w Pilar NCM

5/10/11 PATIENT PASSED AWAY ###CONFIRMED W/ DARLA NCM AT PAL MOMI 2

692-6331

536-2261 3

5/20/11 Angel-NR letter

8

FORBUSH, CHRISTOPHER

EDWARDS, ROBIN- BIG ISLAND DR CHRIS reffered by Sarah Steuhr PT

521-8150

533-3393 5-12-11IE: NR 7 NO RESPONSE LETTER SENT/DR'S OFC. NO 4

1

HOLD-PATIENT FELL LISA / BRO5-13 1 ADMITTED TO KAISER

432-3103 5-11 Peggy

DATE MD CONTACTED

Total per DAY

STEVE COLLEN'S RIB

JULIE SUE'S AUNT

BARTON TAYLOR,KERREY

637-5087 - 5/10 MAYHMSA QUEST PRIMARY 8 fax'd letter/ s/w May @ dr's ofc.

6

263-1330

523-5886 KANEOHE GAIT 8 s/w Lorena & Marivic 6

self referred KAPOLEI CLINIC

524-1144 5-17-11IE: ? JULIE /LISA 5-18 HOLD PER PCP 5-19 1 PT NOT NEEDED PER PCP

536-2261 5-11-11 fax'd CS & s/w Jennifer @ dr's ofc.

Sue's RIB 4

623-2435 5-12-11IE: HOLD 3 WKS.6/2/11 7 NO RESPONSE LETTER SENT

432-2220 5/16- LINELLE NR-dr's ofc. notified

637-5087

484-2000

5/18/11 1 WC Cancel per MD pt return to work

432-3103

10

488-8101

5/13 ###NEEDS HOME HEALTH- JAN TAKATA

JULIE'S RIB

4

532-2056

AQUA

4

674-1600 5/17/2011HMSA QUEST PRIMARY 8 NOTIFIED MARSHA @ DR'S OFC.

REF BY FORMER ESO PATIENT- Anna CHRIS

AQUA 5-23 IE: ? 5-31 x

4

5/20 ALREADY HAVING MT 1 CONTACTED/ FAX'D LETTER TO DR'S OFC.

AQUA 676-5331 CXL PER DIXIE, PCP REFERRED PATIENT P 3 CXL PER DIXIE @ DR'S OFC. 5-23

AQUA

545-3538/ 778-2728 waiting for revised rx 6/1 5

JULIE

536-1011

692-6331

5/25/11 IE: ? 5-19 x 1 angel- FAX'D letter- financial reasons

AQUA 5-27 IE: ? 5-20 x 7 colleen- NR letter

6

485-8985

536-2261

531-7111 5/27/2011 7 NR LETTER FAX'D

488-0990

AQUA

522-3279 5-24 IE: TRAVEL INS.???/ 7 cancel per Kalai-no contact info

20 WKS PREGNANT 8

485-8985 HMSA QUEST PRIMARY 8 s/w Elly @ dr's ofc.

488-8101

676-5331 X206 HMSA QUEST PRIMARY 8 S/W DELIA @ DR'S OFC.

5-23-11 Jan Tak

521-8150 IE: ? 5- 26 S.OISHI-523-8611

4

REID

AQUA WC IE: ? 6-7 x out of town 5/25-return in 3 wks.

5

432-3103 6-6-11 WC IE: no claim yet

AQUA 3

WONG, RUSSELL-HMC-E

6/2/11 IE: ? KIM 5-31 ###NO PARKING AVAILABLE/ fax'd letter to NCM

SHERYL ODA, LSW-PCITY NURSING HOME

536-2261 3

1

IE: ? LISA 5-23 HOLD per pt. too busy

EVAN PT-ST.FRANCIS HOME CARE YEE, MELVIN

/ FORBUSH, JULIE

732-9710-COWIE

6

104

TotalA

123456

B789

10111213

JUN 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

1 6/1/11 1 LUCERO, JAMES TADAKI,STELLA

2 6/1/11 1 VALDEZ, DON MITSUNAGA,MORRIS

3 6/2/11 1 FUJIOKA, KAREN OTAKA,DEAN

4 6/2/11 1 MAMALIAS, EDGAR OISHI,CALVIN

5 6/2/11 1 KELLY,THERESA BURGERS, KRISTINA

6 6/2/11 1 MAKIKI ROGERS, PAUL OMORI, SEAN

7 6/2/11 1 EWA BEACH STREICH, SUSAN NEUDORF, HOWARD

8 6/3/11 1 NOVAK, BERNADETTE IZUTA, FRANK

9 6/3/11 1 AI, HOWARD CHUN, MICHAEL

10 6/3/11 1 MANOA YOUNG, ERNEST PEARCE, JAMES

11 6/3/11 1 LEONARD, LORRY IGNACIO,ELIZABETH

12 6/3/11 1 REID, ROCKY VERNOY,TERRY

13 6/3/11 1 SEGOOL, KEALIILALANIKUNAKASONE,CASS

14 6/3/11 1 KAIMUKI GARRETT,PHYLLIS DAVIS, DANIEL

15 6/6/11 1 PEARL CITY ASIATICO, ORCINO OISHI,CALVIN

16 6/6/11 1 RODRIGUEZ,TERESITA CHANG, SPENCER

17 6/6/11 1 SALUDES, DEVIN SELF REFERRED-UHA WEBSITE

18 6/6/11 1 WEHLE, BARBARA CHING, EUGENE

19 6/6/11 1 KELIINUI, PAULA NOGUCHI,GARRETT

20 6/6/11 1 KUHLMANN, CHRISTOPHEKAUHANE,AARON

21 6/6/11 1 WAHIAWA PETERS,GRACE OKI, ALAN

22 6/6/11 1 CHUN, LILLIANA SINGER, DANIEL

23 6/7/11 1 ARMSTRONG, CURTIS KAN,DARRYL/co worker-current pt.

24 6/8/11 1 IOKIA,RAYMOND WAKATSUKI,STUART

25 6/8/11 1 HUSSEY, WALTER YEE, MELVIN

26 6/8/11 1 KURIYAMA, GEORGE WILSON,CHARLES

27 6/8/11 1 SERRITTA, SMITH CHANG, SPENCER

28 6/8/11 1 MITSUYASU, NYCOLE IZUKA, BYRON

29 6/8/11 1 TENENBAUM, THEODORE TAKATA,JAYSON

30 6/8/11 1 AIEA DOVE, JOAN OKI, ALAN

31 6/8/11 1 ISAACS, DAVID NIP,IVY

32 6/9/11 1 KCLINIC LOUIS, KEVIN KAUHANE,AARON

33 6/9/11 1 KAIMUKI SADLER, NANNELLE FRANZOS, TRACY

34 6/10/11 1 ALBERTSON, PEGGY OTAKA,DEAN

35 6/11/11 1 TAUAEFA, SHAYNE OTAKA,DEAN

36 6/13/11 1 PALMEIRA, DAVID LEE, RONALD O.

DATE REFERE

D

37 6/13/11 1 MURIEL, CANDIDO MCCAFFREY, SCOTT

38 6/13/11 1 VILLANUEVA, LETICIA VERNOY,TERRY

39 6/13/11 1 PAUOA LUM, HON KIMURA, RICHARD

40 6/13/11 1 BARDOS,VICKI OLDERR, TIMOTHY

41 6/14/11 1 PEARL CITY BOWMAN, MASAKO TOM, LINDA

42 6/14/11 1 ADAMS, ALVIN STEPHENSON,KEITH

43 6/14/11 1 KCLINIC SANCHEZ, ANTHONY SMITH, SYDNEY

44 6/14/11 1 MACAPAGAL, LEONY IZUTA, FRANK

45 6/14/11 1 GOMEZ, ELEANOR ORTIZ-OMPHROY, GABRI

46 6/15/11 1 KCLINIC BARENG, DOMINIQUE CROWLEY, DENNIS

47 6/16/11 1 ISHIHARA, RYAN IZUKA, BYRON

48 6/16/11 1 DE LAURA, GILBERT LEE, JEFFREY

49 6/16/11 1 ALLEN, GISELE OKAMOTO,

50 6/16/11 1 GUERRERO, FRANK EVERLINE, CLAYTON

51 6/16/11 1 STORRER, CARL KATSURA, BRUCE

525354555657585960616263646566676869707172737475767778798081

828384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126

127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171

172173174175

Tot 47 4 31 8 0 8

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTS

522-9633 2

522-4322

6/8/11 IE: ? BEATA /no steven per sue/ Reid 6/15 ? NR LETTER SENT/ SPOKE W/ DR 5

692-6331

IE: ? KIM 6-6 VACAY 6/7 TO 6/20

536-2261

550-4924

MAY START ON OR AFTER 21ST

7

6-13 s/w May no one to open door for therapist ###NYKOLE-notied May @ dr's ofc

SELF REFERRED-UHA WEBSITE

521-2002

625-6444 IE: ? 6/15

484-2042 Steven, yes per Sue

536-2261 7

KAN,DARRYL/co worker-current pt. 1

261-4658

677-8008

538-7700

IE: ? JULIE 6-10/ KEN 6-14/ STEVEN 6/16

agreed to download forms online 8

625-6444

1

IE: ? 6-13 1

IE: ? 6-13 agreed to download forms online 1

agreed to download forms online

DATE MD CONTACTED

Total per DAY

IE: need Straub HMO approval

AQUA 676-5331 IE: Need to correct order of ins. verify ins. Agree Nykole notified dr's ofc. 6-15

522-4275 IE: HMAA PA req. agreed to download forms online 5

IE: KEN/STEVEN ? 6/16

676-5000 NF:

521-8102 6-15 CRISDENIED pending investigation per adj. 6/15 6 Cris @ dr's ofc. Notified-disregard referral

WC IE:

627-3200 IE: ? Waiting for gait to add on rx 4

531-7277 IE: HMSA QUEST PRIMARY-CONTACT DR'S OFC. 0

IE: ? 6-16

IE: ? 6/16

MT IE:

WC MT/PT IE:

IE: 3 SESSIONS-SEE RX

42

TotalA

123456

B789

10111213

JUL 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

123456789

10111213141516171819202122232425262728293031323334353637

DATE REFERE

D

383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182

8384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126127

128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172

173174175

Tot 0 0 0 0 0 0

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTSDATE MD CONTACTED

Total per DAY

0

TotalA

123456

B789

10111213

AUG 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

123456789

10111213141516171819202122232425262728293031323334353637

DATE REFERE

D

383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182

8384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126127

128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172

173174175

Tot 0 0 0 0 0 0

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTSDATE MD CONTACTED

Total per DAY

0

TotalA

123456

B789

10111213

SEP 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

123456789

10111213141516171819202122232425262728293031323334353637

DATE REFERE

D

383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182

8384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126127

128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172

173174175

Tot 0 0 0 0 0 0

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTSDATE MD CONTACTED

Total per DAY

0

TotalA

123456

B789

10111213

OCT 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

123456789

10111213141516171819202122232425262728293031323334353637

DATE REFERE

D

383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182

8384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126127

128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172

173174175

Tot 0 0 0 0 0 0

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTSDATE MD CONTACTED

Total per DAY

0

TotalA

123456

B789

10111213

NOV 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

123456789

10111213141516171819202122232425262728293031323334353637

DATE REFERE

D

383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182

8384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126127

128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172

173174175

Tot 0 0 0 0 0 0

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTSDATE MD CONTACTED

Total per DAY

0

TotalA

123456

B789

10111213

DEC 2011PATIENTS REFERRED

NO

T T

REA

TED

KA

PO

LEI

AIE

A

KA

LEA

LOA

MO

BIL

E

DISTRICT PATIENT REFERRING MD

123456789

10111213141516171819202122232425262728293031323334353637

DATE REFERE

D

383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182

8384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126127

128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172

173174175

Tot 0 0 0 0 0 0

RIBS

Patient name CaseTEAM memberDate

PATIENTS REFERRED

COMMENTS A B COMMENTSDATE MD CONTACTED

Total per DAY

0

TotalA

123456

B789

10111213

Mobile Kapolei Clinic Aiea Clinic KalealoaJAN 23 58 22 0FEB 0 59 16 0MAR 0 72 28 0APR 0 0 0 0MAY 0 0 0 0JUN 0 0 0 0JUL 0 0 0 0AUG 0 0 0 0SEP 0 0 0 0OCT 0 0 0 0NOV 0 0 0 0DEC 0 0 0 0

2011 Year-to-Date Totals:Mobile Kapolei Clinic Pearl City Clinic Kalealoa

23 189 66 0

Mobile

Kapolei Clinic

Pearl City Clinic

Kalealoa

0 20 40 60 80 100 120 140 160 180 200

2011 Clinic vs. Mobile

Referrals

En

tity

TOTAL % Clinic % Kapolei % Aiea % Kalealoa103 78% 73% 28% 0%75 100% 79% 21% 0%

100 100% 72% 28% 0%0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!

TOTAL % Clinic278 92%

Mobile

Kapolei Clinic

Pearl City Clinic

Kalealoa

0 20 40 60 80 100 120 140 160 180 200

2011 Clinic vs. Mobile

Referrals

En

tity

JAN

FE

B

MA

R

AP

R

MA

Y

JUN

JUL

AU

G

SE

P

OC

T

NO

V

DE

C

AV

G.

-20

0

20

40

60

80

100

120

140

2011 Referrals

2007

2008

2009

2010

2011

% + or -

Months

Pat

ien

ts R

efer

red

2007 2008 2009 2010 2011 % + or -JAN 123 98 124 102 103 0.98%

FEB 111 74 101 115 104 -9.57%

MAR 112 98 77 110 125 13.64%

APR 111 109 110 92 88 -4.35%

MAY 114 110 89 105 104 -0.95%

JUN 89 84 93 104 47 -54.81%

JUL 108 95 98 89 0 -100.00%

AUG 96 105 96 81 0 -100.00%

SEP 81 125 124 112 0 -100.00%

OCT 77 122 97 75 0 -100.00%

NOV 58 95 87 97 0 -100.00%

DEC 78 98 100 73 0 -100.00%

AVG. 96.5 101.1 99.7 96.3 47.6 -54.59%

TOTALS 1158 1213 1196 1155 571

A JAN FEB

1 “I don’t want / need Physical Therapy.” 1 3

2 “I can’t afford Physical Therapy.” 0 0

3 “I want to go / am going elsewhere.” 3 1

4 “I would like to schedule an appointment at a later time.” 2 1

5 “I want Occupational Therapy.” 0 1

6 Insurance was denied 2 1

B

7 No response 5 4

8 Insurance not accepted by ESO 5 1

9 Mobile district not covered by ESO 4 1

10 No guaranteed parking 0 0

11 Disregard referral / sent to ESO by accident 0 0

12 Moved off island / died 0 1

13 Home health 2 1

MAR APR MAY JUN JUL AUG SEP OCT NOV DEC total

3 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

6 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

9 0 0 0 0 0 0 0 0 0

3 0 0 0 0 0 0 0 0 0

1 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

1 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0