Name of Blog
Brand New Day HMO
Name of Post
Chester Diokno Mojica MD – Strengths
By Keith Edward Torkelson, M.Sci. With MSG for BND_HMO
The Assignment – Spring 2017 IBDP
Submission – Extended Essay
Author - Keith E Torkelson
M.Sci. Pathology Degree – UC
Davis (Specialty – Social)
Tags
#Dug #ӔSP #DaveDart #MarkAllen
#Lee #SamIAm #Cipher #AVEY #BOTE
Powered by AVEY
Outline
Abstract – Executive Summary
Reviewers Comments
Charter Metadata
Strengths (Super Strength Value
(SSV))
Objective (Stars)
Objective Graphic
Valuing Partnerships
Quality Control Efforts
Appendices
The Invoice
Executive Summary – Strengths About
Chester D Mojica – Abstract
The material for this report was
collected over the course of the last four to five years. This study focused on Doctor Chester Diokno
Mojica MD. Doctor Mojica is in his
fifties and thus if encouraged may have time show measurable improvement. We start with objective materials offered
online by his clients. Overall his
clients give him an average of 3.6 Stars (20170521-SUN) out of 5.0 Stars. We go on to ferret out some features about
Doctor Mojica including his strengths.
To focus on his strengths is an achievement for us because he really on
focusses on our deficits. The motivation
for our more thorough investigation of Doctor Mojica is that we may together
achieve measurably better quality service and more satisfying
transactions. For serving us Doctor
Mojica is associated with Brand New Day (BND) a program rated by CMS at 3.0
Stars out of 5.0 Stars. It is possible
that as he improves his quantitatively measured performance the overall program
may show improvement as well. AVEY and
several others reviewed this body of work for Mr. Torkelson. We selected about six (6) Assessment (reserve
word) Tools out of over fifteen (15) for this study. We start by focusing on our subject, Doctor
Chester D Mojica’s Strengths (reserve word).
We offer up objective evaluation from two online sites: Vitals and
Healthgrades.: We repeat the same objective material in a graphic style. Near the end we compare quality assurance
programs across multiple doctors and multiple industries. Finally in the appendix we share the invoice
for this publication. There are a couple
areas we address yet are not listed here in the Abstract section.
CDM Strengths - Reviewed By
-
|
||||
Date
|
Reviewer
|
Comment
|
||
-
|
||||
20170507-SU
|
Gloria Shanks
|
“I Like This Part”
|
||
20170508-M
|
Theodore Francis
|
“Looks Good So Far”
|
||
20170509-TU
|
Bum Soo Lee
|
“Do You Know Statistics”
|
||
20170509-TU
|
Joyce Maxine Brown
|
“Looks Good”
|
||
20170510-W
|
Lanaii A Kline
|
Guarded
|
||
20170521-SU
|
Carl Zeh
|
“I Thought It Was Good”
|
||
-
|
20170521-SUN: Results of Seven Independent Reviewers.
Image Library – Images in the Middle Method
Most of the images included here are taken from BND
publications. For now there are about
ten (10) images. We may add some at a
later date. We are introducing a new
method: Images in the Middle Method (IMM).
As a kid we here at MSG always preferred that books put the images in
the middle.
Link to Digital Appointment -
Legacy
Triple xxx TheDAG - Digital
Appointment - Development
20170526-F: Keith Torkelson –
Page Views = 798 – Chartered: 2/9/15
We updated our digital
appointment materials in preparation for our next meeting with Doctor Mojica.
TheDAGs - Whose That Girl Running
Around with You - Tell Me!
20170526-F: Keith Torkelson –
Page Views = 108 – Chartered: 10/30/15
Our digital appointment dating
module still has to be upgraded to achieve greater penetration.
20170529-M: FYI: The Mojica
Genealogy and Family Tree Page
Only recently we discovered what
the D in CDM stood for. Doctor Mojica’s
middle name is Diokno. We predicted this
name originates in Greece. We were wrong
with our prediction.
20170406-TH: New and Improved
Metadata
Requirement
|
Specification
|
|
-
|
||
IBDP - Core Element (CE02)
|
Extended Essay (4000 Words or
More)
|
|
IBDP - Advanced Skill (AS-03)
|
Solving Problems Creatively
|
|
IBDP - Subject
|
||
-
|
||
Following Up on Class/Classes
|
Grade 10 – Biology
Grade 10 - Service
|
|
Facility
|
Rancho Alamitos High School
|
|
Teacher-Professor
|
Mr. “Big” Adams
Mr. Larry Hamilton
|
|
Method-MSG
|
Life Long Learning or Triple L
(A Promising Practice)
|
|
Term
|
Spring 2017
|
|
Submitted for Partial Credit
|
Whole Report to Be Delivered in
3 Parts
|
|
Method
|
Fun With Quality Control
|
|
Reviews As Of May 21, 2017
|
Seven Independents
|
|
Target Date Charter
|
May 29, 2017 (Monday)
|
|
Target Close Deadline
|
June 2, 2017 (Friday)
|
|
Name of Blog
|
Brand New Day HMO
And/Or AnimaCules V02
|
|
Number of Associated Posts
|
Minimum of 7 [PENDING]
|
|
Number of Images
|
CDM Related Near 30
|
|
Links-PROGRESSIVE AND PENDING
|
||
Flesch-Kincaid Grade Level
(20170514)
|
Grade 9.4
|
|
-
|
Last Update: 20170526-F: Table – Metadata For This Post
Mostly
Non-Assessment Related – Acronyms – AcroCodes – Strengths (1-L)
AcroCode
|
Meaning
|
||
ACP
|
American College of Physicians
|
||
ADPS
|
A Digital Penetration Score
|
||
BND
|
Brand New Day
|
||
BTD
|
Bozo The Doctor (Cipher)
|
||
CBC
|
Complete Blood Count (Lab)
|
||
CMS(b)
|
Content Management System
|
||
CMS
|
The Centers for Medicare &
Medicaid Services
|
||
COTS
|
Commercial Off The Shelf
|
||
CV
|
Curriculum Vitae
|
||
ECM
|
Enterprise Content Management
|
||
EQR
|
External Quality Review
|
||
EVA
|
Expertise Value Assessment
|
||
FACP
|
Fellow of the American College
of Physicians
|
||
FPC
|
Family Practitioner
Checklist–Service 10 Item
|
||
HEDIS
|
The Healthcare Effectiveness
Data and Information Set
|
||
HP
|
Hewlett Packard
|
||
IBDP
|
International Baccalaureate
Diploma Programme
|
||
Mostly
Non-Assessment Related – Acronyms – AcroCodes – Strengths (1-L)
Last Update: 20170406-TH: Table
of AcroCodes
Mostly
Non-Assessment Related – Acronyms – AcroCodes – Strengths (M-Z)
AcroCode
|
Meaning
|
||
M.Sci.
|
Master of Science
|
||
MD
|
Medical Doctor
|
||
MDOC
|
Doctor On Call
|
||
MS
|
Microsoft
|
||
MSG
|
Mentalation Solutions Group
|
||
ND
|
Not Demonstrated
|
||
NE
|
No Evidence
|
||
NEF
|
No Evidence Found
|
||
PCP
|
Primary Care Physician
|
||
PRN
|
As Needed
|
||
QAP
|
Quality Assurance Program
|
||
QOL
|
Quality Of Life
|
||
QSM
|
Quick Score Method
|
||
SPCI
|
Specialties Parity Checker
Instrument
|
||
SUF
|
Strengths Up Front
|
||
TQN
|
Our Dermatologist
|
||
TRC
|
Tork Reconstruction Company
|
||
Triple L
|
Committed Life Long Learner
|
||
WCM
|
Web Content Management
|
||
Mostly
Non-Assessment Related – Acronyms – AcroCodes – Strengths (M-Z)
Last Update: 20170406-TH: Table
of AcroCodes
Selected Assessments – Used In
This Report
Includes Assessment Related
Acronyms (AcroCodes)
AcroCode
|
Assessment
|
|||
CMS-SP
|
CMS Stars Partial (Satisfaction
Element)
|
|||
CMS-Stars
|
Objective Stars – CMS &
Online
|
|||
H-GP
|
Healthgrades – Graphic
Presentation
|
|||
QAP
|
Quality Assurance Programs -
Comparative
|
|||
SUF
|
Strengths Up Front (Matrix)
|
|||
VITALS
|
Vitals – Graphic Presentation
|
|||
Last Reviewed: 20170521-SUN:
Assessment Inventory – Alphabetical Order.
A Word on Satisfaction
Assessments
We here at MSG are just going
through the paces with most of the assessment tools used for this study. Over half of them have not been validated or
tested for reliability. Yet, as time
passes we have discovered that even the health and human service professionals
are writing assessments as needed (PRN).
We didn’t use one of our favorite Satisfaction Assessments, the Hewlett
Packard (HP) Support Experience Survey (SES) instrument here. Yet the HP Tool
has most likely achieved a stellar level of use (penetration). We here at MSG submit to HP at least one SES per
year. We will discuss the HP instrument
later.
Data Rich
This study is data rich. We remember when it would suffice just to
collect one or two data sets for a University of California assignment or other
project. Each of the five (5) or so
assessments (quantitative) listed above yield one or more data points.
Strengths Up Front (SUF) -
Methodology
Our Association (Partnership?) with
Doctor CD Mojica
-
|
||||
##
|
Strength
|
Note
|
||
-
|
||||
01
|
BS’ing PRN
|
This actually has motivated us to
improve efforts about the partnership
|
||
02
|
Call on Nose Lesions
|
Referral to Dermatology
resulted in needed MOHS surgery on nose
|
||
03
|
Gilbert Drugs and Lab Tests
|
More right than wrong
|
||
04
|
Inspired the drafting our HEDIS
Assessment
|
As a result of Doctor Mojica
concentrating on our deficits we took it to the next level
|
||
05
|
Initially prescribing
Lovastatin for cholesterol control
|
Our 2015 Lipid Panel indicates
that this was a wise agreement
|
||
06
|
Pre-operative Physical
|
Special treatment in
preparation for our Cataract surgery
|
||
07
|
Promotes Preparing for an
Appointment
|
We do this to reduce stress and
avoid having to take an appointment linked minor tranquilizer
|
||
08
|
Scheduling – Valuing our time
|
Help with aligning our
appointments about Tuesday (2016)
|
||
09
|
Stimulates Our efforts
|
This Paper
|
||
10
|
Training NewBees
Contributing to the Community
|
We are always glad to see he
has a trainee or intern or whatever
|
||
11
|
Helped with TU Appointment
Alignment
|
2016 – We mention this again
because it is super-duper important
|
||
12
|
Improving our Performance for Escalating
up to Publication Approach
|
[SEE COMMENT BELOW]
|
||
13
|
Retaining Nurse Martha
|
Nurse Martha is a very high
performer whom we have grown to Trust
On us Martha has a low
venipuncture blow out rate
|
||
How Much Strength Should A
Great Doctor Have?
|
Let’s just say that a consumer
should be able to list one hundred (100) strengths about any doctor
|
Last Reviewed: 20170526-F:
Strengths Up Front (SUF): Table of a Sampling of Doctor CD Mojica’s Strengths
FYI - HEDIS = The Healthcare
Effectiveness Data and Information Set
Note-SUF Item-12
Formalizing the paper and
publishing it online is our new strategy for an alternative to just noting
Annoyances (AnnoyMan) using our CaseNotes Utility (MSG). We now will begin sharing our lived
experiences (LiveX) with Dr. Mojica online in our new and improved Blog. We just wish to share that our Dosage (number
of appointments) in “The Clinic” is in par with our needs. We are truly grateful for the care Doctor
Mojica has afforded us (Circa 2013 to 2016).
Strengths Up Front (SUF) –
Commentary
Unfortunately Doctor Chester D
Mojica (CDM) our Primary Care Physician (PCP) over emphasizes our
deficits. Corporate, the one we believes
cuts part of his pay check, wrote us a letter that said we did everything they
needed from us in 2016: Keep up the good work.
In addition: Brand New Day (BND) Corporate also subsidized us with a box
of gifts as a reward for our “perfect” performance. While practicing External Quality Review
(EQR) we focused on our efforts about high performing human health
helpers. As time progressed we addressed
our underperforming health helpers yet we ciphered their identities. This report is landmark in that we are
entering a moderate performer un-ciphered in the digital record. We had planned just to call Dr. Mojica
Bozo-the-Doctor (BTD). We feel he
doesn’t qualify for a BTD rating anymore.
FYI - Pirated Content
Five (5) Costly Treatment Plan
Mistakes to Avoid - Valant
“Apr 9, 2015 - Health practices
often have to fight for insurance remuneration, so it is important to have
solid treatment planning tools.”
Stop @ Number – One (1) of Five (5)
Mistakes – Deficits Based
Deficits Based is the tendency to
focus solely on client problems – rather than their strengths.
“Your treatment plan template
should include areas to specify your patients’ strengths, not just their
problems. Historically, treatment plans have focused on what is wrong with the
client, which of course is not very encouraging to the patient while creating a
plan to get better. By focusing on the client’s strengths, it not only Empowers
(reserve word) the patient in making decisions regarding their treatment, it
creates a positive environment for them to succeed and complete their program
with you.”
Cigarette Smoking Cessation
Our program module of interest
this year has been and is, Substance Use Disorder (SUD) sub-category cigarette
smoking, smoking cessation.
Objective Evaluation - Content –
Solutions Up Front
The reason we put solutions
before the data set is that by quickly reviewing the tips you can predict some
of the outcomes for Doctor Mojica. We do
not agree with all the tips offered below yet two or three of them we find as
very important. Out of 5.0 Stars being
best consumer reported score(s) do you predict for Doctor Mojica. The website(s) we here at MSG use to collect
objective data for a practitioner is some or all of the following: Vitals,
Healthgrades, and/or Yelp.
Content – Solutions Up Front - Improving
Your Healthgrades Score
20170526-F: Nine (9) Tips for
Boosting Your Score and Ratings on Healthgrades, Yelp, and Other Medical Review
Sites
https://www.reviewtrackers.com/9-tips-boosting-score-ratings-healthgrades-yelp-medical-review-sites/
“Let's take a look at 9 great
tips that can help you increase patient satisfaction and boost your reviews and
rating scores. By Chris Campbell on May
30, 2015”
Third Party Review Sites - Increase
Patient Satisfaction, Boost Online Reviews
“Let’s take a look at 9 great
tips that can help you increase patient satisfaction and boost your reviews and
rating scores on Yelp, Healthgrades, and other important third-party review
sites. (And if you don’t know where to start managing these reviews, check out
this list to get a better idea of where patients might be talking about you). Remember: if you are a solo medical
practitioner or you run a larger medical clinic as a senior partner, the
principles remain the same. Work toward crafting your delivery of medical care
in a way that shapes and directs your patients’ opinions and results in
outstanding online and offline referrals.”
Nine (9) Tips
-
|
||||
Tip#
|
Tip
|
MSG LiveX Rankings
|
||
-
|
||||
1
|
Be a Great Listener
|
|||
2
|
Be Flexible
|
Important
|
||
3
|
Adapt, Innovate, and Embrace
New Tools and Technologies
|
|||
4
|
Meet Your Patients at Their Point
of Need
|
Important
|
||
5
|
Avoid a Self-Important Approach
|
|||
6
|
Invest in the Community
|
|||
7
|
Contextualize the Consultation
|
|||
8
|
Engage Others in Patient
Satisfaction Initiatives
|
Very Important
|
||
9
|
Engage with Patients Online
|
|||
-
|
20170522-M: Table - Nine (9) Tips
Adapted From Campbell (2015)
FYI - READ also: Doctor Reviews
Show that Patients Care More About Service than Medical Expertise
Content – Solutions Up Front
Change Healthgrades Ratings in Five
(5) Steps - Blog - Reputation X
20170526-F: Feb 23, 2015 1:03:10
PM - Posted by The Reputation X Team
“Here are five tips on changing
your practice's Healthgrades ratings for the better.”
-
|
||||
Tip
#
|
Tip
|
MSG LiveX Comment
|
||
-
|
||||
1
|
Don’t be shy about asking for a
good review
|
Doctor TQN asked and we
followed through for him
|
||
2
|
Use internal patient surveys to
uncover weak spots in care
|
We thought Dr. Mojica had these
once
|
||
3
|
Dispute negative or falsified
reviews
|
|||
4
|
Respond (appropriately!) to
patient ratings
|
|||
5
|
Work toward “Recognized Doctor”
status
|
Actually all doctors should
qualify or not practice
|
||
20170522-M: Table - Five (5)
Steps Adapted From ReputationX (2015)
Healthgrades confers Recognized
Doctor status on professionals who meet certain criteria:
Active, good-standing license in
the state where you practice
Board certification in your
specialty
No previous license revocations
or restrictions
No malpractice claims or
disciplinary citations within the past five years
“If you meet these criteria,
contact Healthgrades and ask to be included on the list of Recognized Doctors
in your state. If not, well, it’s never too late to begin working toward this
goal.”
Online Reputation Management
(ORM)
“Most tech-savvy medical
professionals know how Healthgrades affects doctors online. Fewer know how to
change Healthgrades ratings for the better. By following the five steps above
and adhering to ORM best practices, you can set yourself apart from the
increasingly crowded, competitive medical field and focus on taking care of
those who matter most—your patients (accounts).”
Objective Ratings
Initializing Our Objective
Evaluation of Doctor Chester Diokno Mojica MD
TimeStamp
|
Method
|
# Of
Votes
|
Rating
|
Interpretation
|
|
20170319-SU
|
Healthgrades
|
9
|
3.2/5.0
|
||
20170521-SU
|
Healthgrades
|
9
|
3.2/5.0
|
||
20170319-SU
|
Vitals
|
9
|
3.8/5.0
|
||
20170521-SU
|
Vitals
|
10
|
3.9/5.0
|
||
20170324-F
|
POR
|
18
|
3.5/5.0
*
|
Above Average
Mediocre
|
|
20170521-SU
|
POR
|
19
|
3.6/5.0
*
|
Showing
Improvement
|
|
20161124-TH
|
BND Health Plan CMS Stars
(2017)
|
**
|
3.0/5.0
|
“Work of a
satisfactory standard”
|
|
Last Reviewed: 20170526-F: Table
– Stars Data for Doctor Chester Diokno Mojica MD – Objective Assessment Results
– POR = Pooled Objective Results.
20170319-SUN – Sample Stars
Objective
Baseline
The Stars Data table is the only
data in our report that truly meets criteria for Baseline Data.
* - Interpretation
3.5/5.0 and 3.6/5.0 Stars would
both equate to 2.9 GPA or B- Performer.
This is why we had hoped to see that CDM has published his CV or
curriculum vitae. You may not know that
many medical schools accept C or better work as passing.
** - We have been trying to
figure out how many Brand New Day (BND) consumers contributed to their 2017 The
Centers for Medicare & Medicaid Services (CMS) Stars Score. We assume that it is greater than one hundred
and thus statistically significant. It
looks like they are going to include a Consumer Behavioral Health Experience
Satisfaction Assessment (CBH-ESA) in addition to HOS – CAHPS - HEDIS for
calculating Stars.
HEDIS - The Healthcare Effectiveness Data and Information
Set (HEDIS) is a tool used by more than 90 percent of America's health plans to
measure performance on important dimensions of care and service. Altogether,
HEDIS consists of 81 measures across 5 domains of care.
CAHPS - Consumer Assessment of Healthcare Providers and
Systems (CAHPS) is a series of patient surveys rating health care experiences
in the United States.
HOS - Health Outcomes Survey - The
goal of the Medicare HOS is to gather valid, reliable, and clinically
meaningful health status data from the Medicare Advantage (MA) program to use
in quality improvement activities, pay for performance, program oversight,
public reporting, and to improve health. (Jun 27, 2016)
06_Literacy_Stars_15100803_Vocabulary
V2016
Helping 2012-2017 – Break Even
Basically MSG’s relationship with
Chester Diokno Mojica MD is at a break even.
In other words he has helped us about as much as he has frustrated and
disappointed us. We will reduce our
comparing him with John Hanley our family doctor. Our family doctor did it all well including
surgery. The only time we didn’t rely on
him (1961-1982) was for a broken arm. In
hindsight he did have one shortfall and that was his prowess at Behavioral
Health.
What is a Mediocre PCP?
Basically, a mediocre PCP is
below average and not very good. We will
flesh out and Vet (reserve word) about mediocrity just a bit for now. Mediocrity is associated with a “D”
grade. D performance would have to
develop sometime after a doctor graduates from medical school and passes the medical
board exam. For medicine we propose a higher
standard: In general average is performing at a “C” level. We here at MSG hold doctors more accountable
by proposing average work be at a “B+” level.
In California the minimum performance standard for Graduate School is a
solid B.
LiveX (2012) - How Much Can a
Mediocre MD cost?
In 2012 a mediocre and digitally
invisible doctor cost us here at MSG between $15,000 and $20,000 in unnecessary
medical fees over the course of twenty days or so (May-June).
CMS – The Centers
for Medicare & Medicaid Services
PCP – Primary Care
Physician
Compare with RealAge Method
More than three years ago we
tested the online Sharecare RealAge (Doctor OZ) health data engine. There are many promising features to Sharecare’s
RealAge assessment system. Since Doctor
Mojica has no data collection platform for consumers he could save a lot of
time and money promoting his clients use the Doctor Oz associated RealAge
system. For the life us we cannot find
our Baseline Data (Circa 2009). News
flash we did a paper archive search last Wednesday May 24, 2017 and we stumbled
on our results! We will share our
RealAge numbers with our next paper.
After skipping a year of RealAging It we gave the data engine a try for
2017. An important aspect to share was
that with our qualitative interpretation report ShareCare balanced deficits
with strengths. For example, they use
statements such as: Keep doing this, you do this right, and work on these
items.
FYI - Take the RealAge Test -
Sharecare
“Do you think you live a healthy
life? Take the RealAge health test now, and discover how old your body thinks
you are. As of May 24, 2017 - 42,000,000+
= People have taken this test - 5,000,000,000+ = Data points of individual
health
Mehmet Oz, MD = Co-creator of the
RealAge Test, with Mike Roizen, MD
-
|
|||
Value (Years)
|
Description
|
||
-
|
|||
56
|
Dr. Oz’s Calendar Age
|
||
48
|
Dr. Oz’s RealAge
|
||
8 Years Younger
|
Differential - Calendar V RealAge
|
||
-
|
Last Updated: 20170526-F: Table for Doctor M Oz – RealAge
Assessment – Date of Assessment Not Reported.
Promotion - Find Out Your RealAge
20170410_Email_Real_Age
FYI - RealAge Validation
Research Validating RealAge Test
Published in Peer Reviewed Journal PLOS ONE
Press Releases
“Jan 20, 2014 - UC San Diego
Researchers Find That Sharecare’s Health Risk Assessment is a More Accurate
Predictor of Mortality Than Calendar Age and the Framingham Health Score. ATLANTA, January 20, 2014 – Sharecare, the
health and wellness engagement platform created by Dr. Mehmet Oz and Jeff
Arnold, today announced that a study validating its scientifically based health
risk assessment, the RealAge Test, has appeared in PLOS ONE, an international,
peer-reviewed journal that publishes primary scientific and medical research.”
Define Valid Assessment
“Validity generally refers to how
accurately a conclusion, measurement, or concept corresponds to what is being
tested. For this lesson, we will focus on validity in assessments. Validity is
defined as the extent to which an assessment accurately measures what it is
intended to measure.”
Change Gears - Collocation of
Services
Here we will offer up a few words
based on lived experience (LiveX) on the colocation of services. Colocation for services such as Primary Care
(PC), Behavioral Health (BH), and Substance Use Disorder (SUD) may be a Promising
Practice (reserve word). From
approximately 2000 to 2007 Kaiser Permanente served us. At both their Santa Ana and Aliso Viejo
Offices they co-located PC and BH. Brand
New Day co-locates as a minimum their PC, BH, and SUD services in their Garden
Grove Facilities. An issue with
colocation is that if say a PC contractor is underperforming it is very hard to
replace them at the contractor level.
Substitutions will have to be made in-house or within the contractor
organization.
Valuing Partnerships
Association & Partnership
(The Partnership Eight (8-Item Screener))
Partnership is an association that
might be described as a cooperative link between people or organizations.
-
|
|||||
Item #
|
SynoTerm
|
JMB
20170406-TH
|
CDM
20170406-TH
|
||
-
|
|||||
01
|
Cooperation
|
Strong
|
Unilateral
|
||
02
|
Association
|
Strong
|
Marginal
|
||
03
|
Collaboration
|
Talk Therapy
Strong
|
Marginal
|
||
04
|
Alliance
|
Strong
|
None
|
||
05
|
Affiliation
|
TAS
Strong
|
BND
Marginal
|
||
06
|
Relationship
|
Strong
|
Bullish - Weak
|
||
07
|
Connection
|
Problem Solving
Strong
|
Science & Health
|
||
08
|
Teachable
|
Strong
|
Weak
|
||
Partner Resource Value (PRV)
|
High
|
Needs Work
Yet we have faith
|
|||
Last Reviewed: 20170526-F: Table
- Comparing Two Important Partnerships: Joyce Maxine Brown (JMB-B1925): Chester
Mojica (CDM-B1960 Circa).
“How We Do It Around Here”
Back in 2012 Doctor Mojica
stated: “How we do it around here”. I
thought that “We” meant him, them and us.
Wrong: He appears to have meant how he does it around there. BND describes Brand New Day.
JMB
JMB is our born 1925 aunt that
lives in her own house in Garden Grove California. She would be considered highly functional as a
proud member of the Oldest Old Grouping proposed by Doctor Kawas. TAS describes Telephone Answering Services an
indicator for the ability to communicate.
FYI - [PDF] - 2002 - UCI Mind –
Oldest Old
The Institute…is a study of the
oldest old... Kawas, M.D., located in the heart of Laguna Woods.
Claudia Helen Kawas, MD -
Associate Director of Clinical Science - UC Irvine - Faculty Profile System.
Back to CMS Stars - HEDIS
“The Healthcare Effectiveness
Data and Information Set (HEDIS) is a tool used by more than 90 percent of
America's health plans to measure performance on important dimensions of care
and service. Altogether, HEDIS consists of 81 measures across 5 domains of
care.”
81 HEDIS Measures - 5 HEDIS
Domains of Care
2016 HEDIS Fitness Assessment
We will address MSG’s Beta
Version HEDIS Fitness Assessment (HFA) in a subsequent paper. As we stated earlier Brand New Day (BND)
Corporate indicates that we are doing very well. Doctor Mojica failed to point out any of our
strengths during our last year (2016) physical follow-up appointment. We are really proud of some of our health
related achievements such as attending our BND subsidized Yoga Class a well as
our gradual loss of excess weight. In
our lifetime we peaked at 200 pounds. We
now are in the 160s :o).
Performance Graphic
Pertaining to Doctor Chester (D)
Mojica – Family Medicine - Source Healthgrades
Gallery – Images in the Middle
Method (IMM)
20170528-SUN: Google Images Baseline
Count “chester d mojica md” = 0
20170529-M: This Part Last
We surfed the Internet to find indicators
for Doctor Mojica’s digital Penetration.
We find that he is relatively underrepresented. For our next appointment if he were game we
would show him the images associated with our Digital Appointment utility. Once again our primary goal is to make the
most of our appointment. Our second goal
is to digitally preserve our Lived Experience (LiveX). Our prefix assignment for images included in
this study is: Keith Torkelson and Chester D Mojica. We evaluated and selected about 35 images. As
two last steps after a cool down period we will label the Images and improve
the formatting.
AVEY's Logo
Deputy Director Hale (Left) Our Inspiration
Dedicated to Director Refowitz Retired 2017 (Right)
Facilities
Where we punch in once in awhile
Service for the Mental Health Services Act (MHSA)
We presented this day on Patient Portals
Kudos Letter From Brand New Day (20170214)
Doctor Mojica's Income is Expected to Increase
Sample Calculation
Pooled Data About Doctor Mojica
The Competition
Team Boyce
Doctor Boyce is in the Center
Team Boyce Leverages TECK
Facilities
BND and Doctor Mojica are Co-located
A Thorough History
Student Teaching Gig
Cal State University @ Fullerton
On Assignment to Valley High School - Santa Ana
Brand New Day - 2017 CMS Scores
Doctor M Oz
Our Second
Sample of Being Accountable
Digital Presence 201705
Doctor Mojica - B4 and Baseline
Doctor Mojica's Mantra
Doctor Boyce Earns Trust
Surgery (Fine Motor Skill) 2016
Outcome = Favorable
Google Image Search
Comes Up Under "Mojica"
A Thorough History
You Know How it Is - Lived Experience
A Thorough History
Would Include The Babe - Joan
More than Fifteen Years Together
MSG Outreach
We though he was dead at first
Office of Doctor Nguyen
BND Network Dermatologist
What it is like living with one of Doctor Mojica's patients
A Thorough History
1969 Doctor John Hanley's Fine Motor Skills
BND Subsidy for High Performers
Fine Motor Skills of Doctor Nguyen
Some of what we do
Reward Subsidy for Services Rendered About the
OC Health Care Agency
Activity of Daily Living Achievement
Up Five Flights of Stars - Rapid and No Stopping
A Thorough History
JMB Born 1925 May 29
Family Support Network
Some Say He is too Serious
Google Image Hit
"Mojica" Query
One of Doctor Mojica's Clients
Says
"This is the best ever"
A Thorough History
Joan (Left) - Keith (Right)
Quality Assurance Program (QAP) -
Comparisons
Vitals Modified to Vitals Plus
For capturing health service
experiences we explored the Vitals method, a modified Vitals method (Vitals
Plus), the online Healthgrades method, our methods, the Hewlett Packard (HP) Support
Experience Survey (SES) method, and a few others. There are features we like about each. Below is a list of methods to capture
consumer Satisfaction (reserve word) about the Health Service Experience (HSE).
Quality Assurance Program (QAP)
Inventory (QAP-I) – Quick Score Method (QSM)
-
|
||||
Provider
|
Stars
QSM
|
Account
Satisfaction
Surveying
|
Note
|
|
-
|
||||
Ann Inman - OD
|
0.0
|
No
|
||
Chester Diokno Mojica - MD
|
0.0
|
No
|
||
Brand New Day (BND)
|
3.0
|
YES
|
Paper yet inconsistent
|
|
Patrick Kha Le - DMD
|
4.0
|
YES
|
Emailed Birthday Wish
|
|
SmileWide Dental
|
4.0
|
YES
|
Emailed Birthday Wish
|
|
TQN - MD
|
4.0
|
So-So
|
||
Microcenter
|
4.5
|
YES
|
“Your Satisfaction is our #1
Priority”
|
|
Boyce - MD
|
5.0
|
YES
|
Paper and electronic
|
|
Motel 6
|
5.0
|
YES
|
Paper and electronic
|
|
HP Tech Support Experience
|
5.0
|
YES
|
Electronic
|
|
Last Review: 20170526-F: Table - Quick
Score Method (QSM) – Quality Assurance Program (QAP) Results – Crosscutting
About Several Industries
Got Others
See here Dr. Chester Diokno
Mojica MD gets others like MSG to evaluate his operations before he commits
resources. Actually this degree of
appraisal may become a Promising Practice in the future for Consumer Driven (reserve
word) health care services.
Technology and Human Health
IT_Super User Description DRAFT
6-26-09 V2017
Change Gears - Electronic Health
Record (E.H.R.) SuperUser
How time flies! About three or more years ago we put in a
request to do an E.H.R. SuperUser gig with the Orange County Health Care Agency
(OCHCA). The OCHCA runs a Cerner E.H.R.
build. Their E.H.R. is run on county owned and maintained server(s) rather than
cloud based. Due to Conflicts of Interest
(reserve term) we were not approved to surf the OCHCA system. The reason we mention this tidbit is small
yet important to the consumer things like birthday wishes can be generated
automatically via the E.H.R. if set up correctly. An example was how our dentist sent us a
birthday reminder this year (2017). Dr.
Mojica is behind the curve for leveraging the functionality in his (cloud
based) E.H.R. system.
Detour – SuperUser (Barbara Drew)
– Patient Portals
Back in 2011 we here at MSG
attended one of the nations most prominent Health Technology Conferences. We were educated by a gal named Barbara Drew
out of Napa County California. She
presented on an Electronic Health Record (E.H.R.) Tech Solution she called a
SuperUser. At the end of the
presentation she said if you have any questions contact her. We did.
On 2011_04_22 we received her “job description” about her self defined
job description for the SuperUser. We
here at MSG fulfill the majority of the qualities for a SuperUser. It is unlikely that we will get permission to
surf Doctor Mojica’s E.H.R. system. In
an earlier report on Brand New Day’s (BND’s) patient portal we did recommend
that a portal rather than being populated separate best be a read only version
of the providers E.H.R. (Transparency – reserve word).
Link to Portal Report
Brand New Day HMO – Cerecons –
Patient Neighborhood - Patient Portal Evaluation Report-01 – LiveX – Pre-Sell -
Better Than Ever!
Keith Torkelson – 20170526-F:
Pageviews = 9 – Chartered 2/19/17
Developing Objectivity
Chartered: Saturday, June 4, 2016
Keith E Torkelson - MS Introduces
Dr. David M Dobos at Kaiser A Model Doctor On Call http://the-torkel-saga-2059.blogspot.com/2016/06/keith-e-torkelson-ms-introduces-dr.html
Accountability & Transparency
We here at MSG have worked very
hard on developing our objectivity.
Eventually we hope that the doctors evaluate (Accountability reserve
word) themselves. In addition, we hope
that more and more doctors’ share (Transparency reserve word) about themselves
and their performance.
Team Ciphers
The team associated with this
report numbers some odd twenty-five (25) members. We have retained some ciphers. The doctors that we here at MSG considered is
this report are as follows.
CDM = Chester Diokno Mojica
BSL
ASK
TQN
JDB = James D Boyce
J_H = John Hanley
Cutoff – Five Star Performance
Our cutoff for mediocre is
51%. So by our 51% standard, doctor CDM
would not be considered mediocre. Doctor
ASK in her thirties seems to be way more promising than is CDM in his
fifties. Doctor John Hanley was our - I
can do it all - family doctor circa 1963 to 1977. Doctor Hanley set the bar high for Primary Care
Physicians (PCP) and was anything but mediocre.
From lived experience (LiveX) mediocrity can cost the consumer
unnecessary money. Mediocrity can lead
to other losses including injury to the client.
Recall that it was our objective raters that gave Doctor Mojica on
average 3.5 Stars (MSG Standard - Mediocre) of 5.0 Stars. A reason that doctor Mojica is tolerated is
that one of the programs (Brand New Day) that retains him scores only a 3.0
(CMS Stars) out of 5.0. This offers CDM a
temporary state of invisibility. We have
discussed Brand New Day’s (BND) CMS Stars scores in other publications. We have found some in the BND network as
performing above 4.0 stars. We
recommended Brand New Day discovers and addresses their 2.0 performers
first. Thus, for the time being doctor
Mojica with his 3.5 Stars will remain invisible.
Trust and Confidence - Interpretation
& Translation
Would we here at MSG trust CDM
with something serious such as a cough that interferes with sleep? – At this
time not really. Example – The Coincidental
Antibiotic Story - We are going to save over our vignette about doctor Mojica
and our request for an antibiotic. Would
we have trusted him with an intervention requiring fine motor skills such as
our cataract surgery? – At this time he has not demonstrated his fine motor
skill proficiency – So not really.
Old Car – Harm Reduction
Our principal Developing And
Growing (DAG) is 57 years old. He is
like a 60-year-old car. You don’t have
to fix everything – just enough to keep him up for running and satisfying his
gal.
Recap - “How we do it around here
(CDM 2012)”
Do It Manual
CDM Mantra
Brand New Day issues quite a bit
of paper on how to do it. Most of the
documentation comes because they are required to do so. An example would be the yearly Formulary
(reserve word) of covered medications.
Right off in 2012 we were certain that before we had to write our own Do
In Manual about the CDM service spectrum that he would give us one. For example a yearly physical checklist would
come in handy. The Do It Manual might
also include a Satisfaction survey template.
Possibly the most important would be the informed consent material for
let us services such as HIV Testing or the risks surrounding Influenza
Vaccines.
Next Three (3) Pages
The next three pages are just a
different presentation of the information already address in the Objective
Findings Table. You can skip them if you
like.
Last Reviewed: 20170401-SAT
Performance Graphic
Objective Strengths - Vitals
Ratings Update
For Graphic Learners – Graphic
Learning Style
Figure - Rate Your Experience
Last Reviewed: 20170401-SAT:
Figure; Graphic Regarding Doctor Chester (D) Mojica – Source - http://www.vitals.com/doctors/Dr_Chester_Mojica.html
Graphic Learning Style
Try as people may it is hard to
balance out one’s competencies about the some odd eight learning styles. Earlier, we addressed these results in text
form. Here we include graphics for those
most proficient with a graphic learning style.
Vitals – Metadata
20170401-SAT: Dr. Chester Mojica,
MD | Garden Grove, CA | Family Doctor - Vitals
On the Vitals page for Dr.
Chester Mojica, MD we found the following.
His patients offered up nine (9) reviews. His patients scored or rated him at 3.8 with
5.0 being the best. Demographic: Dr. Chester Mojica, MD is a Doctor primarily
located in Garden Grove, CA. His
specialties include Family Medicine. Dr.
Mojica is affiliated with Kindred Hospital-Westminster. He speaks English.
Hospital
Doctor Mojica can admit patients
at: Kindred Hospital-Westminster - 200 Hospital Circle - Westminster, CA –
92683. This is completely new to us here
at MSG. In over four years we or this
other patients have never discussed this.
It is rather important to know the hospital only if for to give a heads
up to your family. For the time being we
do not believe this hospital association fit for us.
Last Reviewed: 20170521-SUN
Performance Graphic
Objective Strengths - Vitals
Ratings Update – Progress Note
Chester Diokno Mojica MD
Figures for Objective About CDM
Last Reviewed: 20170319-SUN
Performance Graphic
Objective Strengths - Healthgrades
Ratings
Last Reviewed: 20170319-SUN:
Figure: Graphic
Figures for Objective About CDM
Rate Your Doctor Sample Size - 20170319-SUN:
Rating: 3.2 - 9 votes
Appendix - Peeve of the Year
(Summer 2016)
We are going to wind down by
addressing our biggest peeve for 2016 about Doctor Mojica. We are still trying to decide if this peeve
is worth addressing now because it is very subjective. Yet, it is a good opportunity to presell our
Subjective Report in the making.
Medication Change – Wasting
Medicine – Lipid Vignette
This year we were prescribed by
Doctor Mojica a medication change. He
bullied us. We ask: In what way will
upgrading our Cholesterol control medication improve our performance? It's not the change of medication that
inspired us to write this Lipid vignette as much as it was the process. We will address this process in a standalone
report. For now suffice to say: We get
the new medicine via courier from the pharmacy with a note stating cease using
the old medicine. We can see that
wasting a thirty day supply of medicine is in order if the medicine is
harmful. What happened to finish up what
you have then begin the new medication.
Think of how much money it costs to unnecessarily throw out medication
in a transition. We will try to get a
photograph of at least one person’s medication cache. Some odd 90% of the inventory is abandoned
medications.
New Medicine - Lipitor
(Atorvastatin Calcium) [SPELLED]
“Lipitor (atorvastatin calcium)
side effects drug center - Lipitor is a synthetic lipid-lowering agent.
Atorvastatin is an inhibitor of 3-hydroxy-3-methylglutarylcoenzyme A (HMG-CoA)
reductase.”
Doctor Mojica did not address:
Side Effects – Interactions – Warnings
LiveX – Kaiser PCP – Safety
(Compatibility) Report
Years ago when a Kaiser PCP was
going to put us on an antibiotic he had an App which he entered my some on five
medications to generate a safety and tolerability report. We just know that doctor Mojica entered
Atorvastatin in his E.H.R. and it generated a safety report. We will check out our patient portal to see
if his safety report has been posted.
Old Medicine – Lovastatin –
Experimental Bunny Rabbit (EBR)
Doctor Mojica stated that our
2015 labs indicated that Lovastatin was working. This year he changed it to Atorvastatin
(“something stronger”). Well we guess
the Lovastatin was just an experiment.
For Lipid Panel Follow Up about
different Medication experiment on us
Back to Atorvastatin (40mg) -
Supply Lines - Pfizer
“One will be Ranbaxy
Pharmaceuticals, the first company to successfully challenge Pfizer's Lipitor
patent. The other will be Watson Pharmaceuticals. Watson has made a deal with
Pfizer to distribute an "authorized generic" that actually is made by
Pfizer itself, according to Pfizer spokesman MacKay Jimeson. Nov 29, 2011”
“Atorvastatin is the generic
formulation of Pfizer's Lipitor, one of the best selling drugs of all time. The
cholesterol-lowering Statin, is a familiar brand name that went the way of
generics in 2011. Over its branded history, Lipitor brought in over $125
billion in sales for Pfizer. Oct 5, 2016”
“In Mylan we trust”
We read the Atorvastatin bottle
and we think we saw the make Mylan. “In
Mylan We Trust”
Scapegoating and Lecture [SAVED
OVER]
Standard Features per Vitals -
Controls
Again we used CMS Stars and
on-line Rate Your Doctor (RYD) such as Vitals and Healthgrades as our
controls. Unfortunately, for the doctors
we have been assessing the total number of reviewers for each is less than one
hundred (100) individuals. Of our CDM
associated doctor cohort Doctor Boyce (n=25) has the most reviews. So few reviewer submissions at this time
benefits the doctor(s) because if they promote strong reviews their scores can
be significantly improved. For the time
being the RYD scores are just a benchmark.
20170524-W: Sample Doctor Boyce
Online (Total Evaluations = 25)
Vitals – 10: Yelp – 5: Healthgrades
– 8: RateMDs – 2
CMS Stars Control - Doctors
Scored (Apples and Apples)
We here at MSG try to compare
like elements as much at possible. We
compare PCP’s and family doctors with each other. We compare specialists with
specialists. We compare psychiatric
specialists with other psychiatric specialists – etc. When it comes to comparing environments such
as waiting room and waiting process all doctor’s offices are fair game.
20170320-M: Major Advance Plan
for PCP Appointment
During our first year of service
and orientation about Dr. Mojica we were very sick, run down, vulnerable, and
fatigued. Doctor implied that we were
not doing it right. As Doctor Mojica
said we were not doing it “how we do it around here”. So to get it right and
improve our Prosumption (MSG) we prepare between appointments. Our goal is
always for minimizing the teams stress while waiting for, during, and after the
appointment.
Prepared for Appointment
How is it that we prepare for an
appointment? As a Prosumer (MSG) we
prepare so we may maximize positive service outcomes. We try to quantify as many aspects as
possible.
PCP Form Set
For us here at MSG to capture the
Primary Care Physician (PCP) encounter experience we are developing a standard
form set. We use standard forms in
determining more precisely what went well in an appointment.
Pre-sell for Lipid Report -
MyQuest Lab Results (Lipids Plus)
We here at MSG suffer some trust
issues. Sometimes we believe others are
not being trustworthy. We will address
some findings from our BSA virtues (and values) assessment in our Subjective
Report. On: 20170403-M: We received some
2015 lab results from Quest Diagnostics.
We had to submit our request via the paper route because Quest’s
electronic route only supports automation back to 2016. Quest sent us via US mail the wrong
results. We received three months worth
of CBCs while we requested our 2015 Lipid Panel results. Eventually we sent enough information that
spelled out our concerns. On round two
(2) Quest sent us the correct results. How
is it that we want our 2015 Lipid results?
We will answer this in our Lipid Report.
Lessons Learned – Advanced and
Applied Planning
-
|
||
Lesson
|
||
-
|
||
Balance COTS instruments with
those we derive
|
||
Charter a new Blog in context
|
||
Encouraged to investigate
MyQuest (lab) portal
|
||
Focus more on objectively
determined underperformers
|
||
Methods for updating our
Doctors’ On-Call (MDOC) 2017 Utility
|
||
Promote On-line presences and
transparency more
|
||
Reposting of some of our high
page view posts
|
||
Share more of our legacy
findings
|
||
Suggest three (3) biggest
changes
|
||
-
|
Health Technology - Content
Management System
“A Content Management System
(CMS) is a software application or set of related programs that are used to
create and manage digital content. CMSes are typically used for enterprise
content management (ECM) and web content management (WCM). Jun 1, 2016”
Hardware and Software Supporting
Assessment
Back in 2009 we began our
association with the Orange County Health Care Agency (OCHCA). We were assigned work in par with
Technological Needs about Health and Human Services. The smallest project using Mental Health
Services Act (MHSA) monies was the Kiosk Project. We delivered Kiosks to more than five (5)
county clinic locations. Central City
Community Health Center (CCCHC) might best invest in resilient and durable
Kiosks for the waiting room. As we
discussed earlier CCCHC at this time (May 21, 2017) is not offering
Satisfaction Surveys. At this point the
clients would have to submit paper satisfaction and other surveys such as a
Personal Health Questionnaire 9 Item (PHQ-9).
If one or more Kiosks were available, running some custom Apps, data
collection such as Satisfaction would be streamlined.
Goal To Close Atorvastatin
Annoyance
How this study got started was
that we here at MSG needed a way to process what we were exposed to in a
typical appointment with Doctor Mojica and Staff. In preparing to tolerate our next appointment
our notes (CaseNotes) and concerns (ConMan) became pages and pages became a
report. FYI – Our next appointment is
scheduled for – 20170706-TH @9am. We
will be determining for us the efficacy of Lipitor's generic atorvastatin. We will share more in another article: Doctor
Mojica and Lipid control efforts.
In Memory of - Douglas Keith
This publication is in memory of
Douglas Keith who while being served by Doctor Mojica died young. Doug may fit in the inappropriately served
category.
Keith Torkelson - P3D - Died
Young - In Memory
20170524-W: Pageviews = 1072 >
Chartered: 5/19/14
Dedications
Speedy – Dave Dart – Mark Allen –
Sam I Am
This publication is dedicated to
the individuals listed above. If doctor
Mojica can excel there may be a new hope for each of them and us.
What’s Next - Proof of Concept
for Quitting Smoking
We here at MSG smoke cigarettes. The new California per pack cigarette tax has
given us a reality check. We had hoped
that the tax would support proven strategies to help others and us quit
smoking. We will address Doctor Mojica Smoking
Termination program at a later date.
Coming Up Next
Assess_VITALS_17031902_CDM_Subjective
09_BND_LiveX-1.0_17051102_Scheduling
May 29, 2017 - Monday - 830am - Memorial Day
Invoice for the CDM Strengths Project
IBDP Related MS Stats
Google Profiling - Networking
MSG Divisions
AVEY Logo
Report Signed Off by Our Principal
This is the End my Friend
