Saturday, January 13, 2018

Referral and Linkage Part-I – Keith Torkelson Partners with Rimal B Bera (2018)


“A ProSumer Report”
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Charter - Referral & Linkage Part-I of II
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Specification
Detail
Note
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Title (Brief)
Behavioral Health Referral
Part-I of II
Blog(s)
Brand New Day HMO
XENONET
Core  Assignment
Referral & Linkage
Discipline
Health & Human Services
Paraprofessional Health Worker
Inspired By
Gary Zager, MS
Cypress Professor
Number of Pages
About 30
Number of Images
About 10
Principle Author
Keith E Torkelson
MS – UC Davis
Pathology
Editor
AVEY
Driven By
DELL
Date Chartered
January 13, 2018 (SAT)
Platform
Google - Blogger
Links to MSG Legacy Publications
About 5
“A ProSumer Report”
Project
Brand New Day
5-Star Project
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Blogger Title
Referral and Linkage Part-I – Keith Torkelson Partners with Rimal B Bera (2018)
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Google Plus Information
Health & Human Services – Core Competency – Referral and Linkage – Objectivity and Strengths – By Keith E Torkelson MS – UC Davis Pathology
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[LINK TO PART-II OF II]

http://brandnewdayhmo.blogspot.com/2018/01/referral-and-linkage-part-ii-keith.html
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Table of Contents – Part I of II

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Charter Information
Community Partners
Mark Quote

Abstract – Executive Summary
Introduction
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The Referring Doctor – Bum Soo Lee (BSL) – 2012 to 2017

Rate Your Doctor – Bum Soo Lee (BSL)
Introduction – Future of Health & Human Services
Objective - Rate Your Doctor Summary – For Rimal B Bera, MD

Rate Your Doctor (Subjective)
Objective Into Our Fray (OIOF) – Medical Records
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Impression Evaluation
Partnership Evaluation
Presenting Problems – Baseline Issues
Baseline Diagnostic Assessments

Presenting Processes
Presenting Processes (Future)
Assessing for Rapport        

Strengths First In Practice – Rimal B Bera Strengths – All Passing
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Table of Contents – Part II of II
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Legacy Links Up Front (LLUF)
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Get To Know Your Prospects (Torkelson, 2016) - Blogger

Rimal B. Bera, MD Evaluated by Keith E Torkelson MS as a Doctor On-Call - LiveX

Primary Author - Keith Torkelson, MS Pathology – Special Social

20180103-W: Page Views = 37: Date Chartered = 11/20/16

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ProSumer Skill
Link Up Front – Getting to Know Assessments (Torkelson, 2018) - Blogger
OCHCA Technology Driven Assessment Inventory for Health & Human Service by Keith Torkelson 20180107-SUN Page Views = 1 Date Chartered = 1/7/18

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Ethics
Gary Zager's Distance Ed for Keith E Torkelson (Torkelson, 2016) - Blogger



Nov 28, 2016 - Gary Zager's Distance Ed for Keith E Torkelson, MS – Health and Human Services – Ethics - We were pleased to find that the Breining Institute supports an RAS credential.
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[INSERT QUOTE GRAPHIC]




[INSERT PHOTO OF MARK REFOWITZ]


Deputy Director Mark Refowitz - Photo by Torkelson (Circa 2010)
Theresa B in Middle Background
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Executive Summary
Abstract
We here at Mentalation Solutions Group (MSG) have been informally developing what we call the Brand New Day 5.0 CSM Stars Project.  As of 20180112 our new Doctor Rimal  B Bera (RBB) has earned by those scoring him online a Stars Equivalent Value of 2.2 of 5.0.  A score of 5.0 indicates superior performance.  RBB contracts for Brand New Day (BND).  Brand New Day the parent program earned 3.0 CMS (Centers for Medicare & Medicaid Services) Stars for 2017.  Doctor Bera’s objective 2.2 Star Equivalent Score (SES) is below BND’s Benchmark.
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Abstract
3.2 Star Equivalents (SEs)
After our first encounter with Doctor Rimal B Bera (RBB) applying our Vital – Plus (Theta) assessment tool we calculated a Baseline Performance Score (BPS) for Doctor RBB.  For the appointment on January 3, 2018 (W) he earned from us (MSG) 3.2 Star Equivalents.  MSG’s 3.2 SEs is better than the 2.2 SEs which, objective raters awarded him.
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Introduction - Bum Soo Lee, MD
We are now graduating away from our Behavioral Health Doctor Bum Soo Lee.  He has attended to us for the last five years (2012-2017).  Our appointments were scheduled every three (3) months.  He billed our transactions as Medication Management.  We never missed or were late for a single appointment.  For the most part we were Satisfied with our work with BSL.  BSL is planning to retire therefore we requested a referral to an available doctor of our choosing – Rimal B Bera (RBB).  This report chronicles our linkage with Doctor (RBB).  This, Part-I, and Part-II are rather lengthy.  We made it comprehensive as possible because it will be the last Referral & Linkage (R&L) Report we plan to write.
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Introduction
The Referring Doctor – Bum Soo Lee (BSL) – 2012 to 2017
Presenting Problems BSL – Issues Tackled – Fixed and/or Solved

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Concern
2012
2017
Note
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Family Issues
Serious
Fixed
Jeff Gibbs Problems
Annoying
Fixed
Legal Issues
Serious
Solved
Taken Off Clozapine
Serious
Fixed
Transportation Issues
Fatiguing
Fixed
Weight Loss
Psychological Component
Overweight
Fixed
Intentionally lost over 20 pounds
Wrong Medications
Serious
Solved
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Table – Legacy Issues Tackled in Partnership with Doctor Bum Soo Lee (BSL) – Last Reviewed: 20180112-F:
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Introduction - Rate Your Doctor – Bum Soo Lee (BSL) – Referring Doctor

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20160507-SAT
Responses (Reviews)
Objective Score
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Current Vitals
à
Unavailable
Current Healthgrades
à
Unavailable
Current Yelp
à
Unavailable
Current Webmd
Be the first to rate this doctor
Current Doximity
Waiting for claim of profile
Current USnews
à
No Scores
MSG Using VITALS
Planned in BSL Closure Report
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Table – Doctor Bum Soo Lee Online Presence – Rate Your Doctor – As of 20180112-F: Still No Stats
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Planned
We plan to address resolution about Doctor Lee with a future process and closure report.
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BSL - Digital Presence and Penetration = Unremarkable
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Introduction
Future of Health & Human Services

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Approach
Note
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Assessment – Complete Digitization
CiBHS & Others
Fleshed in Diagnostics Report
Better Working Diagnoses
Bera
Business as Usual
Bera
Consumer Paraprofessionals
MSG
Cost Containment & Convergence
MSG-EBR
Evolution
Client Driven
ProSumption (MSG)
Housing First
MHSA
Improved Psychiatrist Transparency & Accountability
Bera & Others
Performance Earned Value (PEV)
Innovation
MHSA
Teach to the Test
Lost Data
Serious Issue
With Retirement
Old School – Documentation & Billing
Project Management “As” Direct Service
MSG
Real Partnerships
Reform
What HHS Is Attempting
Reformation
Revolution
Mental Health Services Act
MHSA
Steinberg Programming Language
MSG & MHSA
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Table – Health & Human Services (HHS) Future - Old and New Approaches in HHS: Last Reviewed: 20180112-F:
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Objective - Rate Your Doctor Summary – For Rimal B Bera, MD
What They Are Saying About You?

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Date of Query
Database
Score
Reviews
Pooling
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20180104-TH
Healthgrades
2.0
4
8.0
20180104-TH
WebMD
2.4
5
12.0
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Pooled Data Calculation
9
20.0/9
Star Equivalents =
2.2 of 5.0
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Program CMS Stars
2017 = 3.0

Table – Objective - Rate Your Doctor Pooled Data – For Rimal B Bera (RBB) - Last Reviewed 20180112-F: RBB Contracts for Brand New Day HMO SNP
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Brand New Day 5.0 Stars Project
20180112 - Objective Control Value (OCV) – 2.2 Stars out of 5.0 Stars

Brand New Day the parent program earned 3.0 CMS (Centers for Medicare & Medicaid Services) Stars for 2017.  Doctor Bera’s objective 2.2 Star Equivalent Score (SES) is below BND’s Benchmark.
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Links For Sources – Rate Your Doctor
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Dr. Rimal B Bera, MD - Garden Grove, CA - Psychiatry - Healthgrades

Rimal Bera MD - WebMD Physician Directory
Rimal Bera - WebMD - Evaluation
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Rate Your Doctor (Subjective) – Rimal B Bera
MSG Vitals Plus (Theta) Assessment Results
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Rate Your Doctor
Vitals-Plus Method (Theta) – Combined Scores
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Patient Ratings
Service Experience Element
RBB
Made
By G
Bethany
Sample CALC
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Items = 7 (Vitals)
SE=Star Equivalents
4.0/6
66.7%
3.3 SE
Sum/# Scored
4.5/5
Items = 18 (Plus)
9.0/16
56.3%
2.8 SE
Sum/ # Scored
13.5/15
Items = 25
13.0/22
59.1%
Sum/# Scored
18.0/20
Star Equivalents
(5.0 Stars is the Best)
3.0 SE
4.5 SE
With Bonus
IF – THEN
Add 1 to Numerator
14.0/22
63.6%
3.2 SE
(18+1)/20 * 100 =
95.0%
%*5 = (SE)

Indications of Satisfaction: Actual Data from 20180103-W Encounters (Linkage and Scheduling)
Rimal B Bera MD Encounter – Data Last Reviewed: 20180112-F:
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3.2 Star Equivalents (SEs)
After our first encounter with Doctor Rimal B Bera (RBB) applying our Vital – Plus (Theta) assessment tool we calculated a Baseline Performance Score (BPS) for Doctor RBB.  For the appointment on January 3, 2018 (W) he earned from us (MSG) 3.2 Star Equivalents.  MSG’s 3.2 SEs is better than the 2.2 SEs which, objective raters awarded him.
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Objective In Our Fray (OIOF) – Medical Records – Electronic Health Record Hard Copy

Evidence – No Mental Status Exam – Diagnosis Updated – Appointment Duration – Approximately 15 Minutes.
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Medical Record – Summary View
Previously when we obtained a Summary View from Clerical it included our updated Mental Status Exam (MSE).  We had hoped that Doctor RBB would have run an MSE about us in our initial Encounter.  As you can see we now have to settle for little if any Baseline Data. The Summary Document we include below does not have any really important numbers.  We censored some Personally Identifying Information (PII).  We also took out some diagnostic numbers.  His diagnosis though not on the mark downgraded our condition.  So into the fray we move: Fray - https://www.merriam-webster.com/dictionary/fray - Fray might be described as a usually DisOrderly or protracted fight, struggle, or dispute.  We are looking forward thru reports like this one to struggle about Order.
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[INSERT SCAN SUMMARY]
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Visit Summary [SCAN] – Encounter Summary – Date of Service: 20180103-W:
A BHD Product




 
Figure – 20180103 Electronic Record Hardcopy – Encounter Date: 20180103-W: Meeting of Doctor Rimal B Bera and Consumer Keith E Torkelson, MS. (Objective Evidence for Work Done).
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Visit Summary [SCAN] – Encounter Summary – Date of Service: 20180103-W:
A Behavioral Health Doctor (BHD) Product
The Summary Information is from what we can tell the Primary Product for this meeting with our new doctor.  We will discuss its’ content in Referral Part-II.
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Impression Evaluation
When we meet any professional: Professor, Mentor or Supervisor, alike: We also assess for impression and/or rapport.  Looking about Professor we always assumed they had low Error Rates.  About us they did.  We determined the individual teacher-student relationship by investigating a half dozen or so of our Professors online.  The site we used in called Rate Your Professor.  More often than not we score our Professors higher than the others rating them.  For now we just pose a question: How is it that low ratings contribute to Error Rates.
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History – Impressionator 4 Impressions
We call the system below our MSG-Impressionator.  We developed the Impressionator idea with the help of Dr. Doofenshmirtz.  So here they are: Doctors – Diagnostics – First Impression – Last Impression.
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Using Doctor Cipher Template
Sorted By First Impression – MSG Impressionator (2018)

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Name (MD)
Initials
Diagnostics
First
Impression
Last
Impression
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Clayton Chau
C_C
Non Offered
Very Good
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Andrew Inglis
A_I
OK
Good
Best
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Arnold P Deutsch
APD
OK
Best
Good
Scott Lambert
S_L
OK
Good
Good
Bum Soo Lee
BSL
OK
OK
Good
David M Dobos
DMD
Best
Good
Good
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Rimal B Bera
RBB
Weak
OK
Pending
David Royce Chandler
DRC
Weak
OK
Poor
Himasiri K De Silva
HKDS
Weak
OK
Poor
Ravinder P Singh
RPS
Weak
OK
Poor
Team
Graham and Dean
D&G
Weak
Worst
Poor
Helen Krell
H_K
Weak
Poor
Poor
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Alan Vu
A_V
Weak
OK
Weak
Belman (WTRC)
Weak
OK
Weak
Daniels (ALH)
Weak
OK
Worst
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Table – Consumer’s Impression of Behavioral Health Specialists (MD): Last Reviewed: 20180112-F: (MSG-Impressionator, 2018)
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Partnership Evaluation
Progressive Health & Human Services (HHS) Procedure aNd Policy (PNP) such as the Mental Health Services Act (MHSA) promote some advances in healthcare.  The MHSA indicates that the consumers with providers are Partners.  Below we offer some Lived Experiences (MSG, LiveX) about those Behavioral Health Doctors (BHDs) we paid to help us.  We took the Win/Win approach from Stephen R. Covey (1988).
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Partnership Evaluation (BHDs)

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Behavioral Health Doctor Identity
Win/Win Partnership
(Qualitative)
Duration of Encounters
(Minutes)
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Ravinder P Singh
Moderate
5
Rimal B Bera
Pending – Must Redefine Expectations
15
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Andrew Inglis
Strong
Graduation Driven Partnership
30
Bum Soo Lee
Strong
20
David Dobos
Strong
Performance Driven Partnership
50 Minute
History
Clayton Chau
[Exception – Probono]
Strong – Informal
Process Driven Partnership
Up to 30
AP Deutsch
Strong (Private Pay)
Performance Driven Partnership
50
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Alan Vu
Weak
20
Raphael Waknine
Weak
15
K H. De Silva
Weak (Private Pay)
50
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Table – The Patient-Practitioner Partnership Evaluation – List of Actual Doctors Contracted by Mr. Torkelson – Last Reviewed: 20180112-F:
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Doctor Deutsch - From Online

Doctor Deutsch - Photo by Torkelson (Circa 1990)

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Presenting Problems – Baseline Issues
Linkage Appointment Day (LAD-20180103-W)

New Behavioral Health Doctor – Rimal B Bera, MD
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Issue
20180103-W:
Addressed on
LAD
Note
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Others PRN
Diagnostics Follow Up Report
Cost Containment
Good
No expensive experiments planned
In-between Volunteer Jobs
Good
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At Risk Housing
Not @ All
NAAA
Attention Issues
NAAA
Competition’s Assessments
Coordination
We Failed to Sell
WFTS
Cost Containment
Good
No expensive experiments planned
Mind Issue - Attention Deficit
NAAA
Anxiety
Not Totally Addressed
NTA
His Interests
NTA
Value Family
NTA
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Impress ProSumption
WFTS
Restful Environment Issues
WFTS
Special Topic
Sleep and Rest
Value Technology
WFTS
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Table – Issues to Tackle in Partnership with Doctor Rimal B Bera (RBB) – Establishing Baselines - Last Reviewed: 20180112-F: Presenting Problems for Initial Encounter with RBB, MD
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Issue Sampling
People rarely live their lives with no issues.  As you become older more and more health issues present themselves.  We here at MSG know that a Behavioral Health Doctor (BHD) is  limited in capacity.  Thus we try to sample issues that our BHDs can help with.  What we listed above is fair game for discussion with our New (& Improved) BHD Doctor Rimal B Bera.
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Baseline Diagnostic Assessments

[HELD OVER FOR DIAGNOSTICS REPORT]

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Assessment
Target of
Assessment
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1-Rate Your Doctor – Online
Provider
Objective – Rate Your Doctor Summary
2-Rate Your Doctor Subjective - MSG
Provider
3-Baseline Mental Status Exam (MSE)
Partnership
4-Personal Health Questionnaire 9 Item
(PHQ-9)
Consumer
Measures Depression
5-Mania Assessment MSG 52 Item
Consumer
6-Mood Swings Questionnaire (MSQ)
Consumer
7-Behavioral Health Fitness Score (Index)
Partnership
2016 Build
GAINS Model
8-Attention Deficit Assessment
Partnership
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Table – Baseline Diagnostic Assessments for Partnership with Doctor Rimal B Bera – Last Reviewed: 20180112-F:
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Pre-Sell For Digital Medicine
In keeping with a promise for Revolutionary Behavioral Health Care (RBHC) we here at MSG try new and potentially Innovative Ideas.  We maintain our Digital  Appointment Utility (DAU) for most of our key appointments.  The physical doctors appreciate it more than our Behavioral Health Doctors (BHDs).
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[LINK TO DIGITAL APPOINTMENT]
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Triple xxx TheDAG - Digital Appointment - Development | AnimaCules
Feb 9, 2015 – A Living Document
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If it wasn't for Blogger



TimeSpent – Insurance V Private Pay
Over the past five (5) years we have wondered which BHDs were right when it came to TimeSpent.  When we paid privately our appointment window was near fifty (50) minutes per session.  Sometimes we had one session per week.  Ever since we picked up Kaiser (Circa 1998 to 2005) our appointments are not more frequent that one per month.  The time our insurance paid doctors spent working with us has been about 15 minutes at the most.
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Doctor Dobos – Tell Our Story (Testimonial)
In 1997 we relocated from Cypress to Laguna Niguel.  We were served for our all our health including Behavioral Health needs at the Kaiser Permanente Aliso Viejo Offices.  When we first met out new BHD, Doctor David Dobos, he spent fifty (50) minutes with us hand writing a very thorough and balance history.  The report on Doctor Dobos we feature below was one that we used to calibrate our Objectivity.  We had thought that Doctor Ravinder Singh performed the best on our behalf.  Yet, as we crunched the numbers Doctor Dobos scored the best.
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[LINK TO DOCTOR DOBOS]

The Torkel Saga 2059: Keith E Torkelson - MS Introduces Dr. David M Dobos at Kaiser
Jun 4, 2016
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Quote From Above Publication
1A-Need

“Psychiatrists in Orange County California are sitting on a treasure trove of data. They have collected informal and formal material about the efficacies of medications in associated with client outcomes. The Health & Human Services (HHS) industry has been transitioning into the age for accountability and transparency. A need in context is that psychiatrists prove their practices using formative and summative quantitative assessment tools. I have never had a psychiatrist measure (other than a GAF) how “We” are progressing or measure the performance for their methods.” (Torkelson, 2016)
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Situational Awareness and Rapport
Next we address discovery, situational awareness, and rapport.  These are some of  our presenting processes.  At this time we only address Strengths about this new partnership.  We call it a Strengths Test-Partnership (ST-P)

Strengths First (AKA Strengths-based)

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Area
20180112-F
QSM
Note
1-Establishing Rapport
Measured Further On
Brief Version
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01
Blood Sugar Levels
1.0
02
Clozapine Side Effects – Clozapine Specific Issues
1.0
Syncope & Panic when disturbed in sleep
03
Complaint Status V Grievances
0.8
04
Invega Test
1.0
High Weight Pass
Major Milestone
05
Lithium Levels
0.5
06
Risk – Fainting & Falling
1.0
As Related to Clozapine Nightly Titration
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A Measure for Situational Awareness =
5.3/6
88%
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Star Equivalents =
4.4
Brand New Day CMS Stars =
3.0
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Table – Assessment Related Held Back in Referral Study Partnership with Doctor Rimal B Bera – Last Reviewed: 20180112-F:
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A Curve
P-Pass (0.5-1.0)
NP-No Pass (0.0-0.4)
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The Fifteen Minute Appointment
Buddy! I have a Hypothesis

“We here at MSG can now tell you more about doctor Rimal B Bera that he could about us.”
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Acronyms – Some Used Some Not
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AcroCode
Meaning
Note
AM4SA
A Measure for Situational Awareness
BLR
Big Leap Recovery
HAPS
Hope About Process Score
LPS
Lanterman Petris Short Conservatorship
NEP
No Evidence Performed
PAPS
Progress About Processes Score
PMADS
Project Management As Direct Service
QSM
Quick Score Method
SSR
Small Step Recovery

Table of Acronyms
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Recovery – Social Recovery Model
From Lived Experience Recovery can occur in big leaps or small steps.  Big Leap Recovery (BLR) might take place when a client gets off LPS Conservatorship or earns one’s driving privilege back.  Small Step Recovery (SSR) takes place almost undetectable across a balance of psychosocial domains.  We stratify so we may detect and measure our progress.
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Process Assessments – RBB Centered Processes

Hope About Process Score (HAPS) – PEV & Continuing Education Units (CEUs)

Pre-Sell for ConMan (MSG, 2018) – AnnoyMan - Annoyances

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I#
Area
20180112-F
QSM
Note
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1-Performance Earned Value (PEV)
Doctors Self-Assessment & Responsibility
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01
Appreciate Sleep Risks
0.5
High Priority Issue
02
Attention Deficit Disorder (ADD)
0.5
Annoyance
03
Co-occurring COPD
0.3
Cigarette Smoking
Hurdle
04
Competence about Steinberg Programming Language
0.1
Shared Responsibility
05
Cramps
0.2
-
06
Digital Presence
0.3
Needs Work
07
Inventory Physical Symptoms
(+/- Associated with Cause)
0.1
08
MSE Actual from Records
0.0
No Baseline
09
Number of Time Outs per Day
0.2
10
Performance Challenges
0.2
ADD Related
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11
PMADS
0.2
12
Sleep Risk Surveying
0.2
13
Value of Family Engagement
0.1
His Interest
14
White Blood Count
0.1
Cyclical Elevation
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Measure for Situational Awareness =
3.0/14
21.4 %
As Compared to Priors - Moderate
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Star Equivalents =
1.1
Brand New Day CMS Stars =
3.0
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Table – Assessment Related Held Back in Referral Study Partnership with Doctor Rimal B Bera – Last Reviewed: 20180112-F:
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Special Topic - Assessing for Rapport
Rapport Evaluation – Brief Summary
We are holding over our Complete Cypress Rapport Assessment (CCRA) for our reports on Bera Driven Diagnostics and Referral Part II.
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Slamming Home on Rapport - Ice Breakers (Sponges)

Doctor FAQs
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Do you have any assignments to turn in?

Do you have anything you wish to show me?

Do you get enough quality intimacy?

Does your roommate let you get enough sleep?

How is it that your needs are being met?

How is your family life going?

Is your brain functioning up to par?

What can we do to help each other out?
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Cypress Rapport Assessment Scale (CRAS-Beta-34 Items)
Sub-scores – Indications of Successful Rapport Evaluation

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Item Range
Item Count
SUM Raw
Calculations
-
1-15
15
10.0
16-34
19
14.0
-
Totals =
34
24.0
24.0/34
Percent Engagement =
71.0%
Star Equivalents =
3.5
-
Brand New Day CMS Stars =
3.0
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Table - Summary for Encounter 20180103-W: Cypress Rapport Assessment Scale (CRAS-Beta-34 Items) MSG about BERA: Last Updated: 20180112-F:
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Practitioner Self Score – Self Report
We have been developing our Practitioner Self Score (PSS) Performance Earned Value (PEV) product since 2008.  Performance Earned Value (PEV) is what we here at MSG propose as the sum of Practitioner Self-Scores (SS) across multiple and comprehensive domains for delivering their service.  In the list below we list some elements in PEV that will help BHD deliver on Accountability and Transparency (Steinberg, 2004).
-
Aside
CEV (Consumer Earned Value): Is a quality of the ProSumer about the process of ProSumption.  It emphasizes process rather than cure.
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Special Topic - First Blood
Below we list some of the areas about which a Behavioral Health Doctor might Self-assessment themselves.
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[CANDIDATE FOR PEV STANDALONE REPORT]
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MD Self-Assessment
Performance Earned Value (PEV) Areas (Level I – Needed Disclosure)
-
Attend MHSA SCM
CMS Stars – For BHDs
Confirmatory Laboratory Testing

Cypress Model Rapport
Education and Training
House Calls

Housing
Error Rates
Innovation – LAW1

Innovation – Pedagogy (Assessment)
Intervention
Life-Long-Learner

Prevention
Probono Work
Proof of Concept

Proven Appropriate Medication Manager
Revelation - Experimentation
Satisfaction – Quality Assurance

Services
Steinberg Programming Language
Supports

Technological Needs
-

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Doctor Accountability and Transparency
As Reported In
-
Report
-
CVs
Blogs
Formal Agency Documents
Financials
Textbooks
Authoring Books – How I Did It!
Portfolio
Transcripts
Memoirs
Other
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Table – Sample Self Reporting Structures
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Strengths First In Practice
Rimal B Bera Strengths – All Passing (0.6 or Above)
Date of Encounter: 20180103-W:
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Area
QSM
Note
01
Avoiding Expensive Experiments
1.0
02
Addressed Blood Glucose Levels
1.0
03
Aware - Clozapine Side Effects
Clozapine Specific Issues
1.0
04
Low #
Aggregate Complaints/Grievances
1.0
05
Keep What Works
0.8
Glitch with Lorazepam [SPELLED]
-
06
Address Lithium Levels
0.7
07
Establish Rapport
0.8
08
Understand - Risk – Fainting & Falling
1.0
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SUM =
7.3
Percent =
91
Star Equivalents =
4.6
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Table – Balancing Our Scorecard – Strengths First In Practice Score – For RBB Bera – Last Reviewed: 20180112-F:
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S1IPS-Strengths First In Practice Score
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Consumer Mark A's Subjective Perspective

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Appendix - Part II of II – Table of Contents
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Part II of II

Deficits Second In Practice – Rimal B Bera Deficits – All Need Improvement
Medication Safety Net (MSN-MSG-Beta)
Referral – Linkage Appointments - Checklist

Linkage Material Checklist – Team MSG – ProSumption Materials – Applied
Defining A ProSumer (Beta)

Linkage Methods Checklist
Advanced Planning 2018
Need Referral - Pre-Sell Announcement

Major Milestone: 20171024-TU:
Transfer of Information – Desired Takeaways

MSG – ConMan – ComMan
ProSumption - Prepared For Orientation With
NT4OM-No Time for Old Men

Legacy Link - Rimal B. Bera, MD Evaluated
Document List
10_BMB_Succession_15092101_BSL V2017

Hardcopy of Recent Encounter Form
Form addressed medication management – successes
Referral Form - Here

PMADS
Psychiatrist Choices – Psychiatrist Elimination
Doctor of Choice – Matching

Brand New Day
Guaranteeing Clozapine

Appendix – Special Topic – Digital Presence
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Mark Refowitz Retires

Mark Refowitz' - Digital Presence
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