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

http://the-torkel-saga-2059.blogspot.com/2016/11/rimal-b-bera-md-evaluated-by-keith-e.html

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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

http://the-torkel-saga-2059.blogspot.com/2018/01/ochca-technology-driven-assessment.html

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Ethics

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

http://the-torkel-saga-2059.blogspot.com/2016/11/gary-zagers-distance-ed-for-keith-e.html

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 B Bera - 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

http://ktork46.blogspot.com/2015/02/triple-xxx-dag-digital-appointment.html

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

http://the-torkel-saga-2059.blogspot.com/2016/06/keith-e-torkelson-ms-introduces-dr.html

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
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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
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1-15	15	10.0
16-34	19	14.0
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Totals =	34	24.0	24.0/34
Percent Engagement =			71.0%
Star Equivalents =			3.5
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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).

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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)

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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

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Report
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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]
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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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[INSERT END STATEMENT]

Mark Refowitz Retires

Mark Refowitz' - Digital Presence

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