Saturday, August 11, 2018

Brand New Day - Quality Of Life Study I (2012-2018) – For and By Keith E Torkelson, MS


File Name of Parent Documents
Assess_BND_QOL_18080701_Results

Title Image – Keith AKA Buster AKA DAG
Title – Social Health - Appropriate Dress Sample
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Keith Torkelson AKA Buster AKA DAG
Attending a 2018 Mental Health Services Act (MHSA)
Steering Committee Meeting (SCM)

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Blogger Title
Brand New Day - Quality Of Life Study I (2012-2018) – For and By Keith E Torkelson, MS
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Google Plus Information
Keywords: Jeff Gibbs - External Quality Review – KE Torkelson (2018)

Blog(s)
Brand New Day


Study Group - Partners




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Dedicated To
This report about Quality Of Life is dedicated to: Mary Hale (Direction), Kathleen Murray (Health Technology), Gloria Shanks (Master Mom), Lanaii Kline (Family), Rimal B Bera (Behavioral Health), Jeff Gibbs (Helper), Oswaldo Escalante (Model Helper), and Jeffery Nagel (Public Health Operations Management).

In Memory
This paper is in memory of Brand New Day member Doug Keith.  We shared a room with Doug for over one year.  Doug suffered as a minimum anxiety disorder.  Doug died too young and nobody has stepped up to take account of his passing.
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[INSERT DUG]
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Doug "DUG" Keith as we knew him living :o)
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Abstract – Executive Summary
This report began as an evaluation of us using the Brand New Day (Prescribed) Quality Of Life (QOL) assessment.  We also used the (BND-QOL) as an opportunity to update our evaluation of our prescribed Brand New Day (BND) helper.  For this part this paper addresses Keith E Torkelson, MS (Consumer) and Jeff Gibbs, MA our most current BND Helper.  For the first three years we applied this BND-QOL instrument and observed a peak and trough pattern.  The range for our BND-QOL scores during this period is 13%-64%.  100% indicates stellar quality of life.  Initially the BND-QOL was assigned by BND.  After time and three changes about Helpers BND stopped soliciting score revisions.  From 2015-2016 the period we were trying to break in Jeff Gibbs we self-scored from 62%-71%.  Our current scoring period is 2017-2018.  The range for this period of our BND-QOL scores is from 52%-92%.  The 52% is related to the impact that our Detached Retina (Blindness) had on us.  We also assess the value and impact, past and present, that eight (8) of our BND Helpers had on us.  The scores range form A to F.  One of our helpers (Ali) only stayed around long enough so he could complete the work assigned him by BND corporate.  Within six (6) months he met the corporate demands on him and he was promoted to corporate.
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Helper Stability & Unmet Housing Needs
As far as BND worker (helper) stability is concerned: From 2012-2016 we worked with four different Helpers.  We consider this unstable on their part.  Our first helper Oswaldo set the bar high back in 2012.  About Oswaldo Escalante (RAS) our worker (helper) 2012-2013 we scored him for helpfulness (usefulness) a 77.1%.  Jeff Gibbs still believes he is our current helper.  In a manner of speaking we fired him in 2016.  Yet since he thinks we have a viable partnership we updated his score for helpfulness and usefulness.  For 2017/18 he earns a 41.7%.  On one occasion while addressing our Unmet Housing Needs Jeff Gibbs indicated the reason he could not help us is my “caseload is overwhelming”.  Over time we realized he doesn’t really have any tangible housing resources such as lists of name, addresses, and phone numbers.  Overall we plan to address seven (7) approaches to Quality Of Life (QOL).  You will see our assessment classifications in a table later on.  One final note: Earlier this morning (August 10, 2018) we were on our routine weekly call to one of our principle supporters.  We were talking about mutual personal improvement.  We told her that we stand to make gains in our Quality Of Life (QOL) by the years end.
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Impact On Quality Of Life
Will publishing this report impact our QOL As Measured By (AMB) the BND-QOL assessment?  Not really.  For a couple of our prior reports for BND we invoiced them.  BND has yet to make good on our billings.  We have a going rate of $20/Page.  If they paid up then we would have more money to spend.  In general having more money to spend not only empowers us it favors an improvement in our quality of life.
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List – Tables, Matrices, Figures
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Figure - Sample of Caseload – Student Teacher
Table - Quality Of Life Related Assessments (BND QOL Report I)
Table - Results Tables - Acronyms (AcroCodes)
Table - Case Management Checklist (Brief) – Comparative Evaluation
Matrix - QOL Assessment Results – Longitudinal (2011-2014)
Matrix - QOL Assessment Results – Longitudinal (2015-2016)
Matrix - QOL Assessment Results – Longitudinal (2017-2018)
Matrix - Rubric for MSG Binary Scoring
Table - Links To Priors Publications in Scope - Graduate By DEATH Program
Figure - Scan of Brand New Day (BND) – Quality Of Life (QOL) Assessment
Table - Results – Eight (8) Community Helpers Participation About Our QOL
Matrix - Helper Quality – Relative to Us – Comparing Two (2)
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Appendix - Table – BND-QOL - Assessment Header Information
Appendix - Table – Quality of Life Self-Assessment (20180729-SUN)
Appendix – FYI Table – Non-professional Helpers - One And The Same – Roles
Appendix – Figure Readability Stats
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Introduction
We were new to Quality Of Life (QOL) paper assessments when we signed on with Brand New Day (BND) in 2012.  Our Personal Care Coordinator (Case Manager) Oswaldo Escalante (RAS) blasted through the intake package (Some of 10 pages) in less than an hour.  Fortunately he provided us with copies of most if not all documents.  We found three (3) of the forms of long-term interest: Collaborative Personal Recovery Plan (CPRP), CPRP Terms of Participation (TOP), and BND’s Quality of Life Self-Assessment (BND-QOL).  They implied that our Coordination partnership with BND would make clear, address, and tackle any problems as needed (PRN).  Every time we solved a significant issue or problem we would update the Trio of Documents to keep moving forward.  Oswaldo did everything he could to help us out with housing.  We address housing issues yearly during the summer.  Eventually Oswaldo moved on such is the case with case managers.  Our BND relationship with case managers has been unstable since Oswaldo.  In other words we are more stable than the help.  When we asked Jeff Gibbs to help us out he said he could not help.  He implied that his caseload was too big to help us.  Normally, we would submit our BND-QOL findings to Jeff Gibbs.  But since he doesn’t have the time to help us out why bother him.  Some of the information that would be privileged for him we are publishing in this report. 
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Solicitation Dilemma
Metadata: 08_MSG_PNP_15071203_Solicitation Dilemma V2018
We here at MSG have been writing reports about the psychosocial aspect in Health & Human Services since 2009.  We find that if an Agency or individual does not solicit our findings they lack the resources to consider them in depth.  One of our last unsolicited reports addressed our lived experience with our referral and linkage to our new (and improved) Behavioral Health Doctor.  His name is Rimal B Bera MD.  One of the reasons we here at MSG continue to publish unsolicited reports is that they help us appreciate where we are and how far we have come for setting things RIGHT.  For us Blogging has proven a better route than direct submissions.  This report about BND-QOL interests is an unsolicited report.
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Documentation Review
Collaborative Personal Recovery Plan (CPRP-TOP)
In the CPRP Terms Of Participation (TOP) we consumers are asked to make some contributions to Brand New Day (BND).  Yet BND does not promise us much in return.  “Mutual collaboration of the member and the care coordinator” implies a productive partnership.  The CPRP itself indicates three (3) Recovery Phases: (I) Wellness, (II) Integration and (III) Successful Living.  Guess where we are?
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Database Management
Next we queried our databases: Tork Reconstruction Company (TorkBase), Mentalation Solutions Group (MSGBase), and AVEYBase.  We primarily retrieved, reviewed, touched up, and extracted as necessary about the theme Quality Of Life (QOL).  As of today, August 9, 2018, our “qol” query pings 41 Items.

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Innovation – Assessment Flow

[PENDING CONSTRUCTION – FULLY EXECUTED – BETA Version]
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Assessment Cycle a Product of TorkMark (2018)
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Assessment Cycles
In an educational setting the assessment cycle is a no brain.  The two key elements are: Teaching to the test and returning the assessment marked up and interpreted to the test taker.  The magnitude of faulting about these two steps in Health & Human Services is huge.  Assessments prescribed at the Federal, Regional, State, County, and City levels rarely get marked up and returned to the test takers.  What would happen if you repeatedly told your students: Here is the exam!  I, the teacher, am not going to return or consider your scores.  Perform an image search for “measurement cycle” or “assessment cycle”.  Most hits we found failed to clearly say: Return the results back to the consumer, test taker, or student.
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Reasons We Life Long Learners Want Results
When we were engaged in the Secondary Teacher Education (STE) program administered by the California State University @ Fullerton we committed to maintaining a status of Life Long Learner.  Some of the agencies for which we have been asked to take their solicited assessments during 2017 and 2018 are: CMS, Brand New Day, and Central City Community Health Center.  None of these agencies score our assessments and returned our results.  Simply having assessment and test results help us to better navigate our Recovery and Setting Right Things (SRT).  There is a plethora of reasons to return tests to the test taker.  These are out of scope for this study.
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The Brand New Day – Dream Operation
We have mentioned before that one of our personal missions is to help Brand New Day become a “Dream Operation”.  Vis-à-vis External Quality Review (EQR) we hope to help them improve their mediocre CMS Stars Score (C*S).  We have been at it for four or so years yet we have had little impact with BND.
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Figure – Sample of Caseload – Student Teacher
Database Find – Caseload (Class Size)
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Figure – Sample of Caseload – Student Teacher – Grade Book Created and Maintained by Keith E Torkelson, MS (Class size = 34/1 Period)
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Helper Will Not Help
We will discuss our current BND Helper, Jeff Gibbs, more later on in this report.  Jeff Gibbs implied he could not help us in part because the demands of his caseload were too high.  Basically, even though he was assigned to us as a helper he refused to help us.  As you can see in the Table and Metadata above we did a “Gig” as a student teacher.  For Fall Quarter 2001 we had three classes to teach: Two Biology and One Physical Science.  With an average class size of 34 our total class load was approximately 100/Day.  At the same time we were on call to help our Most Significant Other Ever (MSOE) Joan as needed (PRN).  When she needed help moving, we found time and leveraged our resources to help her move.  Because Jeff Gibbs lacks transparency we really don’t know how big his overwhelming caseload really is.  The data above is from Valley High School in Santa Ana California.  At the time VHS was considered a low performing school.  Jeff Gibbs manages low performing clients.  The demands of our VHS assignment were intensive with sub-par returns.  See the FYI below.  We find that there is too little Behavioral Health in K-12 school and to little school in Behavioral Health.
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Figures – High School Performance

[INSERT FIGURES COMPARING TWO HS PERFORMANCES]
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FYI - Valley High in Santa Ana, CA – Ranking & Ratings
Valley High - Compare to 2013 - API Score: 658 – The 33.94th percentile when compared to other schools of the same type. Percentile: (2016)
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FYI - Cypress High in Cypress, CA - Ranking & Ratings
Compare with other schools in Cypress · Compare with nearby schools; School Type: High Schools (Public) ... Compare to 2013 - API Score: 899 – The 85.09th Percentile: (2016)
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Sample – Database Retrieval – TorkBase
We started our TorkBase data and information management system back in 1997 when our father George gave us our first Personal Computer (Cyrix) running Windows 95 and a pre-1993 version of MS Office.  It always amazes us when our query engine hits exactly what we are looking for.  Note: It is easy to erase an original document yet rather hard for the average computer user to move files back in time.  We are proud of the “Period3gds” find.  You can tell by the length of the file name that we used old school conventions.
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Let Us Get It On!
Now let us get back to the meat and potatoes of this matter at hand.
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Special Topic – “Keeping Appearances”
How is it that Human Service workers should dress?  Work wardrobe is part of one’s image.  In addition you are also representing the wealth of your company.  If you work the warehouse or you are a garbage person in general you dress to reflect appropriate dress standards.  Back in 2001 while doing our secondary teacher education “Gig” we had a role model, instructor, and mentor.  His name was Mr. Jahn.  While addressing appropriate dress for teaching high school science he made light of his tie wearing policy.  In short “I wear a tie because the students deserve it!”  While transitioning into a public behavioral health arena we made note, at times with photos, of how our Helping Profession professional and non-professional colleagues dressed.  Nearly all of them always dress appropriately.  Why the detour?  Working Wardrobe is another area Jeff Gibbs could use a makeover.  Rather than share a photo of Mr. Gibbs dressed for work we will share some our Standards for Excellence.
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Controls For Appropriate Dress
[HOLD BACK GIBBS PHOTO]
[INSERT MOM AND OR SCM MEETING]
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Orange County Mental Health Association Annual Meeting of the Minds (MOMs)
Appropriate Dress about Social Work
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Snapshot of a Typical - MHSA - Steering Committee Meeting
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Table - Quality Of Life Related Assessments (BND QOL Report I)
Tracking & Elimination List
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Acrocode
Meaning

Assignment

Status


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1-BND-QOL
(15 Item)
Brand New Day – Quality Of Life (QOL)

2012
Intake
Abandoned as routine









CIBHS – CPS (QOL)
Consumer Perception Survey





ProQOL
Professional





QOS-QOL
Quality Of Sleep





RENHEW-QOL
Proprietary





WHOQOL
(16 Item)
World Health Organization





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HOS
Health Outcomes Survey
(CMS/NCQA/SPH)

2014, 2016, 2018
Frustrating


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Table – QOL Related Assessments – Last Updated: 20180808-W:
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“n=1”
When we were first introduced to the Human Service and Social Health sides of Health & Human Services (HHS) back in 2009 our goal was to master Standards and Measurement.  We had been creating assessment tools back as far as the year 2001.  At this time we worked with Tork Reconstruction Company or TRC.  For a while we had test populations on which to try assessments on.  Our goal was to gather our magic number of 100 submissions per assessment.  In other words wished our population size (“n=100) per assessment to reach 100. Now almost twenty (20) years later we focus on assessing us (“n=1”).  Rather than value sample size we value number of incidences per assessment.  Mania Kaiser was one of the first assessments we wrote.  We shared it with our Kaiser Caseworker Joyce Alessi.  Joyce indicated our Mania Assessment was good work.
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Graduate By DEATH Program (GBDP) – 20150731 till 20160607
The first incidence of GBDP in our database is 7/31/2015.  After Oswaldo Escalante (RAS) had helped us a good deal from 2012-2013 we had trouble getting his successors to be of any assistance.  The first incidence of Jeff Gibbs (The Help) appears in our database on 4/21/2016.  We remedied dozens of issues about Brand New Day and their Network.  We wanted to wait for more positive outcomes before we published our findings about BND.  So we created and published our GBDP series.  The point we are trying to make was that BND’s services as provisioned lacked graduations and thus the member might only look forward to dying to graduate.  In reality life is the true Graduate By DEATH Program. For us strong evidence indicates we “ALL” will graduate by DEATH.  Whether disabled or not we will graduate.  Gradually we have focused more on championing those that have Died Too Young (DTY).  For us here at MSG the cutoff for too young is less than 65.
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Reaching 100 Incidences
As we have noted that the cutoff for maturing an assessment would be 100 incidences.  When applied now this translates to either 100 applications about an individual or 1 application about 100 individuals.  We have applied Brand New Day’s Quality Of Life (Self-assessment) about twenty-five (25) times over the course of six (6) years.  Remember, only the one we submitted at intake was solicited.
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Longitudinal Presentation
We here at MSG still have not standardized our data presentation themes.  If we only have three data points or less we more often that not use the columnar method.  With four or more data points we more often that not use the row method.  Thus far with BND-QOL results we have about  recorded twenty (20) rows of data.  Initially we let our row tables run on.  After this we decided to limit our tables (matrices) to fifteen (15) rows of data.  We are testing a limit of ten (10) rows of data.  This lets us limit our tables to one 8.5” x 11” page using font 12.  This gives us a bit of room to add commentary below the table.  This standard does not apply to Acronym Tables.
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Results
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Table – Results Tables - Acronyms (AcroCodes)




AcroCode
Meaning






BND
Brand New Day (HMO)


DCT-QOL
Direct Contribution To Quality Of Life


GBDP
Graduate By DEATH Program


HV
Helper Value


NMLZD
Normalized (Percentages)



PSP
Personal Success Plan


PV
Partnership Value


Q*M
Quick Star Method


QGM
Quick Grade Method


QOL
Quality Of Life


RT
Real Time


TSM
Their Scoring Method






Table – Results Tables - Acronyms (AcroCodes)
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Table – Case Management Checklist (Brief) – Comparative Evaluation
Skills & Requirement Checklist
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Skill

Oswaldo
Helper-01
Summative
Jeff
Helper-04
Formative
Note

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Communication Skills

A
C


Compassion

B
D


Time-Management Skills

A
C


Organizational Skills

A
B


Problem-Solving Skills

B
D


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CALC =

18/5
9/5


GPA =

3.6
1.8
Likely to be too low for Gibbs

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Table – Case Management Checklist (Brief) – Comparative Evaluation – Dated Scored and Last Reviewed: 20180810-F:
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Matrix - Quality Of Life Assessment Results – Longitudinal (2011-2014)
Subject = TheDAG for MSG (2011-2014) – DAG AKA Keith E Torkelson, MS
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Date

Items
Scored
%
NMLZD
Comment


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1
2011 – Retro

(15)
64%











2
2012-RT

(15)
57%
Peak


3
2012-RT

(15)
20%
Trough
Homeless for 1 month
Suffered Catastrophic Losses


4
20120906-TH

(15)
56%
BL-Baseline


-


(15)




5
20130506-M

(15)
13%



6

20130602-SU

(15)
21%



7
20140106-M

(15)
43%



8
20140402-W

(15)
60%



9

20140630-M

(15)
26%
Helper Turnover


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High Enough Resolution Longitudinal Process Measures for Quality of Life (QOL-15) – Last Reviewed: 20180810-F:
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Notes
For Keith Torkelson, MS - BND QOL 15 Item
GBDP Quality of Life (15 Item) – Quality Of Life
Originally Prescribed by Brand New Day (GBDP)
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Matrix - Quality Of Life Assessment Results – Longitudinal (2015-2016)
Subject = Keith E Torkelson, MS
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Date

Items Scored
%
NMLZD
Comment


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10
20150623-TU-RT

(15)
71%
Prep for Helper #4 – Jeff Gibbs


11
20151219-SA-RT

(15)
62%



12
2015 – Yearly AVG - Retro

(15)
62%



13
2015 – Yearly AVG - Calculated

(15)
67%



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14
20160309-W-RT

(15)
Baseline
66%
Submitted with new service plan
Another Baseline for Eye Crisis


15
20160612-SU-RT

(15)
70%



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Matrix - Quality Of Life Assessment Results - Longitudinal
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Notes
For Keith Torkelson, MS (2015-2018)
BND QOL 15 Item
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Matrix - Quality Of Life Assessment Results – Longitudinal (2017-2018)
For Keith Torkelson, MS (2015-2018)
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Date
Items Scored
%
NMLZD

Comment


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16
201706-1st Half of June Retro
(15)
79%
Before retina issue
Baseline for Eye Crisis
B4


17
20170627-TU-RT
Marker
Marker
Date of detached retina diagnosis
Blind in Left Eye


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18
20170702-SU-RT
(15)
52%
Retina Crisis Significant
Impact of detached retina – Blind in left eye


19
20170818-F-RT
(15)
87%
Used with COPD baseline report


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20
20180704-W-RT
(15)
92%
Baseline for Bera Ongoing with Mojica


21
20180729-SU-RT
(15)
84%
Smoking and sleeping related issues


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High Resolution Longitudinal Process Measures for Quality of Life (QOL-15) – Last Update: 20170714-F:
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Notes
BND QOL 15 Item
Matrix - Quality Of Life Assessment - BND QOL 15 Item
Results for Keith Torkelson, M.Sci. (2017-2018)
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Discussion
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Actualizing Self - Quality & Purpose - Level (%)
We will continue to figure out what a Quality Of Life assessment yields.  For now we have settled.  QOL indicates: Actualization Of Purpose & Meaning (AOP&M) Level.  When we report we often normalize the scores to percents.  The scores are more portable when percents, items scored, and maximum total points (SCOREMAX) are reported. 
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FYI
Assessment Evaluation for Brand New Day by Keith E. Torkelson – M.Sci.
20180810-F: Page Views = 29: Chartered = 8/4/17
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HER=High Enough Resolution
What we consider HER is collecting enough data points for trend determination.  For linear relationships this would be three (3) data points in one year.  For data that indicates that there are peaks and troughs twelve (12) data points in a year we find desirable.  The only tests or assessments for which we collect monthly data points is for our Complete Blood Count (CBC) blood-work and our weight measurements.
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On Scoring - NMLZD=Normalized
Metadata: Assessment_Scoring_17121201_Rules V2018
20180810-F: Normalizing To Percentages
In the context of Quality Of Life (QOL) assessment we normalized our scoring about percentages.  Let us say you see doctor A for two years and he assigns you his FAV QOL assessment.  Then you begin seeing via graduation to Doctor B.  Doctor B has his own FAV QOL assessment.  Unless the results you carry are normalized to something in league with percentages they are not very portable.  Wild scoring protocols can generate the Oranges and Apples scenario all over again.  Percentages also make it clearer when making conversions to other units such as Stars Scoring.
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On Scoring
Matrix – Rubric for MSG Binary Scoring
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Nature
Range
Best
QUAL

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Binary
0.00 | 0.50 | 1.00
1.00
No | SoSo | Yes
Options 0.25 – 0.75 PRN

Stars
0.0 – 5.0
5.0
Example
Compare with CMS Stars Scores

Percentile
000.0 – 100.0
100.0
Inter-assessment comparisons and migrations (Portability)
Fidelity with Education Standards

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Matrix – Rubric for MSG Binary Scoring – Last Updated: 20180810-F:
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Table – Links To Priors Publications in Scope - Graduate By DEATH Program
Metadata: 20151109-M: Links to Other GBDP Chapters
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Chapter


-


01

02

03A

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Table – Links To Prior Publications in Scope - Graduate By DEATH Program – Moved Forward: 20180810-F:
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Note - Literature Review
While doing our literature review for this paper we took a moment to look back at some of our in scope publications.  By doing such we have detected recurrent themes about Brand New Day AKA the Graduate by DEATH Program (GBDP).  A few of the themes are: Jeff Gibbs' performance shortfalls, Brand New Day’s CMS Star Score ratings, the amount of effort we invest to set thing’s RIGHT, and our and others’ Unmet Housing Needs (UHNs).
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Figure – Scan of Brand New Day (BND) – Quality Of Life (QOL) Assessment
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[MATERIALS]
[INSERT MARKER FOR BND QOL SCAN]
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Outcome - Good to Excellent
PSP – Personal Success Plan – Might Best Be Included In (X)
TSM=Their Scoring Method
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Table – Results – Eight (8) Community Helpers Participation About Our QOL
Hindsight Applied – Balance Scoresheet
Service Coordination – Rate Your Community Helper Team
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-






##
Partner

Role
QGM
HV
PV
DCT-QOL


-






01
Oswaldo Escalante

PSC-01
A
B
Good

02
Ali Khalkhali

PSC-02
B
B
Little

03
Francis Villa

PSC-03
F
D
Little

04
Derek Chumley [SP]

Floater
A
A
Best

05
Jeff Gibbs

PSC-04
D
D
Little

06
Jessica Reynolds

Passive
B
B
Little

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07B
Sofia Aliabadi (Facebook)

Director-02
C
C
Little

07A
Sofia Emamian (From Bios)
**
Director-02
C
F
Little

08
Diana Meier

Director-01
A
B
Good

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Table – Results - Participation About Our QOL – Graded and Last Update: 20180810-F:
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** Sophia – Sofia Emamian joined the BND Brookhurst at Lampson team a few years back.  We feature her in our Rate Your Director Series.  Sophia comes up as a hit on the Internet.  We think the correct spelling for her name is Sofia.  This (2018) we got a hit on Facebook for her.  We believe Sophia Emanian is now Sofia Aliabadi.
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Matrix - Helper Quality – Relative to Us – Comparing Two (2)
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##
Synoterm

Oswaldo
Retro
2012-2013
Jeff
FY 2017/18


-






01
Caliber






Craftsmanship
(AMB Product)

0.50
0.25



Distinction

1.00
1.00



Eminence





05
Excellence

1.00
0.50


-






06
Incomparability

0.75
0.25



Merit

1.00
0.50



Skill

0.75
0.25



Superiority

0.75
1.00


10
Talent

1.00
0.25


-






11
Value

0.75
0.25



Virtue (AMB BSA)

0.50
0.25



Virtuosity

0.50
0.50


14
Worth

0.75
0.00


-
-






Helper Value Score (HVS) =

9.25/12
5.00/12



Percentage =

77.1%
41.7%



Star Equivalent Score =

3.9
2.1


-






Matrix - Helper Quality – Relative to Us – Comparing Two (2) – Date Scored and Last Reviewed: 20180810-F:
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More Discussion
Apparently the work of such quality as Oswaldo’s is rare about Brand New Day (BND).  For the period we partnered with Oswaldo, BND earned a CMS Stars rating of 3.0.  Thus Oswaldo appeared to be contributing in a positive manner to the BND operation.  On the other hand for this year (2018) CMS awarded BND with 3.5 Stars.  With a 2.1 Star Equivalent Score Jeff Gibbs may not be living up to his potiential.  We see no signs that his collegues admire him. We are hoping that by Fall Quarter 2018 we can apply terms like excellent, superior, valuable, and distinctive about Jeff Gibbs.  We would wish for him to deliver well crafted evidence addressing his performance.  We would like to see him gain some ground about his digital presence.  An indicator that you are proud of your work is making an effort to share it with a larger population.  A promising way of accomplishing this is via the Internet. 
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Alternatives
As of today, August 10, 2018, we are still “stuck” with Jeff Gibbs.  Jeff Gibbs has many distinctive attributes and characteristics.  Few of his attributes and characteristics have for us any problem solving value.  In some written material from BND we saw that we could choose a better fitting helper.  We will consider pushing a referral ourselves in Fall Quarter 2018.  We actually have approached our FAV – Derek.  He says that the role of case manager is our of his scope.
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Appendix - Table – BND-QOL - Assessment Header Information
-





Factor

Fact
Note


-





Members Name

Keith Torkelson MS



Today’s Date

20180729-SUN



PSC

Jeff Gibbs



Location

BND
Brookhurst and Lampson
Garden Grove



Intake V Progress

Progress
Intake was in 2012


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Appendix - Table – BND-QOL - Assessment Header Information
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Instructions Taken From Form
“This survey asks you to tell us how things are going for you these days.  It should take you about 5 minutes to complete.  When finished, please give the survey to your Personal Services Coordinator (PSC) so that you can review the results together.  In this section, we ask you to rate how things are going in different areas of your life.  For each statement below, circle the answer that best matches your experience.  Circle one choice for each answer.  Column Header: Should this be in your Personal Success Plan (PSP)?”
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Appendix - Table – Quality of Life Self-Assessment (20180729-SUN)
Brand New Day Version
(Scale 0-3 with 3 being the best)
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##
Overall, how would your rate…

QUANT
20180729
SUN
PSP (X)

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01
The place where you live (your housing)

2.5
X

02
The amount of money you gave to buy what you need

2.5


03
Your involvement in work, employment

3.0


04
Your level of education

3.0


05
Your access to transportation to get around

3.0


06
Your social life

3.0


07
Your participation in community activities (leisure, sports, spiritual, volunteer work)

3.0


08
Your ability to have fun and relax

2.5


09
Your physical health

1.5
X

10
Your level of independence

2.0


11
Your ability to take care of yourself (staying health, eating right, avoiding danger)

3.0


11
Your self-esteem
(How you feel about yourself?)

3.0


12
The effect of Alcohol & other drugs on your life

1.5
X

13
Your mental health symptoms

2.0
X

14
Overall, how are things going in your life?


2.5


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CALC =

38.0/45



BND Satisfaction Score (Normalized) =

84.4%



AVG & =

2.5



Star Equivalents=

4.2


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Table – Quality of Life Self-assessment (20180729-SUN) - Date Scored 20180729 (Real Time) – Last Update: 20180810-F:
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Appendix – FYI Table – Non-professional Helpers - One And The Same - Roles
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Title

Note


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Care Coordinator




Case Manager




Case Worker




Helper




Personal Service Coordinator




The Help




Worker




Unlicensed Social Worker




Uncertificated Social Worker




Others




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Table – Non-professional Helpers - One And The Same – Roles
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FYI - Appendix – Figure Readability Stats for This Report
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End Of Report
Images @ The End
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