-
-
Arnold P Deutsch MD
-
RBB has Bleak Office
BSL Usual Office
-
Blog(s)
-
|
||
Blog
|
Title
|
|
-
|
||
Brand New Day HMO
|
Emerging Health Risks for Keith “Buster” Torkelson Via
Rimal B Bera MD (201904)
|
|
P4D
|
Applied Risk Management for Behavioral Health Doctors from
Keith Torkelson Pathology Group (201904)
|
|
XenoNet RX Ecstasy
|
||
-
Keywords
Risk – Risk Management – Behavioral Health Doctor –
Medication Management – Emerging Risks
-
Partners
-
Partners
-
-
Abstract
– Executive Summary
This
report on Behavioral Health Doctor (BHD) Risk Management is centered about
Mentalation Solutions Group’s (MSG’s) principle: Keith “Buster” Torkelson. Keith signed on with the Medical Model
approach for Behavioral help back in 1989 for a sleep disorder. He has since hired on numerous BHD’s treat him. In 1989 after DeSilva MD failed him in meeting
his needs he hired Arnold P Deutsch MD (APD private pay). Doctor APD educated Buster about the medical
model of dealing with Behavioral Disorders such a Sleep. Back in 1989 APD MD had a premonition about
the lack of efficacy for the Medical Model in Behavioral Health and those that
blindly practiced it. We included a
photo of APD up from because it brings back fond memories with what worked the
partnership. We always thought that APD
had one of the cheerier and homey offices.
Our New and Improved BHD has a very drab office. Dr APD had once discussed with us the
doctor’s ego. We think that APD earned
his ego whereas our New and Improved BHD (N&I-BHD) is a ego wannabee MD.
-
Assessment
We
are Mentalation Solution’s Group (MSG). For
this report we further developed our Risk Manangement Line (RML) of assessment
tools. Here are some of our findings
about Risk with our New & Improved BHD.
By applying our Health Risk Management Principle (Screener) we
determined that our share in mitigation far exceeds that of our N&I-BHD’s
commitment. Our screener yeilds a
Responsible Health Score (RHS). Our part
or Strength Level Self-Assessment (SLSA)
we calculated at 78.8%. For our
N&I-BHD we offer up a 26.9%. In this
report we examine and eliminate some of “Buster’s” presenting problems. In trying to resolve them we contribute more
than our N&I-BHD even when an item falls in-scope for him. For this we are dissappointed.
-
More On Risk
We decided to compare some
doctors. We offered up our N&I-BHD
the following qualities: Health Education – SoSo | Disease Management Programs
– Poor | Burden Of Risk – Poor. Next we
decide to compare our N&I-BHD with his colleague and contemporary doctor
Bum Soo Lee MD (BSL). For our BHD Risk
Discovery Score (BHD-RDS), lower scores pose greater risk. For BHD Risk Discovery Scores we offer up the
following: BSL (2012-2017) = 76.0%
whereas our N&I-BHD earned himself 41.1%.
In this report MSG addresses a little about antagonistic
relationships. Our N&I-BHD is far
more antagonistic with us than was BSL.
This translates into antagonism working with medication(s). We compared several doctors about general
satisfaction. We award our N&I-BHD a
Quick Grade of a “C”. This puts him at
or near the bottom his cohort.
-
Virtuosity
We usually only apply our Boy
Scouts’ of America (BSA) virtue about people we really like. We use our findings to write personalized
letters of gratitude. Note the key
appointment with our N&I-BHD was April 3, 2019 (W). We call this the “Crash Appointment”. After a two week cool off time we scored said
doctor on April 27, 2019 (SAT). We took
the opportunity to compare him with a high performer (2018-2019) doctor Jeff A
Nagel. For a BSA Virtue Fidelity Score
or a Great Scout Person (GSP) we calculated JAN @ 97.5% and our N&I-BHS
earned a 62.5%.
-
Objective
The
report begins with objective findings up front.
For this comparison we selected doctor Ravinder P Singh MD. As of April 27, 2019 about 50 reviwers gave
RPS near an average score of about 3.0 stars with 5.0 being best. In comparison as of April 14, 2019 about 32
reviwers gave our N&I-BHD (Rimal B Bera) near an average score of 3.0 with
5.0 being best. Until the Crash
Appointment we were awarding our N&I-BHD scores that exceeded 3.0. If you like what you have read – please read
on.
-
Table – Acronyms
Does Not Include All
Acronym
|
Meaning
|
|
AMB
|
As Measure By
|
|
AQIS
|
Authority & Quality Improvement Services Division
OCHCA
|
|
AWTP
|
Associated With Treatment Preferences
|
|
BHD
|
Behavioral Health Doctor
|
|
BHD-RDS
|
BHD Risk Discovery Score
|
|
BHS
|
Behavioral Health Services
|
|
BOR
|
Burden Of Risk
|
|
BSA
|
Boy Scouts of America Virtue Tool
|
|
BSA
|
Boy Scouts’ of America
|
|
CCCHC
|
Central City Community Health Center
|
|
CCR
|
California Code of Regulations
|
|
CMS
|
Centers for Medicare & Medicaid Services
|
|
COD
|
Co-occurring Disorder
|
|
CODs
|
Co-occurring Disorders
|
|
COI
|
Conflict Of Interest
|
|
COPD
|
Chronic Obstructive Pulmonary Disease
|
|
CSUF
|
California State University @ Fullerton
|
|
CTP
|
Consumer Training Program
|
|
DDE
|
Doctor Daniels Experiment
|
|
DMPs
|
Disease Management Programs
|
|
GI
|
Gastro-intestinal
|
|
GSP
|
Great Scout Person
|
|
HAP
|
Housing Advisory Project
|
|
HE
|
Health Education
|
|
HPS
|
Helper Posture Score
|
|
HRA
|
Health Risk Assessment
|
|
HRE
|
Health Related Engagement
|
|
INN
|
Innovation(s)
|
|
LACDMH
|
Los Angeles County Department of Mental Health
|
|
MH
|
Mental Health
|
|
MHC
|
Mental Health Consumer
|
|
MHSA
|
Mental Health Services Act
|
|
MSG’s
|
Mentalation Solution’s Group
|
|
MSOE
|
Most Significant Other Ever
|
|
N&I-BHD
|
New & Improved – Behavioral Health Doctor
|
|
OCHCA
|
Orange County Health Care Agency
|
|
P4D
|
Psychiatry for Dummies
|
|
PCP
|
Primary Care Physician
|
|
PEI
|
Prevention & Early Intervention
|
|
QGM
|
Quick Grade Method
|
|
QSM
|
Quick Score Method
|
|
RHC
|
Responsible Health Care
|
|
RHS
|
Responsible Health Score
|
|
RLP
|
Risk Leveling Process
|
|
RML
|
Risk Manangement Line
|
|
RX
|
Medication
|
|
SCM
|
Steering Committee Meeting
|
|
SE
|
Star Equivalents
|
|
SL
|
Strength Level
|
|
SLSA
|
Strength Level Self-Assessment
|
|
SM
|
Self-Management
|
|
SPL
|
Steinberg Programming Language
|
|
SUD
|
Substance Use Disorder
|
|
TM
|
Team Management
|
|
TPP
|
Transparency Principle Progress
|
|
VOP
|
Value Our Part
|
|
WTRC
|
Westminster Therapeutic Residential Center
|
|
Last Updated: 20190429-M:
-
Promo
-
-
List of Tables (T) – Matrices – Figures – Links
-
T - Acronyms
List of Tables (T) – Matrices – Figures – Links
Objective Up Front
Images – Consumer Training Program
Matrix – Comparative Outcomes
– BSA
Matrix – Satisfaction With MDs Quick Grade Method (QGM) –
2018/2019
T – Antagonists – Positive Impact - People Are People
T – Antagonists – Negative Impact - People Are People
T – Antagonists – SoSo Impact - People Are People
Special Topic – Situational
Awareness – A Real Me!
Matrix - Risks BHD RBB Poses –
Discovery (20 Item) – Comparative Summary
Legacy Links
T – Comparative Risk Valuation of MD Associations – Disease
Management
Matrix - Types of Risks – Risk Evaluation – BHD Context
T -Risks Due to Errors - Practitioners
T – Summary - Presenting Problem(s) – Eliminations – Term
2019
T – Health Risk Management Principles (13 Item Screener)
Promo - One Health
Promo - WorldWafers [Update and Insert]
Images @The End
-
Objective Up Front
Feature BHD – Rimal B Bera MD
(RBB)
-
-
Objective Up Front
Feature BHD – Ravinder P Singh MD
(RPS)
-
Introducing Our New &
Improved BHD (N&I-BHD)
On March 3, 2019 (F) we had an
information sharing meeting with our friend Jeffery A Nagel PhD. He has been recently promoted to Director of
the Orange County Health Care Agencies (OCHCA) Behavioral Health Services (BHS)
Division. More often than not we take
our Face-2-Face meetings with persons of caliber seriously. On April 3, 2019 (W) we had our sixth (6th)
appointment with our New & Improved Behavioral Health Doctor (BHD) or
psychiatrist. Our new BHD inherited us
from our proximate (last) BHD. From
2012-2017 we were in partnership with our last BHD. We fine-tuned treatments and treatment
plans. From 2013-2017 we remained
independent and out of the hospital. We call the April 3, 2019 appointment our
“Crash Appointment”. One of the elements
that crashed is our perception of our New & Improved BHD’s Virtues (BSA
JAN/RBB Data). We include calculated
data comparing our New & Improved BHD and Doctor Nagel. We also include
calculated data comparing our last (proximate) BHD and Our New & Improved
BHD (BSA BSL/RBB Data). BSL is a good
control doctor because his practice shares many features and resources as does
our experimental New & Improved BHD,
-
Associated
Report
Assess_Vitals_Plus_Bera_RBB_19040301_Appt-2019-02
-
Early 1990s – 2006 - 2009
“Keith “Buster” Torkelson first
hooked up with the OCHCA BHS back in the 1990s.
His brief stint at treatment was not very effective. They did not resolve his issues with
sleep. Later in 2006-2007 “Buster”
hooked up again with the OCHCA BHS in order to qualify for a stay at
Westminster Therapeutic Residential Center (WTRC). At the time he was paying rent on his
apartment in Tustin for which he shared with his Most Significant Other Ever
(MSOE 1998-2018). Upon earning his
release from WTRC he was linked with the OCHCA clinic in Costa Mesa
California. He graduated the OCHCA and
signed up with HealthNet. He found and
linked himself with Alan Vu MD. In 2009 Keith
was accepted into the OCHCA funded Consumer Training Program (CTP). During the class he and his cohort were
assigned to create a Treatment Plan.
Keith decided to request his OCHCA records from November 2006 to
February 2007. He was amazed at how many
pages they had on him and for which he had to purchase. The records did not include what he was
looking for. Keith discovered that a
service chief can withhold records on a whim.
The point we are making is that
it is unwise trusting people and practitioners who write about you yet do not
let you see it.” (AVEY Asus, 201904)
-
[INSERT CTP IMAGE(S)]
Greater Expectations of MH
Consumers
Greater Support
-
-
MHSA Funded Consumer Training Program (CTP)
Mental Health Worker Paraprofessional
-
Senator Lou Correa @ CTP Graduation
Keith "Buster" Torkelson
CTP Graduation - Second in Class
-
CTP Graduation
Lou Correa - Steve Bush - Deputy Director - Mark Refowitz
-
Matrix – Comparative Outcomes
– BSA
Matrix – LAW1 Scoring using
Scouts’ America Template – 20190427-SAT: Summary
Key Word (Virtue)
|
2018-2019
JAN
|
2018-2019
RBB
|
Note
2019
Time Spent
|
|||
Percent (%)
Great Scout-Person =
|
97.5%
|
62.5%
|
JAN >> RBB
60 mins (1) > 20
mins (2)
|
|||
Star Equivalents =
|
4.9
|
3.1
|
||||
Date Scored: 20190427-SAT: Last
Reviewed: 20190428-SUN: JAN = BHS Executive | RBB = BHD
-
Compare
BHS Executive with a BHD Small Business Operation
Again,
in March 2019 we had the opportunty to meet with a public health executive
about our Housing Advisory Project (HAP).
We were prepared to sharing our ideas and other information for fifteen
(15) minutes. He gave us a full
hour. When comparing health
professionals and people in general one has to carefully select the
individuals. We picked our New &
Improve BHD (experimental) and our BHS Executive (control) friend to
compare. Next we picked a good
assessment that fits both well: Our Boy Scouts of America LAW1 and Virtue
assessment (BSA – 12 Item Screener).
Somewhere around 1974 Keith “Tork” Torkelson passed the BSA LAW1
test. This was part of the criteria to
earn his Eagle Scout rank. This also
qualified him to apply the BSA tool As Needed (PRN).
-
Metadata In House Parent Document
Assess_Virtues_BSA_19042703_Scorer
JAN V RBB
-
-
Doctor Nagel - New Deputy Director - OCHCA-BHS (2018-2019)
-
Introduction - Steinberg
Programming Language (SPL)
Back circa 1981 we were
introduced to a programming language called Assembler. It is a Low Level Language. In 2009 we were introduce to a social and
public health programming language we call the Steinberg Programming
Language. The SPL would be considered a
High Level Language. We have honed our
SPL skills by reading the Mental Health Service Act (MHSA) materials contained
the California Code of Regulations (CCR).
In addition we attend the nine (9) or so monthly MHSA Steering Committee
Meeting (SCM). One of the principles
described in and about the MHSA is the Transparency Principle. This report is designed to help us and ours:
Including our New & Improved BHD deliver on the SPL Transparency Principle.
-
Transparency Principle Progress
(TPP)
[INSERT DENTAL MONITOR & Practice Images]
-
-
Our Dentist A Model for Transparency
-
-
Always Wanted a Brain Scan - It took our dentist to finally deliver!
Actual Scan of Buster's Brain
-
Introduction - Special Topic – Telepsychiatry
Metadata > 03_Resources_Telehealth_Telepsychiatry_19042503_P4D_Develop
-
In March of 2019 after being sick
with Chronic Obstructive Pulmonary Disease (COPD) since November 2018 we had
cause to ask Teladoc for help. The
Teladoc service is provided free of charge by our insurer Brand New Day (BND). We had phone consult with Annie Nguyen MD. She spent between 10-15
minutes with us. She understood our
unmet need. She prescribed us a course
of antibiotic. After two days we were
feeling more hopeful and much better. We
are in the process of determining if a Tele-psychiatry professional could help
us out were our New & Improved BHD cannot.
Fill in the gaps so to say. We
find that our New & Improved BHD suffers from some “Mistaken Beliefs”. We intend to publish our second Teladoc
report before the end of our fiscal year.
It will address Tele-psychiatry.
-
Matrix – Satisfaction With MDs Quick Grade Method (QGM) –
2018/2019
Subjective
-
|
|||||
Moniker
|
Specialty
|
Association
|
QGM
|
||
-
|
|||||
Nguyen, Annie (Teladoc)
|
General Medicine
(Telehealth)
|
Bronchitis
|
A
|
||
Le, Patrick Kha
|
Dental Surgery
|
Implant
|
A
|
||
-
|
|||||
Nguyen, Tien Q
|
Dermatology
|
Tumor Control
|
A-
|
||
Lee, Bum Soo
|
Behavioral Health
|
Medication Operating System
|
A-
|
||
Schultz, Neil
|
General Dentistry
|
Diagnostics and Repair
|
A-
|
||
Mojica, Chester D
|
Family Medicine
|
Physical
|
A-
|
||
-
|
Date Scored: 20190405-F: Last Reviewed: 20190426-F:
-
Matrix – Satisfaction With MDs Quick Grade Method (QGM) –
2018/2019
Subjective – Non Excellent Performers
-
|
|||||
Moniker
|
Specialty
|
Association
|
QGM
|
||
-
|
|||||
Boyce, James D
|
Ophthalmology
|
Cataract FU
|
B+
|
||
CCCHC Unknown
|
Unknown
|
Bronchitis
|
B
|
||
-
|
|||||
Bera, Rimal B
|
Behavioral Health
|
Med Management
|
C
|
||
GI Doctor
|
Gastrointestinal
|
Colonoscopy
|
Pend
|
||
-
|
Date Scored: 20190405-F: Last Reviewed: 20190426-F:
-
Metadata - First Introduced
BND_HRA_Risk_6.2.0_17123001_Applied V2019
-
How
is it a Doover?
A
doover might be defined as an instance or chance of doing something for a
second or further time, after an unsuccessful or unsatisfactory first attempt. As the metadata indicates below, we take our
health seriously. We prepared well in
advanced to determine if our New &
Improved BHD were: Trustworthy, Competent, Good Fit, Etc. For more that a year we asked other BND
members that are or had been our New & Improved BHD’s patients. In a leap of faith we ignored many of their
complaints. We said it will be different
because we are different. We try harder
to get things right and put things in order.
Now to our April 3, 2019 “Crash and Burn” appointment: We have to go
back for some doovers. This is required
because he is emerging as one of the greatest risks to our health. We will start by addressing medication
management: Preferences, alternatives, minded-medication,
errors, and his listening skills.
-
FYI
– Metadata – Risk & Treatment
-
-
-
Treatment
Preferences Query > “keith torkelson treatment preferences”
-
-
Introduction – Medication
Management – Minded Medication
We are going to hold over the
emerging risks that our New and Improved BHD has presented for us thus far this
year (2019). We will include findings in
the format that the Centers for Medicare & Medicaid Services (CMS) require
for a formal Compliant.
-
Introduction – Outline for
Medication Studies (Brief)
-
Metadata: 08_Medication_15070803_XenoNet2012_RBB
V2019
Form - Medication Swap
Form - Medication Trial
Form - Medication Change Request
Form – CMS Complaint
-
Introduction – Clozapine Contingency
Study – Sam Revisited
If our New & Improved BHD had
been more amenable during our “Crash Appointment” he would have discovered how
and why we want some tweaking about of our 3 different medication
“Cocktail”. We were going to tell him
why we want our Lorazepam (PRN) exchanged for generic Restoril (PRN). In 2012 we were instructed by Doctor Daniel’s
that she could do better for us by eliminating our mainstay Clozapine. The medication she gave us did not help us as
Clozapine did. She broke our Clozapine
continuity. We stayed up sleepless for
three nights. We went “wakko” and ended
up back on the Psych Ward were we met doctor Bum Soo Lee MD. We are highly depended on Clozapine for our
nightly sleep. Without it we do not
sleep. We have / had a friend at Brand
New Day (BND). We call him Sam I
Am! As of 2018 Sam had been “Stable” on
Clozapine for years. Last year (2018) Sam
had some poor lab (CBC) results. He was
cold Turk eyed off Clozapine. One week
later he hadn’t slept. As of 2019 Sam is
Missing In Action (MIA). We will discuss
Sam more lately this year. 2012 while in
the hospital without Clozapine doctor BSL approved for us Restoril to
sleep. It was nearly as effective as
Clozapine. Lorazepam for us cannot
substitute for Clozapine for our sleep needs.
The OCHCA for whom we associate would call delivering on our Restoril
request part of our personalized Safety Net.
At the “Crash Appointment” the doctor said he would not listen to
us! He said “tell your friends about
it”.
-
[INSERT PHOTO OF SAM & WACCO
Avatar]
-
-
Sam I Am
Thinking Deeply of how he is going to get by without his Clozapine
-
-
Table – Antagonists – Positive Impact - People Are People
Keith “Buster” Torkelson’s Perspective
-
|
|||||
Character
|
Role
|
Note
|
|||
-
|
|||||
Charles Anderson
|
Owner
|
Small Business Start Up
SUD / COD recovery home
business
|
|||
GGT
|
Father
|
Came to terms
|
|||
JMB
|
Aunt
|
Small Business Partner
Took a lot of work
Came to terms
|
|||
Joan Zhorne
|
MSOE
|
1998-2018
Parted due to her dementia
|
|||
Kathleen Murray
|
Supervisor
(2009-2017)
|
Health Technology
As of 2019 she has been
promoted to head of AQIS
|
|||
Linda Randall
|
Literacy Professor
|
CSUF Came to terms
We earned an “A”
|
|||
Mary Hale
|
Ultimate Boss
|
Moved ahead 2018
|
|||
Mel Shanks
|
Supervisor
|
Military modeling
|
|||
Sharon Hilliard
|
Neighbor
|
Contemporary
Came to terms
|
|||
-
|
Last Reviewed: 20190428-SUN:
-
-
Table – Antagonists – Negative Impact - People Are People
-
|
|||||
Character
|
Role
|
Note
|
|||
-
|
|||||
Cindy Donahue
|
Master Teacher
|
Too many appeasements about a
low API scoring school
|
|||
David Chandler
|
BHD
|
OC Kaiser director
Poor medication management
decision
|
|||
Richard McCapes
|
Veterinarian
|
Medical school entrance board
member (1986)
|
|||
Terrance Abercrombie
|
Associate
|
High School partnership
SUD issues
|
|||
-
|
Last Reviewed: 20190428-SUN:
-
Table – Antagonists – SoSo Impact - People Are People
Character
|
Role
|
Note
|
|||
Chester D Mojica
|
PCP
|
Coming to terms until Teladoc
Solution
|
|||
Christine Fein
|
Sister
|
Low resource value
|
|||
Kulle Lippand
|
Associate
|
Gang Member
|
|||
Ravinder P Singh
|
BHD
|
Stellar decision
|
|||
Rimal B Bera
|
BHD
|
Was OK
|
|||
Ted Francis
|
Shot Caller
|
Housemate present
|
|||
Charles S Kline
|
Brother-in-law
|
Small business partner
|
|||
-
|
Last Reviewed: 20190428-SUN:
-
-
Special Topic – Situational
Awareness – A Real Me!
The Real Me – By “The Who”
Songwriters: Peter Dennis
Blandford Townshend
2019 MSG Rearrangement
1973 Release, Quadrophenia Album
1973 Age 14 – 9th Grade
– RAHS Freshman
Took Root 1975 – Age 16 – 11th
Grade – RAHS Junior
-
Can you see the real me preacher?
Can you see the real me doctor?
Can you see the real me mother?
Can you see the real me?
-
I went back to the doctor
But he never betrays what he thinks
Can you see the real me, doctor?
-
I went back to my mother
I said, "I'm crazy ma, help
me."
She said, "I know how it
feels son,
Cause it runs in the
family."
-
The girl I used to love
Lives in this yellow house
Yesterday she passed me by
She doesn't want to know me now
-
Can you see the real me, can you?
I ended up with the preacher
Full of lies and hate
I seemed to scare him a little
So he showed me to the golden
gate
Can you see the real me, can you?
-
Preacher: Doctor?
-
Matrix - Risks BHD RBB Poses –
Discovery (20 Item) – Comparative Summary
-
|
-
|
|||||
20190425-TH: Parameter
|
BSL
2012-2017
|
RBB
201904
|
Note
|
|||
-
|
||||||
Part I of II
|
7.75/10
|
3.75/10
|
||||
Part II of II
|
7.45/10
|
4.36/10
|
||||
-
|
||||||
CALC
|
15.20/20
|
8.11/20
|
||||
BHD Risk Discovery Score =
|
76.0%
|
41.6%
|
Lower scored pose greater risks
|
|||
-
|
Designed: 20190425-TH: Date
Scored: 20190426-F:
-
Risk Interpretation
We are going to hold back on
interpreting of N&I-BHD associated risks.
We plan to address an experiment a doctor pursued us to engage. Her name was doctor Daniels and we call the
experiment with medications the Doctor Daniels Experiment (DDE). We wish to discuss more about our working
relationship with: BSL BHD 2012-2017.
And last we will continually process objective and subjective finding
with regard to: RBB BHD 2018-Present.
Two end notes: All BHD’s are not trustworthy. Many BHD’s dump you while you are in the
hospital. Buster was spoiled as a child
when his doctor both showed in person to help him in the office and in the
hospital.
-
Matrix - Risks RBB Poses –
Discovery (20 Item) – Part I of II
-
|
||||||
##
|
20190425-TH: Parameter
|
BSL
2012-2017
|
RBB
201904
|
Note
|
||
-
|
||||||
01
|
Account Management
|
0.75
|
0.75
|
Secret Invoicing
|
||
02
|
Account Satisfaction
|
1.00
|
0.50
|
QSM
|
||
03
|
Assessment
|
0.75
|
0.00
|
|||
04
|
Bedside Manner
|
1.00
|
0.25
|
|||
05
|
No Conflict Of Interest (COI)
|
1.00
|
0.50
|
|||
06
|
Continuity of Care
|
0.75
|
0.50
|
Especially Clozapine
|
||
07
|
Costing – Provides Invoices
|
0.00
|
0.00
|
|||
08
|
Data Entry Error Free
|
0.75
|
0.25
|
|||
09
|
Little Distorted Thinking
|
0.75
|
0.50
|
|||
10
|
No Risk of Dropping the Client
|
1.00
|
0.50
|
|||
-
|
||||||
BHD Risk Discovery
Sub-Score =
|
7.75/10
|
3.75/10
|
Carry CALC
|
|||
-
|
Designed: 20190425-TH: Date
Scored: 20190426-F:
-
Matrix - Risks RBB Poses –
Discovery (20 Item) – Part II of II
-
|
||||||
##
|
20190425-TH: Parameter
|
BSL
2012-2017
|
RBB
201904
|
Note
|
||
-
|
||||||
11
|
Due Diligence
|
1.00
|
0.25
|
|||
12
|
Ethical AMB - BSA
|
0.70
|
0.36
|
Calculate Separate
|
||
13
|
Appropriate Experimental
|
0.25
|
0.25
|
|||
14
|
Malpractice Tendencies Absent
|
1.00
|
1.00
|
|||
15
|
No Med Errors (Separate)
|
0.50
|
0.75
|
|||
16
|
No or Few Mistaken Beliefs
|
1.00
|
0.25
|
|||
17
|
Positive Outcomes as seen in
other clients
|
0.25
|
0.00
|
|||
18
|
Pharmacy
|
0.75
|
0.50
|
|||
19
|
Situational Awareness
|
1.00
|
0.50
|
|||
20
(10)
|
Time Spent
|
1.00
|
0.50
|
|||
-
|
||||||
BHD Risk Discovery
Sub-Score =
|
7.45/10
|
4.36/10
|
Carry CALC
|
|||
-
|
Designed: 20190425-TH: Date
Scored: 20190426-F:
-
Legacy Links – Publications By MSG
-
Health Risk Assessment (HRA) for Brand New Day (BND)
By Keith Torkelson (2017.03)
20180413-F: Keith Torkelson – Page Views = 14 – Date
Chartered = 12/30/17
-
Reference
[PDF] - Provider Manual Table of Contents - Brand New Day
(172 pages)
-
Table – Comparative Risk Valuation of MD Associations – Disease
Management
-
|
|||||||
Character
|
Nature
|
HE
|
DMPs
|
BOR
|
Note
|
||
-
|
|||||||
Lee
|
MD-BHD
|
Good
|
Good
|
Good
|
|||
Mojica
|
MD-PCP
|
SoSo
|
SoSo
|
SoSo
|
|||
Nguyen
|
MD-Teladoc
|
Good
|
NA
|
VGood
|
|||
Bera
|
MD- BHD
|
SoSo
|
Poor
|
Poor
|
Unaccountable
|
||
-
|
Date Scored: 20190426-F: Last Reviewed: 20190428-SUN:
-
Table - Embedded Key – Comparative Risk
-
|
||
HE
|
Health Education
|
|
DMP
|
Disease Management Programs
|
|
BOR
|
Burden Of Risk
|
|
-
|
-
Matrix - Types of Risks – Risk Evaluation – BHD Context
Weighting By Repeating – BHD 2018-Present
-
|
|||||
##
|
Risk
|
Protective
Factor(s)
|
|||
-
|
|||||
01
|
Medication Gap
|
Treatment Plan not honored
Pharmacy Vigilance
|
|||
02
|
Hospitalization due to Medication Error
|
Sleep substitution medication
Restoril
|
|||
03
|
Cookie Cutter
|
Observe the monitor
Dual monitors [See DENTAL]
|
|||
04
|
Clozapine Complications
|
Clozapine contingency plan
|
|||
05
|
BHD Associated Premature Death by Accident
|
Impulse awareness and control
|
|||
06
|
BHD Malpractice
|
Too much
Could find no past or pending actions
|
|||
07
|
Drop By BHD
|
Previously we asked BND corporate for help
|
|||
08
|
Monitor Secrecy
|
Make screen visible
Dual monitors
|
|||
09
|
Unilateral BHD
|
Likely trapped
|
|||
-
|
Last Reviewed: 20190428-SUN:
-
-Invitations Freely Take Photos
-
[DOCTOR ROH]
Closure appointment on Retina Detachment Crisis
Outcome "Excellent"
-
-
Invitation Recording
Every month we address more than
a dozen phone recordings that say we may or will be recorded for quality
assurance purposes. The most frequent is
when we do phone banking with Bank Of America (BOA). Unlike many of our other doctors our New
& Improved BHD has never given us his policies and procedures that address
Quality Assurance. We really wish he or we
both had captured his voice or better yet video “Taped” our Crash Appointment
on April 3, 2019.
-
Table -Risks Due to Errors - Practitioners
-
|
|||||
Risk (Error)
|
Issue
|
Note
|
Protective
Factor(s)
|
||
-
|
|||||
Billing Secrecy
|
We have no idea of how much our BHD is spending on us
|
He needs to bill by the minute
|
None yet
secrecy prevails
|
||
Clozapine
|
No contingency plan
|
“The Story of Sam I Am”
|
Promote our Clozapine Contingency Study
|
||
Lab
|
Failure to properly submit doctor’s orders
|
No problems 2012-2017 with BSL MD
|
Sustain our successful routine
|
||
Pharmacy
|
Failure to properly submit doctor’s orders
|
Nick our go to guy solves doctors errors
|
Historically small chance
|
||
Technology
|
We do not get access to his work submitted
|
Tech was supposed to help us yet permits doctor to not
engage
|
Make screen visible
|
||
RX
|
Not honoring treatment preferences
|
Terrible memory we have to repeat ourselves
|
Vigilance and Plan B
|
||
-
|
Last Design: 20190426-F: Changing Motivations and Advocacy
-
Table – Summary - Presenting Problem(s) – Eliminations –
Term 2019
-
|
||||||
Nature
|
VOP
|
Value BHD’s Part
|
Protection
|
|||
-
|
||||||
01
|
1-Clozapine Contingency
|
SoSo
|
SoSo
|
None Yet
|
||
02
|
2-Telepsychiatry
|
SoSo
|
Poor
|
Not Available
|
||
03
|
3-Sleep Crisis / Crises
|
SoSo
|
SoSo
|
Confrontation
|
||
04
|
4-Housing & Health
|
Good
|
Poor
|
Major Project in Works
|
||
-
|
||||||
05
|
Accountability
|
Good
|
SoSo
|
Records Sharing
|
||
06
|
Antibiotics
|
X
|
X
|
Out of Scope
|
||
07
|
BHD Crash
|
Good
|
Poor
|
Let Him do What he Needs
|
||
08
|
BHD Virtues
[SEPARATE]
|
Good
|
Poor
|
Sharing
|
||
09
|
Cantankerous Behavioral Health Doctor (BHD)
|
SoSo
|
SoSo
|
“Process” as Antagonist
|
||
10
|
COPD
|
SoSo
|
X
|
No Help
|
||
11
|
Health Technology
|
Good
|
SoSo
|
Monitor Transparency
Copy & Paste
|
||
12
|
JMB COPD Paradox
|
Good
|
X
|
None
|
||
13
|
Prevention
|
SoSo
|
Poor
|
Sharing and Publishing Progress
|
||
14
|
Sadness About His Practice
|
Good
|
SoSo
|
Try to Overlook His Twilight Existence
|
||
-
|
||||||
10.0/11
|
3.0/11
|
CALC
|
||||
Presenting Problem
Evaluation (PPE) Score =
|
90.9%
|
27.3%
|
||||
Star Equivalents =
|
4.4
|
1.4
|
||||
-
|
Date Scored: 20190428-SUN: Last Reviewed: 20190428-SUN: VOP
= Value Our Part
-
Gravity and Weighting of Presenting Problems
-
-
Table – Health Risk Management Principles (13 Item Screener)
-
|
||||||
##
|
Principle
|
SLSA
|
SL
BHD
Related
|
Note
|
||
-
|
||||||
01
|
Accountability
|
0.75
|
0.25
|
|||
02
|
Clinical
|
1.00
|
0.25
|
|||
03
|
Computers and Recovery
|
1.00
|
0.25
|
|||
04
|
Digital Health
|
0.75
|
0.50
|
|||
05
|
Guarded Disclosure
|
0.75
|
0.50
|
|||
06
|
Housing & Health
|
0.75
|
0.00
|
20190403-W
BDH Drops Support
|
||
07
|
Health Related Engagement
(HRE)
|
1.00
|
0.25
|
|||
08
|
Innovation & Health
(INN)
|
0.75
|
0.25
|
|||
09
|
Paperless
|
0.50
|
0.50
|
|||
10
|
Prevention & Early Intervention (PEI)
|
0.75
|
0.00
|
Causes do not matter for BHD
|
||
11
|
ProSumption
|
1.00
|
0.25
|
|||
12
|
Start The Cycle
|
0.50
|
0.25
|
|||
13
|
Transparency
|
0.75
|
0.25
|
|||
-
|
||||||
10.25/13
|
3.50/13
|
CALC
|
||||
-
|
Responsible Health Score
(RHS) =
|
78.8%
|
26.9%
|
|||
Star Equivalents =
|
3.9
|
1.3
|
||||
-
|
Date Scored: 20190405-F: HRA Publication Stream
-
Summary
Briefly to summarize we will
follow up with multiple studies about our New & Improved Behavioral Health
Doctor Rimal B Bera MD. We will position
ourselves to be Complaint Ready. We may
share some findings directly with our insurer Brand New Day. We will investigate Tele-psychiatry as an
alternative that may reduce the impact of our emerging risks. Because we feel a good deal of disappointment
with doctor Bera we may go to see him speak in public. He is schedule to speak on his mastery of
schizophrenia at the annual Meeting Of the Minds (MOMs) this May 2019. We do this in order to desensitize ourselves
to his now annoying voice and manner of speaking. It is unlikely that we will drop him because
we have invested much time and effort coming to terms with how he “chooses to
run his practice (RBB, 201904)”.
-
Promo - One Health
-
One Health Initiative - One World
One Medicine One Health
Mission Statement
“Recognizing that human health
(including mental health via the human-animal bond phenomenon), animal health,
and ecosystem health are inextricably linked, One Health seeks to promote,
improve, and defend the health and well-being of all species by enhancing cooperation
and collaboration between physicians, veterinarians, other scientific health
and environmental professionals and by promoting strengths in leadership and
management to achieve these goals.”
-
Promo - WorldWafers
-
-
Images @The End
-
End of Paper
-999
-
