Blog – Brand New Day HMO
Blog Title Information
Brand New Day – Teladoc Benefit Practical – Central City
Community Health Center – Alternatives and Betterment - Innovation
Administrator – Keith Torkelson MS
Partners
-
20190404-TH: Special Topic
–Promotion – Structural Temporal Reconciliation (STR)
Our developments about STR first
appear in our database on September 24, 2014 when we define some elements about
charting and reconciliation. As a
minimum STR is a promising practice when preparing a complaint or grievance. It leverages the project management dimension
“TIME”. It also leverages the paralegal
competency Structured Case Analysis. We
use it here to help process the information in this report.
FYI - From
H0838_Member Complaint Form
Accepted date: 01/26/10
-
Simple STR
“Please state the nature of the
complaint: Giving dates, times, persons, places, etc. involved. Please attach copies of any additional
information that may be relevant to your complaint or appeal.”
-
Abstract – Summary
This report addresses the client
Keith Torkelson. He is a patient of
Chester D Mojica MD (CDM). CDM either is
employed by or contracts for Central City Community Health Center (CCCHC) in
Garden Grove California. This paper
addresses the topic applied Telehealth.
Keith’s insurer is Universal Care Brand New Day (BND). BND provides free of charge a service called
Teladoc. Teladoc provides Telehealth
services. On March 21, 2019 Keith
initialized his Teladoc account using both telephone and the Internet. In the midafternoon Keith received a phone
call from his assigned Teladoc doctor, Annie Nguyen. Keith was very satisfied with Dr. Nguyen
because she immediately provided for his unmet need. Annie prescribed the antibiotic Doxycycline
hyclate. For this she provided a
solution. Applying our Vital Plus (25
Item) Assessment about Satisfaction we score Teladoc Clerical 4.4 Star
Equivalents with 5.0 SEs being Superior.
Applying the same assessment we offer up 4.8 SEs to Doctor Annie Nguyen.
-
Quality Of Life – Respite -
Hospital
She both impacted our Quality Of
Life (QOL) and left us feeling Satisfied.
Our tentative diagnosis was unspecified chronic bronchitis. Doctor Nguyen specified some after care
measures. The Continuity Of Care has
been broken. We were hoping to deal with
one of the causes of our bronchitis and that is smoking cigarettes. We were hoping the get Chantix yet we cannot
afford the $250.00/Mos. Out of Pocket.
Yesterday, April 3 (W), 2019 we met with our Behavioral Health
Doctor. Our transaction was poor. He would qualify as a risk for relapse once
we do quit smoking. In the process of satisfactorily
addressing bronchitis we invested for us quite a bit of money. On January 14, 2019 we started an allergy
respite which cost about $400 over the course if 4 days. On March 19, 2019 we started a Respiratory
Health Respite. We promised Teladoc we
would spread the word. In the end
Teladoc was unexpected helpful. Every
year we submit to a Flu Vaccine. When it
comes to antibiotics we need our Primary Care Doctor to get on board. The episode we had to dilly dallies about way
“Toooo” long!
-
FYI - Metadata > Alternate Timeline
Assess_CIM_Sleep_Related_19031203_Results
-
List of Tables (T) – Figures (F) – Matrices (M) – Etc.
-
List of Acronyms & AcroCodes
T – Assessment Theme (Elimination)
F – Results Up Front -
Teladoc Clinical Notation
T – Results Up Front
- Vitals-Plus Method – Combined Scores – For Teladoc
T – Chest Health
Related Needs - Tablized
Timeline – Pre-Teladoc Activity (STR)
Timeline – Pre-Teladoc Activity – PCP Care (STR)
T – Teladoc Activity (STR)
F – A Teladoc Waiting Room
T – Teladoc Follow Up Activity
T – Antibiotic Log – Antibiotic Awareness
T – First String
Cast of Characters – Centered About COPD (2019)
T – Second String
Cast of Characters – Centered About COPD (2019)
F – Family Inspiration – Ordinal Sister #3
Theme – Teladoc - Continuity of
Care – Via Email
T - Issue Type Elimination List (In Scope of Teladoc)
F – Teladoc Solicitation
T - Spreading The Word Promise
F - A Word on Antibiotic
Resistance
T - 20190321-TH @330 pm Phone Visit Consult - Results
M – Objective - Insider
Scoring of Teladoc
F – CBC Results
F – Our Cohort Exposure - On Taking Home the Germs [DITTO]
F – Sputum (Mucous) with Possible Blood
A-Table – Teladoc Performance Statistics As Reported By
(ARB) Teladoc
-
List of Acronyms & AcroCodes
Acronym / Code
|
Meaning
|
|
AVG
|
Average
|
|
BHD
|
Behavioral Health Doctor
|
|
BR
|
By Report
|
|
BND
|
Brand New Day
|
|
CBC
|
Complete Blood Count
|
|
CCCHC
|
Central City Community Health Center
|
|
CCCHC
|
Central City Community Health Center
|
|
CCR
|
Continuity of Care Record
|
|
CCR
|
Continuity Of Care Record
|
|
CCR
|
Continuity of Care Report
|
|
CDB
|
Family Member
|
|
CDM
|
Our PCP
|
|
CMS
|
Centers for Medicare & Medicaid Services
|
|
COC
|
Continuity Of Care
|
|
DL
|
Dead Line
|
|
DOW
|
Day Of the Week
|
|
DX
|
Diagnosis
|
|
ENT
|
Ear Nose and Throat
|
|
FV
|
Fountain Valley Hospital
|
|
GTD
|
Go To Dude
|
|
HHSHs
|
Health & Human Services Helpers
|
|
HRA
|
Health Risk Assessment
|
|
IAF
|
Incidental Antibiotic Fix
|
|
MD
|
Medical Doctor
|
|
MIP
|
Medical Intake Paperwork
|
|
NEI
|
Not Enough Information
|
|
OTCs
|
Over-The-Counters
|
|
PA
|
Physician’s Assistant
|
|
PCP
|
Primary Care Physician
|
|
PRN
|
As Needed
|
|
PX
|
Prescription
|
|
QOL
|
Quality Of Life
|
|
RAT
|
Risk Assessment Tool
|
|
RT
|
Resolution Team (Teladoc)
|
|
SE
|
Star Equivalents
|
|
SPC
|
Single Point Contact
|
|
STR
|
Structured Temporal Reconciliation
|
|
STW
|
Spread The Word
|
|
UCF
|
Urgent Care Facility
|
|
Table – Assessment Theme (Elimination)
Last Reviewed in Context of Teladoc Transaction 20190404-TH:
-
Figure – Results Up Front - Teladoc
Clinical Notation
-
-
-
Table – Results Up
Front - Vitals-Plus Method – Combined Scores – For Teladoc
Super Summary
Measures of Quality and Satisfaction – Process – COPD Antibiotic
Solution
Date of Encounter: 20180918-TU:
-
|
|||||
Clinical
|
Clerical &
Scheduling
|
||||
Patient Ratings
Service Experience Element
|
20190321
(TH)
Teladoc
Annie Nguyen
MD
|
Appt Made
20190321-TH
Teladoc
Phone Srvc Rep
|
Sample CALC
|
||
-
|
|||||
Items = 7
|
7.0/7
100.0%
|
5.0/5
100.0%
|
Sum/# Scored
4.5/5
%
|
||
Items = 18
|
17.0/18
94.4%
|
14.5/17
85.3%
|
Sum/ # Scored
13.5/15
%
|
||
Items = 25 (CALC)
|
24.0/25
96.0%
|
19.5/22
88.6%
|
Sum/# Scored
18.0/20
%
|
||
-
|
|||||
Star Equivalents
(5.0 Stars is the Best)
|
4.8
|
4.4
|
4.50
|
||
With Bonus
IF – THEN Impression
Add 1 to Numerator
|
Stayed
|
Stayed
|
(18+1)/20 * 100 =
95.0%
|
||
-
|
Indications of Satisfaction: Actual Data from 20190321-TH:
Encounters (Service Rep and Teladoc Annie Nguyen (Female)) – Last Reviewed:
20190403-W:
-
Member Satisfaction
On March 27, 2019 Teladoc self-reported a consumer
satisfaction rating of 95%. This would
be the equivalent star score of 4.75. As
you see in the matrix above: We concur!
-
Metadata > Full Vitals Plus
11_BND_Teladoc_19031401_Notes II
-
Table – Chest Health
Related Needs - Tablized
20190325-M @ 1100 am
Shared with Derek
Follow up per
Teladoc MD Instructions
-
|
||||
Need
|
As of March 29,
2019
(F)
|
Extended
|
||
-
|
||||
Are antibiotics
still indicated?
|
Not Really
|
|||
Is an inhaler
indicated?
|
Not Really
|
|||
Need BND help with
quit smoking resources
|
Pending
|
|||
Chantix [SPELLED]
|
Not Approved Yet
|
|||
Patient Assistance
|
Investigating
|
|||
Cannot afford
Chantix copay
|
+ / - $220 / Month
|
|||
Exploring sisters nicotine
gum method
|
Pondering
|
Says to mix it
with regular gum
|
||
Invested in an air
purifier to address allergy concerns
|
Partial Success
|
|||
How is it BND
Helper Gibb’s?
|
We fired him a few
years ago
|
Dread has turned
to annoyance
|
||
-
|
Last Reviewed: 20190403-W:
-
FYI - Costs – Patient Assistance
The cost for Chantix oral tablet (0.5 mg-1 mg) is around $448 for a
supply of 53 tablets, depending on the pharmacy you visit. Prices are for cash
paying customers only and are not valid with insurance plans. Chantix is
available as a brand name drug only; a generic version is not yet available.
-
20190404-TH: Meeting to Discuss Chantix with BHD
Rimal B Bera MD – Relapse Risk
RBB was not helpful. Considering
smoking is a behavioral issue one would figure your Behavioral Health Doctor
(BHD) could lend a hand. Instead he
disappointed me about my medications general.
In other words we have to find a better way with our management of medications
including Chantix.
-
Leveraging the Cigarette Tax
A couple of year ago now Californian’s passed a cigarette tax. We just wish the resources were available to
smokers such as us to quit smoking.
-
20190402-TU @ 0914 am
Derek Follow up on Chantix
Derek Refers to BND
Grievances
How is it Derek is our Go To Dude
(GTD)?
We hooked up with Brand New Day (BND)
back in the summer of 2012. Since that
time we have had four (4) BND Health Human Services Helpers (HHSHs). A few years back we asked our then current
helper for help with housing. He said I
don’t have time. Incidentally, yesterday
April 3 (W), 2019 Doctor Bera says he doesn’t have time to help us. Running in parallel since 2012 was our
relationship / partnership with Derek.
Derek overall is the most helpful person for us at BND. We were looking through our intake
paperwork. It indicates that we can
choose our BND helper. Jessica Reynolds
was our next pick yet she has failed to establish rapport. So basically we don’t have a BND helper. And we could still use housing help. In our second report dealing with Teladoc
follow up, we will formalize a grievance testimony.
-
Timeline – Pre-Teladoc Activity (STR)
-
|
||||
Time Stamp
|
DOW
|
Note
|
Extended
|
|
-
|
||||
20160415
|
F
|
Receive BND Teladoc offer by mail
|
Free service / resource
|
|
2017-2018
|
Let Teladoc service stand idle
|
|||
2018
|
COPD Episode
|
Incidental Antibiotic Fix (IAF)
|
||
20190108
|
TU
|
Pre-physical
|
Blood and Urine
|
|
20190114
|
M
|
4 Day Allergy Respite
|
Ruled in allergy
|
|
20190205
|
TU
|
Review lab
|
With PCP – CDM
Address allergy
No antibiotic prescribed
|
|
20190206
|
W
|
Jeff Gibbs Calls
|
How is it?
|
|
20190305
|
TU
|
CBC & PA Visit
|
Submit Fecal
Address left ear problem
|
|
Key appointment w PCP (CDM)
|
No indications for antibiotics?
|
|||
Last Reviewed: 20190329-F:
-
Incidental Antibiotic Fix (IAF)
Since 2012 our Primary Care
Physician’s Office (PCPO) at Central City Community Health Center (CCCHC) has
never prescribed for us antibiotics.
What occurs is another office such as our Dermatologist prescribes us
what we call Incidental Antibiotics.
Last year (2018) when we suffered our annual COPD aggravations our
Dentist prescribed us antibiotics. For
the most part the Incidental Antibiotics Fix (IAF) as a minimum turns our
sputum mucous from green to cloudy or clear.
More often than not our IAF contributes for substantial annual
remediation.
-
Timeline – Pre-Teladoc Activity – PCP Care (STR)
Time Stamp
|
DOW
|
Note
|
Extended
|
|
20190216
|
TU
|
Consider Urgent Care
|
Too much work – To far away
|
|
20190312
|
TU
|
Revisit Teladoc Option
|
Hard to believe it is truly free
|
|
20190314
|
TH
|
Call then back out (Why?)
|
Overwhelming
Process & False Hope
|
|
20190315
|
F
|
Online account setup
|
Abort due to glitch
|
|
20190317
|
SU
|
Call Teladoc Service Rep
|
||
20190319
|
TU
|
Begin Respiratory Health Respite (RHR)
|
$100/Day – To improve quality of sleep and rejuvenation
|
|
Teladoc associated emails
|
||||
20190320
|
W
|
Hospital Bound
(Like “Mike”)
|
Usual routine to meet up with friend is overly stressful
Good night’s sleep did not remedy
|
|
Last Reviewed: 20190329-F:
Figure – “Mike O”
-
-
BND CCCHC Client – FV Hosp Infectious Disease Ward
Our Homeboy - Treated for Flu and Pneumonia
BND Team Smoking Cessation Control Subject
-
Table – Teladoc Activity (STR)
Day of Telehealth Visit (Consult) – March 21, 2019 @ 330 pm
-
|
||||
Time Stamp
|
DOW
|
Note
|
Extended
|
|
20190321
|
TH01
|
Create online account
|
Failure
|
|
20190321
|
TH02
|
220 pm Call service Rep
|
Success
|
|
-
|
||||
20190321
|
TH03
|
330 pm Phone visit (consult)
|
Annie Nguyen MD
|
|
20190321
|
TH04
|
Discuss presenting problems and history
|
Annie Nguyen MD
|
|
20190321
|
TH05
|
Proclaimed as our alternate
|
Visit Urgent Care
|
|
20190321
|
TH06
|
Doctor prescribes antibiotic course
|
20190327 – Hindsight “Miracle”
|
|
20190321
|
TH07
|
Doctor Nguyen’s Assignment
|
COC
Follow up with Health Team(s)
|
|
20190321
|
TH08
|
FU Gilbert Drugs
|
714-636-8230
Kudos to Pharm Teck “Nick”
|
|
20190321
|
TH09
|
Begin Antibiotic Logging
|
||
-
|
Last Reviewed: 20190327-W:
-
[INSERT PHOTO OF WAITING ROOM]
Figure – A Teladoc Waiting Room
-
-
Table – Teladoc Follow Up Activity
Doctor Nguyen’s Assignment
Time Stamp
|
DOW
|
Note
|
Extended
|
|
20190325
|
M
|
Follow up with BND
|
Met briefly with Derek
He took down our Chantix request
|
|
20190322
|
F
|
CCR – Continuity of Care Record
|
Record
Failed to be sent to PCP
Attempt online also fails
|
|
20190324
|
SU
|
Organize notes
|
For Team BND
Rule out digital appointment rigor
|
|
20190402
|
TU
|
Follow up on Chantix request
|
Derek say to go through BND Grievances
20190325-M
Ran into Mark Allen
|
|
20190405-DL
|
F
|
Close Teladoc portion
|
With publication
|
|
Last Reviewed: 20190327-W:
-
Table – Antibiotic Log – Antibiotic Awareness
-
|
|||||
Date Stamp
|
DOW
|
Note
|
SVS
|
Extended
|
|
-
|
|||||
20190320
|
W
|
Hopeless
“Blood in mucous”
|
|||
20190320
|
W-ON
|
3.5
|
Waking up worse than when I went to bed
|
||
20190321
|
TH
330pm
|
Teladoc Phone Consult
|
Annie Nguyen MD
DX as Infection
PX Antibiotic
|
||
20190321
|
TH
|
Day 1 of 7
|
|||
20190322
|
F
|
Hope room will be Peaceful enough to have restorative
sleep
|
|||
20190322
|
F-ON
|
Slight Fever
|
5.0
|
||
20190323
|
SAT
|
Shave
|
Photograph control infections on right cheek
|
||
20190323
|
SA-ON
|
4.6
|
|||
20190324
|
SU
|
Purchase ($100.00)
|
Air filter / ionizer system
|
||
20190324
|
SU-ON
|
4.7
|
|||
20190325
|
M
|
Plan FU with BND Derek
|
Discuss Chantix & Continuing Antibiotics
Want plans in place for continuity of care
|
||
20190326
|
TU
|
Day 6 of 7
|
|||
20190327
|
W
|
Final – Day 7 of 7
|
Mucous persists yet it’s clear
|
||
20190327
|
W-ON
|
4.8
|
Full night rejuvenating sleep
Air filter appears helpful
|
||
20190328
|
TH
|
Begin close Teladoc I
|
Migrate effort to HRA Report
|
||
-
|
Last Reviewed: 20190327-W:
-
Performance Challenge
Off course we have a way to gauge
the COPD gray area. We will outline are
chest health performance areas and share them either in Teladoc II and or
Health Risk Assessment.
-
Table – First String
Cast of Characters – Centered About COPD (2019)
-
|
|||||
Character
|
Clerical &
E_Clerical
|
Clinical
|
Note
|
||
-
|
|||||
01 - CDM
Chester D Mojica
MD
|
X
|
X
|
Our mistaken
belief persisted
|
||
02 - Teladoc
|
X
|
X
|
|||
03A - Derek C
|
X
|
X
|
20190325-M
Addressed Chantix
|
||
03B – Derek C
|
X
|
20190402-TU
Referred away
|
|||
04 – Rimal B Bera
MD
|
X
|
X
|
20190403-W
Didn’t like
Derek’s Idea
|
||
05 – BND Corporate
|
X
|
X
|
20190402-M
Derek suggests
going the Grievance
|
||
Last Reviewed: 20190403-W:
-
Table – Second
String Cast of Characters – Centered About COPD (2019)
-
|
|||||
Character
|
Clerical &
E_Clerical
|
Clinical
|
Note
|
||
06 - Jeff Gibbs
|
X
|
20190325-M
Avoided
|
|||
07 - Jessica R
|
X
|
20190325-M
She listened in
with Derek
|
|||
08 – Team Martha
|
Benign
|
||||
09 - Corporate Ali
E
|
X
|
Consideration
|
|||
10 – Chester
Mojica
|
X
|
Would have to make
a special appointment
Chance of
disappointment too high
|
|||
11 - Teladoc
|
X
|
X
|
They would say we
did not follow up with prescribed after care
|
||
-
|
|||||
12 - Urgent Care
|
X
|
X
|
Next on our list
to test out
|
||
13 - Emergency
Room
|
X
|
Would like to
avoid hospital at all costs
|
|||
-
|
Last Reviewed: 20190403-W:
-
Figure – Family Inspiration – Ordinal Sister #3
Special Topic - Situational Awareness
-
-
Theme – Teladoc - Continuity of
Care – Via Email
CCR (Continuity of Care Report]
-
Teladoc Crmail crmail@teladoc.com
Cc: Resolution Team (RT)
Mar 21 at 3:44 PM (TH)
Hello,
We were notified that the completed
visit information you requested to be sent to your PCP was unfortunately
unsuccessful. This is more than likely
due to a missing or invalid fax number on file for your PCP. The good news is you have some options
available to you 24 hours a day:
You can
Log into your Teladoc member
portal to update your PCP’s contact information and resubmit your request. Print your visit information through the
member portal by accessing your visit history and send to your PCP in the
method of your choosing. Or Call us at
888-423-9173 and speak to a representative to assist you in updating and
resubmitting the request.
We apologize for the delay and
look forward to serving you soon.
Member Support
P: 1.888.423.9173
Email: Crmail@teladoc.com
Facebook | Twitter | LinkedIn
CONFIDENTIALITY NOTICE: This
E-Mail Message, including any Attachments, is for the sole use of the intended
recipient(s) and may contain confidential and privileged information or
otherwise be protected by law. Any
unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please
contact the sender by reply E-Mail and destroy all copies of the original
message.
-
Table - Issue Type Elimination List (In Scope of Teladoc)
-
|
|||||
Issue
|
Chance
|
Note
|
|||
-
|
|||||
UTIs
|
No
|
Candidate for Teladoc
|
|||
Strep Throat
|
Briefly
|
||||
Pink Eye
|
No
|
||||
Sinus Infection
|
Possible
|
||||
Cold/Flu
|
Possible
|
Would use OTCs
Have been vaccinated for Flu
|
|||
Ear Infection
|
Possible
|
Would use antibiotic ear drops if necessary
|
|||
Rash
|
No
|
||||
Medication Refill
|
NA
|
||||
Bronchitis
|
Yes
|
||||
Asthma
|
Possible
|
Could be associated with food allergies
|
|||
-
|
|||||
and more!
|
Like allergy
|
||||
-
|
Last Reviewed: 20190402-TU:
-
Quality Sharing - Paying it Forward
Link to “Spread The Word” (STW) - External Quality Review
(EQR)
Figure – Teladoc Solicitation
-
-
Table - Spreading The Word Promise
-
|
||||
Route
|
Status
|
Detail
|
||
-
|
||||
Blogger
|
Brand New Day Blog
|
|||
BND - Direct
|
Shared with Derek C
|
|||
BND Corporate – Use Complaint form to thank
|
Derek recommendation
|
Use Grievance Process
|
||
By Report (BR)
|
Grievance
|
|||
FB
|
||||
Single Point Contact (SPC) Derek C
|
20190325-M
|
|||
Word of Mouth
|
PRN
|
|||
-
|
Last Reviewed: 20190402-TU:
-
Case Note: 20190322_0700 -
“Greetings and happy ItSaFriday!
Yesterday I gave a service called
Teladoc a try. It is covered free of
charge by my health plan Brand New Day (BND).
It is designed as an alternative to Urgent Care or the Emergency
Room. Via telephone we consulted with
Teladoc doctor Annie Nguyen for 10 minutes and in the end she agreed with us
that we had an infection that could be treated with antibiotics. Yeah!
Teladoc encourages us to “Spread The Word (STW)”. For this transaction we score doctor Nguyen 5
Stars with 5 Stars being best. KET
-
FYI - Teladoc Homepage
-
Introduction - Antibiotic History
Beginning at about age 3 I
remember my mother once a year came down with an ear nose and throat (ENT) issues. See would self-medicate with Over-The-Counter
(OTC) remedies until her symptoms became unbearable. Our family doctor was John Hanley. Dr. Hanley was a General Practitioner that
doubled as a surgeon. When mom reached
her tipping point she would go to Doctor Hanley and he would patch her up. Nearly every year my mother was prescribed a
course of antibiotics. She never
developed a verified case of antibiotic resistance. If doctor Hanley deemed antibiotics necessary
he would give you an IM injection right in the office to give you a good start
in the fight.
-
As A Kid
We grew up in a family of eight
(8): Two parents and six (6) kids. When
we think back everyone had their health moments. Yet, the three males had some fairly severe
health crises. When it came to Ear Nose
and Throat (ENT) we being the youngest had it rather bad. If it were not for doctor making good
judgement calls by prescribing penicillin we would not recover from our annual
ENT crisis. If it were not for
antibiotics in the first place we would have very likely died young.
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COPD 2018 Winter
As we had mentioned earlier we
had a bout with COPD or ENT early in 2018.
By chance we invested in Dental Implants. Part of the process dictated pre-operative
antibiotics. This course of antibiotics
corresponded to recovery our aerobic competencies. Our current episode for which Teladoc helped
us with began in November 2018.
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Table - 20190321-TH @330 pm Phone Visit Consult - Results
Item
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Addressed
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During
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||
Doctor’s Name
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Annie Nguyen (F)
|
|||
Argument for Antibiotic Fix
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PASS
|
|||
Onset Nov 2018
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Chronic Cough
|
|||
Addressed as cold
|
Yes
|
|||
Addressed as allergy
|
Yes
|
|||
Mucous on & off green
|
Yes
|
|||
20190321-TH Current Mucous pink color
|
May be blood
|
|||
Extreme Fatigue
|
||||
Sore Throat
|
No
|
Waxed and waned
|
||
Interfering with Sleep
|
Yes
|
|||
Elevated Neutrophils (See lab)
|
Yes
|
|||
Waking up sicker than when going to bed
|
No
|
|||
Left ear blockage
|
No
|
|||
Impetigo Indicator
|
No
|
Photos of cheeks
|
||
Sore glands in neck
|
No
|
|||
On Respite for Health
|
Yes
|
|||
OTCs Tried (Listed)
|
Yes
|
3 month cost >$150
|
||
Household symptom density
|
Yes
|
|||
Time Spent
|
20 minutes
|
|||
Diagnosis
|
Infection (Respiratory)
|
|||
Last Reviewed: 20190402-TU:
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Discussion
Lived History and Satisfaction with
Teladoc
Back in 2016 we received
promotional material from our healthcare provider Brand New Day (BND). It addressed a free service paid for by BND
called Teladoc. We set the material
aside because we did not trust the information.
The cusp of 2018-2019 has been particularly hard on us with regard to
respiratory challenges. We had discussed
it on a least one occasion with our Primary Care Physician (PCP). We also had a mistaken belief that our body
could beat the “The Bugs” on its’ own.
We live in a house inundated with coughing and hacking. We also were made to feel we deserve our
sickness because with smoke. On a day we
were generating green mucous our PCP failed to examine it. We were planning on visiting a BND approved
Urgent Care Facility (UCF). Our roommate
coughs and hacks at night. After he kept
us awake from 10pm – 6am we added intense fatigue to our problems. It was time to take leave in the form of a
respite. Unlike usual when on respite, we
wake up feeling better that when we went to bed this was not the case. So we appealed to Teladoc. We knew we needed antibiotics. After a ten minute exchange of information
our Teladoc doctor, Annie Nguyen, prescribed us our much needed
antibiotics. Today is March 28, 2019,
yesterday we finished the last of our antibiotics.
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Sample - OTCs Tried
Since November 2018 when our COPD
symptoms intensified we have suffered.
We had several mistaken beliefs.
Just one was that the Over-The-Counter (OTC) remedies would bring us
back to a better level of health. In
four or so months we spent more than $150.00.
A partial list of OTCs we used is: Theraflu Nighttime, Non-alcoholic
cough syrup - Alka Seltzer – Benadryl - Cough and Congestion tablets Congestion
gel tabs - B Vitamins and Codeine.
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About Our House and Room –
Teladoc Rescue
We live in a home for dying old
men. A total number of ten (10) adults
sleep in our house: Nine males and one female.
This “Cold” season has been particularly hard on the majority of
us. One person was hospitalized with a
diagnosis of Flu and Pneumonia. Even
though he (Homeboy) was released (and neglected) he still months later
coughing. At dinner time we are exposed
to some odd eight more adult males that come over to eat with us. These walk ins exhibit few if any COPD like
symptoms. There is a chance that
bacteria and or viruses linger in our house.
There are also allergens in our room.
We ruled in allergy while on medical respite. In other words our allergy symptoms improved
while away over the course of three days.
The person who sleeps above has poor hygiene. Skin flakes particularly from his scalp rain
down upon us. Recently we bought an air
purifier for about $100.00 to use at night.
We have noticed an improvement.
Yet nothing has helped us as much as the antibiotics prescribed by
Doctor Annie Nguyen via the Teladoc Telehealth service.
Matrix – Objective - Insider
Scoring of Teladoc
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|
|||||
Category
|
Teladoc
Score
(5 Best)
|
CCCHC
Clinical
2019
Predicted
|
Note (CCCHC)
|
||
-
|
|||||
Work-Life Balance
|
3.2
|
3.5
|
NEI
|
||
Pay & Benefits
|
3.5
|
3.5
|
We wonder about this
|
||
Job Security & Advancement
|
2.7
|
3.0
|
Secure for Martha, CDM and a couple others
Little advancement demonstrated
|
||
Management
|
2.7
|
3.5
|
Probably would not like working with them
|
||
Culture
|
2.9
|
3.5
|
Gradually improving since 2012
|
||
-
|
|||||
15.0/5
|
17.0/5
|
||||
A Job Value Score =
|
3.0 SEs
|
3.4 SEs
|
The CCCHC score is very near the insurers CMS Stars scores
for 2019
|
||
Last Reviewed: 20190403-W:
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Objective - Working at Teladoc Health: 58 Reviews |
Indeed.com
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Summary About Image Matters
Pre-visit Image Criteria and Limit (5)
Upload Image Option
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Four Images
Lab Work
Mike O’s Germs
Color of Mucous
A Teladoc Waiting Room
[INSERT IMAGES]
A Teladoc Build Slideshow – A Digital Appointment
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Figure – CBC Results
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Figure – Our Cohort Exposure - On Taking Home the Germs
[DITTO]
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Figure – Sputum (Mucous) with Possible Blood
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Includes Color after 5 days treatment
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Figure - Teladoc Waiting Room [DITTO]
Health Respite
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Appendix
A-Table – Teladoc Performance Statistics As Reported By
(ARB) Teladoc
20190327-W: Teladoc Stats
20190327-W: Teladoc Stats
Who are the doctors?
Promotions
World Wafers
-
-
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.”
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I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website www.ultimatelifeclinic.com. I can breath much better and It feels comfortable!
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