Health Risk Assessment (HRA 2019.01) for Brand New Day (BND) by Keith Torkelson MS Pathology

-
Title

Health Risk Assessment (HRA 2019.01) 
for Brand New Day (BND) 
by Keith Torkelson MS Pathology

-

Google Plus

Keith Torkelson about Brand New Day’s annual Health Risk Assessment (HRA) keeping it up a notch for 2019

-

No Legacy Link(s) at This Point

-

Abstract – Executive Summary

This report pertains to Keith Torkelson MS and his Better Than Ever health treatment teams.  Data collected and shared focuses on Keith.  Initially it was largely designed to address his physical health and physical health needs.  Yet a most recent transaction with his Behavioral Health Doctor has led us to re-purpose this report.  As a minimum we apply material from seven (7) prior documents.  The core of this report is Keith’s annual Health Risk Report offered by Keith’s insurer Brand New Day (BND).  We considered as a minimum nine (9) assessment tools to help flesh things out.  We are Mentalation Solutions Group or MSG.  During the first quarter of this year Keith was still suffering Chronic Obstructive Pulmonary (COP) symptoms.  In semi-desperation Keith accessed a resource that BND provides called Teladoc.  Teladoc is a Telehealth service.  Our Teladoc doctor Annie Nguyen made a good diagnosis and prescribed Keith a course of antibiotics.  In hindsight Teladoc doctor Annie MD’s treatment was highly effective.  For 2019 we are detecting a few emerging Health Risk for Keith.  In this report we a begun to address said risks.  As often is the case we include a Balanced Scorecard.  This time we report about Keith’s MD level professionals.  After Keith submitted his annual Health Risk Assessment (HRA) to BND by mail Fountain Valley Hospital (FVH) communicated to him that they had their version of an HRA.  Keith took FVH’s version and submitted it online.  As the dust settles we find FVH’s HRA system superior to BND’s.  Brand New did do something new and nice about their 2019 HRA.  They offered up a ten dollar gift card for Keith’s time and effort! 

-

Original Effort PCP First

As we mentioned earlier, this report was intended for addressing Keith’s physical health need, services and risks.  In keeping with the original intent we share some of our findings about Keith’s Primary or Personal Care Physician (PCP).  For the purposes of this initialization we cipher Keith’s PCP as CDM.  Back May 21 (SUN), 2017 we downloaded online objective statistics and pooled them.  We found that doctor CDM earned himself 3.6 Stars across 19 reports.  Again on March 20 (W), 2019 we went online to find CDM statistics.  We found that doctor CDM earned himself 3.4 Stars across 27 reports.  For the data these data points we accessed 5.0 Stars is Superior.  On February 5 (TU), 2019 we graded CDM using our Vitals Plus System (VPS).  From us for Keith we offer up a 4.3 Stars score for CDM.  We include scans of one of our lab reports.  This is a lab ordered by CDM.  Here we also include scheduling about physical examinations with Team CDM.  If it sounds at time as if we are criticizing – we are.

-

Disease Management

Some of our more critical material might be included in a “Compliant”.  Brand New Day makes available some of their material on quality control and consumer satisfaction.  Coming down the home stretch we examine BND’s information on Health Education Assessment or HEA.  In other words this is how well BND educates us.  We created an assessment instrument for capturing our Disease Education Score (DES).  In 2013 we awarded BND (retroactively) a DES of 67.9%.  As of 2018 (real time) BND’s DES dropped to 39.3%.  Finally, we assessed Progress Mitigating Keith’s Health Risks.  We created another assessment tool for evaluating Disease Risk Mitigation (DRM).  Comparing 2013 with 2018 Keith’s Disease Risk Mitigation Score (DRMS) improved from 75.0% to 85.0%.  If you got to this point we encourage you to read on.

-

List - Associated Documents (7)

-

08_MSG_PNP_15071203_Solicitation Dilemma V2019

09_Record_Request_18072702_Supplement Form

11_BND_Teladoc_19031401_Notes

11_Global_Health_My_Test_Numbers_18121404_Results V2019

11_Markers_Of_Health_MOH_18090203_Notes V2019

GHlth_CCCHC_CDM_17100502_Physical_Report V2019 Practice

Physical Schedule (Source)

SCR_JMB_18062303_Distorted Thinking V2019

-

Solicitation Dilemma

20190408-M: Solicitation Dilemma Update – Context HRA

For HRA – CDM - Bera Reports

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.  This report about Brand New Day’s (BND’s) Health Risk Assessment (HRA) is partially solicited in that BND asked us to address and submit their HRA.  Two of the most important characters about our health risks are our Primary Care Physician (PCP), CDM, and our Behavioral Health Doctor (BHD), RBB.  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.  As of our last appointment six of six our new and improved BHD RBB did not solicit any work.  Therefore it is very likely he will not entertain any direct submissions.  We think we read somewhere that RBB taught at the University of California @ Irvine Medical School.  It looks likely that he doesn’t test about the material he had taught – In other words he may be a “Ghost Lecturer”.  In UC Davis School of Vet Med none of the lessor lecturers were Ghost Lecturers.  What we mean is that population A medical students get substantially different treatment that population B his Behavioral Health Clients (BHCs) unless he is a Ghost Lecturer.  He is too busy with a huge overburdening caseload to solicit any verbal or hardcopy input from his BHCs.  Word Of the Day (WOD) = Apathetic.  We will address apathy, vicarious trauma and burnout in the future.

-

Dedication

This report is dedicated to Brand New Day clients Mark Allen & Road Kill Dave.  We saw and talked with Mark within the last month.  His health is declining rapidly.  It looks like he my go the mummification manner of passing.  Road Kill Dave is dead.  Blunt force trauma - He died Too Young.  We will discuss Dave more in future studies.

-

Partner Snapshot

-

-

-

List – Tables (T) – Figures (F) – Matrices (M) – Etc.

-

List of Acronyms Translation

T – HRA Associated Topic Elimination

T – HRA Related Assessment Elimination

List - Fodder for Invoicing & Development Stream

T - On Alternatives to Address Emerging Health Risks

T - Key Events – Related to HRA(s)

M – Satisfaction a MD Level - Quick Grade Method (QGM) – 2018/2019

F - Fountain Valley Hospital HRA Approach

F – BND Corporate Kudos for Being and the Activated Patient

M – Objective First Method – CDM Ratings Online (2017)

M – Objective First Method – CDM Ratings Online (2019)

Links - Flux Penetration Search

F - Scan January 2019 Lab Results – In Context of Measurement

T – STR Physical Schedule 2012-2018 (Source)

T – STR Physical Schedule 2019 (Source)

Legacy Link - Health Risk Assessment (HRA) for Brand New Day (BND)

F - Metadata > HRA 2013

T – E – Communication of Results

T - Chapter XVIII – Health Education Assessment (HEA)

M - Health Risk – Progress & Mitigation

-

List of Acronyms Translation

-
Acronym Code	Meaning
-
ACT	As Compared To
BHD	Behavioral Health Doctor
BND	Brand New Day
BOR	Burden Of Risk
CCCHC	Central City Community Health Center
CDM	Cipher PCP
COPD	Chronic Obstructive Pulmonary Disease
DES	Disease Education Score
DOW	Day Of Week
FVH	Fountain Valley Hospital
FYI	For Your Interest
HEA	Health Education Assessment
HMO	Health Maintenance Organization
HRA	Health Risk Assessment
ICT	Information & Communication Technology
LACDMH	Los Angeles County Department of Mental Health
MD	Medical Doctor
MOH	Markers Of Health
PCP	Primary Care Physician
PDF	Text file format
POR	Pooled Objective Results
QGM	Quick Grade Method
QSM	Quick Score Method
RBB	Cipher RBB
SFA	Strengths First Approach
SM	Self-Management
TM	Team Management
UC	University of California
WOD	Word Of Day
-

Not Totally Complete: Last Reviewed 20190409-TU:

-

Table – HRA Associated Topic Elimination (7)

-
Topic		Here	Note
-
Markers Of Health			Stayed
The Numbers of Health		X	In the form of a lab report
Telehealth – Teladoc			Free and effective resource provided by BND
Underperforming BHD		X
Satisfaction		X
Quality Of Life
Satisfaction a MD Level		X

Last Reviewed: 20190409-TU:

-

Table – HRA Related Assessment Elimination (9)

-
Assessment		Note	BHD	PCP
-
QOL (Impact)
Satisfaction (Impact)
Health Risk Assessment		V BND	X	X
Health Risk Assessment		V FVH
Rate Your Doctor		Subjective
Rate Your Doctor – Objective		Online Objective		X
MDs of the Quarter			QSM	QSM
Mistaken Beliefs			X
Distorted Thinking			X
-

Last Reviewed: 20190409-TU:

-

Repurposing - Introducing Significant Other – BHD

As the dust settles we have found the impact of housing the disabled to be greater than expected.  Brand New Day (BND) our service hub and insurer offers little or no help about housing fixes and solutions.  We help the county (Orange California).  The OC indicates the gravity of housing and health by applying more money and resources on housing fixes and solutions.  We are not certain how we missed telling our new Behavioral Health Doctor (BHD) that he is one of the most important people in our life.  BND’s Health Risk Assessment (HRA) queries little about the Patient BHD partnership.  We take our relationships seriously.  Our new BHD has potential to do us great harm.  Thus, our BHD represents for us a substantial risk and risk factor.  At the Clinic – Central City Community Health Center (CCCHC) over the past six years we have had the opportunity to interview many professionals, paraprofessionals and consumers.

-

Professionals - Telehealth & Repurposing

The Physician Assistants (PAs) and Psychiatric Nurses indicate that they can take over the role of Behavioral Health Doctors (Psychiatrists) when it comes to medication management.  Brand New Day (BND) now offers a free resource.  It is provided by Teladoc a telehealth provider.  It looks very promising.  With our work with the county on Technology and Health & Human Services we discovered about ten (10) years ago that the Los Angeles County Department of Mental Health (LACDMH) was investing telepsychiatry.  We will see how far they have come at a later date. This offers freedom for the consumer knowing they do not have to suffer a visit to their BHD’s office.  This report initially was to address our physical health needs and unmet needs about COPD.  We were supposed to have satisfactorily stabilized our New & Improved BHD relationship.  Unfortunately our New BHD has emerged for us as a risk factor across multiple medical and psychosocial domains and dimensions.

-

Link to Teladoc Report

11_BND_Teladoc_19031401_Notes I

Brand New Day – Teladoc Benefit Practical – Central City Community Health Center – Alternatives and Betterment – Innovation

https://brandnewdayhmo.blogspot.com/2019/04/brand-new-day-teladoc-benefit-practical.html

20190404-TH: Keith E Torkelson MS Views = 0 Chartered - 4/4/19

-

Last Chance for Team CDM

20190305-TU: 1115am with PA about Congestion and Ears

-

Table - On Alternatives to Address Emerging Health Risks (11)

-
Alternative		Note
-
Transparency Feature Case “John S”		Transparency & Accountability Study
BND Corporate		Worked w Bum Soo Lee MD
Encourage Graduation
Medicare Route		Worked with Documentation
Leverage Disappointment
MyMedicare		Stayed
Rimal B Bera Crisis Mistaken Beliefs
Situational Awareness
Telehealth & Teladoc		Worked w Chester D Mojica MD
Telepsychiatry		LACDMH Status
Blog		Works for Us
-

Last Reviewed: 20190409-TU:
-

Table - Key Events – Related to HRA(s)

-
Key Event		Note	Detail
-
20190122-TU @ 3pm Appointment with CDM		In need of antibiotics
Assessments
BHD Steals the Show		Developing into a serious risk factor
BND Rewards		Improving
Brand New Day Health Risk Assessment		Evaluate period 2013-2019
CDM Online Objective		Leverage work done
Comment of Latest Mailing (20190304-M)
Gift for Submitting an HRA		They listened to us and gave us a reward for our HRA Submission
Gift for Trying		$10.00 gift card
HRA BND Experimental		Because BND came first
HRA FVH Control		Superior system ACT BND’s
BHD Crash Appointment		Triggered re-leveling of Resources Mistaken Belief We thought we had him “Stable”	Housing priority was housing for the needy
Telehealth & Teladoc		BND hit a homerun with this resource
-

Last Reviewed: 20190409-TU:

-

Performance Challenge(s)

We define the COPD gray area as the sum of fixes in lieu of concrete solutions.  Of course we have ways to gauge the COPD gray area such as: Yoga and jogging time.  We will outline our chest health performance areas and share them in our next COPD installment.

-

Matrix – Satisfaction a MD Level - Quick Grade Method (QGM) – 2018/2019

Practitioner Elimination

-
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-
-
Boyce, James D		Ophthalmology	Cataract FU	B
CCCHC Unknown		Unknown	Bronchitis	B
Bera, Rimal B		Behavioral Health	Med Management	A-    > C
GI Doctor		Gastrointestinal	Colonoscopy	xPend
-

Date Scored: 20190405-F: Last Reviewed: 20190409-TU: Keith Torkelson’s Perspective

-

Highest and Lowest Removed – Out Layer Adjustment

The high performer was our retina surgeon and our low performer was our second string dermatologist.  We were all ready to declare our partnership with our New & Improved Behavioral Health Doctor (BHD) as “Stable”.  Our April 2019 crash appointment turned sour.  Now we have to consider him as a substantial risk to our health.  To intervene early we re-purposed this report.  Initially this report was centered about our Physical Health Team (PHT) and BND.  We are going to have to put some effort into re-gaining “Trust” about our BHD Partnership.

-

Results Up Front

Figures - Fountain Valley Hospital HRA Approach

-

-

Comment on the Red Areas

Some features we like about the Fountain Valley (Online) HRA approach are: Results are evaluated; results are returned to us the consumer; a slight degree of interpretation; some recommendation; and flagging with color.  As you can see we earned some red flags.  They all do not perfectly fit because we indicated heart problems based on expectation rather than actual.  Please note that a real heart event such as a heart attack can really put you in the hole.

-

Figures – BND Corporate Kudos for Being an Activated Patient

-

-

Suggestion to Compensate

We have been evaluating the BND HRA process since 2013.  At one point we began promoting some form of compensation for consumer efforts.  We got the idea from the County of Orange Health Care Agency (OCHCA).  This time around we received a gift card for our effort.  Hats Off to BND!

-

Matrix – Objective First Method – CDM Ratings Online (2017)

Matrix - Carried From:

GHlth_CCCHC_CDM_17100502_Physical_Report V2019 Practice

Initializing Our Objective Evaluation of Doctor Chester Diokno Mojica MD

Time Stamp	Method	# Of Votes	Rating 5.0 is Best	Interpretation
20170319-SU	Healthgrades	9	3.2
20170521-SU	Healthgrades	9	3.2
20170319-SU	Vitals	9	3.8
20170521-SU	Vitals	10	3.9
20170324-F	POR	18	3.5 *	Above Average Mediocre
20170521-SU	POR	19	3.6 *	Showing Improvement
20161124-TH	BND Health Plan CMS Stars (2017) Parent Plan	**	3.0	“Work of a satisfactory standard”
20171006-F	Healthgrades	10	3.0
20171006-F	Vitals	11	3.9

Last Reviewed: 20171023-M: Table – Stars Data for Doctor Chester Diokno Mojica MD – Objective Assessment Results – POR = Pooled Objective Results. Cleaned Up: 20171006-F:  Updated: 20171006-F:

-

Updating Frequency

We ask ourselves why put the effort to update CDM’s performance numbers.  Isn’t he good enough?  Can we have any positive impact for him?  We updated this table about four (4) times in 2017.  In the future we will probably only update once per year.

-

Activity – Query: “chester mojica vitals”

Give it a try for yourselves.  Enter “chester mojica vitals” in the search engine of your choice.

-

Matrix – Objective First Method – CDM Ratings Online (2019)

Initializing Our Objective Evaluation of Doctor Chester Diokno Mojica MD – 2019 Update

Metadata > Vitals_Plus_Mojica_CDM_19032001_Appts-2019-01 to 03

-
Time Stamp	Method	# Of Votes	Rating 5.0 is Best	Interpretation
-
20190320-W	Healthgrades	12	3.0	36.0
20190320-W	Vitals	15	3.7	55.5
20190320-W	Pooled	27		91.5
			3.4	Down as compared to 2017
-
20190205-TU	Subjective Star Equivalents =		4.3	With this we answer his request to reduce bad press
-

Last Reviewed: 20190409-TU: Pooling Data and Comparing with Our Method – Stars Scoring

-

Links - Flux Penetration Search

-

“Chester Diokno Mojica healthgrades”

Yields

On Legacy Links – BHD Steals the Show

In 2012 when we began blogging we had so much to say that we generated some super humongous reports.  Now this year 2019 we find ourselves repeating us.  We have generated and captured a huge database of data.  We have data we may never share.  Yet since we are getting ready to announce our New & Improved BHD Partnership is seem fitting to go back a Strengths First Approach (SFA).

-

Link to MSG SFA Legacy

Brand New Day HMO: Chester Diokno Mojica MD – Strengths by Keith Torkelson MS

PCP 2017/05/ CDM MD Strengths

Date Published - May 29, 2017

This study focused on Doctor Chester Diokno Mojica MD

We offer up objective evaluation from two online sites:

Vitals and Healthgrades

You've visited this page 2 times. Last visit: 9/29/18

-

Figures - Scan January 2019 Lab Results – In Context of Measurement

-

-

Lab Results – Objective Assessment

We really like lab results.  Quest Diagnostics our primary lab provides an online Patient Portal called MyQuest probono.  Now a very long time ago (1990) we worked full time as a clinical lab specialist for Hospital Pathologist Central Laboratory in Garden Grove California.  We ran dozen of tests including some in the report above.  Yet most important we ran the pooled urine Catecholamine assay once a week.  Using the methodology of the day “Cats” were a four hour test.  We feel that the lab tests that Behavioral Health Doctors (BHDs) rely on if any need substantial rework.  Lithium might be being misused as a marker for compliance and adherence.  It is OK the Lithium is cheap.  Lithium does have a downside though.  Enough said!

-

Table – STR - Physical Schedule 2012-2018 (Source)

	-
Date	DOW	Fasting PP	Physical	Note & Reason
-
20120618		X		Intake
20130813		X
20130827			X	CDM
20140819		X
20140909			X
20150908		X
20150922			X	Tetanus & Flu
[20160809]				Initiate Physical Cycle
[20160816]				Pre-Op Report
20160914		X
20161004			X
20170914		X
20171010			X
20180809		X
20180927	TH		X	Scheduled next pre-physical
-

Last Reviewed: 20190409-TU: DOW = Day Of Week: PP = Pre-Physical

-

Table – STR - Physical Schedule 2019 (Source)

-
Date	DOW	Fasting PP	Physical	Note & Reason
-
20190108	TU	(*)		Driveby PP related lab draws at routine CBC Also Urine
20190122	TU			Interim to address chest health issues
20190207	TH
				Receive Kudos Mailing from BND
20190305	TU			Routine CBC PA exams LT Ear Last chance to catch bronchitis
20190321	TH			Major Milestone Used Teladoc Service
20190403	W			Bera Crash Appointment CC Psychopath
20190815	TH	X		Next CDM (IRL)
-

Last Reviewed: 20190409-TU: DOW = Day Of Week: PP = Pre-Physical

-

FYI - 20171229-F: Instructions

“The Health Risk Assessment is a self-reported assessment intended to help us develop a prevention plan for you to improve your health status.  Please complete as much information as possible and return this form in the attached pre-paid envelope or mail to:” (BND, 2017)

-

Brand New Day

HRA/WCOB Department

PO Box 93122

Long Beach CA 90809-9871

-

Performance Driven Medication Management

A long time ago circa 2000 we had a BHD named David Dobos MD.  He was associated with Kaiser Permanente.  We were living in Laguna Niguel at the time.  His office was in Aliso Viejo.  His system or practice had many virtues.  Our medication management was centered about performance challenges at Saddleback College and California State University at Fullerton.  In the end our overall Grade Point Average (GPA) for work at each campus is 4.0.  Doctor Dobos contributed to our performance in a huge positive manner.

-

On Complaining & Criticism

Once again this report was centered about BND and our PCP relationship yet our BHD has now stolen the show.  Once again our New & Improved BHD is us an emerging risk. At our last keynote appointment (April 2019) with said BHD we briefly discussed Grievances and Complaints.  Our New and Improved BHD indicated that he was not comfortable with formal complaining as a fix.  The context was a means to communicate to BND our need for help paying for our latest quit smoking “Fix” Chantix.  From experience in the past we know that one of the risks our New & Improved BHD poses is noteworthy at the CMS or Medicare level.  We will get through and cope with as many risks as we can without asking CMS for help.  One of our legacy doctor’s, Doctor Dobos’, position on being critical is: Disposition and criticism can be the sign of improved health.  And you know what I did feel a little better last year (2018) balance praise and critical reporting.

-

Figure - Metadata > HRA 2013

-

-

Value of Assessment – Getting On Board

When you want to help others know what you know or want them to know a principle route is through leveragin assessment.  In the knew releases for measuring effective medicine top of the line come consumer satisfaction surveys.  We are sitting at Starbucks right now writing.  Often Starbucks sends us requests via email to test our satisifaciton about various venues.  Here is a partial list of some operation & entities that ask us: How Satisfied Are You?  Motel 6, Microcenter, Hewlett Packard, Wellness Center West, our dental group, our Ophthalmology group, and Brand New Day.  Neither our PCP or BHD Teams apply satisfaction assessments in a good orderly manner.

-

Health Risk - Progress

[PDF] - Provider Manual Table of Contents - Brand New Day (172 pages)

2017/04/BND_Provider_Manual_March_2017

Table – E – Communication of Results

E. Communicating the Health Risk Assessment and Stratification Results

Assessing Communication

-
Unit		Notation	Value
-
ICT		Info & Communication Tech	Adequate
Provider		Paper Sharing	Adequate
Member		FV Hosp V BND	FV Superior
-

Last Reviewed: 20190405-F:

-

In Healthcare what is an ICT?

“The use of ICT in the delivery of healthcare services to the chronic patient…Our work describes a new approach to tackle the problem of the chronically ill patients, by using information and communication technology (ICT) for patient's empowerment and managed their care.”

-

Health Risk - Progress

[PDF] - Provider Manual Table of Contents - Brand New Day (172 pages)

2017/04/BND_Provider_Manual_March_2017

-

[FYI – HELD OVER]

F. Coordination of Medically Necessary Services.

G. Preventive Health Care Guideline Links.

-

Table - Chapter XVIII – Health Education Assessment (HEA)

Chapter XVIII – Health Education (A-N)

Health Risk - Progress

Brand New Day Provider Manual – Table of Contents 2017 - Resource

[PDF] - Provider Manual Table of Contents - Brand New Day (172 pages)

2017/04/BND_Provider_Manual_March_2017

-
#	Topic		2013-R	2018	2019 Expected
	-
A	Health Education Services	SM	P	P
B	Community Health Education Classes	TM	P	SoSo
C	Referral to Nutritional Counseling	TM	F	F
D	Respiratory Conditions	SM	F	F
E	Self-Management Series	SM	P	F
F	Cholesterol & Hypertension	TM	P	P
G	Nutrition and Physical Activity	SM	P	SoSo
H	Senior Health	SM	P	P
I	Wellness / Prevention	SM	P	F
J	Nurse Advice Line	SM	F	F	Waste of time
K	Health Education Programs	SM	P	F
L	Tobacco Cessation Health Education Program	SM	F	F	2019 Presenting Problem
M	Health Education Materials and Resources	TM	P	P
N (14)	Individual Health Education Behavioral Assessment Tool – “Staying Healthy Assessment”	SM	SoSo	SoSo
-
			9.5/14	5.5/14
	Disease Education Score (DES) =		67.9%	39.2%
Y	Star Equivalents =		3.4	2.0
-

Date Scored: 20190105-SAT: Last Reviewed: 20190405-F: SM = Self-Management: TM = Team Management

-

Matrix - Health Risk – Progress & Mitigation

Table - Chapter XVI – Disease Management Programs (A-I)

The Brand New Day CCCHC Alliance

Resource

[PDF] - Provider Manual Table of Contents - Brand New Day (172 pages)

2017/04/BND_Provider_Manual_March_2017

-
	Topic		2013-R	2018-RT	2019 Expected
-
A	Program Objectives		0.5	0.5	0.5
A.1	Attachment Care Management Referral Form	TM	1.0	1.0	1.0
B	Member Participation	SM	1.0	1.0	1.0
C	COPD (Chronic Obstructive Pulmonary Disease)		0.0	0.0	0.5
D	Dementia	SM	1.0	1.0	1.0
E	Chronic Kidney Disease	SM	1.0	1.0	1.0
F	Diabetes Management	SM	0.5	1.0	1.0
G	Healthy Heart (Including CHF, Controlling High Blood Pressure & Cholesterol)		1.0	1.0	1.0
H	Wound Care	SM	1.0	1.0	1.0
I (10)	In Development for the Future	TM	0.5	1.0	1.0
-
	Disease Risk Mitigation Score (DRMS) =		7.5/10 75.0%	8.5/10 85.0%	9.0/10 90.0%
	Star Equivalents =		3.8	4.3	4.5
-

Date Scored: 20190329-F: Last Reviewed: 20190405-F: SM = Self-Management: TM = Team Management

-

Promoting - One Health

-

-

One Health Initiative - One World One Medicine One Health

http://www.onehealthinitiative.com/

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.”

-

Promoting – World Wafers

-

-

Images At The End

-

-

BND’s HRA For Reference
-

The End

“This is the end – my only friend the end”

-30-

-