Health Risk Assessment (HRA) for Brand New Day (BND) by Keith Torkelson MS (2020/21)
202101 - Risk Management – Brand New Day annual Health Risk Assessment (HRA) 2020/21 converting risk factors to protective factors by Keith Torkelson MS https://brandnewdayhmo.blogspot.com/2021/01/health-risk-assessment-hra-for-brand.html @mandalorian @keithtorkelson #brandnewday #housingadvocate #healthrisks
Health Risk Assessment - Requirements
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Requirement |
Specification |
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Subject |
Risk Management in Health Care |
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Printed page length |
Approximately 35 |
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Title |
Health Risk Assessment (HRA) for Brand New Day (BND) by Keith Torkelson MS (2020/21) |
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Author(s) |
Keith “Buster” Torkelson MS |
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Editor & Third Person |
Avey C Asus |
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Producer |
Scared Rabbit |
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Graphic and Media |
Lled Buzzard |
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BND Helper |
Howard T |
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Primary Agency |
Brand New Day (BND) HMO |
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Assignment |
Complete and submit BND solicited HRA |
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Blog |
Brand New Day HMO |
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Platform – Powered By… |
Google Blogger |
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Publication Date |
20210112-TU |
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[Separate] |
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Promotion(s) |
World Wafers |
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Last Reviewed: 20210108-F:
Intellectual Partners
Interests & Promotions Held Over – In Summary
The Assignment
Results Up Front Method (RUFM)
Mentalation Solutions Group (MSG) - Scoring
Nutrition Specific Questionnaire (Beta)
How is it we include original assessment?
The ProSumer
Benefits and Rewards
Introduction - Brand New Day – Universal Care Assignments
- Coordination of Benefits - (COB) Questionnaire
- Workability Index (WAI)
- Resource Changes
- Brand New Day – Universal Care Benefits
- 12/29/20 HRA Instructions
- Results - 20201229-W: Series – Health Risk Assessment (HRA)
- Principles – Active Approach V Passive Avoidance
Housing Risk Tools (HRTs)
Health Risk Management Notes – HRA Health Risk Assessment
201904 – HRA Related MSG Legacy Publication
Tracking Information: SCR – 20210202-SAT: Dated 12/29/20
2020/2021 BND Health Risk Assessment MSG Transformation
Why Score? – Why Share?
PAM Results
20210102-SAT: Brand New Day (BND) – Health Risk Assessment (HRA)
Parts A-D
Risks not addressed well in HRA
Ghosts in the machine
Images at the End
On Retractions
Number of Posts - As of: January 8, 2021
Abstract
This report is centered about Keith “Buster” Torkelson MS. We are Mentalation Solutions Group (MSG). The MSG team is: Keith “Buster” Torkelson MS, Avey C Asus, EMe, and Lled Buzzard. Buster is the principal here at MSG. We have several work efforts for 2021 in progress. Most high in importance is our BedBusters Idea and Project. BedBusters is designed to fix gaps and problems with regional housing. BedBusters addresses the disadvantaged and disabled including the homeless. Our concentrations were delivering about the Orange County Health Care Agency (OCHCA). Yet, beginning this winter quarter we prioritize Buster’s health insurer Brand New Day (BND) higher. Corona is interfering with BedBusters a bit. The OCHCA may not ever completely return to its former glory. On of BedBusters sells is to the OCHCA. BedBusters is an Innovative Idea. We seek OCHCA Mental Health Services Act (MHSA) funding.
This Report - ProSumption
This report pertains to a Brand New Day (BND) assignment: Fill out and submit BND’s annual Health Risk Assessment (HRA). The last report we published on BND’s behalf was a Centers for Medicare & Medicaid Services (CMS) Stars score report. Mentalation Solutions Group (MSG) shared our take with our Christmas Report Card (CRC) format. We list some of our co-occurring work efforts yet hold most of the details over. We have about thirteen interests and promotions for this winter quarter 2021. MSG transformed BND’s HRA into a 46-item quantifiable assessment tool. On 20210102 (SAT) we applied the assessment to Buster. Rather than report Risk Scores with report Protection Scores. Buster earned himself 85.3% on Comprehensive Medico-social Protections. Buster’s protections at 4.3 Star Equivalents exceed the 3.5 Stars (CMS) that Brand New provides for. Buster’s better scores are partially due to the fact that Buster practices MSG ProSumption.
Tuesday, December 29, 2020
Brand New Day HMO CMS stars related Christmas Report Card by MSG and Keith E Torkelson, MS (202012)
Brand New Day 202012 Stars Report
Nutrition Specific Questionnaire (Beta) - Baseline
As of January 2021 Brand New Day has added a new benefit to its’ client benefits package. They call it their Healthy Foods Benefit. In order to capture the benefit’s performance we here at Mentalation Solutions Group decided to create an assessment tool in order to capture a nutrition centered Baseline. On 20210107 (TH) we scored Keith “Buster” Torkelson retroactively during 2020 DEC. This was before every having the new benefit. Our assessment is a 13-item screener. Buster scored for his Baseline 63.5% for his Nutritional Centered Health Score (NCHS). Buster lacks complete control over his food choices.
Patient Activation Measure (PAM) Results
Back in May of 2018 at the annual Meeting Of the Minds (MOMs) conference Dr. Clayton Lon Chau MD discussed an assessment tool he fancied. It is the Commercial-off-the-shelf (COTS) Patient Activation Measure or PAM. The PAM is a 10 item screening tool. We looked into it because Buster wanted to use it with his Behavioral Health Doctor (BHD). Most recently, on June 29, 2020 (TU), we scored the PAM for Buster. On the PAM, Buster earned 73.5% for his Patient Activation & Confidence Score (PA&CS).
Health Risk Assessment - Quantified
On Buster’s behalf we here at Mentalation Solutions Group (MSG) scored this years term Brand New Day (BND) Health Risk Assessment (HRA). BND assigns its’ clients their HRA annually. This years HRA was assigned on 20210102-SAT. BND’s HRA has four parts: A-D. The total number of items is about 46. The assessment addresses four medico-social factors: Medical, Behavioral, Activities of Daily Living, and Functionality. The original instrument is not readily quantifiable. MSG transformed it into a score-able form. On part A Medical factors Buster scores 83.8% for Medical Protections. On part B Behavioral factors Buster scores 87.5% for Behavioral Protections. On part C Activities Daily Living (ADLs) Buster scores 77.5% for Daily Protections. Buster scored 6 of 6 or 100% on functionality. Over all parts A-D Buster scores 85.3% with Comprehensive Medico-social Protections.
Risks not addressed well in HRA – Situational Capture and Awareness
We address five (5) Health Risks not surveyed well in Brand New Days (BNDs) Health Risk Assessment (HRA). The risks we identified are: Sleep issues, problems with rest, discontinuity with medically necessary medication(s), housing problems, and unhealthy environments. Our discussion will focus about these five (5) risks. Near the very end we promote Mentalation Solutions Group (MSG) fixes for housing problems. Because it was before Corona newsworthy we propose helping homeless peoples. MSG believes that homelessness for the majority is a Behavioral Health Issue (BHI).
Images Ghosts’ in the Machine
Here and there we here at Mentalation Solutions Group (MSG) have discussed a paradigm called Ghosts’ in the Machine. A Ghost is someone who works in Health & Human Services yet has very little or no Digital Presence. The Health Care Agency of Orange County (OCHCA) is our standard for recognizing their workers. Appropriate digital recognition is a way to douse or extinguish a ghost. The OCHCA shares photos of their employees with their What’s Up monthly newsletter. Brand New Day (BND) has a newsletter yet rarely if ever put pictures of real people in it. Some of the BND contractors do an adequate job with sharing their real workers.
Orange County County Ophthalmology as Found Online
http://www.ocoeye.com/orange-county/about-us.htm
Number of Posts - As of: January 8, 2021
Keith “Buster” Torkelson MS began Blogging using Google Blogger back in 2012. Since that time with the help of Mentalation Solutions Group (MSG) he has published (uploaded) more than 243 posts. We estimate that he had more than 7290 pages in print. We here at MSG have several motives to publish such as: Participate in the Digital Preservation Movement (DPM) and help Buster put his thoughts in order. In short publishing is one way that Buster copes with his disabilities. We include more information about Blogging near the end of this report.
The Assignment
Around 12/29/20 Brand New Day (BND) postal mailed Keith “Buster” Torkelson MS an assignment to address and return their annual Health Risk Assessment (HRA). Our records show Buster as addressing BND’s Health Risk Assessment since 2013. Historically, BND or stakeholders do not fully deliver on the HRA. The BND Helpers never ask about it. This year 2021 we plan on sharing our findings with Buster’s new BND Helper. Back in 2013 Buster suggested that BND compensate members for completing their HRAs. Somewhere around 2018 BND began paying their consumer clients $10.00 for following through with their HRA’s. In a variety of formats Buster has suggested dozen of improvements that BND could make. We may make time to publish a standalone ideas report. We have a post with ideas that could use refreshing. Four ideas that Mentalation Solutions Group (MSG) find germane are: Improve their housing resources, make better use of quantifiable assessments, improve alignment with public health, and rework their groups. As it stands we find BND’s most important group is Medication Management. Medication Management needs refreshing to include more promising practices.
Requesting Scores - Results Reporting and Outcomes
Keith “Buster” Torkelson has been a member with Universal Care – Brand New Day (BND) since 2012. For the most part each year BND requests “Buster” to submit an annual Health Risk Assessment (HRA). As early as 2013 “Buster” with respect to his annual HRA he has requested that BND offer feedback in the form of one or more numerical scores. As of today, January 11, 2021 (M) Buster has yet to receive HRA related feedback. There are many reasons to provide the consumer with numerical scores yet most prominently: 1) We here at Mentalation Solutions Group (MSG) may better evaluate our derived assessment tools and 2) Feedback can assist Buster’s find tuning his program of recovery (Righting). In this report MSG shares our latest numerically based transformation about BND’s HRA. We know Buster is quite a bit better off medically and behaviorally than he was in 2012.
Keith “Buster” Torkelson MS
Annual Health Risk Assessment (HRA)
Received by Mail JAN 2, 2021
Completed JAN 3, 2021
Value $10.00
2020/2021 BND Health Risk Assessment MSG Transformation
Note: This is addressed again later on
Scored about Keith “Buster” Torkelson MS
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Section |
Specification |
Date Scored 20210102 (SAT) ISM |
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A: Med |
=20 Items |
=16.75/20 |
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B: BH |
=11 (10 Items) |
=8.75/10 |
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C: ADLs |
=10 Items |
=7.75/10 |
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D: Function |
=6 Items ADL Function |
=6.0/6 |
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CALC |
39.25/46 |
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Percent of Comprehensive Protection = |
85.3% |
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Protections Star Equivalents = |
4.3 |
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BH = Behavioral Health: ADLs = Activities of Daily Living
We here at Mentalation Solutions Group (MSG) have a few methods to score assessments. Following the directions and use the scoring methods that came with the survey. Score the survey and go with item polarities described in the survey. Next, rework the instrument by applying our Survey Rework Methods (SRMs).
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Survey Rework Method (SRM) |
Used Here with HRA |
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Convert to quantities |
X |
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Transform scoring to our Binary Method |
X |
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Use our quick score method (QSM) |
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Use our quick grade method (QGM) |
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Use our quick star method (Q*M) |
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Retain item structure |
X |
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Polarize all questions into positives (Polarity Modification) |
X |
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Use our Itemized Score Method (ISM) |
X |
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Create a scoring algorithm |
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New Brand New Day (BND) Nutrition and Health Benefit
Later on in this report we include two versions of the Brand New Day (BND) Health Risk Assessment (HRA). The first is our, Mentalation Solutions Group (MSG) quantitative transformation. The other is BND’s Commercial-off-the-shelf (COTS) format form. Late in 2020 we were asked to remove one of our HRAs (BND) from the milieu of our publications. We did so in accordance with our Harm Reduction Policy (HRP). We here at MSG have had a couple of months to ponder. We resigned to again as data to include Buster’s completed original form. We do this in order that others reading this report can gain insight into how we made the BND qualitative to quantitative transformation. We address nutrition now because there are no nutrition-centered questions in the BND original HRA. For 2021 BND has introduced a new benefit. In general it is a food card (stipend) to be used to purchase healthy foods. If BND doesn’t ask nutrition related questions in their surveys how can BND track the outcomes about this new benefit and their investment. They missed the boat on this year’s HRA. Below we include a few questions for inclusion in a Nutrition Specific Questionnaire (NSQ).
Nutrition Specific Questionnaire (NSQ-Beta) - Date Scored: 20210107-TH:
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Question |
2020 DEC BL Ret |
2020 0107 (TH) QUANT |
Nutrition Note |
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01 |
Protein purchases? |
SoSo |
0.50 |
Beef |
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02 |
Nutritional supplements? |
SoSo |
0.50 |
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03 |
Spending pattern? |
Both |
1.00 |
Little at a time versus one elegant meal |
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04 |
Fluids? |
SoSo |
0.50 |
Healthier beverages such as tomato juice |
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05 |
Amount of healthy food? |
SoSo |
0.50 |
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06 |
Nature of Carbohydrate intake? |
SoSo |
0.50 |
Replace all but ice cream with protein |
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07 |
Jogging and/or gym performance? |
Poor |
0.00 |
Gym closure has disrupted exercise patterns |
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08 |
Resource leveling? |
SoSo |
0.50 |
If the stipend replaces food money do you spend the new money on non-nutritional improvements |
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09 |
Food centered social life? |
SoSo |
0.50 |
Possible Sharing |
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10 |
Physically what does your PCP report? |
Good |
1.00 |
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11 |
Project your weight change in 3 months? |
Same 155 lbs |
0.50 |
Healthier – Same - Unhealthier |
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12 |
Objectively acceptable weight AMB - BMI? |
OK |
0.75 |
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13 |
Sharing - Spending food money on other BND Clients? |
None |
0.00 |
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14 |
AMB – Blood Glucose Level (BGL) |
OK |
0.75 |
20210107 @1250pm Home Kit BGL = 111mg/dL |
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15 |
AMB – A1c |
OK |
0.75 |
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CALC |
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=8.25/13 |
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Nutritional Centered Health Score = |
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63.5% |
Baseline as of December 2020 Before Healthy Foods Benefit |
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Last Reviewed: 20200107-TH: DEC = December: BL = Baseline: Ret = Retro-actively: AMB = As Measured By: ProSumption share with BND Helper
On Pirating Our Material
Buster is around sixty (60) year old. The time for making a profit is nearing a close. We encourage anyone in need whether a consumer, family member or provider to steal all of our ideas. We here at Mentalation Solutions Group (MSG) do have one more top-secret idea that we are going to sell Buster’s highly successful college Rent A Shared Room (RASR) roommate.
Introduction - How is it we include original assessment?
Even though it seems contrary to the Health & Human Services’ (HHS) ethical principle confidentiality, we include our completed Brand New Day (BND) assigned Health Risk Assessment (HRA) as results. Before we mailed our HRA we digitized the finalized form by scanning. Again the original assignment for this term is dated: 12/29/20. In the original format BND’s HRA is not readily quantifiable. We find some issues with BND’s HRA format. The questions randomly switch from strengths based to deficits based. Many of the questions are hard to quantify. We include the original so the reader can better interpret our HRA transformation. For scoring our HRA-MSG we used our Binary Positive Polarized Scoring Method (BPPSM). We find Binary Scoring easier to detect errors with calculations.
20171212 - Assessment Scoring
We routinely apply a few types of scoring methods. We describe them as: Binary, Stars, and Percentiles.
Score Choices
For all practical purposes we here at Mentalation Solutions Group (MSG) recommend: While running a survey instrument a promising practice for beta stage scoring selection are: 0.00 – 0.25 – 0.50 – 0.75 – 1.00. We here at MSG call this our Binary Scoring Method (BSM). BSM has some desirable features including making error checking easier.
Matrix – Key for MSG Binary, Stars, and Percentile 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 SoSo Options 0.25 – 0.75 PRN |
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Stars |
0.0 – 5.0 |
5.0 |
Example Compare with CMS Stars Scores |
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Percentile |
000.0 – 100.0 |
100.0 |
Inter-assessment comparisons and migrations (Portability) Fidelity with Education Standards |
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Brand New Day (BND) is evaluated annually by Centers for Medicare & Medicaid Services (CMS). For 2020 CMS awarded BND 3.5 Stars out of 5.0 Stars. A 3.5 offers up a binary score of 0.70. This score would be considered objective. Feeding an itemized survey with respect to BND one might consider feeding the survey by scoring all items in advance 0.70. This can help with bias if the scorer were less than pleased with the parameter they are scoring. The Health Risk Assessment (HRA) targets the consumer to score the consumer experience. The CMS Stars score, which is provider focused is not associated with HRAs.
The ProSumer – Pursuing a Standard Definition
Brand New Day (BND) usually gets more work out of Keith “Buster” Torkelson as compared with other members. On BND’s behalf Buster authors and publishes more BND centered reports that do the other members. Literacy is a feature of a ProSumer. While attending any health related group Buster takes more notes that the typical number. Buster understands Brand New Day first floor operations that do many other members. Buster understands BND’s second floor contractors' operations better than other members. When Buster meets with his Health & Human Services (HHS) helpers he prepares more in advance. His methods were recognized by his BND associated Behavioral Health Doctor (BHD) Bum Soo Lee MD (BSL). After watching Buster in action during appointments for more than a year, Dr BSL said you would make a good doctor. When Buster fell ill in 1988 he was enrolled in the UC Davis School of Veterinary Medicine. At the core of Buster participatory protocols are two Mentalation Solutions Group (MSG) methods: ProSumption and Health Related Engagement (HRE). ProSumption are the activities that go on in advance behind the scenes. This paper would be an example of ProSumption in that we intend to discuss a bit of it with Buster’s BND helper. The HRE is dealing face-to-face with people. Before Corona we only tallied an HRE for physically meeting with a person outside the home. Now we include things such as Zoom meetings as HREs. Buster is a Proactive Consumer (ProSumer). In the day patient activation might be construed as a deficit. For example: “the patient is anxious and overly activated increase their medication”.
The Activated ProSumer
Back in 2018 Buster’s friend Dr. Clayton Lon Chau (CLC) MD (current director of the OC Health Care Agency) introduced at a conference in a break out the Patient Activation Measure or PAM. PAM Is a Commercial-off-the-shelf (COTS) 10-item screening tool. PAM questions are a source for material for completing our ProSumer Assessment Tool (ProSAT) and ProSumer Definition Instrument (ProSDI). Since 2018 we have applied Chau’s PAM a few times. Buster’s Patient Activation Level (PAL) varies across encounters. The variation arises partially from inconsistent provider methodologies (practices). On June 30, 2020 we scored Busters activation about his routine (monthly) phlebotomy encounter. He was 73.5% Activated. We will investigate more on Activation later.
Benefits and Rewards
As early as 2013 Buster was making suggestions for compensating consumer effort with something tangible in return. Since 2009 Buster receives from the County of Orange Health Care Agency (OCHCA) periodic as well as one-time gifts. The first gift from the OCHCA was paying his tuition and materials for a one hundred and sixty (160) hour training through Santa Ana College. The course was designed to graduate Paraprofessional Mental Healthcare Workers. The program was called the OCHCA MHSA WET Consumer Training Program (CTP). After he began formal associations with the OCHCA Buster was compensated with food stipend cards. In 2013 Buster shared his ideas on compensating the consumer with Brand New Day (BND). Now BND has at least two gift programs: Rewards and the Healthy Food Benefit (HFB). Rewards’ is for consumers participating in their treatment whereas the HFB is an outright gift. Included in this report are Mentalation Solutions Group’s (MSG’s) notions on how to capture a Performance Earned Value (PEV) about the new and improved food benefit.
[INCLUDE SOME CTP PHOTOS]
Co-occurring Work
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Assignment |
Dated |
Received |
Mailed back |
Note |
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- |
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Legacy 2019 Health Risk Assessment 2ND ATTEMPT |
2019_0826 |
2019_0828 |
Yes |
It is sort of frustrating when BND says you didn’t when you did |
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Coordination of Benefits (COB) Questionnaire |
2020_1223 |
2021_0105 |
2021_0106 |
Notation in HRA report 2020/21 |
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Health Risk Assessment (HRA Us #1) 2ND ATTEMPT |
2020_1229 |
2021_0102 |
2021_0103 |
Work with this one in report 2nd attempt came before 1st attempt |
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Health Risk Assessment (HRA Us #2) |
2020_1223 |
2021_0105 |
2021_0106 |
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Last Reviewed: 20210110-SUN:
Health Risk Assessment (HRA) Do Overs
During at least two Brand New Day (BND) Health Risk Assessment (HRA) periods we have been asked to perform do overs. A couple of years back we received two HRAs by mail and a third by over-the-phone interview. The Rep on the phone indicated that we had not submitted this terms HRA. For this time 2020/2021 we received the second attempt before the first attempt. We resigned to do them both and mail them off. We expect to get a phone call from BND indicating that we had yet to submit the 2020/2021 HRA. Completing an HRA comes with a $10.00 stipend deposit into Buster’s BND Rewards Account. The stipend comes as part of BND’s Reward Program (BRP). We spent our 2020 Reward monies on printer ink. Printing various reports and documents support our Proactive Consumer (MSG, ProSumer) efforts.
Integrated Assignments - Introduction - Other Assignments
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Assignment |
Dated |
Received |
Mailed back |
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Disability Update Report (DUR) |
Stayed |
Stayed |
Stayed |
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Workability Index (WAI) |
In house |
NA |
NA |
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Medi-Cal Redetermination |
UNKN |
UNKN |
2020_1202 Older sister Lanaii Kline helped |
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Last Reviewed: 20210108-F:
Coordination of Benefits - (COB) Questionnaire
Brand New Day (BND) asked Buster by mail to fill out and submit a Coordination Of Benefits (COB) questionnaire. In the questionnaire collateral they indicated that it addressed working members. In particular the COB asks about a member’s insurance profile. Basically, Buster has only three entities helping him with what they ask: Insurance coverage. Buster’s only insurance is BND. His plan is a Medi-Medi plan. We followed through with what they asked and submitted his COB. Nothing has changed much since Buster qualified for BND’s Special Needs Plan (SNP) back in 2012. Yet, since BND indicated it was about working members Buster decided to pull his Disability Update Report (DUR), his Workability Index, and his Medi-Cal redetermination. This winter Social Services is behind worse than ever on their re-determination workload. The letters they normally sent out in early December are not expected to come soon. Aside: Medi-Cal says that the $1200 and $600 stimulus checks do not count towards a consumers worth in a re-determination.
Workability Index (WAI)
Back in 2009 Buster was accepted into the OCHCA sponsored Mental Health Services Act (MHSA) funded Consumer Training Program. After he graduated second in his CTP class Buster believed that he might be employable again. Try as he may he still could not resolve issues with Sleep and Anxiety. He was helping out the county (OC) with Technological Needs in Behavioral Health and driving the paper for a Job Fair team. The Job Fair team sponsored about three (3) fairs per year. For the job fairs he created, proctored and analyzed assessments. For the fair of summer 2010 Buster modified an existing assessment then called it a Workability Index (WAI). He offered it to three groups at the fairs: Users, Full time workers, and Volunteers. Without looking at which group an assessment came from his WAI was predictive for real life workability. Obviously Buster’s WAI score was not as high as those holding a full time job.
TorkBase – Query WAI
Consumer = Keith “Buster” Torkelson
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## |
Query |
2021 0112 (TU) |
2021 0112 (TU) Reverse |
2021 0112 (TU) Adjusted Scores |
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01 |
Current work ability compared with the lifetime best. |
0.25 |
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0.25 |
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02 |
Work ability in relation to the demands of the job. |
0.25 |
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0.25 |
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03 |
Number of current diseases diagnosed by a physician. |
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0.75 |
0.25 |
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04 |
Estimated work impairment due to diseases. |
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0.75 |
0.25 |
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05 |
Sick leave during the past year (12 months) |
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1.00 |
0.00 |
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06 |
Own prognosis of work ability 2 years from now. |
0.25 |
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0.25 |
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07 |
Mental resources. |
0.75 |
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0.75 |
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(8 – 12) Life Functional Domains |
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08 |
Secure, work ability, promoting living arrangement. |
0.50 |
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0.50 |
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09 |
Manage a reliable and low stress transportation system. |
1.00 |
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1.00 |
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10 |
The costs or losses of working exceed the benefits. |
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0.75 |
0.25 |
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11 |
Rest needed or low stamina during work periods. |
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0.75 |
0.25 |
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- |
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CALC |
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=4.00/11 |
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Percent Employable = |
|
|
36.4% |
|
|
- |
|
|
|
|
|
Last Reviewed: 20210112-TU:
|
|
|
|
|
|
Timestamp |
Client |
Work Ability (%) |
Fate (As of 2016) |
|
|
|
|
|
|
1986-Retro |
Keith |
98.0% |
Full Time Paid Lab Internship |
|
1988-Retro |
Keith |
|
Illness Begins |
|
20100805-TH |
Keith |
46.0% |
Hired OCHCA Volunteer (Contributing) |
|
2012-Retro |
|
|
Year of catastrophic losses |
|
20151028-W |
Keith Scored by Another |
23.0% |
Still Volunteering Includes serving on the Technology Advisory Committee |
|
20160504-W |
Keith |
25.0% |
Self Employment Status |
|
20181010-W |
Keith |
27.3% |
Self Employment Status |
|
20210112-TU |
Keith |
36.4% |
Self Employment Status |
|
|
|
|
|
Resource Changes
Brand New Day – Universal Care Benefits
|
|
|
|
|
|
Resource |
Received |
Note |
|
|
|
|
|
|
|
Rewards Card |
2020_0827 |
Charged with $70.00 Account closed 2020_0106-W |
|
|
Rewards Card (2020#2) OTC Network |
|
Initialized Issues with 2 cards sent Account closed 2020_0106-W |
|
|
|
|
|
|
|
Rewards Card (2021) (Performance based) |
2021_0105 |
Held to ask Howard Figured it out |
|
|
Healthy Foods Benefit (Nutrition) |
2021_0104 |
Initialized 2021_0104 Model Bag 2021_0108 |
|
|
- |
|
|
|
12/29/20 HRA Instructions
Dear Keith E Torkelson,
“Medicare asks all Medicare
health plans to collect medical information for our members each year. Enclosed please find a Health Risk
Assessment (HRA) questionnaire. An HRA will ask you many questions about your
health. By providing the HRA back
to brand new day it will help us
assess your health and see how it is today.
We do this so that we can better serve
you in your overall health care needs.
Get $10 in your reward plus card when you mail us your completed HRA!
HRA’s are completed yearly.
Please mail us your HRA in the enclosed postage paid envelop at your earliest.”
Format – Objective - Answers – Subjective
[INSERT HRA 20201229]
ProSumption Principles – Active Approach V Passive Avoidance
A passive approach would be to avoid addressing HRA related findings without due diligence. Here about Mentalation Solutions Group (MSG) we are developing a product that we call ProSumption. We have yet to come up with a comprehensive definition. Basically the one who engages in ProSumption we call the ProSumer. A ProSumer is a proactive consumer. A ProSumer as a minimum practices Covey’s Habits. When it comes to real transactions and Health Related Engagements (HREs) actualizing the seven (7) habits is much harder than one might think. It has been quite some time since we visited upon SR Covey. We didn’t know he trademarked everything!
The-7-Habits
Habit 1: Be Proactive®
Habit 2: Begin with the End in Mind®
Habit 3: Put First Things First®
Habit 4: Think Win-Win®
Habit 5: Seek First to Understand, Then to Be Understood®
Habit 6: Synergize®
Habit 7: Sharpen the Saw®
Stephen R. Covey's book, The 7 Habits of Highly Effective People®.
https://www.franklincovey.com/the-7-habits/
Further Describing the ProSumer
|
- |
|
|
|
Concept |
Notes and Actions (ProSumption) |
|
|
- |
|
|
|
Digital Health |
Write reports PRN |
|
|
Guarded Disclosure |
Making progress yet some things remain too hurtful to share |
|
|
Start The Cycle |
BND Groups that are assessment driven and teach to the test |
|
|
ProSumption |
Refine definition and share |
|
|
Health Related Engagement Revisions 2021 |
Due to Corona we are revising our definitions for HREs |
|
|
Prevention & Early Intervention (PEI) |
Develop concentration on Housing and Sleep |
|
|
Innovation (INN) |
Share our idea with our worker Submit MHSA project idea BedBusters to the OCHCA |
|
|
Howard T |
Maintain rigor at our monthly meetings |
|
|
Housing (BedNet) |
Brand New Day (BND) Net |
|
|
- |
|
|
Last Reviewed: 20210110-SUN:
OCHCA Safety Net Concept C/C BedNet
The “ochealthinfo” webpage discusses the County of Orange’s (OCHCA) Medical Safety Net Program (MSN). They indicate that it was established in 2014. Prior to its’ adoption Buster overheard shop talk that a Safety Net would provide help to those in need. Later we found out that it addresses medical needs only. In 2014 Buster decided that consumers’ of Behavioral Health Services (BHSs) need the best Safety Nets as possible. Thus, we here at Mentalation Solutions Group began our studies about Safety Nets centered on consumer housing needs. We called our project BedNet. Buster was unable to get his Brand New Day (BND) worker to buy in and contribute any meaning materials. BND still needs BedNet. We hope Buster’s new helper will be able to contribute his lived experience about answering housing needs.
Orange County, California - Medical Safety Net Program (MSN)
MSI/MSN
https://www.ochealthinfo.com/about/medical/msn
The MSN Program provides only necessary medical services to protect the patient…
Aside: Housing Safety Net Program (HSN)
TorkBase Query – BNDNet
Aside: BNDNet_15050903_References V2021
Housing Risk Tools (HRTs)
Back on May 9, 2015 we here at Mentalation Solutions Group (MSG) began formalizing our work on Risk Management about Brand New Day (BND). We were informally working on Safety Nets. Initially Buster was partnering with his BND helper Oswaldo Escalante. MSG believed we could make substantial progress on what we call BedNet with Buster’s BND helper Francis Villa. Francis lied about her intentions to stay with BND and thus we could not stabilize our productivity with Francis. The Health Care Agency of Orange County (OCHCA) describes what they call a Safety Net - Medical Safety Net Program (MSN). They specifically address their consumers’ medical needs. Yet the Safety Net concept still applies to housing concerns. Eventually Buster was linked with a new Helper Jeff Gibbs. Jeff was unable to establish rapport with Buster. Buster asked him to help develop a safety net of housing options and resources. Jeff said: “I don’t have time”. Many know that the quality of housing impacts health in general including mental health. We are hopeful for Buster’s new BND helper Howard T. In fact Howard will be given the opportunity to review portion of this HRA Report.
[INSERT Jeff's AVATAR]
Health Risk Management Notes – HRA Health Risk Assessment
|
|
|
|
|
|
Requirement |
Minimal |
Empowerment |
|
|
|
|
|
|
|
HRA Rewards |
Complete it with no further regard |
Exert extra effort to make sure we are paid |
|
|
Brand New Day Assignment(s) |
Explore the benefit |
Something you mail or give back |
|
|
HRA Phone Version |
Follow their lead and complete it |
Explain to them that we did it Write ‘em up |
|
|
2ND Attempt(s) |
If a duplicate is sent fill it out and mail back |
Two year now we have received the 2nd attempt before the first |
|
|
High Weight Items |
Ignore if they are not presented |
Ferret out and share |
|
|
Things Left Out |
Ignore if they are not presented |
Ferret out and share |
|
|
Cover Page |
Loosely follow the directions |
Address with due diligence |
|
|
Transparency V Confidentiality |
Maintain stigmatizing confidentiality |
Promote transparency |
|
|
Sofia’s Request |
No follow up |
Write and share a report profiling Sofia |
|
|
Stigma Reduction |
Perpetuate |
Continue with guarded disclosure |
|
|
Paperless |
Still with hard copy documentation |
Keep developing method to reduce paper burden |
|
|
- |
|
|
|
Tuesday, April 9, 2019
Health Risk Assessment (HRA 2019.01) for Brand New Day (BND) by Keith Torkelson MS Pathology
http://brandnewdayhmo.blogspot.com/2019/04/health-risk-assessment-hra-201901-for.html
MSG – Our ever growing legacy
201712 – Addressed in Appendix
HRA Related MSG Legacy Publication
Letter to Brand New Day (BND)
To Brand New Day
From Keith Torkelson
Regarding Innovation About Annual
Health Risk Assessment
In keeping with our progress about Digital Medicine and Health Care we have decided to post our 2017/2018 BND Health Risk Assessment (HRA) online. The link below will give you access to our post. Thank you for your time and consideration.
Legacy
http://brandnewdayhmo.blogspot.com/2017/12/health-risk-assessment-hra-for-brand.html
Co-active Tasks
|
- |
|
|
|
Assignment |
Instructions |
|
|
- |
|
|
|
Health Risk Assessment (HRA) Form |
Please complete and mail |
|
|
Working Medicare Members Coordination Of Benefits (WCOB) |
Please complete and mail |
|
|
Don’t Forget These Valuable Benefits |
Familiarize |
|
|
Rewards Program |
Setup |
|
|
Over-The-Counter (OTC) Products |
Familiarize |
|
|
Dental ID Card |
Apply at dentist |
|
|
24-Hour Teladoc |
Familiarize and setup |
|
|
24-Nursing Advice Line |
Familiarize and test |
|
|
- |
|
|
Tracking Information: SCR – 20210202-SAT: Dated 12/29/20
2ND ATTEMPT
|
- |
|
|
|
|
Part |
Note |
Detail |
|
|
- |
|
|
|
|
Title |
Health Risk Assessment (HRA) |
Administered by Brand New Day (BND) |
|
|
Date Received |
20210102-SAT |
|
|
|
Date Mailed |
20210103-SUN |
|
|
|
Score Ability |
Moderate difficulty |
Polarity and non-sense issues |
|
|
Compare with prior years |
|
|
|
|
Notes |
2ND ATTEMPT |
|
|
|
Demographic |
Not Scored |
Older Adult |
|
|
Primary Care Doctor |
Chester D Mojica MD |
May be moving on due to burnout |
|
|
Sales Agent Information |
No one helped |
|
|
|
Control Number |
H0838_2158.200921_C |
|
|
|
|
|
|
|
Last Reviewed: 20210107-TH:
Special Notes & Promises
|
|
|
|
|
|
Part |
Note |
Detail |
|
|
- |
|
|
|
|
Department |
HRA/WCOB |
Long Beach |
|
|
Reward Promised |
Submit HRA |
Reward of $10.00 |
|
|
Inclusive of Corona |
No mention in HRA |
|
|
|
Special Notes |
Colonoscopy from 6/4/20 still outstanding |
Reward of $25.00 |
|
|
- |
|
|
|
Last Reviewed: 20210107-TH:
2021 New Notes – Time Line
|
|
|
|
|
|
|
Time Stamp |
People |
Action(s) |
Notes |
|
|
- |
|
|
|
|
|
20210102-SA |
Client |
Received |
HRA Survey - Was in 2017 BND_HRA_ENG1_121516 Now H0838_2158.200921_C |
|
|
20210102-SA |
Client |
Filled out and Copied |
Begin Transformation and scoring Credit for a Health Related Engagement |
|
|
20210103-SU |
Client |
Mailing Planned |
|
|
|
20210108-F |
MSG |
Publish |
Begin Publication Sprint |
|
|
20210111-M |
MSG |
Goal to Publish |
|
|
|
- |
|
|
|
|
Results Up Front Method (RUFM) – [DITTO]
2020/2021 BND Health Risk Assessment MSG Transformation
Summary
|
- |
|
|
|
|
Section |
Specification |
Date Scored 2021 0102 (SAT) ISM |
|
|
- |
|
|
|
|
A: Med |
=20 Items |
=16.75/20 |
|
|
B: BH |
=11 (10 Items) |
=8.75/10 |
|
|
C: ADLs |
=10 Items |
=7.75/10 |
|
|
D: Function |
=6 Items ADL Function |
=6.00/06 |
|
|
- |
|
|
|
|
|
CALC |
39.25/46 |
|
|
|
Percent Protected = |
85.3 |
|
|
|
Protections Star Equivalents = |
4.3 |
|
|
- |
|
|
|
ISM = Itemized Score Method
Polarity Modifications
When we here at Mentalation Solutions Group (MSG) write assessments we polarize them. Usually all the questions are strengths-based. We have vetted over one hundred (100) Commercial-off-the-shelf (COTs) assessment tools. Some of the worst ones are the ones that keep flipping polarity. Another poor assessment is one that you cannot determine if an item is a strength weakness or just plain old meaningless. An example is the HRA queries: Do you have a friend or relative you can spend short term a couple of nights with. We assume a yes answer would be protective. In our transformation with the Brand New Day (BND) Health Risk Assessment (HRA) yes answers or 1.00 indicates favor.
Why Score? – Why Share?
As we take it upon ourselves to invest more rigor than Brand New Day (BND) asks for: We wonder why? Years ago Keith “Buster” Torkelson enrolled in completed (second in his class) a program called the Consumer Training Program (CTP). After one hundred and sixty (160) hours of in class graduate level instruction he and his classmates we awarded the title of Paraprofessional Mental Health Worker. In the class the instructor as well as guest lecturers emphasize the value of lived experience. Basically, “we relive our lives in what we tell you” so you can have better outcomes with your health than we did. The experiments run on our generation are “history that deserves to be remembered”. We also share because it motivates us to better develop assessments. In over five (5) year BND has yet to provide any quantitative results about our annual Health Risk Assessments (HRAs). We here at Mentalation Solutions Group (MSG) enjoy tracking parameters longitudinally. This time around if BND were to provide numerical evaluation about our HRA we could check the validity of our work.
PAM Results
“Below are some statements that people sometimes make when they talk about their health. Please indicate how much you agree or disagree with each statement as it applies to you personally by circling your answer. Your answers should be what is true for you and not just what you think the doctor wants you to say - If the statement does not apply to you, circle N/A”
Applies to Buster and Rebecca Partnership
|
|
- |
|
|
|
|
## |
Question |
2020 0629 (TU) |
Note |
|
|
|
- |
|
|
|
|
01 |
When all is said and done,
I am the person who is responsible for taking care of my health |
1.00 |
|
|
|
02 |
Taking an active role in my
own health care is the most important thing that affects my health |
0.80 |
Housing & Sleep |
|
|
03 |
I know what each of my
prescribed medications do |
1.00 |
|
|
|
04 |
I am confident that I can
tell whether I need to go to the doctor or whether I can take care of a
health problem myself. |
0.80 |
|
|
|
05 |
I am confident that I can
tell a doctor concerns I have even when he or she does not ask |
0.40 |
Varies between doctors |
|
|
06 |
I am confident that I can
follow through on Medical treatments I may need to do at home |
0.80 |
|
|
|
07 |
I have been able to maintain
(keep up with) lifestyle changes, like eating right or exercising |
0.50 |
Corona complications |
|
|
08 |
I know how to prevent
problems with my health |
0.75 |
|
|
|
09 |
I am confident I can figure
out solutions when new problems arise with my health |
0.60 |
Varies with Behavioral Health V Physical |
|
|
10 |
I am confident that I can
maintain lifestyle changes, like eating right and exercising, even during
times of stress. |
0.70 |
Corona complications |
|
|
- |
|
|
|
|
|
|
CALC |
=7.35/10 |
|
|
|
|
Patient Activation & Confidence Score (PA&CS) = |
73.5% |
Nicely Activated |
|
|
- |
|
|
|
|
Last Reviewed: 20210109-SAT:
MSGBase > Assess_Patient_Activation_Measure_PAM_18052001_Tool V2021
Transaction & Association Specific (PAM)
We here at Mentalation Solutions Group (MSG) find that Patient Activation measurement is transaction specific in that Buster’s activation is different between providers. He prepares differently with his Primary Care Physician than with his Behavioral Health Doctor or for a Lab Visit. This is largely due to variations at the core of each practice. We shared here a recent summary of transactions with his Phlebotomist. His phlebotomist has a relatively high chance for error. She is a bit annoying in that she tries to change proven methods. In addition she has not been teachable.
Section A: Medical
Binary Transformation Scores A1 – A20
|
- |
|
|
|
|
Item |
Clue |
2021 0102 (SAT) |
|
|
- |
|
|
|
|
1 |
Level of overall health |
0.50 |
|
|
2 |
No overnight stays in the hospital |
0.75 |
|
|
3 |
Frequency of exercise |
1.00 |
|
|
4 |
Height |
1.00 |
|
|
5 |
Weight |
1.00 |
|
|
6 |
No unwanted weight change |
0.75 |
|
|
7 |
Annual flu shot done |
1.00 |
|
|
8 |
Pneumonia vaccine status |
1.00 |
|
|
9 |
Colonoscopy needed and completed |
1.00 |
|
|
10 |
Few home health services |
1.00 |
|
|
11 |
No significant falls |
1.00 |
|
|
12 |
Doctors diagnoses |
0.75 |
|
|
13 |
Close relatives diabetes free |
1.00 |
|
|
14 |
Little or no smoking |
0.25 |
|
|
15 |
Short term smoking |
0.25 |
|
|
16 |
No Durable Medical Equipment (DME) |
1.00 |
|
|
17 |
Few medical devices |
1.00 |
|
|
18 |
No medication allergies |
0.75 |
|
|
19 |
Remembering to take medicine |
1.00 |
|
|
20 |
Few and effective medications |
0.75 |
|
|
- |
|
|
|
|
|
Carry CALC |
=16.75/20 |
|
|
|
Percent Medically Protected (PMP) = |
83.8% |
|
|
- |
|
|
|
Date Scored: 20210102-SAT: Last Reviewed: 20200107-TH:
Section B: Behavioral Health (BH)
Binary Transformation Scores B1 – B11
|
- |
|
|
|
|
Item |
Clue |
2021 0102 (SAT) |
|
|
|
|
|
|
|
1 |
Interest and pleasure with life |
1.00 |
|
|
2 |
Few negative symptoms Down, depressed, hopeless |
0.75 |
|
|
3 |
Few memory problems |
1.00 |
|
|
4 |
Attend AA/NA |
0.50 |
|
|
5 |
In SUD recovery |
1.00 |
|
|
6 |
Below capacity drink men |
1.00 |
|
|
7 |
Below capacity drink women (NA) |
|
|
|
8 |
SUD No recreational drugs |
1.00 |
|
|
9 |
Enough companionship |
0.50 |
|
|
10 |
Feel included |
1.00 |
|
|
11 (10) |
Little or no isolation |
1.00 |
|
|
- |
|
|
|
|
|
Carry CALC |
=8.75/10 |
|
|
|
Percent Behaviorally Protected (PBP) = |
87.5% |
|
|
- |
|
|
|
Date Scored: 20210102-SAT: Last Reviewed: 20200107-TH:
Section C: Activities of Daily Living (ADLs)
Binary Transformation Scores C1 – C10
|
- |
|
|
|
|
Item |
Clue |
2021 0102 (SAT) |
|
|
|
|
|
|
|
1 |
Sleep & Breathing |
0.75 |
|
|
2 |
Sleep & Driving |
1.00 |
|
|
3 |
Sleep waking in night |
0.75 |
|
|
4 |
Sleep effects on daytime |
0.75 |
|
|
5 |
Type of housing |
1.00 |
|
|
6 |
Housemates & Roommates |
0.75 |
|
|
7 |
Family and/or friends to take care of you short-term |
0.25 |
|
|
8 |
Medical transportation |
1.00 |
|
|
9 |
Advance Directive |
0.50 |
|
|
10 |
POLST |
1.00 |
|
|
- |
|
|
|
|
|
Carry CALC |
=7.75/10 |
|
|
|
Percent Daily Protections (PDPs) = |
77.5% |
|
|
- |
|
|
|
Date Scored: 20210102-SAT: Last Reviewed: 20200107-TH:
Brand New Day (BND) – Health Risk Assessment (HRA)
The fourth (4th) and final part of the BND HRA is Section D: Functionality. It has six (6) items (D1-D6) that describe a very dis-functional individual. If people do not score positively on all six items we label them Dying Old People (DOPs) or in Buster’s household Dying Old Men (DOM). We posit than now is No Time For Dying Old Men (NT4DOM). For one DOM lack proper companionship. Buster scored 6 out of 6 on functionality As Measured By (AMB) BND’s HRA.
Discussion – Capturing the Situation AKA Situational Awareness
After working with Brand New Day’s (BND’s) Health Risk Assessment (HRA) for several years we here at Mentalation Solutions Group (MSG) have determined that the HRA doesn’t capture the consumer’s situation well. One option to remedy this would be to include three (3) or so open ended questions at the end. We wonder if HRA determined risk reflects the quality of BND services. Below we address what we here at MSG are the five (5) biggest risks that at this time faces BND consumers. Buster is completely immersed in the BND cohort. In particular he has shared a room at least one BND client. You really don’t know a person unless you share quarters with them. Many assessments do not capture the Rent A Shared Room environment well.
Discussion - Capturing the Situation - Greatest Risks
Table - Risks not addressed well in HRA
|
- |
|
|
|
|
|
Element |
In HRA |
Risk |
Protection |
|
|
- |
|
|
|
|
|
Sleep |
C1-3 |
2 consecutive nights interrupted sleep by other associated with hospitalization |
Achieve in room harmony |
|
|
Rest |
No |
Unable to rest due to harmful noises |
Find some out of the house place to rest |
|
|
Medication Continuity |
A19 |
Major tranquilizer required for sleep |
Expect and solve practitioner errors |
|
|
Housing |
C5-7 |
Lack of harmony and peace |
At this time little protection |
|
|
Environment |
No |
Hostile environment |
Practicing coping else ask for help |
|
|
- |
|
|
|
|
Last Reviewed: 20210110-SUN:
Images Ghosts in the Machine
Buster associates with many people about the Brand New Day (BND) network. Here we focus on those working at the BND clubhouse location in Garden Grove California. A sampling of Persons Of Interest (POIs) about the Lampson Center are: Howard T, Jeff G, Rimal B, Chester M, Jessica R, and Sofia E. These POIs have differing levels of digital presence. We think that all should share the BND limelight. Facebook presence is a bit tricky in that it is not a general source. Jessica does the best with Facebook Presence. In terms of general access photo finds Rimal B has the greatest penetration. At appointments these people never encourage collection of a photographic record. One of the most important facts we can garner from photos is if the person dresses appropriately. Below we put some names to faces. In some instance we pick an Avatar for those we cannot find any reality about. We call people that have little or no online information about what they do around BND – Ghosts in the Machine.
[INSERT PHOTOS]
None are featured or recognized in the BND Newsletter
Not A Ghost Meets Obama
On Retractions
On September 18, 2012 Keith Torkelson MS first published in his newly chartered Blog AnimaCules. Since then we have posted more than 243 posts across a half dozen or so Blogs. Our original platform, AnimaCules, still enjoys the greatest popularity. Early on we posted our retraction policy because we were using so many real people in our posts. This was for leveraging Buster’s lived experience. We designed our posts so that they would not generate many comments. In the course of eight (8) years Blogger, our platform, reports less than 100 comments. We see some now and may take time vetting them soon. Late in last year (2020) we received a retraction request. It was for material in our 2017 Health Risk Assessment (HRA) post. We followed through and removed the material in question. Now in drafting this current HRA report we find that the material we took out is not only a step back also we referenced it in later reports. We are going to have to rewrite our retraction policy. Thinking grandiosely it would be as if all Max Plank’s material on energy quanta were pulled from the record. Our revised retraction policy will take a scientific flavor rather than a social science flavor.
Link to post for retraction request
201712 - HRA
Health Risk Assessment (HRA) for Brand New Day (BND) by
http://brandnewdayhmo.blogspot.com/2017/12/health-risk-assessment-hra-for-brand.html
Dec 30, 2017 - Keith Torkelson takes Brand New Day's annual Health Risk Assessment (HRA) up a notch for 2018 – Principles - Digital Health.
Number of Posts - As of: January 10, 2021
|
- |
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|
Blog |
#### of Posts |
Est of Comments |
Total Page Views |
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AnimaCules |
106 |
19 |
81903 |
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TTS |
86 |
3 |
7796 |
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Brand New Day HMO |
38 |
14 |
15987 |
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Orange County Housing Advisory Board (OCHAB) |
13 |
3 |
474 |
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- |
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>106160 |
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Low estimate of total posts |
243 |
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Low estimate AVG pages per post |
30 |
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Low Estimate Pages in Blogger server realm (Digital Print) |
7290 |
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Last Reviewed: 20210110-SUN:-
Summary – Interests & Promotions Held Over
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Element |
Nature |
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BedBusters 2021 Bundle |
Promo - here |
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Brand New Day |
Promo |
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Directors Cut |
Interest |
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External Quality Review (EQR) |
Interest |
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Health Related Engagements (HREs) |
Promo |
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Healthy Food Benefit |
Interest |
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Homes for Dying Old Men (DOMs) |
Interest |
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One Medicine – One Health |
Interest |
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Phlebotomy 2021 |
Interest |
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ProSumption |
Promo |
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Rent A Shared Room |
Interest |
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Shanks Truck Stop (STS) |
Promo |
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SleepAbility |
Interest |
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Structured Temporal Reconciliation (STR) |
Promo |
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Telemedicine - Teladoc |
Promo |
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Telemedicine – Alliance |
Interest |
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World Wafers (S-SWWs) |
Promo here |
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- |
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Last Reviewed: 202101008-F:
Appendix - STR Method
2017/18 - HRA Transaction Register
Health Risk Assessment - FY 2016/2017 Legacy Notes – Time Line
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Time Stamp |
DOW |
People |
Action(s) |
Notes |
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- |
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20171227 |
W |
Self |
Received |
HRA Survey 0003_2018_HRAForm1_EN |
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20171228 |
TH |
Self |
Decide on method |
Brief V Rigorous |
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20171230 |
SA |
Self |
First Round |
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20171231 |
SA |
Self |
Charter Post |
Rigorous |
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20171231 |
SUN |
Self > BND |
Mailed |
Work Materials and Letter |
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- |
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Last Reviewed: 20210108-F:
Health Risk Assessment - FY 2016/2017 Legacy Notes – Time Line
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- |
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Time Stamp |
DOW |
People |
Action(s) |
Notes |
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- |
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20170112 |
TH |
Self |
Received |
HRA Survey BND_HRA_ENG1_121516 |
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20170112 |
TH |
Unsigned |
Received |
Welcome Kit Content Notes BND_TC_ENG3_RENWMBR_121516 |
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20170114 |
SA |
Self |
Accessioned |
HRA Survey BND_HRA_N_2017_ENG |
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20170115 |
SU |
Self |
Plan to mail |
1st attempt mailed |
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20170304 |
SA |
Self |
Received 2017.02 |
Dated 20170223 HRA 2017 2nd attempt |
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20170308 |
W |
Self |
Completed |
2017 Cusp HRA 2nd attempt completed |
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- |
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Last Reviewed: 20210108-F:
Appendix - HRA History: MSGBase
Promotions
Salmon-Schwabe World Wafers
20210110-SUN: We Have a Dream
Various sources report different numbers about the going hungry (starving) in the world. For 2018 “worldhunger.org” reported that the starving as of 2016 in our world is estimated at: “About 815 million people of the 7.6 billion people in the world, or 10.7%, were suffering from chronic undernourishment in 2016”. (UN Food and Agriculture Organization (FAO), 2016). Of particular interest is that “actionagainsthunger” reports for 2019 a: “Stunting (children too short for their age as a result of chronic malnutrition) fell from 33 percent of children under age five in 2000 to 21.3 percent in 2019.” That indicates that just over twenty (20) percent of children suffer nutrition problems. Poor nutrition is associated with poor performance such as disease resistance and growth. The Dream is one that our North feed the South until the South gets back up on their knees. We used to call the medium of redistributing food World Wafers. Next we called it Schwabe World Wafers to give credit where credit is due. Now our final incarnation is Salmon-Schwabe World Wafers (MSG, 2021).
20210110-SUN:
Commitment – Calvin “Cal” Schwabe Legacy – World Wafer Fixes
When Keith “Buster” Torkelson MS was a student of Doctor Calvin Schwabe in the late 1980s at UC Davis he committed to Act Locally while thinking globally with respect to Public Health. At the time Dr. Schwabe’s overarching strategy appeared as grandiose. He indicated that his students and followers will have global impact by acting locally. This was before 1990 when the Internet took off. Doctor Schwabe is considered by many of his contemporaries to be the Father of Veterinary Epidemiology. Malnutrition is a population and therefore an epidemiologic concern. “Cal” wrote and published at least three (3) editions of his groundbreaking work: Veterinary Medicine & Human Health. If you suffer your way partially through the book you know that it is substantial. Keith's early work in Poultry Nutrition as an undergraduate in Avian Sciences and later as a graduate student gave him keen insight into both individual and population nutrition. Adequate food and human health remain huge issues on Earth. Once in lecture Dr. Schwabe discussed the North-South food imbalance and how it is up to the North (haves) to better feed the South (have not enough). Mentalation Solutions Group’s (MSG’s) idea does not deal with food distribution as much as what to re-distribute: World Wafers. The North might best create complete nutrition World Wafers and re-distribute them to the south and patchy north PRN! Of course the dividing line is the equator. Here we promote the Salmon-Schwabe World Wafers (MSG, 2021) concept.
BedBusters Bundle
20210110-SUN: Promotion: What is the BedBusters Bundle?
The BedBusters Bundle (BBB) 2021 or Triple B is a housing idea. It is composed of three elements: A Housing Help Line, Housing Work Group, and a Housing Advisory Board. All three elements work in concert to fill gaps and fix housing concerns. This includes problems facing our homeless. We chartered a standalone Blog to address early stage issues. We called this Blog Housing Advisory Board or HAB. BedBusters is a Mentalation Solutions Group (MSG) product. As a minimum we intend to sell the County of Orange’s Health Care Agency (OCHCA). The going has been slowed by resource allocation related to Corona responses. For one the county took a huge hit in lost Mental Health Services Act (MHSA revenue. Fortunately as they massage their MHSA budget they were able to retain MHSA Innovations (INN) money. Our INN housing idea proposal will be submitted as an MHSA INN Project. When one submits an INN idea proposal you basically give your idea away. We here at MSG encourage any and all to steal our BBB or Triple B idea.
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