Rate Your Lab (RYL) for Brand New
Day by Keith Edward Torkelson, MS (UC Davis Pathology)
Google + Sharing Information
Satisfaction with your lab – lab
results – access to lab reports – patient portals - KE Torkelson (2017) –
includes MyQuest
Abstract – Executive Summary
We define Lab as everything
leading up to the proper testing of a sample to all it takes to distribute the
results across the network including consumer.
In this study chartered for Fall Quarter of 2017 we evaluated several
Clinical Lab Associated agencies. We
addressed both in and out of the Brand New Day (BND) sphere of influence
(Network). The order for our
Satisfaction about in network clinical lab provisions from best to low
performing is: Quest (MyQuest) > Central City Community Health Center
(CCCHC) > Gilbert Pharmacy > Brand New Day (BND) Patient Portal. We here at MSG developed an assessment tool
to capture our consumer experience with our Labs. We call our assessment instrument a: Clinical Lab Value
Assessment (CLVA-MSG Beta Version – 19 Items).
We held out many of our discovery related topics. We plan to address as needed (PRN) in our
follow up report – a living report.
Considerations
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Notion
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Addressed Here
[X]
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Abstract – Executive Summary
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X
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Summary Table
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X
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Assessments Considered
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X
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Assessment - Rate Your Lab – Quick Score
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X
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Legacy Publications Addressing Lab
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X
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Standalone – Living Document
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How is it living?
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Results – A Measure of Consumer Satisfaction
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X
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Assessment - Clinical Lab Value Assessment (CLVA-MSG
Beta Version)
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X
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Patient Portal Update
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X
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Table – Consideration Las Reviewed: 20171126-SUN:
HOLD BACK – Partial List of Notions we Held Back
Lived Experience
Clinical Lab ProcessesProblem Control such as Venipucture Errors
Special Topic – Amount Drawn
Assessment(s)
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Assessment/Evaluation
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Status
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-
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Assess Brand New Day Patient Portal
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Here – Mention (Update)
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Assess Quest MyQuest Portal
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Here - Mention
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Clinical Lab Value Assessment (CLVA) Score (CLVAS- 19 Item
- MSG)
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Here
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Rate Your Lab Provisions
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Here
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Basic Lab Process – Steps (Brief Version)
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Held
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Good Laboratory Practices (GLP)
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Held
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Rate Your Portals
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Held
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Table – Assessment Tool Elimination List – Last Reviewed:
20171126-SUN:
Focus – Results and Quality Assurance
The purpose of this report is to share results with our Clinical Lab centered network. Much of our findings are based on Lived Experience over the 2012-Present time span. We dove tailed this of our Annual Christmas Report Card (CRC) because it is the foundation for our follow up report. The follow-up is a Living Document. For this study our Master Provider is Brand New Day (BND) HMO SNP. At he center of BND’s Network here lies Central City Community Health Center (CCCHC) Garden Grove.
The purpose of this report is to share results with our Clinical Lab centered network. Much of our findings are based on Lived Experience over the 2012-Present time span. We dove tailed this of our Annual Christmas Report Card (CRC) because it is the foundation for our follow up report. The follow-up is a Living Document. For this study our Master Provider is Brand New Day (BND) HMO SNP. At he center of BND’s Network here lies Central City Community Health Center (CCCHC) Garden Grove.
Legacy Publications
We decided to include a few links
for our in scope legacy publications.
They are at the end of this report.
Special Topics – [HELD OVER]
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Special Topic
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Lived Experience Up Front Method (LEUFM)
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Basic Lab Process – Steps (Brief Version)
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Use Assess Patient Portal Evaluation
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Patient_Portal_Generic_16120401_Satisfaction_Blank
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Amount Drawn
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Purpose of MyQuest Patient
Portal
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How is it Patient Portal?
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Handbook Good Laboratory Practice (GLP)
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Phlebotomy Errors
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CBC Payment Denial(s) – Appeal Process
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LiveX – Perfect Attendance (201206 – 201707)
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Incidence and Intensity (Dosage)
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Table – Special Topics Held Over – Last Reviewed:
20171126-SUN: MSG Tustin Annex
Facilities
Legacy Publications
Running Out of Posts
Keith E Torkelson, MS – Revisits
Third Grade Method
Mrs. Freer Multi-disciplinary
Contract Hub - Dec 7, 2016
FYI - Blogger Potential Limit –
99 Posts
Limited Resource and AnimaCules
as Endangered Species
The post above is an example of a
Hub Format. The reason we have been
developing the Hub Format is because evidence indicates we are limited to
ninety-nine (99) Blogger posts per Blog.
On our high end Blog we have reached ninety posts. So we use our high end Blog sparingly and
share in a Hub Format. In a long run we
will develop a combination of current items mixed with our Best Blast to the
Past reports.
AcroCodes for Clinical Lab Value Assessment (CLVA)
AcroCode
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Meaning
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BND
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Brand New Day
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CCCHC
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Central City Community Health Center
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CLVA
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Clinical Lab Value Assessment (Beta)
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CLVS
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Clinical Lab Value Score
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CRC
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Christmas Report Card
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EQSM
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Excel Quick Score Method
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LiveX
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Lived Experience
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MHSA
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Mental Health Services Act
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MHSA-TN
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MHSA – Technological Needs (Component)
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NAE
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Not Addressed Elsewhere
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OCHCA
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County of Orange Health Care Agency
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QGM
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Quick Grade Method
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RET
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Retroactive
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RYL
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Rate Your Lab
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TAC
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Technological Needs Advisory Committee
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Table – Acronyms (AcroCodes) Associated with Rate Your Lab
element of MSG’s Annual Christmas Report Card (CRC, 2017).
Summary Table - Clinical Lab Value Assessment (CLVA)
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Feature
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CCCHC
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Quest
Direct
[RET]
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-
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CLVAS (SUM/Items
Scored) =
PERCENT Satisfied =
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11.0/19
57.9%
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12.0/19
63.4%
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Rate Your Lab
Provisions (Grade) =
Quick Grade Method
(QGM)
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B
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C
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Date of Evaluation: 20171120-M: Date Last Reviewed:
20171126-SUN:
Clinical Lab Value Assessment (CLVA-MSG Beta Version – 19
Items)
-
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Specifications
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Note
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Detail
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-
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Assessment
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Clinical Lab Value Assessment (CLVA-MSG Beta Version)
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CLVA
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Yield
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Clinical Lab Value
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Score/Grade
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Foundation
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Lived Experience
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Type
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Derived
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Items
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19
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Applications
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3
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Measures
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Satisfaction
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Author-AVEY for MSG
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AVEY for MSG
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Blog
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Brand New Day
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Copyright
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Informal
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Date Published
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20171126-SUN
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Touch Up Period
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1 Week
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Owner
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MSG
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Sharing
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Open for anything to us (Free)
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Includes Sample Data
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Penetrator
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Google +
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Test Populations
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Lab Teams – Associates
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Related
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Performance Earned Value (PEV)
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Pass
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Method To Mature
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If you use it comment the number of times you apply it at
the bottom
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Specifications – MSG Clinical Lab Value Assessment (CLVA-MSG
Beta Version – 19 Items): Final 20171126-SUN:
Clinical Lab Value Assessment (CLVA-MSG Beta Version)
Clinical Lab Value Assessment (CLVA) Score (CLVAS- 19 Item)
Date of Evaluation: 20171120-M:
Comparing: IN AND OUT OF Brand New Day NETWORK
Clinical Lab Value Assessment (CLVA) Score (CLVAS- 19 Item)
Date of Evaluation: 20171120-M:
Comparing: IN AND OUT OF Brand New Day NETWORK
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Feature
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CCCHC
IN
20171120-M
[BND]
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Quest
Direct
OUT
20171120-M
[RET]
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CCCHC
2018
Target
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01
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Amount Drawn
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0.0
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0.5
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0.75
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Cost (No Copay)
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1.0
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0.5
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1.0
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Courtesy
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0.5
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1.0
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1.0
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Customer Service - NAE
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0.5
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0.5
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1.0
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05
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Distribution of Results
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0.5
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1.0
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0.75
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Error Free
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0.5
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0.5
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1.0
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Help with Co-pay
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1.0
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0.0
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1.0
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Helpful
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0.5
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0.5
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0.75
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Hit Vessel first Time
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0.5
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0.5
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0.75
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10
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Home Phlebotomy (PRN)
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0.0
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0.5
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1.0
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11
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Infection Absent at Draw Site
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1.0
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1.0
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1.0
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Label Tubes (Error Free)
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0.5
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0.5
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1.0
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Location Access
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1.0
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1.0
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1.0
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No Blowouts
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1.0
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0.5
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1.0
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15
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Obedient
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0.5
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0.5
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0.75
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Phlebotomy Overall (***)
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0.5
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0.5
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1.0
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Respectful
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0.5
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1.0
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0.75
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||
Right Tubes
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0.5
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1.0
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1.0
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19
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Wait Time
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0.5
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0.5
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0.75
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SUM/Items Scored = CLVAS =
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11.0/19 =
57.9%
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12.0/19 =
63.4%
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17.25/19 =
90.8%
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Clinical Lab Value Assessment (CLVA) - Date of
Evaluation: 20171120-M: Last Reviewed 20171124-F:
Rate Your Lab Provisions
Partial Lab List
IN BND NETWORK
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Rate Your Lab Provisions
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Quick
Grade
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Rate Your Lab Provisions
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Detail
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Brand New Day Patient Portal
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D
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20171121-TU: Visit for status update
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Access lab results
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Central City Community Health Center (CCCHC)
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B
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1 or More Error/Year
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Primarily scheduling errors
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Gilbert Pharmacy Part
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C
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2 or More Errors/Year
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Recurrent asking us if the required lab was done
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Quest Patient Portal
MyQuest
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A
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Model system starting 2017 to share results w the consumer
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Give it a try – MyQuest really works as promised
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Date of Evaluation: 20171120-M: Rate Your Lab 2017
(Network): Last Reviewed: 20171126-SUN:
Rate Your Lab Provisions
Partial Lab List
OUT OF BND NETWORK
-
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Rate Your Lab Provisions
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Quick
Grade
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Rate Your Lab Provisions
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Hospital Pathologist Central Laboratory (HPCL)
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A
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Employed twice as a Lab Specialist (LiveX)
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Control
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Quest Direct
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C
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2 or More Errors/Year
|
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CVS Pharmacy Part
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A
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We had an assigned and dedicate Clozapine Specialist
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OCHCA Costa Mesa Clinic
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A
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For phlebotomy
Un-remarkable
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Date of Evaluation: 20171120-M: Rate Your Lab 2017
(MSG-RYL-2017)
Special Topic – Brand New Day (BND) Portal Update
Summary
Compare BND with MyQuest
MyQuest is far superior to BND’s
Cerecons for accessing accurate lab results.
BND misinformation would irritate the providers accessing it. There is a possibility that the Provider version
is more accurate than Client/Consumer version. At this time we have no way to
assess the Provider Version.
Overview of BND Provider Portal
“Jan 5, 2017 - Cerecons empowers
your organization to provide the right information to the right person, at the
right time. ... It also includes lab, pharmacy, authorizations, diagnosis and
procedure information. Cerecons can also be supplemented with Care Guidelines
that are internally developed or externally integrated.”
Overview of Brand New Day
Provider Portal
“Brand New Day uses a portal
called Cerecons to delivery data to our contract IPA’s, providers, and members
with the intention to assist our providers more effectively provide efficient
care for our members.”
FYI - Administrative Dashboards
Utilization management
Quality management
Claims management
Since 2009 – TAC
Since 2009 we have been helping
the OCHCA – MHSA related Technological Needs (MHSA-TN) Technology Advisory
Committee. We asked to be trained on
their EHR. while other employees were trained on it. It didn’t work out for reasons unknown to us. If we had been trained and later permitted
to test it out a bit we would have hands-on knowledge about: Utilization,
Quality, and Claims Management.
Special Topic – Brand New Day
(BND) Portal Update 20171126-SUN:
Re-discovery Brief (QC Finding) –
BND Cerecons (Aerial) Patient Portal
Dental Information Out of Date
My Medications – Error still
exist
My Visits – Unknown Providers
still listed
My Recent Labs Data from before
20161227 Dropped
Last Lab Entered 20171003
Lab – No Reference Ranges
My Aerial™
20171122 - Send an Email Test – Functionality
Failure
Transparency and Addressing
Stigma
Early this year (2017) we
presented to a local Consumer Advisory Committee on Assessing Patient
Portal. For the presentation we
maximized Transparency about ourselves in an attempt to reduce stigma. We provided all in attendance that day our
BND Patient Portal account access information.
This disturbed many of them particularly the consumer-providers in
attendance. We have pulled out BND
(Cerecons-Aerial) access information for the time being. Our belief is that the more trustworthy
people that can have access to real records that will facilitate research and
move forward the Accountability and Transparency Movement.
20171126-SUN: Team MSG Legacy Reports
Blog Charter by Keith Torkelson
& Team AVEY - Brand New Day HMO
May 27, 2017 - Discuss Patient
Portals near the end.
Brand New Day HMO – Cerecons –
Patient Neighborhood - Patient Portal Evaluation Report-01 – LiveX – Pre-Sell -
Better Than Ever! Keith Torkelson - 2/19/17.
The Torkel Saga 2059: Beginning
Patient Portals Health Records and Communications - Generic Presentation by
Keith Edward Torkelson, MS
20161206-TU: Executive Summary
This is the second presentation
in a series on Patient Portals. The
first presentation was about quality review results of an actual Patient Portal
for which we are a User. After the
first presentation we were assigned to figure out what Users need. The presentation here will be published
before our physical presentation before fifteen or so Users or future Users of
Patient Portals. The presentation here
is generic in nature. Look through it
and you may find something of interest.
We began Blogging September 18th, 2012.
This is our first attempt to publish one of our Power Points.
Referencing Publication Methods – Placement
-
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Option
|
Decision
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-
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Where to Put the Legacies?
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Legacy First Near First
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Legacy Embedded
|
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Legacy in the Middle
|
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Legacy Appended
|
Decided to place most at the end
|
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Legacy Publication First Method (LPFM)
|
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-
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Solving the Placement Dilemma
#End – #Phi Kappa Phi - #30
MSG Thumbs Up Method
Clinical Lab - Lived Experience
Business End of Blood Sampling
The AVEY Construct 2017
#UC #Davis #Pathology
:o)
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