Behavioral Health Doctor and Housing for Keith “Buster” Torkelson Via Rimal B Bera MD (201905)

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Feature Image

[In Memory of RK MARK]

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Table - Blog(s) Header Information

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Blog	Title
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Brand New Day HMO	Behavioral Health Doctor and Housing for Keith “Buster” Torkelson Via Rimal B Bera MD (201905)
P4D	2019 Annual Meeting of the Minds Abstract by Avey Asus and Keith Torkelson Pathology Group (201905)
XenoNet RX Ecstasy	Speaking Compensation for Behavioral Health Doctors a Conflict Of Interest
HAB	Housing Advisory Researching Resources at the 2019 Annual Meeting Of the Minds (201905)

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Keywords

Key Performance Indicators - Behavioral Health Doctor – Conflict Of Interest – Housing Advisory – Public Health

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Partners

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Abstract – Executive Summary

This report has relatively little data.  We here at Mentalation Solutions Group (MSG) decided to leave out the objective findings part.  This report is centered about an upcoming community event (conference).  The conference is the annual (2019) Meeting Of the Minds (MOMs) in Orange County next week on May 15^th.  In this report: We address a few Behavioral Health Doctors (BHDs) that we have or had relationships with past and present.  While preparing this report we went back and retrieved some legacy data.  We compared doctor Bera with doctor De Silva.  Both are Behavioral Health Doctors (BHDs) practicing in Orange County California.  We tested each for their impression and impact on us.  We are Mentalation Solutions Group (MSG).  This report pertains to our principle Keith “Buster” Torkelson.  Both doctors Bera and De Silva have a subpar impression about “Buster”.  Another BHD doctor Clayton Chau presented in 2018.  Doctor has been Busters friend since 2009.  For the 2018 MOMs doctor Bera is a no-show.  Thus we compare Bera’s presentation for 2017 and Chau’s presentation for 2018.  They both scored very well earning 4.4 and 5.0 star equivalents respectively.  In this report we further our investigation on Key Performance Measures (KPMs) and Indicators.  Our KPM Beta Tool addressing BHDs 24 Items.  We share our KPM tool in its’ current incarnation here in this report.  At this conference we are planning on furthering the development of our Housing Advisory Board initiative.  Once again the MOMs is Wednesday, May 15, 2019.  Accountability & Transparency (A&T) is the rave in public health these days.  We find that BHDs have a long way to go particularly when it comes to making public their Performance Metrics.

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List of Tables (T) – Matrices – Figures

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T - Blog(s) Header Information

List of Tables (T) – Matrices – Figures

List of Acronyms

T – Outline – Special Topic Elimination

List – Goals About Meeting Of the Minds (2019)

T – Planning - Activity & Participation Timeline

T – Housing - MOM Exhibitor Housing Program Checker

Figure – Meeting Of the Minds – Program Information

T - Key Performance Measures (KPMs) – MSG Derived – 2 Parts

Figure - Meeting Of the Minds – Review

T - Strengths First Method (SFM) – Subjective

T - Progress Note – Crosscutting MD Snapshot - Intel Collected In Person

T - RBB Special Interests (2016-2019)

T – Speaker Compensation – BHD Crosscutting (2010)

T – Update Speaker Compensation – Bera V Chau

[INSERT Figure MYLAN]

Figure – Be Well Rendering

Figure – JHF Residential Site

Matrix – Subjective Presentation Value Score – Comparative - Legacy

Matrix - LiveX – Rimal B Bera Driven Assessment

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List of Acronyms

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Acronym	Meaning
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APD	Arnold P Deutsch
APP	Application
BHD	Behavioral Health Doctor
BHS	Behavioral Health Services
BND	Brand New Day
BSL	Bum Soo Lee
CM	Case Management
CV	Curriculum Vitae
EBR	Experimental Bunny Rabbit
ER	Emergency Room
HAB	Housing Advisory Board
HMO	Health Maintenance Organization
JHF	John Henry Foundation
KPI	Key Performance Indicator
KPMs	Key Performance Measures
LiveX	Lived Experience
MHA	Mental Health Association
MHAOC	Mental Health Association Orange County
MHSA	Mental Health Services Act
MOMs	Meeting Of the Minds
MSG	Mentalation Solutions Group
NCBI	National Center for Biotechnology Information
OC	Orange County
OCHCA	Orange County Health Care Agency
P4D	Psychiatry for Dummies
PCP	Primary Care Physician
ProQOL	Professional Quality Of Life
QOL	Quality Of Life
RASR	Rent A Shared Room
RBB	Rimal B Bera
RBPA	Rimal Bera Practice Assessment
RX	Medication
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Last Reviewed: 20190506-M:

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Table – Outline – Special Topic Elimination

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Topic		Here	Depth
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How is it an Integrated Report?			X
Housing & Health
Our New & Improved BHD		X
Outline for Psychosis Lesson
Speaking Compensation		X
Key Performance Indicators – For BHDs		X	X
Performance Measurement for Case Management
Special Topic – Accountability & Transparency
The Road to Accountability
Appropriate Venue
Key Performance Measurements Online Research
06_Dummy_Key_Performance_Measures_KPM_ 19050404_Develop		X	X
ProSumer – ProSuming ProSumption
Health Related Engagement
Emerging Risks
April 3, 2019: Crash Appointment		X	X
Resource Leveling Before		X
Primary Effort – Housing Advisory Board Research		X
Compare Chau and Bera			X
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Last Reviewed: 20190503-F:

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List – Goals About Meeting Of the Minds (2019)

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Housing

• Housing Advisory & Bera
• Integrate Time Spent
• Sell to RASR population
• Survey the Exhibitors
• Opt Out for Housing Presentation

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Health

• Advocating
• Alternate Method to Address Our Needs
• Apply Steinberg Programming Language
• BHD Comparisons
• Determine: How he runs his practice?
• Referral to John Henry Foundation
• Sell Key Performance Indicators
• Have Fun

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Table – Planning - Activity & Participation Timeline

Annual Meeting Of the Minds - Wednesday, May 15, 2019

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Timeframe		General	HAB
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0630		Dress for Success
0700		Arrive Early @ 730
0800		Clockwise Circle(s)	Survey Exhibitors
0830		Video	Video
0900			Attend to Judy Adams Option Survey RASR consumers
1000		Ready for RBB Lecture	Competing Time
1030-1145		RBB Use Forms to track his effort	Picked RBB over Housing
1100		In Lecture
1200-0130		Lunch	Listen for table talk about housing
0100		In Lunch
0215-0330		Nothing In Scope	Work the Art Area
0345-0500		Consider Workshop 33:  Salon G/H
0430		Consider Leave Early
0500
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Last Reviewed: 20190503-F:

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Reference Hard Copy Program

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25 Years of Building Community “Where Every Mind Matters”

Wednesday, May 15, 2019

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FYI - Workshop 33:  Salon G/H

“The Orange County Mental Health Board: Working with Stakeholders to Help Build a World Class Behavioral Health System”

“This listening session will acquaint attendees with the role and purpose of the OC Mental Health Board and solicit comments and advice from Participants. Attendees can address issues of policy and programs and make recommendations regarding the system of care in the county.”

Presenters: Dr. Michaell Rose, Chair, Matt Holzmann, Vice Chair, [Dr. Clayton Chau], [Joy Torres] and Sandra Finestone, Members

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Reasoning for Attending Workshop 33

We have heard much of the material addressed in this presentation.  We have attended at least five (5) Mental Health Board meetings.  Our primary reason to attend this is to have material for comparing doctor RBB with doctor Clayton Chau.

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Table – Housing - MOM Exhibitor Housing Program Checker

Table - MOM Exhibitor Housing Program Checker (A-M)

Meeting of the Minds 2018 [TYPO 2019]

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##	Exhibitors		Housing Program	Housing Resource List
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01	Alzheimer’s Orange County
	Casa Youth Shelter
	Child Abuse Prevention Center
	Children’s Bureau
05	Council on Aging Southern California
	Depression and Bipolar Support Alliance OC
	Depression and Bipolar Support Alliance South OC
	DoTerra Essential Oils/Julie Taylor	X
	Extraordinary Lives Foundation
10	Independence at Home
	Jewish Federation & Family Services
	Life’s Tool Box
	Mental Health Association
	MHA Project Together Mentor Program
15	MHA Wellness Centers
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Last Reviewed: 20190505-SUN:

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Expectations

We do not expect many of the Exhibitors to have housing programs no less housing program resources such as lists of facilities that Rent A Shared Room (RASR) such as a Room & Board.  For next year’s Meeting Of the Minds (MOMs) we suggest that the promoter Mental Health Association Orange County (MHAOC) dedicates the whole conference to housing.  We here at MSG would like to get a table next year for promoting and growing our Free Interactive Housing Advisory Board APP.

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Table – Housing - MOM Exhibitor Housing Program Checker

Table - MOM Exhibitor Housing Program Checker (N-Z)

Meeting of the Minds 2018 [TYPO 2019]

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##	Agency		Housing Program	Housing Resource List
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16	National Alliance on Mental Illness (NAMI) Orange County
	NAPAFASA
	NASW - California
	OCAPICA
20	OC LINKS/OC Health Care Agency
	Orange County Psychiatric Society
	Orange Police Department	X
	Patients’ Rights Advocacy Services
	Express Through Play/Dry Erase Dolls	X
25	Radiant Health Center
	Recovery International
	Respite Mountain Camp
	South Bay Intergroup of Overeaters Anonymous
	The John Henry Foundation
30	Western Youth Services
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Last Reviewed: 20190505-SUN:

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Taken From:

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Competing Presentations

Psychosis (Bera)  V Housing (Community)

During the course of 2018 to the present we have had six (6) appointments with doctor RBB.  After the fifth (5^th) appointment we determined that he is for the most part stable.  We told him about our Housing Advisory ideas and developments.  He complimented us and said: “Thank You for Advocating”.  We intended to reduce time spend and effort about him.  Possibly only write and publish one report that includes him once per quarter.  The frequency of our medication management appointment with him is once per quarter or every three (3) months.  He even told us that we were and easy appointment.  Things changed on April 3, 2019 (W).  He changed our protocols unilaterally.  He implied that this is how “I choose to run my practice!”.  We left a bit dissapointed.  Yet more important is that he may now be a risk to our health.  We decided to attend his MOM 2019 presentation (see excerpt below) in order to discover some strengths about him. 

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“25 Years of Building Community Where Every Mind Matters”

Wednesday, May 15, 2019 - Workshop 14:  Ballroom F  

“Working with Clients Experiencing Psychotic Episodes Presenters will discuss the definition of psychosis and what behaviors are associated with psychosis. Participants will learn ways to speak to someone experiencing psychosis and what medications are commonly used to treat patients experiencing psychosis.”

Presenters: Rimal Bera, M.D. and Andrew Kami, Ph.D., The John Henry Foundation-

Competing Presentations

Psychosis (Bera)  V Housing (Community)

During the course of 2018 to the present we have had six (6) appointments with doctor RBB.  After the fifth (5^th) appointment we determined that he is for the most part stable.  We told him about our Housing Advisory ideas and developments.  He complimented us and said: “Thank You for Advocating”.  We intended to reduce time spend and effort about him.  Possibly only write and publish one report that includes him once per quarter.  The frequency of our medication management appointment with him is once per quarter or every three (3) months.  He even told us that we were and easy appointment.  Things changed on April 3, 2019 (W).  He changed our protocols unilaterally.  He implied that this is how “I choose to run my practice!”.  We left a bit disappointed.  Yet more important is that he may now be a risk to our health.  We decided to attend his MOM 2019 presentation (see excerpt below) in order to discover some strengths about him. 

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“25 Years of Building Community Where Every Mind Matters”

Wednesday, May 15, 2019 - Workshop 14:  Ballroom F  

“Working with Clients Experiencing Psychotic Episodes Presenters will discuss the definition of psychosis and what behaviors are associated with psychosis. Participants will learn ways to speak to someone experiencing psychosis and what medications are commonly used to treat patients experiencing psychosis.”

Presenters: Rimal Bera, M.D. and Andrew Kami, Ph.D., The John Henry Foundation

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Competing Presentation

To compensate for choosing RBB’s presentation we will stop by Workshop 18 and see if we can pickup the handouts.  We are fairly familiar with the people and places listed as presenters below.  We regularly attend a monthly Mental Health Services Act (MHSA) Steering Committee Meeting (SCM).  At those meetings they discuss housing and county housing programs.  We hope that this presentation includes materials addressing Renting A Shared Room for the disadvantaged.

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“25 Years of Building Community Where Every Mind Matters”

Wednesday, May 15, 2019 - Workshop 18:  Orange County Ballroom 3/4

“Housing Options in Orange County During this presentation, attendees will learn about the OC United Way/UCI Cost of Homelessness study. Panelists will discuss housing options available in the county for individuals living with mental health disabilities, including those provided through the Health Care Agency, those funded with MHSA monies, and No Place Like Home options.”

Presenters: [Helen Cameron, Jamboree]; Becks Heyhoe, Orange County United Way; Lisa Row, Orange County Health Care Agency; Judson Brown, Santa Ana Housing Authority; and Danielle Ball, Jamboree

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Figure – Meeting Of the Minds – Program Information

Metadata for Literature Review

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Special Topic – BHD Performance

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Special Topic – Case Management Accountability & Transparency

We were investigating for MSG’s Performance Earned Value package and determined that a better definition for Key Performance Measures & Indicators is due.  We define our case managers as those that meet Face-To-Face (F2F) with us and alters or adds to our health record.  By this definition we only have one case manager and that is doctor Rimal B Bera.  What follows is our Key Performance Measures (KPM-24 Item – BHS-Beta)

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Performance measurement for case management: principles and objectives for developing standard measures. NCBI - National Center for Biotechnology Information,  U.S. National Library of Medicine

https://www.ncbi.nlm.nih.gov/pubmed/16243662

Case Manager. 2005 Sep-Oct;16(5):52-6.

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Table - Key Performance Measures (KPMs) – MSG Beta Derived – Part I of II

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##	Factor (Variable)
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A	Healthgrade Score
B	Vitals Score
C	WebMD Score
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01	Accountability Progress Value
02	Aggregate Number of Grievances
03	Average Number RXs Tried per Client
04	Average Number Served per Month
05	Average Time Billed for Each Client
06	Average Time Spent per Client
07	Broken Links at Hospital Release
08	CV Availability
09	Determinations of Causation
10	Error Rate
11	Favorite Medication
12	Fraction Improvement in QOL
13	Investment in Prevention
14	Number Clients Committing Suicide
15	Number Clients Committing Suicide on Watch
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Last Reviewed: 20190505-SUN:
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Table - Key Performance Measures (KPMs) – MSG Beta Derived – Part II of II

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##	Factor (Variable)
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16	Number of Client Committing Homicide
17	Number of Clients Dumped per Year
18	Number of Satisfied Clients
19	Outcomes of Self Assessment
20	Pharmaceutical Companies Payment Status
21	Status and Nature of Quality Assurance Program
22	Transparency Progress Value
23	Total Number Served All Time
24 (9)	Yearly Salary
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Last Reviewed: 20190505-SUN:

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Meeting Of the Minds (2016-2019)

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Date		Doc Review	Remarkable
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Thursday, June 23, 2016		X
Thursday, May 25, 2017		X	Bera piques our interest
Wednesday, May 30, 2018		X	Bera no show
Wednesday, May 15, 2019		X
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Last Reviewed: 20190506-M:

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Table - Strengths First Method (SFM) - Subjective

Table - Progress Note – Crosscutting MD Snapshot - Intel Collected In Person

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Practitioner		Presenter Status	Strength	Special Interest
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Rimal B Bera, MD		Yes	Relatively Young CV Online John Henry Foundation	JHF
Himasiri DeSilva MD		Yes	Retiring	DBSA
APD MD		No	Retiring	Chino Men’s Prison
BSL MD		No	Retiring	WMA
Clayton Chau MD		Yes	Knows Us & Remembers our concerns Be Well Initiative	Be Well Campus
Ravindar P Singh MD			Clozapine	Boundaries
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Last Update: 20190505-SUN:

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[INSERT PHOTO OF MARK]

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Table - RBB Special Interests (2016-2019)

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Area		In The Community	In The Office
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Psychosis Management		X	May promote it
Anti-psychotic Medication		X	Failed to listen to our position
Feed From Big-Pharma			May influence medication selection
Family Involvement		X	Not enough time spent
Cognitive Testing		X	Does not address at all
Speed Disposition			The seven minute appointment
Diagnostics		X	Quick assignment method
Medication Management			Denied our request
Electronic Health Record			Appears struggling
Role of Family in Treatment		X	Doesn’t even know our family
John Henry Foundation		X	Will not give us enough time to address this alternative
Integration with PCP
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Last Reviewed: 20190506-M:

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Illusions of Grandeur

Due to confidentiality and lack of transparency we really do not know what doctor RBB is about.  There are indications that he believes he and his working are impressive.  His appearance is adequate.  His style leaves some things not admirable.  In the organizational hierarchical trees for which he falls there are indications that he is high ranking.  We do not see much social importance about him.  Brand New Day (BND) which contracts with him probably could get by after a bit of resource levelling without him. In 2018 after four (4) appointments we were growing happy with our partnership with him.  Then came what we call the “Crash Appointment” on April 3, 2019 (W).  We are planning a report address our April 3, 2019 Crash Appointment.  We thought we could move ahead rather than having our TRAIN derail.  We were especially interested in discussing Family Involvement with him.  Doctor RBB indicated that Family Involvement was important for our Behavioral Health.

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The Torkel Saga 2059: Rimal B. Bera, MD Evaluated by Keith E ...

2016/11 Bera MD Evaluation & Speaker Fees

Nov 20, 2016 - Rimal B. Bera, MD Evaluated by Keith E Torkelson MS “Below AstraZeneca has posted all fees paid directly or indirectly.”

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FYI - Speaker Compensation Report

“Below AstraZeneca has posted all fees paid directly or indirectly to US-based physicians or Related Entities serving as promotional speakers in the U.S. or participating in pre-requisite speaker training for the timeframe January 1st, 2010 through December 31st, 2010.”

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Table – Speaker Compensation – BHD Crosscutting (2010)

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Physician Full Name	Payee/Related Entity	City	State	Total Payments
Bera, Rimal	Rimal Bera	Irvine	CA	$23,440
Chau, Clayton	Clayton Chau	Westminster	CA	$50,000
Chau, Clayton	Clayton Chau Orange Cnty Adult Mental Hlth	Westminster	CA	$1,100
DeSilva, Himasiri	Himasiri K De Silva	Orange	CA	$6,300
Singh, Ravindar		Garden Grove	CA	$0.00
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20161118-F: Table – Objective – BigPharma and Practicing Doctor Promoters

Reference

[PDF] - Speaker Compensation Report 1 – AstraZeneca – Full 2010

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There is no functional link for the Speaker Compensation Report therefore if you wish to see the original search Speaker Compensation Report AstraZeneca (Metadata)

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Table – Update Speaker Compensation – Bera V Chau

Interval August 2013 – December 2016

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Doctor		Location		How Much
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Rimal B Bera	Psychiatry	Orange	Ca	$304K
Clayton Chau	Psychiatry	Garden Grove	Ca	$141
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Figure - Doctor Chau MD Speaking
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Interval Uncertainty – Industry Payments August 2013 – December 2016

We have no idea what interval the above payments cover.  Doctor Bera’s figures seem way too high whereas doctor Chau’s seems way too low.

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FYI - Resource – ProPublica

Investigative Journalism and News in the Public Interest — ProPublica

https://www.propublica.org/

“ProPublica is an American nonprofit organization based in New York City. It is a nonprofit newsroom that aims to produce investigative journalism in the public interest.”

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[INSERT Figure MYLAN]

“In Mylan We Trust”

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Figure – Be Well Rendering

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Figure – JHF Residential Site
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Special Interests – Chau V Bera

Back in 1989 we hooked up with the John Henry Foundation (JHF).  It didn’t meet our needs.  One of the things we wished for doctor RB Bera MD to do for us was provide us with an opened ended referral to the JHF for which he states he is Director.  We would like to have this in place to mitigate a housing crisis.  We consider doctor RB Bera’s JHF engagement as his special interest.  In comparison doctor Clayton Chau MD as of 2019 is associating himself the Be Well Initiative.  We were unable to find and financial metrics for Bera’s JHF.  Be Well is a multi-million dollar engagement for the county, for public health and for doctor Chau.  We met in March with the Orange County Health Agency (OCHCA) director of Behavioral Health Services (BHS) and indicating that Be Well would be out of scope for us.  We will monitor Be Well for Keith “Buster’s” personal interests.

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FYI – Bera Special Interest - John Henry Foundation

https://www.johnhenry.org/

Moore Village Licensed Board and Care. Community Care Licensing Division (CCL) Facility #306001789.

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FYI – Chau Special Interest – Be Well Campus

“Orange County approves $16.6M for ‘first-of-its-kind’ mental-health center, psychiatric ER

The Be Well center will address shortages that have left mentally-ill patients of all income levels with inadequate treatment.”

2019/01/29/ Be Well Campus Effort

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[DECIDED TO RETAIN ALL AS IMPORTANT]

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Brand New Day Not Onboard

“Jan 29, 2019 - Orange County approved funding Tuesday for a first-of-its-kind mental health center and psychiatric emergency room, filling a void that has left mentally-ill patients in the county with inadequate treatment and burdened local hospitals.  The Board of Supervisors unanimously voted to allocate $16.6 million to the $40-million project, which will be co-funded and jointly-operated with two local hospital chains and CalOptima, the county’s health care system for the poor, elderly and disabled.”

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Promising Practice Template

“When the Be Well Orange County Regional Mental Health and Wellness Campus opens in spring 2020, in Orange, it will serve insured and uninsured residents alike, across the income spectrum. It will offer short and long-term mental health treatment, drug-abuse and psychiatric crisis-stabilization units, residential programs, and substance-addiction recovery – all under one roof.  “For our family members, friends and colleagues who are afflicted with these problems every day, this is a new day,” Supervisor Andrew Do said at the board’s Tuesday meeting. “This is a critical piece of the system or care that we are building that will address everything from homelessness to physical health, to mental health.”  Added board Chairwoman Lisa Bartlett: “There is nothing like this in the state of California. This could be a template. There are other counties that are watching what we’re doing.””

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Matrix – Subjective Presentation Value Score – Comparative - Legacy

Rimal Bera Presentation Assessment – Version – Psychiatrist

Featuring the Rimal Bera Practice Assessment (RBPA)

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##	Feature		Bera 2017	Chau 2018	Control
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01	Part of the: Mental health community of Orange County		1.00	1.00
02	Raised awareness		1.00	1.00
03	Enhance our skills		1.00	1.00
04	Increased cultural sensitivity		0.75	1.00
05	Reduced stigma		0.75	1.00
06	Shared information		1.00	1.00
07	Strengthened existing relationships		1.00	1.00
08	Networking		0.75	1.00
09	Developed new alliances		1.00	1.00
10	Improves patient care for persons impacted by mental illness		0.75	1.00
11	Improves patient quality of life for persons impacted by mental illness		0.75	1.00
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	CALC		9.75/11	11.00/11
	Presentation Value Score =		88.6	100.0
	Star Equivalents =		4.4	5.0
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Date Retroactively Scored: 20190503-F: Chau MD V Bera MD

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Chau V Bera

In 2018 we wished to update doctor Bera’s presentation information.  He was a no show stating later that “I was out of town.  We allocated about an hour to him that day.  Doctor Chau has been our friend since 2009.  We first met him when he spoke (lectured) for our Consumer Training Program.  In terms of Presentation Value when applying the Mental Health Association (MHA) criteria both Chau and Bera performed rather well.

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Matrix - LiveX – Rimal B Bera Driven Assessment

Version – Psychiatrist (MOMs 2017) - Summary Parts I & II

Featuring the Rimal Bera Practice Assessment (RBPA)

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##	Feature	Bera	DeSilva
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	Part I of II Carry	6.00/15	3.25/15
	Part II of II Carry	3.00/13	2.50/13
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	CALC	9.00/28	5.75/28
-	BHD Impression & Impact Score =	32.1	20.5
	Star Equivalents =	1.6	1.0
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Date Retroactively Scored: 20190503-F:

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Process – Shopping in Advance

In 2017 we were shopping in advance for a replacement Behavioral Health Doctor (BHD).  We had at least three different takes on Rimal B Bera MD.  One was the hearsay of his clients.  Another was the ratings his clients gave on online ratings sites such as Healthgrades.  Last was what we garnered from his presentation at the 2017 Annual Meeting Of the Minds (MOMs).  In 2018 we committed to partner with RBB for our Behavioral Health Needs (BHNs).

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Sitting on This Data

We collected the data for the above matrix and two that follow at the 2017 MOMs.  We have sat on it for about two (2) years.  When we finally got around to tabulating this data we are surprised at how low both RBB and De Silva score.  These scores are not in line with their online client star grades.

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APD on De Silva

Back in 1989 after two doctors told us that causality was not important.  We argued that causality might be helpful for prevention or earlier intervention.  We saw Doctor De Silva as private pay.  Thus we had the therapeutic fifty (50) minutes.  Doctor De Silva was not meeting our needs.  He was discussing symptoms: That we didn’t have, were situational or transitory.  As doctor Arnold P Deutsch (APD) stated when we hired him to replace De Silva: “So you fired De Silva”.  APD proceeded to help us yet failed to investigate causality.  For some reason 1989 we demonstrated incredible resilience.  Now it is easier to see the mediator of our resilience in hindsight (lived experience).  We were living with our parents who provided excellent nutrition, a peaceful environment to get plenty of rest, and inspiration.  In addition we were working full time for Hospital Pathologist Central Lab (HPCL).  Doctor APD saw improvement enough that he could honestly endorse (via a letter) our return to UC Davis School of Veterinary Medicine.  With De Silva we likely would have improved yet not due to his service or his cocktails of medication.

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Matrix - LiveX – Rimal B Bera Driven Assessment

Version – Psychiatrist (MOMs 2017) - Part I of II

Featuring the Rimal Bera Practice Assessment (RBPA)

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##	Feature	Bera	De Silva
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01	Alignment Potential	0.50	0.50
02	Assessment Driven Presentation	1.00	0.50
03	Assessment Instruments Provided	0.00	0.00
04	Best Practice Psychotherapeutic Medication Guidelines	0.50	0.25
05	Discuss Current Case Loads	0.00	0.00
06	Did it promote our recovery	0.50	0.25
07	Earned Confidence	1.00	0.00
08	Instills Trust	1.00	0.50
09	Medications promoted	0.50	0.50
10	Mentions status on last year’s material	0.00	0.00
11	Not sold to BigPharma	0.00	0.25
12	Number of client that died young Accountable	0.00	0.00
13	Outcomes from treatments (*)	0.00	0.00
14	Progress on cure	0.00	0.00
15	Promoted Assessment Tools	1.00	0.50
	Part I of II Carry	6.00/15	3.25/15

Date Retroactively Scored: 20190503-F:

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Experimental Bunny Rabbit (EBR) – Norwegian White

(*) De Silva 1989 V 2017

[INSERT IMAGE]
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Experimental Bunny Rabbit

Buster before he was Buster connected with doctor De Silva back in 1989.  Doctor De Silva experimented on buster both with a diagnosis and medication.  We Buster linked with his next doctor Arnold P Deutsch doctor Deutsch changed both the diagnosis and the medication.  Buster remembers at least two of the medication that De Silva had him on.  When Doctor De Silva spoke at the MOMs 2017 he discussed his new medication regimen.  The two medications that doctor De Silva used on Buster in 1989 we not on the list.  That means that Buster was very likely only an experiment for De Silva.

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Matrix - LiveX – Rimal B Bera Driven Assessment

Version – Psychiatrist (MOMs 2017) - Part I of II

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##	Feature	Bera	DeSilva	Control
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16	Proved family involvement is desirable	0.25	0.00
17	Really cool handouts	0.50	0.50
18	Shared his online Vitals and related scores	0.00	0.00
19	Shared his ProQOL score and trend	0.00	0.00
20	Shared how trying Haldol on himself went	0.50	0.50
21	Shared Results	0.50	0.50
22	Shared that he is being paid by BigPharma Transparency	0.00	0.00
23	Shared were to find his performance results	0.00	0.00
24	Simple Evidenced-based Treatment	0.25	0.25
25	Statistics that sell Recovery	0.00	0.00
26	Status Proving Promising Practices	0.25	0.00
27	Worth our Time Spent	0.25	0.50
28 (13)	Would we count on him in a crisis	0.50	0.25
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	Part II of II Carry	3.00/13	2.50/13
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Date Retroactively Scored: 20190503-F:

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Summary

BHD Community Involvement - Comparative

We began shopping for a new Behavioral Health Doctor back in 2017.  We predicted that doctor Bum Soo Lee our BHD at the time may retired soon.  There are not many slots open around our BND contracted BHDs at their Garden Grove location.  We attended the 2017 annual Meeting Of the Minds (MOMs).  There we heard doctor Rimal B Bera (RBB) speak.  We said “How Cool!”  Doctor Bera is another doctor like doctor Clayton Chau who speaks and gives it back to the community.  On January 3^rd, 2018 we had our first appointment with doctor Bera MD.  We published a few Bera-centric papers to show how much we value our BHD partnership.  On Wednesday, May 30, 2018 we attended the 2018 annual MOMs.  RBB was scheduled to teach.  He was a no show.  Later he said “I was out of town”.  On May 25 (TH) 2017 we also saw doctor De Silva teach at the Meeting Of the Minds.  We saw doctor De Silva back in 1989.  What we learned from doctor De Silva at the conference was that we were just and experiment for him.  We would prefer not to be a unilateral experiment with doctor RBB.  We thought that we had RBB “Stable” and then on April 3^rd, 2019 he unleashed a “Can of Whop Ass” that we fondly call the “Crash Appointment”.  What he says is far different for us than what he does.

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