20161120-SUN: Charter Information
20161121-M: Formatted
20161121-M: Formatted
Name of Post
Rimal B. Bera, MD Evaluated by Keith E Torkelson MS as a
Doctor On-Call
Initialize a Relationship with Doctor
Name of Blog
Animacules or TheTorkelSaga or both
Gallery First
Gallery for Data Portion
-
Results Up Front - Doctor Bera's Star Scores (Objective)
-
Digital Internet Presence B4
-
Medication of Interest
-
Doctor Chuck Morris
-
Doctor Clayton Chau Our Psychiatrist Mentor
-
Snapshots and Frames Matter
-
A Cool World in Blue Shift by Keith Torkelson
-
Insight into new experimentation
Doctor On Call Projects Logo
Three of our friends: Chau, Director Refowitz and Theresa
[DIVIDE FOR TEXT]
Authors: TheDAG, AVEY, and Buster D Right
Editor: Keith E Torkelson, MS & PHW
Results Up Front (RUF)
Results Up Front (RUF)
Objective Performance Value (OPV) Table Acronyms
(*) Stars are 0.0-5.0 with 5.0 being best
Results Up Front - Assessing The Doctor (Objective -
Controls)
MD…
|
Date of Scoring
|
Stars (*)
|
|
Vitals
|
20160827-SAT
|
4.0 (3)
|
|
Health Grades
|
20160827-SAT
|
2.3 (3)
|
|
Yelp (None)
|
|||
U Compare HealthCare
|
20160827-SAT
|
5.0 (1)
|
|
CMS Stars For Contractor
|
FY 2016
|
3.0 (Items - TNTI)
|
|
-
|
Last Reviewed: 20161105-SAT: Table – Bera MDs Objective
Performance Values (OPV-LIE)
-
Definitions – Contractor V
Contractee
The contractee is the project
owner and is a client of the contractor, to whom he ordered a service or
product. The contractor delivers this service or product either by producing it
or by hiring one or several suppliers to produce it under his supervision.
-
Assess_VITALS_16071402_Bera
Acronyms for the Medical Doctor Practicing Series Table
Results Up Front
MSG - MD On-Call Battery (Cluster) - Medical Doctor
Practicing Series (MDOC-MDPS)
Abstract – Executive Summary -
Baseline
Back in 1988 we signed on as an
Experimental Bunny Rabbit for life. At
the time we did not know it. We have
changed our strategy back to Prevention from Problem Solving. If we need to let doctor Bera one thing is don’t
experiment on me. Clozapine has proven
effective since 2007 only take me off Clozapine if my CBC numbers go awry. In the upcoming year (2017) we hope to
deliver on advanced planning and succession about our resources. Our current doctor BSL is nearing
retirement. We are shopping around for
a successor to carry us the distance.
Doctor Bera is high on our list as a successor. In this study we are working toward
establishing a baseline for doctor Bera’s practice and performance. In keeping with the transparency about
Health and Human Services Movement (HHSM) we offer this material so Doctor Bera
knows what we might be in for. We have
repeated portions of our story more than a dozen times. Now let us get to some numbers. Off the cuff Doctor Bera looks as promising
as Doctor Dobos (Our highest rated doctor).
Much of the material is based on educated expectations. We are fortunate to have observed Doctor
Bera about four occasions: You Tube, at the clinic, and at Meeting of the Minds
twice. Here are some numbers not addressed in the Results Up Front (RUF)
section above.
The No Numbers Approach – Too
Many to Address
Laying the foundation for a Win/Win relationship. We here at MSG have high expectations for our-selves, our doctors, our readers, and our students. Basically the numbers indicate that with work doctor Bera may become a better psychiatrist than doctor Dobos. Doctor Dobos delivered he highest quality service of our many psychiatrists.
Assessment Categories & Tools
Laying the foundation for a Win/Win relationship. We here at MSG have high expectations for our-selves, our doctors, our readers, and our students. Basically the numbers indicate that with work doctor Bera may become a better psychiatrist than doctor Dobos. Doctor Dobos delivered he highest quality service of our many psychiatrists.
Assessment Categories & Tools
Nature
|
Determination
|
Goal
|
|
The Doctor Assessment Eliminations
|
Client
|
Partial Baseline
|
|
The Client Assessment Eliminations
|
Client and Doctor
|
Separate Report-Post
Partial Baseline
|
|
The Partnership
|
Collaborative
|
Win/Win
|
|
Data Elements – Objective
|
Online Rating Material
|
Minimize Bias
|
|
20161111-F: Table –
Assessment Categories for Doctor Bera Succession Reports
Options for Order of
Attack with Work Efforts
Doctor Results >
Introduction > Client Results
Doctor Results >
Client Results > Introduction
Assessment Material Supported by - Introduction 1-Z
(A More Comprehensive
Introduction with be addressed separate)
We have planned that the
assessment findings will be supported by a standalone Introduction for the
purpose of fleshing and drilling-down. Also we wish to better describe some of
the baselines.
Associations – Brief
Many clients do not know that their doctor has other associations and special projects. Some doctors even do pro-bono work. As of November 18, 2016, Doctor Bera as a minimum is associated with: Brand New Day, Central City Community Health Center (Garden Grove), UC Irvine and the John Henry Foundation. He also has and still may be paid to promote psychiatric medication(s).
-
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.”
Associations – Brief
Many clients do not know that their doctor has other associations and special projects. Some doctors even do pro-bono work. As of November 18, 2016, Doctor Bera as a minimum is associated with: Brand New Day, Central City Community Health Center (Garden Grove), UC Irvine and the John Henry Foundation. He also has and still may be paid to promote psychiatric medication(s).
-
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.”
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
|
||
20161118-F: Table – Objective –
BigPharm and Practicing Doctor Promoters
Reference
Reference
[PDF] - Speaker Compensation
Report 1 – AstraZeneca – Full 2010
There is no functional link for
the Speaker Compensation Report therefore if you wish to see the original search
Speaker Compensation Report AstraZeneca (Metadata)
Error Rate – Brief
Is there alive any doctor that reports they are perfect? The Trinity is in our belief system and worldview only agents of perfection (Tetrad Concept). If individuals are not perfect then: What we have left? What we have our Error Rates. YA-KNOW rather than concentrating about our rates we will develop an Error Range methodology. A particular doctor’s Error Range lies between that reported on the various rating websites and 1.11 percent. In practice rather than heal totally we work to decrease our self identified errors. Our Error Range appears to be less than last year (2015). Knock-knock on Bristle Cone Pine (wood).
Medication Outcomes Reports by Provider – (XenoNet2017-Brief)
Error Rate – Brief
Is there alive any doctor that reports they are perfect? The Trinity is in our belief system and worldview only agents of perfection (Tetrad Concept). If individuals are not perfect then: What we have left? What we have our Error Rates. YA-KNOW rather than concentrating about our rates we will develop an Error Range methodology. A particular doctor’s Error Range lies between that reported on the various rating websites and 1.11 percent. In practice rather than heal totally we work to decrease our self identified errors. Our Error Range appears to be less than last year (2015). Knock-knock on Bristle Cone Pine (wood).
Medication Outcomes Reports by Provider – (XenoNet2017-Brief)
Psychotropic
[ALL SPELLED]
|
2015
|
Doctor Reports Evidence for Efficacy
|
||
Haldol
|
No Mention
|
ENF
|
||
Seroquel
|
No Mention
|
ENF
|
||
Clozapine
|
No Mention
|
ENF
|
||
Invega
|
Promoted
|
Shady Via Medscape
|
||
Table – Reports of Research Findings From Doctor Bera’s
Trials on Human Subjects – Outcomes – ENF = Evidence Not Found
-
Legend for the Numbers and Counting Worksheet
-
Data Supporting Practice &
Better Outcomes
We looked thru The John Henry
Foundation marketing collateral as could not find and measurements and
numbers. We have reviewed a couple of
Brand New Day’s newsletters. We could
find any performance results both for practice and medication authored by
doctor Bera. But we did find a thread
connecting doctor Bera to Medscape. We
signed up for Medscape then briefly previewed the article that doctor Bera
wrote. The information is very relevant
to us yet out of scope for this paper.
Medscape will be addressed with our XenoNet Project 2017. One important note is that doctor Bera
earned credit for having one or more refereed papers.
Legend for the Numbers and Counting Worksheet
AcroCode
|
Meaning
|
||
AMB
|
As Measured By
|
Remember this we use it often
|
|
SOD
|
Source Of Data
|
||
Matrix – Acronyms
Metric Defined - Technical - A system or standard of measurement
Numbers Game – Accountability and Transparency (A&T) – Inventory - Counting
Metric Defined - Technical - A system or standard of measurement
Numbers Game – Accountability and Transparency (A&T) – Inventory - Counting
These are just a few of the metrics we would like to help
our next doctor – potentially doctor Bera – share as they/he upgrade their
accountability, performance and transparency.
The inventory below is just a draft.
As time goes on some may become insignificant whereas other will be
added. We will both assimilate and accommodate about this list.
Quantity (Number Of…)
|
Note
|
AMB or SOD
|
||
Clients Diverted From the Hospital Who Were Better For It
|
||||
Clients Helped
|
||||
Clients in Current Case Load
|
||||
Clients Inappropriately Served
|
Trend in client episodes
|
|||
Clients Moved to Conservatorship
|
||||
Clients Recovered
|
||||
Clients Satisfied
|
||||
Clients Served
|
||||
Clients Successfully Advocated For
|
||||
Clients That Died Young
|
||||
Effective Major Tranquilizers
|
Order from worst to best
|
|||
Legal Actions Against
|
||||
Major Tranquilizers Tried
|
Current/Career
|
|||
Medication Errors
|
||||
Published Papers
|
||||
Satisfaction Surveys Collected
|
||||
Visits to Clients Residences
|
||||
Etc.
|
||||
20161118-F: Table – Count Inventory for RB Bera MD
(Psychiatrist Support & Services) – Profiling Performance, Innovation and
Leadership
Project Management As Direct Service (PMADS)
Project Management As Direct Service (PMADS)
Much of the information on
project management was omitted. The
following definitions are helpful to interpret the next table.
Project Management - Work Break Down Structure (WBDS)
LRC – Linear Responsibility Chart
Project Management - Work Break Down Structure (WBDS)
LRC – Linear Responsibility Chart
Definition of Linear
Responsibility Charts: A Linear Responsibility Chart (LRC) identifies team
participant's clients, and/or line managers and the degree to which an activity
is to be performed or a decision is to be made on the project.
PMADS – Project Management As Direct Service (MSG, 2003-2016)
PMADS – Project Management As Direct Service (MSG, 2003-2016)
Major improvements in health take
a lot of work. Resources that have to
be considered are time, and financing.
A level for the quality of product must be defined a the start of a
change cycle. Last the scope of
activities must be charted.
RACI - It is especially useful in clarifying roles and responsibilities in cross-functional/departmental projects and processes. RACI is an acronym derived from the four key responsibilities most typically used: Responsible, Accountable, Consulted, and Informed.
RAM - Responsibility Assignment Matrix - Wikipedia
RACI - It is especially useful in clarifying roles and responsibilities in cross-functional/departmental projects and processes. RACI is an acronym derived from the four key responsibilities most typically used: Responsible, Accountable, Consulted, and Informed.
RAM - Responsibility Assignment Matrix - Wikipedia
https://en.wikipedia.org/wiki/Responsibility_assignment_matrix
A responsibility assignment matrix (RAM), also known as RACI matrix /ˈreɪsiː/ or linear responsibility chart (LRC), describes the participation by various roles in completing tasks or deliverables for a project or business process.
-
WBDS – Work Break Down Structure
The work breakdown structure is a key project deliverable that organizes the team's work into manageable sections. The Project Management Body of Knowledge (PMBOK) defines the work breakdown structure as a "deliverable oriented hierarchical decomposition of the work to be executed by the project team."
Matrix – Project Management Planning Legend
A responsibility assignment matrix (RAM), also known as RACI matrix /ˈreɪsiː/ or linear responsibility chart (LRC), describes the participation by various roles in completing tasks or deliverables for a project or business process.
-
WBDS – Work Break Down Structure
The work breakdown structure is a key project deliverable that organizes the team's work into manageable sections. The Project Management Body of Knowledge (PMBOK) defines the work breakdown structure as a "deliverable oriented hierarchical decomposition of the work to be executed by the project team."
Matrix – Project Management Planning Legend
AcroCode
|
Meaning
|
||
BOO
|
Doctor Bera Or Other
|
||
DMH
|
California Department of Mental Health (Extinct)
|
||
LRC
|
Linear Responsibility Chart
|
||
PMADS
|
Project Management As Direct Service
|
||
RACI
|
Responsible, Accountable, Consulted & Informed
|
||
RAM
|
Responsibility Assignment Matrix
|
||
WBDS
|
Work Break Down Structure
|
||
Embedded Appendix – Project Management - Work Break Down
Structure (WBDS-Draft)
Table Outlining Potential Work Breakdown Structure –
Indications That I Need Help to Move
BOO = Bera Or Other – Client Elements will be shared in a
separate lower priority report.
Embedded Appendix – Project Management - Work Break Down Structure (WBDS-Draft)
Embedded Appendix – Project Management - Work Break Down Structure (WBDS-Draft)
Table - Outlining Potential Work Breakdown Structure – Indications That I Need Help to Move Ahead – Doctor Bera could be substituted with any superior psychiatrist
BOO = BERA Or Other
-
Matrix – Legend for The Next Few Tables
Rate Your Doctor Revisited - Objective Online – Addressing Perfection
Assessment
|
Stars
(# Reported)
|
Percentage
Transformation
|
Inferred Error Rate
=2<
|
|
BND-CMS Stars (Extrapolated)
|
3.0
|
60%
|
||
Vitals
|
4.0 (3)
|
80%
|
||
CMS Error Rate
|
40%
|
|||
Vitals Error Rate
|
20%
|
|||
20161105-SAT: Table – Snapshot for RB Bera MD – Stars and
Inferred Error Rates
=2< is Equal To or Less Than
Rate Your Doctor - Subjective Online – Assessment Categorical
Assessment (Category)
|
Doctor
|
CCCHC Staff
|
|
Accountability
|
Moderate
|
||
Healthgrades Method
|
Below Average
|
||
MD On Call
|
|||
Medication Management Outcomes
|
Average
|
||
Performance Newsletter
|
No Mention
|
||
Tekno Savvy
|
Developing
|
||
Transparency
|
Below Average
|
||
Vitals Method
|
N/A
|
||
XenoNet
|
Stressed
|
||
20161105-SAT: Table Assessment Categories – Client Rates Professional – Client Rates Professional’s Staff
Christmas Report Card 2016
Each year since 2012, we share with our best performing doctor via our Christmas Card Report (CCR). As a standard (metric) for evaluation we use an amalgamation of Vital’s and HealthGrades’ Rate Your Doctor (RYD) surveys. This year it is almost a tie between the incumbent (our Dermatologist) and the new kid on the block (our Ophthalmologist). We can also rate doctor Bera’s staff because we have worked with them for more than three (3) years. Hands down our Ophthalmologist has the best staff for this year.
Doctor - Assessment Elimination List (Draft)
-
|
|||
Theme
|
FastGrade
Dobos [Control]
|
FastGrade
Bera
|
|
-
|
|||
1-Assessing The Doctor – 1-D:
Eliminator (This)
|
|||
Accountability & Transparency – Outcome Measures
|
*
|
||
Advanced Planning Checklist
|
|||
Associations - Program Performance Evaluation – John Henry
Foundation
|
|||
Bera/Kami Cognition Screener
|
|||
Both - Kami/Bera (MOMs n=2)
|
*
|
||
BSA Virtues
|
|||
Cocktail Proofs
|
|||
Collateral Evaluation
|
*
|
||
ComMan Invega Prevention
|
|||
Comparative Report Card(s)
|
*
|
||
CV Curriculum Vitae [SPELLED]
|
*
|
||
20161105-SAT: Table – Assessing Your Doctor – Assessment
Eliminations 1-D
Doctor - Assessment Elimination List
(Draft)
Theme
|
FastGrade
Dobos Control
|
FastGrade
Bera
|
|
1-Assessing The Doctor – E-Z:
Eliminator (This)
|
|||
Error Rate Determinations
|
*
|
||
Evidenced Based Practices - Saturation
|
|||
Feature Assessment – A&T
|
*
|
||
John Henry Foundation - Outcomes
|
*
|
||
MDOC Series Selections (Bundle)
|
*
|
||
Medication Management Outcomes
|
|||
MOMs 2016 Update - EBRs
|
*
|
||
Objective – Online Battery
|
*
|
||
Online Presence (Compare with Amen)
|
*
|
Bera < Amen
|
|
Promising Practice Determination
|
|||
Recovery and Technology
|
|||
Research Using Human Subjects
|
*
|
||
Strengths & Deficits Evaluation - Yields ASSS
|
|||
Vitals Method Applied
|
*
|
||
Win/Win Partnership Instrument
|
*
|
||
XenoNet - Experimental Cocktails
|
|||
-
|
|||
20161105-SAT: Table – Assessing Your Doctor – Assessment
Eliminations E-Z
“Recovery never sleeps unless you are sleeping comfortably”
EBRs = Experimental Bunny Rabbits
-
Our standards for online presence are doctors: Amen, Roizen, Kline and Oz.
-
Our standards for online presence are doctors: Amen, Roizen, Kline and Oz.
-
|
|||
Health Professional
|
Specialty
|
Status
[PENDING]
|
|
-
|
|||
Michael Roizen
|
Anesthesiologist
|
||
Mehmet Oz
|
Cardiothoracic surgeon
|
||
Daniel G. Amen, MD
|
Psychiatry
|
||
Ahnika S Kline, MD & Phd
|
Shopping Around
|
||
20161118-F: Table – Tekno Online Presence Role Models
-
Assessing the Client
For the most part assessing the client testimony will be addressed in a separate report.
For the most part assessing the client testimony will be addressed in a separate report.
[Retained DIAGNOSTIC CLUSTER SNAPSHOT]
MHB Assessment Battery
Win/Win Partnership Hurdle Assessment Cluster (WPHA-C)
Understanding the Client – Assessing the Client (Brief Screen)
Understanding the Client – Assessing the Client (Brief Screen)
-
|
||||
Impression
|
Historical Impact Level
|
Prevention
Status
|
Can Bera Help
|
|
-
|
||||
1-Sleep
|
Catastrophic
|
NSIE
|
||
2-Peaceful “Bed”
|
Catastrophic
|
NSIE
|
||
3-No Med Management/Errors
|
Disastrous
|
NSIE
|
||
4-EBR (SRP)
|
Frustrating
|
NSIE
|
||
-
|
||||
Table – What I Would Like To Win and Keep Winning
(Paramount)
-
Principle
|
Impression with
Bera
|
Self
|
||
Accountability
|
NS-IE
|
Above Average
|
||
Covey Habits
|
Strength
|
Strength
|
||
Covey Win/Win
|
NS-IE
|
Average &
Balanced
|
||
Transparency
|
NS-IE
|
Outstanding
|
||
Promising Practices
|
Looks Promising
|
Above Average
|
||
Evidenced Based Practices
|
Looks Promsing -
DBA
|
Above Average
|
||
Harm Reduction
|
NS-IE
|
Below Average
|
||
Table – Assessing for Effectiveness and Habitual Win/Win
(Secondary)
NSIE = Not Sure - Insufficient Evidence
DBA = Data Base Analysis
NSIE = Not Sure - Insufficient Evidence
DBA = Data Base Analysis
Win/Win Per Covey - The 7 Habits of Highly Effective People
-
Inside out: The Change Starts from Within (SPIRIT &
HEART)
Summary Of The Seven Habits (Covey)
Summary Of The Seven Habits (Covey)
-
|
|||
#
|
Habit
|
20161119-SAT
Context & Status
|
|
-
|
|||
1
|
Be Proactive
|
This Report
|
|
2
|
Begin with the End in Mind
|
Advanced Planning
|
|
3
|
Put First Things First
|
Healing Sleep and Essential HREs
|
|
4
|
Think Win/Win
|
Optimistic & Looking Good (*)
|
|
5
|
Seek First to Understand, Then to Be Understood
|
Using Assessments To Understand
|
|
6
|
Synergize
|
I Feel It Happening
|
|
7
|
Sharpen the Saw
|
Yoga
|
|
Worksheet – Win/Win Behaviors Update as Of November 20, 2016
-
LiveX – Win/Win
I really only have one professional Win/Win relationship. My Win/Win professional relationship is with the Orange County Health Care Agency Behavioral Health IRIS Liaison (MHSA Technological Needs Liaison). I have several Win/Win relationships with family members. I have a Win/Win paraprofessional relationship with my niece (MD & PhD). I have a Win/Win relationship with my landlords. In a manner I have a Win/Win relationship with my current psychiatrist. Once again, the issue is that my current psychiatrist will be retiring before I time out. I tried to have a Win/Win relationship with my primary helper, Jeff Gibbs, yet he says he “can’t help me”.
-
LiveX – Win/Win
I really only have one professional Win/Win relationship. My Win/Win professional relationship is with the Orange County Health Care Agency Behavioral Health IRIS Liaison (MHSA Technological Needs Liaison). I have several Win/Win relationships with family members. I have a Win/Win paraprofessional relationship with my niece (MD & PhD). I have a Win/Win relationship with my landlords. In a manner I have a Win/Win relationship with my current psychiatrist. Once again, the issue is that my current psychiatrist will be retiring before I time out. I tried to have a Win/Win relationship with my primary helper, Jeff Gibbs, yet he says he “can’t help me”.
GHlth_Partnership_Psychiatrist_10011401
V2016
The 7 Habits of Highly Effective People
The 7 Habits of Highly Effective People
Habit 4: Think Win/Win
A person or organization that approaches conflicts with a
win-win attitude possesses three vital character traits:
-
|
|||
Character
Trait
|
Meaning
|
Client Status
|
|
Integrity
|
Sticking with your true feelings, values, and commitments
|
Pending
|
|
Maturity
|
Expressing your ideas and feelings with courage and
consideration for the ideas and feelings of others
|
Pending
|
|
Abundance Mentality
|
Believing there is plenty for everyone
|
Pending
|
|
Table – Drill Down for Covey Win/Win Traits About The Client
-
Habit 4: Think Win-Win
“Think Win-Win isn't about being nice, nor is it a quick-fix technique. It is a character-based code for human interaction and collaboration.” The reason it is pending is that this will be a do-over for us. It is going to take some thought to upgrade our Win/Win habit.
-
“Think Win-Win isn't about being nice, nor is it a quick-fix technique. It is a character-based code for human interaction and collaboration.” The reason it is pending is that this will be a do-over for us. It is going to take some thought to upgrade our Win/Win habit.
-
Habit 4: Think Win-Win (Continued)
Most of us learn to base our self-worth on comparisons and competition. We think about succeeding in terms of someone else failing--that is, if I win, you lose; or if you win, I lose. Life becomes a zero-sum game. There is only so much pie to go around, and if you get a big piece, there is less for me; it's not fair, and I'm going to make sure you don't get anymore. We all play the game, but how much fun is it really?
-
Win-win sees life as a cooperative arena, not a competitive one. Win-win is a frame of mind and heart that constantly seeks mutual benefit in all human interactions. Win-win means agreements or solutions are mutually beneficial and satisfying. We both get to eat the pie, and it tastes pretty darn good!
-
Many people think in terms of either/or: either you're nice or you're tough. Win-win requires that you be both. It is a balancing act between courage and consideration. To go for win-win, you not only have to be empathic, but you also have to be confident. You not only have to be considerate and sensitive, you also have to be brave. To do that--to achieve that balance between courage and consideration--is the essence of real maturity and is fundamental to win-win.
Christmas Report Card (CRC) Legend – Win/Wins
Most of us learn to base our self-worth on comparisons and competition. We think about succeeding in terms of someone else failing--that is, if I win, you lose; or if you win, I lose. Life becomes a zero-sum game. There is only so much pie to go around, and if you get a big piece, there is less for me; it's not fair, and I'm going to make sure you don't get anymore. We all play the game, but how much fun is it really?
-
Win-win sees life as a cooperative arena, not a competitive one. Win-win is a frame of mind and heart that constantly seeks mutual benefit in all human interactions. Win-win means agreements or solutions are mutually beneficial and satisfying. We both get to eat the pie, and it tastes pretty darn good!
-
Many people think in terms of either/or: either you're nice or you're tough. Win-win requires that you be both. It is a balancing act between courage and consideration. To go for win-win, you not only have to be empathic, but you also have to be confident. You not only have to be considerate and sensitive, you also have to be brave. To do that--to achieve that balance between courage and consideration--is the essence of real maturity and is fundamental to win-win.
Christmas Report Card (CRC) Legend – Win/Wins
Applied Win/Win – Bethany – Psych Nurse
-
|
||||
##
|
Helper Feature
|
20160101
To 20161119
|
20161122-TU
Orientation
|
|
-
|
||||
01
|
Availability
|
Satisfactory
|
||
02
|
Bedside Manner
|
Satisfactory
|
||
03
|
Compatibility
|
Satisfactory
|
||
04
|
Dependable
|
Satisfactory
|
||
05
|
Ease of Appointment
|
Hard
|
||
06
|
Effective
|
Satisfactory
|
||
07
|
HRE Value
|
Satisfactory
|
||
08
|
Problem Solving
|
Satisfactory
|
||
09
|
ProQOL Score
|
Pending – I Predict
Rather High
|
||
10
|
PRO Prosumer
|
Satisfactory
|
||
11
|
Teachable
|
Pending
|
||
12
|
Timeline
(HRE Frequency & Dosage)
|
Pending
|
||
13
|
Trust
Would I Be Comfortable Showing Her This?
|
Not Yet
|
||
14
|
What She Needs From Us?
|
Pending
|
||
-
|
||||
Table – The Bethany (Psych Nurse) Rocks Assessment (TBRA)
-
New Resource
-
New Resource
Just this year we discovered that we might have a valuable
new resource. Bethany is a satellite to
our psychiatrist. Her name is
Bethany. Bethany is a Psych Nurse. We share her name un-ciphered because we
have big expectations for Bethany.
Bethany works for both our current doctor and doctor Bera. We have our orientation meeting next
week. We hope we do not fail to sell
ourselves. We need her to get onboard
with managing Clozapine. She indicates
that she is the one who really “does the work or everything”.
Doctor – Report Card Brief – Product
Doctor – Report Card Brief – Product
The Christmas Report Card (CRC) – Comparing Psychiatrists
-
Practitioner Eliminations (Quick Score)
-
Practitioner Eliminations (Quick Score)
-
|
||||
P-ID
|
OTCS
|
ORA
|
Observations & Key Event(s)
|
|
-
|
||||
Bera, R
|
4.0
Expected
|
He Was Optimistic in Public Presentations (MOMs)
|
||
Chandler, D
|
2.0
|
Med Change Without Titration Associated Strongly with a
Hospitalization
|
||
Chau, C
|
4.5
|
Hopeful - Consumer-Survivor Movement
|
||
Daniels
|
2.0
|
Med Change Results in Hospitalization
Took No History & Stopped Clozapine
|
||
Deutsch, A
|
4.0
|
Facilitated Resilience
|
||
Dobos, D
|
4.5
|
Contributed to Fortitude
|
||
Singh, R
|
4.0
|
Home Run with RX Clozapine
|
||
Vu, A
|
2.5
|
Under Served Me While My Living Arrangements De-stabilized
Followed by A Decline In Health & Loss of Freedom
He repeatedly told me it was “Situational”
|
||
Waknine, R
|
3.0
|
Too Dramatic
|
||
-
|
Table – Comparative Screening Evaluation For A Sampling of
Nine (9) Psychiatrists For Which We Have Associated – Reports Star Scores With
5.0 Being The Best
-
On Record As (ORA) – Promoting Online Rating
-
On Record As (ORA) – Promoting Online Rating
At this point you might take some
of these doctors and/or your own doctors and see how they measure up on Vitals
and Healthgrades. Why do we recommend
going online and rating your self?
Because the number of individuals rating by these sites is still
substantially lower than the one-hundred (100) record cutoff for statistical
validity.
FYI – Our Control Psychiatrist – Dr David M Dobos - Links for Our Prior Work Efforts
Dr David M Dobos, MD Kaiser Psychiatrist in Aliso Viejo, CA
– Doctor On Call - Stats by TheDAG and Keith E Torkelson, MS (2016)
Keith E Torkelson - MS Introduces Dr. David M Dobos at
Kaiser A Model Doctor On Call (2016)
Rate Our Doctors - Same Data Different Presentation
Rate Your Doctor - Objective Online
-
Rate Your Doctor - Objective Online
-
Stars – Alignment - Metadata
We here at MSG prefer grading scales to me Yes (1) to No (0) or the standard pedigogical scheme of A (4.0) to F (0.0) All CMS, Vitals, Rate Your Professor, and Healthgrades are in alignment using a five (5) Star system. Our control values were found online.
The Bera Model (TBM) - Rimal B. Bera, MD - UC Irvine Health
We here at MSG prefer grading scales to me Yes (1) to No (0) or the standard pedigogical scheme of A (4.0) to F (0.0) All CMS, Vitals, Rate Your Professor, and Healthgrades are in alignment using a five (5) Star system. Our control values were found online.
The Bera Model (TBM) - Rimal B. Bera, MD - UC Irvine Health
-
|
|||||
Online
Rating System
|
Last Update
|
#R&Rs
|
Satisfaction
Score Out Of
5.0 “stars”
|
Weight
JFF
|
|
-
|
|||||
Current Vitals
|
20160827-SAT
|
3
|
4.0
|
12.0/23.9
0.50
|
|
Current Health Grades
|
20160827-SAT
|
3
|
2.3
|
6.9/23.9
0.29
|
|
Current Yelp (None)
|
None
|
None
|
NA
|
||
Current U Compare HealthCare
|
20160827-SAT
|
1
|
5.0
|
5.0/23.9
0.36
|
|
Additive and Average
|
20160827-SAT
|
7
|
3.4
|
23.9/23.9
1.0
|
|
MSG’s Expectations Using Vitals Format
|
20161119-SAT
Pending
|
||||
20160624-F: Table - Update (Same) for Rimal B. Bera, MD –
Initialized 20160405-TU
Satisfaction with Doctor Bera’s Services and Supports
As of October 27, 2016 (TH) Health Grades reports an Overall Patient Satisfaction (OPS) and the likelihood of recommending Dr. Bera to family and friends as 2.3 out of 5.0 (3 Responses). Our Satisfaction Predictions and Expectations are much higher at somewhere around 4.0 out of 5.0 stars. We weighted Just For Fun (JFF) because eventually we will improve the reflective accuracy for some of our assessments by weighing some items. #R&Rs is Number of Responses & Reviews.
Links – Bera – Metadata (Last Visited 20160829)
Satisfaction with Doctor Bera’s Services and Supports
As of October 27, 2016 (TH) Health Grades reports an Overall Patient Satisfaction (OPS) and the likelihood of recommending Dr. Bera to family and friends as 2.3 out of 5.0 (3 Responses). Our Satisfaction Predictions and Expectations are much higher at somewhere around 4.0 out of 5.0 stars. We weighted Just For Fun (JFF) because eventually we will improve the reflective accuracy for some of our assessments by weighing some items. #R&Rs is Number of Responses & Reviews.
Links – Bera – Metadata (Last Visited 20160829)
Healthgrades
-
Vitals
-
Ucompare
-
Metadata - Noun: meta-data
A set of data that describes and gives information about other data
A set of data that describes and gives information about other data
-
Results Up Front Method (RUFM – Stars and VITALs - Combined Table)
Results Up Front Method (RUFM – Stars and VITALs - Combined Table)
-
|
|||
Assessment
|
Dobos and Kaiser
Legacy
20160507
|
RBB and GBDP
Current
20160829
|
|
-
|
|||
Objective
CMS Stars (Program)
|
5.0 (Out of 5.0 =
Best)
|
3.0 (Out of 5.0 =
Best)
|
|
Objective
Online Patient Ratings of Doctors
|
VITALS
3.5/5 (3 Responses)
|
VITALS
4.0/5.0 (3
Responses)
|
|
MSG Subjective
Using VITALS Model (20160507)
|
4.5/5 (1 Response)
|
3.0/5.0 (1
Response)
|
|
Objective
Doctor Self Report(s) Online
|
0 - No Evidence
Found
|
0 - No Evidence
Found
|
|
Table (OBJ) – Results Up Front (RUF) – Featuring Objective
Measurements – Comparing Dobos (Control) with Bera - Both psychiatrists.
-
Why We Cipher?
Gary Michael Zager our professor for Introduction to Health & Human Services introduced and taught us ethical principals. One was called a Dual Relationship. Mr. Zager says (2012) not to destroy a therapeutic relationship if it exists or existed. We are seeing doctor BSL right now and would like to avoid burning this bridge. Thus BSL and GBDP are ciphers for a person and a program.
An FYI: Acronym List - Centers for Medicare & Medicaid Services (About 1000 of them)
-
Why We Cipher?
Gary Michael Zager our professor for Introduction to Health & Human Services introduced and taught us ethical principals. One was called a Dual Relationship. Mr. Zager says (2012) not to destroy a therapeutic relationship if it exists or existed. We are seeing doctor BSL right now and would like to avoid burning this bridge. Thus BSL and GBDP are ciphers for a person and a program.
An FYI: Acronym List - Centers for Medicare & Medicaid Services (About 1000 of them)
https://www.cms.gov/apps/acronyms/listall.asp?Letter=ALL
Our Standalone Acronym List for This Paper [PENDING]
Why we have stopped ciphering much of our work beginning Fall Quarter 2016?
-
Establishing Error Rates - MSG’s Error Brief
Our Standalone Acronym List for This Paper [PENDING]
Why we have stopped ciphering much of our work beginning Fall Quarter 2016?
-
Establishing Error Rates - MSG’s Error Brief
Comparing - David M Dobos (Control) to Rimal B Bera
Combined Evaluation (Objective V Subjective) – David M Dobos (DMD)
-
Vitals Method
Combined Evaluation (Objective V Subjective) – David M Dobos (DMD)
-
Vitals Method
-
|
|||||
Timestamp
|
Assessment
|
Responses
|
Score % (Items)
|
Maximum Predicted
Error Rate
%
|
|
-
|
|||||
20160413-TH
|
Current Vitals
Standard Online
|
3
|
3.5/5 = 70% (7)
|
30
|
|
20160507
|
MSG Subjective
Using VITALS Model
|
1
|
4.5/5 = 90% (7)
|
10
|
|
20160413: Table - Objective and Subjective Data for Doctor
David M Dobos (Control)
-
Combined Evaluation (Objective V Subjective) – Bera
Findings for Rimal B Bera (RBB), MD
-
Combined Evaluation (Objective V Subjective) – Bera
Findings for Rimal B Bera (RBB), MD
-
|
|||||
Timestamp
|
Assessment
|
Responses
|
Score %
|
Maximum Predicted
Error Rate
%
|
|
-
|
|||||
20160827-SAT
|
Objective
Combined
|
7
|
3.4/5.0 =
68%
|
32
|
|
20160507
|
MSG Subjective
Using VITALS Model
|
1
|
2.9/5.0 =
58% (4)
|
48
|
|
20161027: Table - Objective and Subjective Data for Doctor
Rimal B Bera
-
Rate Your Doctor
-
Rate Your Doctor
Combined = Vitals + Healthgrades + Ucompare
-
Appendix - Medicare Stars – Being A Part Of – CMS Stars
20160414-TH: Update
20160414 Updated Table – Kaiser (H1230) Stars to Share on Dobos and Chandler
-
Origin of Medicare Stars
The star ratings system began in 2007 as a way for CMS and Medicare beneficiaries to assess and compare Medicare Advantage (MA) health plans.
-
Stars For Bera’s Contractor
Doctor Bera’s contractor earned 3.0 Stars overall for the year 2016. We here at MSG have been working hard to help the contractor earn more Stars. We have had little effect because their scores have not improved since our efforts a year or two ago began. Indirectly this report is a step to improve quality assurance. We are going to figure out who and what is weighting them down and holding them back.
Predictions Using Stars - Performance Distribution
-
Appendix - Medicare Stars – Being A Part Of – CMS Stars
20160414-TH: Update
Date
|
Plan
|
Description
|
Rating
|
20111012 for 2012
|
K-Medicare 2012 Plans
|
California (Northern and Southern Calif.)
|
5-Stars
|
20131015 for 2014
|
K-Medicare
2014 Plans
|
All Kaiser Permanente Medicare Plans (California)
|
5-Stars
|
20160414 for 2016
|
H1230
|
Overall Star Rating from Medicare
|
5-Stars
|
20160414 for 2016
|
H1230
|
Health Plan Services
|
4.5 Stars
|
20160414 for 2016
|
H1230
|
Drug Plan Services
|
5-Stars
|
20160414 Updated Table – Kaiser (H1230) Stars to Share on Dobos and Chandler
-
Origin of Medicare Stars
The star ratings system began in 2007 as a way for CMS and Medicare beneficiaries to assess and compare Medicare Advantage (MA) health plans.
-
Stars For Bera’s Contractor
Doctor Bera’s contractor earned 3.0 Stars overall for the year 2016. We here at MSG have been working hard to help the contractor earn more Stars. We have had little effect because their scores have not improved since our efforts a year or two ago began. Indirectly this report is a step to improve quality assurance. We are going to figure out who and what is weighting them down and holding them back.
$$$$$$$$$$$$$$$$$
Statement of
Intent
General for all
Doctor On Call Assessments (MDOCAs)
-
20160602-TH: Statement of Intent
A major intent is
for MSG to gain confidence about its’ External Quality Review (EQR) and sharing
process. We try to share lived
experience while applying MSG’s Harm Reduction Policy. We are shopping early for a new (superior)
psychiatrist in order to prevent preventable injury and losses (AKA an
episode).Predictions Using Stars - Performance Distribution
Figure – Doctor Bera’s Contactor (GBDP) Compared with Kaiser
-
Implied Perfection
A CMS Stars score of 5 implies perfection yet that is not the case. Scores are rounded. In the graph the area of green represents the program and staff keepers. The area in yellow represents the needs improvement - program and staff elements. The area in red implies elements that might best be replaced. As we look closer at the distribution it needs a bit of tweaking to better reflect reality. The point is: What is the true difference between a 5 Star (Kaiser) and a 3 Star (GBDP) program? How can one be used to help the other?
-
Kept Intact
We kept the paragraph intact from prior MSG reports because we need to start getting paragraph that stand a test of time right the first time. We would like to add that off the more than one hundred scoring items that contribute to a CMS Stars score very few directly address psychiatrist performance. We expect that doctor Bera performs in the green zone.
-
Bera and XenoNet – Summary
-
Implied Perfection
A CMS Stars score of 5 implies perfection yet that is not the case. Scores are rounded. In the graph the area of green represents the program and staff keepers. The area in yellow represents the needs improvement - program and staff elements. The area in red implies elements that might best be replaced. As we look closer at the distribution it needs a bit of tweaking to better reflect reality. The point is: What is the true difference between a 5 Star (Kaiser) and a 3 Star (GBDP) program? How can one be used to help the other?
-
Kept Intact
We kept the paragraph intact from prior MSG reports because we need to start getting paragraph that stand a test of time right the first time. We would like to add that off the more than one hundred scoring items that contribute to a CMS Stars score very few directly address psychiatrist performance. We expect that doctor Bera performs in the green zone.
-
Bera and XenoNet – Summary
We will take this opportunity to
introduce our XenoNet System (XS). Our
brief definition for XenoNet is Xeno stands for any substance introduced to the
animal including human body that is foreign to it. Net stands for safety net.
Basically, once a medication winner is discovered for a particular
patient concentration and effort need be sustained at all levels so there is
not gap in medication. Also a new
doctor needs to know not to experiment with the patient after a good fitting
and well-tolerated medication is found.
-
No Informed Consent Invega Experiment
This brings use to the Invega Trial. Since 2006 we have had remarkable results with Clozapine. The only reason we consider alternates such as Invega is to have a back up if our neutrophils freak out. So we without informed consent agreed to let doctor Daniels experiment on us. She failed to keep us on Clozapine and initially substituted in with a Barbiturate. The barbiturate helped perform what Clozapine does for us and that is guarantee sleep. She had begun Invega a day or so in. When she took the barbiturate away we did not sleep for three nights. After three nights with no sleep our anxiety intensified to the point were our handlers brought us to the hospital. To sum it up Invega did not keep us out of the hospital. The hospitalization cost about $30,000.
20160516-M: Prep for Meeting of the Minds 2016
In general we try to attend each yearly Meeting Of the Mind since discovering it somewhere around 2009. This year doctors Bera and Kami presented the workshop described below.
Workshop 7: Ballroom E
Schizophrenia: Cognitive Testing to Enhance Diagnostic and Treatment Options
"This presentation will focus on the background of cognitive testing. It will explain the various areas of executive functioning related to Schizophrenia and how psychological testing can be used to help enhance treatment and inform psychotropic interventions. Cognitive testing will also help define strengths, weaknesses, and provide interventions that include medications and cognitive exercises that may enhance stability."
-
Presenters: Rimal Bera, M.D., and Andrew Kami, Ph.D., John Henry Foundation
-
No Informed Consent Invega Experiment
This brings use to the Invega Trial. Since 2006 we have had remarkable results with Clozapine. The only reason we consider alternates such as Invega is to have a back up if our neutrophils freak out. So we without informed consent agreed to let doctor Daniels experiment on us. She failed to keep us on Clozapine and initially substituted in with a Barbiturate. The barbiturate helped perform what Clozapine does for us and that is guarantee sleep. She had begun Invega a day or so in. When she took the barbiturate away we did not sleep for three nights. After three nights with no sleep our anxiety intensified to the point were our handlers brought us to the hospital. To sum it up Invega did not keep us out of the hospital. The hospitalization cost about $30,000.
20160516-M: Prep for Meeting of the Minds 2016
In general we try to attend each yearly Meeting Of the Mind since discovering it somewhere around 2009. This year doctors Bera and Kami presented the workshop described below.
Workshop 7: Ballroom E
Schizophrenia: Cognitive Testing to Enhance Diagnostic and Treatment Options
"This presentation will focus on the background of cognitive testing. It will explain the various areas of executive functioning related to Schizophrenia and how psychological testing can be used to help enhance treatment and inform psychotropic interventions. Cognitive testing will also help define strengths, weaknesses, and provide interventions that include medications and cognitive exercises that may enhance stability."
-
Presenters: Rimal Bera, M.D., and Andrew Kami, Ph.D., John Henry Foundation
-
FYI - 22nd Annual Meeting of the Minds Mental Health Conference
"Collaboration: Breaking down the Silos"
Thursday, June 23, 2016 - 8:00 am – 4:30 pm
Anaheim Marriott Hotel - 700 W. Convention Way - Anaheim, CA 92802
-
Invega and Memory is A Good Thing
“One Pill Less To Remember”
The implication with the quote above (Invega Marketing) is that while memory is a good thing remembering less is also a good thing. I once heard an argument that the only way you remember one thing is that you forget ninety-nine things. Incidentally during the workshop they addressed doctor Bera’s cognition assessment results. He scored brilliant in a sample size of two (2). His competition was one diagnosed with Schizoid Features.
-
Memory is a Good Thing - Cognitive Testing [PENDING]
-
Why Invega Trinza® (Paliperidone Palmitate)?
“Invega Trinza® is the only medication that gives you three months of control of the symptoms of schizophrenia*, so you can have one less pill to remember to take every day. This is long-term symptom control that gives you the chance to focus less on taking your medication and focus more on working toward your goals.”
-
XenoNet Standalone
Since medications and medication management are such huge things in behavioral health we are preparing standalone materials. For the moment consider these Frequency Asked Questions or FAQs.
-
In the context or scope of health including behavioral health:
FYI - 22nd Annual Meeting of the Minds Mental Health Conference
"Collaboration: Breaking down the Silos"
Thursday, June 23, 2016 - 8:00 am – 4:30 pm
Anaheim Marriott Hotel - 700 W. Convention Way - Anaheim, CA 92802
-
Invega and Memory is A Good Thing
“One Pill Less To Remember”
The implication with the quote above (Invega Marketing) is that while memory is a good thing remembering less is also a good thing. I once heard an argument that the only way you remember one thing is that you forget ninety-nine things. Incidentally during the workshop they addressed doctor Bera’s cognition assessment results. He scored brilliant in a sample size of two (2). His competition was one diagnosed with Schizoid Features.
-
Memory is a Good Thing - Cognitive Testing [PENDING]
-
Why Invega Trinza® (Paliperidone Palmitate)?
“Invega Trinza® is the only medication that gives you three months of control of the symptoms of schizophrenia*, so you can have one less pill to remember to take every day. This is long-term symptom control that gives you the chance to focus less on taking your medication and focus more on working toward your goals.”
-
XenoNet Standalone
Since medications and medication management are such huge things in behavioral health we are preparing standalone materials. For the moment consider these Frequency Asked Questions or FAQs.
-
In the context or scope of health including behavioral health:
What is the definition of Control?
What is the definition of Well-being?
What is the definition of Efficacious Treatment?
What is the definition of Recovery?
Why are decreases in Hospital Days a target rather than days Thriving?
-
XenoNet Selections
We have the choice for removing the following lived experience and experimental results to a standalone report yet since we outline the here we are going to briefly develop our records and work through them.
Results of Experimentation – History of Medication Trails
What is the definition of Well-being?
What is the definition of Efficacious Treatment?
What is the definition of Recovery?
Why are decreases in Hospital Days a target rather than days Thriving?
-
XenoNet Selections
We have the choice for removing the following lived experience and experimental results to a standalone report yet since we outline the here we are going to briefly develop our records and work through them.
Results of Experimentation – History of Medication Trails
-
|
|||
Notable (Remarkable)
Medication
|
Costs > Benefits
|
[PENDING COST ISSUES]
|
|
-
|
|||
Haldol (1989 - Trial 1 of 2)
|
Yes
|
||
Navane
|
Yes
|
||
Serzone
|
No
|
||
Prolixin
|
Equal
|
||
Seroquel
|
No
|
||
Haldol (Trial 2 of 2)
|
Yes
|
||
Respiradone
|
Equal
|
||
Clozapine (Trial 1 of 2)
|
No
|
||
Trazedone
|
Can’t Remember
|
||
Invega Sustaina
|
Yes
|
||
Clozapine (Trail 2 of 2)
|
No
|
||
-
|
List – Lived Experiences with Remarkable Medications
-
Save for XenoNet
-
Save for XenoNet
-
All Medicines Not Equal
Medication and Cyclicity
Medications Proven to Resolve 90% of Presenting Problems
Share In Introduction & Client Assessment
-
Share with XenoNet – Observations & Presenting to the Public
-
Meeting of the Minds 2015
Medication and Cyclicity
Medications Proven to Resolve 90% of Presenting Problems
Share In Introduction & Client Assessment
-
Share with XenoNet – Observations & Presenting to the Public
-
Meeting of the Minds 2015
In general we try to attend ever
year the annual Meeting Of the Mind (Mental Health Association) since threading
to it somewhere around 2009. This year
doctor’s Bera and Kami presented the workshop described below.
-
Rimal Bera, M.D. Bios
“Clinical Director of Psychiatry, UC Irvine Medical Center, Medical Director: Universal Care Behavioral Health, John Henry Foundation Mental Health Center and the Pat Moore Foundation Alcohol and Drug Recovery Center. Chief Consulting Psychiatrist, Metropolitan State Hospital in Norwalk, CA.”
-
Workshop 8: Ballroom F
-
“Schizophrenia: Latest Trends in Treatment and Medication Development
Presenters will discuss medication options that have emerged to help support people living with Schizophrenia. Presenter will also present information related to practical interventions that can be used by families, consumers, and supportive personnel in the stability and continuing development of care and treatment. Presenters: Rimal Bera, M.D., and Andrew Kami, Ph.D.”
-
Summary
Basically he promoted one medication only, Invega. We first came across the notion that psychiatrists were salesmen for BigPharm with doctor Chau. There was sort of a conflict of interest thing going on. Way earlier in the paper we share our finding about psychiatrists paid by AstraZeneca. Hey but AstraZeneca makes and sell Seroquel. We have found 77 of 100 patients respond well to Seroquel. Only thirty-three were admitted to the Psych Ward. Oh but Seroquel isn’t good enough let ad Invega. Maybe the Invega can replace Seroquel even though Invega costs way more money and is likely to undermine a patients self care and determination.
-
Acronyms for Recovery Technology - Tekno - Internet Presence
-
Rimal Bera, M.D. Bios
“Clinical Director of Psychiatry, UC Irvine Medical Center, Medical Director: Universal Care Behavioral Health, John Henry Foundation Mental Health Center and the Pat Moore Foundation Alcohol and Drug Recovery Center. Chief Consulting Psychiatrist, Metropolitan State Hospital in Norwalk, CA.”
-
Workshop 8: Ballroom F
-
“Schizophrenia: Latest Trends in Treatment and Medication Development
Presenters will discuss medication options that have emerged to help support people living with Schizophrenia. Presenter will also present information related to practical interventions that can be used by families, consumers, and supportive personnel in the stability and continuing development of care and treatment. Presenters: Rimal Bera, M.D., and Andrew Kami, Ph.D.”
-
Summary
Basically he promoted one medication only, Invega. We first came across the notion that psychiatrists were salesmen for BigPharm with doctor Chau. There was sort of a conflict of interest thing going on. Way earlier in the paper we share our finding about psychiatrists paid by AstraZeneca. Hey but AstraZeneca makes and sell Seroquel. We have found 77 of 100 patients respond well to Seroquel. Only thirty-three were admitted to the Psych Ward. Oh but Seroquel isn’t good enough let ad Invega. Maybe the Invega can replace Seroquel even though Invega costs way more money and is likely to undermine a patients self care and determination.
-
Acronyms for Recovery Technology - Tekno - Internet Presence
AcroCode
|
Meaning
|
||
DSI
|
Digital Survivability Index
|
||
NATO
|
Not Able To Observe
|
||
NS
|
Not Scored
|
||
SOAIS
|
Sticking It Out About the Internet
Score
|
||
TEWB
|
Trend Expected With Bera
|
||
TMDP
|
Technologic Mastery and Digital
Presence
|
||
Matrix – Technologic Mastery and
Digital Presence (TMDP) Legend
-
Technology Grading Standard
We grade hard when it comes to technology. This is because our standard for health and technology is the OCHCA-BHS. CMS has their Meaningful Use we have our using technology to improve and prove better outcomes in the table below. Our next project in our volunteer work is to prove the concept of technology facilitating recovery.
-
Technology Grading Standard
We grade hard when it comes to technology. This is because our standard for health and technology is the OCHCA-BHS. CMS has their Meaningful Use we have our using technology to improve and prove better outcomes in the table below. Our next project in our volunteer work is to prove the concept of technology facilitating recovery.
-
Recovery Technology - Tekno - Internet Presence
Recovery Technology - Tekno - Internet Presence
-
|
|||||
Item
|
Break Through
|
Current
|
Trend
Expected
|
Quant Est.
|
|
-
|
|||||
01
|
Google Images
|
Good Start
|
3.0
|
||
Curriculum vitae (CV)
|
Not Evident
|
0.0
|
|||
Technology Assessment
|
NATO
|
NS
|
|||
Internet Presence Score (IPS)
AMB Google Hits
|
Very Robust
|
4.5
|
|||
05
|
Internet Presence Image Score (IPIS)
|
Fairly Robust
|
3.0
|
||
06
|
Image Search
|
Good Start
|
3.0
|
||
Refereed Papers
|
Found
|
4.0
|
|||
Performance Outcomes
|
Unavailable
|
0.0
|
|||
Proven Medication Data
|
Unavailable
|
0.0
|
|||
10
|
Vitals Penetration
Penetration Cutoff
100% + 10%
|
He scored
4.0 out of 5 reviews
|
4.0
Last Checked
20160827-SAT:
|
||
11
|
Wealth of 5.0 Reviews
|
1.0
|
|||
-
|
|||||
SOAIS =
|
2.3 Stars or
45.0 %
|
||||
Table - Break Though Achievements for Doctor RB Bera -
Search “Bera yields nothing – Image Search about “Rimal Bera” Yields 13 of the
first 15
FYI – Calculations (Sample)
FYI – Calculations (Sample)
22.5/10 = 2.3
22.5/50 * 100 = 45.0 %20161120-SUN: Who is homeless this week?
Even though we ran across several homeless people this week we did not capture them in their element. We did capture a few after canning at a recycle station in Anaheim (Ball and Katella).
Scrappers - Some Homeless Some Not
-
FYI - Inspiration and Dedication – The paper is dedicated to our mother June Elizabeth Stoutenburg-Torkelson. In hindsight our mom was an incredible woman. I her small business ventures of about thirty years she sold a value of over $450,000.00 per year in accounts. About half of these accounts still exist and are earning her partner, my aunt (B 1925), a pretty penny.
The Right Thing – Experience
Strength and Faith [PENDING]
-
Priors of Interest & Standalone Branches
Some likely standalone branches off this paper are or will be: XenoNet, Housing, and Prevention. Beginning next year we will select prior publications that have a high readership and repost them. We are going to create information clearinghouse hubs or axes.
Persons of Interest will be limited to those listed later on in the Community Partners Table. Right now the wellness person of interest is our new Yoga teacher Kamari.
-
Psychiatrist Deserving Attention
All of the psychiatrists listed next need more attention – some more that others. Paying them so much we just have to share some lesson learned about each: Graham and Dean – Dr. Ravinder [P] Singh – Scott Lambert – APD – BSL – Dr. Himasiri K. De Silva, MD – Daniels – Other PRN. Dr. David M Dobos MD (Psychiatrist) is one of our favorites for we accomplished much under his care. Hint just because you have settled on a school of thought or methodology doesn’t mean you are effective.
Back Link(s) [PENDING]
20160514-SAT: Gallery Key
-
20160513-F: Whose homeless this week?
-
Priors of Interest & Standalone Branches
Some likely standalone branches off this paper are or will be: XenoNet, Housing, and Prevention. Beginning next year we will select prior publications that have a high readership and repost them. We are going to create information clearinghouse hubs or axes.
Persons of Interest will be limited to those listed later on in the Community Partners Table. Right now the wellness person of interest is our new Yoga teacher Kamari.
-
Psychiatrist Deserving Attention
All of the psychiatrists listed next need more attention – some more that others. Paying them so much we just have to share some lesson learned about each: Graham and Dean – Dr. Ravinder [P] Singh – Scott Lambert – APD – BSL – Dr. Himasiri K. De Silva, MD – Daniels – Other PRN. Dr. David M Dobos MD (Psychiatrist) is one of our favorites for we accomplished much under his care. Hint just because you have settled on a school of thought or methodology doesn’t mean you are effective.
Back Link(s) [PENDING]
20160514-SAT: Gallery Key
-
20160513-F: Whose homeless this week?
Accountability and Transparency (A&T) Key
-
|
||
AcroCode
|
Description or Meaning
|
If Applicable
Version
|
-
|
||
ATT
|
Addressing Transparency Tool
|
|
BSL
|
Ciphered Due to Conflict of Interest
|
BSL2016
|
DMD
|
David M Dobos – A Control Doctor
|
|
MDOCA
|
Medical Doctor
On-Call Assessment
|
|
MDPCF
|
MD Practice Concern Form
|
(MSG-MDPCF-2016)
|
MSG
|
Mentalation Solutions Group
|
Succeeded TorkReconstruction Company
|
NR
|
Not Reported
|
|
NS
|
Not Shared
|
|
RBB
|
Rimal B Bera – A Doctor
|
|
TPS
|
Yields Transparency Progress Score
|
|
-
|
Matrix – Legend for Accountability & Transparency Materials
-
Accountability and Transparency
(A&T) Developments
It has taken a good deal of work
coming up with A&T tools that apply to psychiatrists. The current instruments address agencies
rather than individuals. We have
applied our A&T tools to doctor Dobos.
The problem is that that A&T were not strong considerations for
psychiatry back in 2000. Since we did
so much work after doctor Bera here we will assess some of our other
psychiatrist. We are still looking for
a superior doctor as a model (control).
Our instrument Addressing Transparency Tool yields our Transparency
Progress Score. Enforcing transparency
is still not fair yet.
-Asides
Assess_MDOAC_ATT_16052802_Develop
MD Practice Concern Form (MSG-MDPCF-2016)
Accountability and Transparency Developments
Comparing Dobos to Bera (Observed and Expected)
-
Addressing Transparency Tool (ATT 12 Item Beta)
-
|
||||
##
|
Quality
|
Dobos
20160513-F
Retrograde
|
RBB (2016)
20161119-SAT
Expected
|
|
-
|
||||
01
|
Error Rate
|
Low
|
40%
|
|
02
|
Information Technology
|
Handwritten History
|
Practicing
Meaningful Use
|
|
03
|
Medical Error
|
None
|
Med Error Expected
|
|
04
|
Objective Evaluation Performance Data - Objective
|
Stars – VITALs etc
|
Stars – VITALs etc
|
|
05
|
Outcome (Injury or Costs)
|
Low
|
Time Spent
|
|
06
|
Patient Safety Concerns
|
Low
|
Moderate
|
|
07
|
Performance Data - Subjective
|
Patient Testimony
Me
|
Patient Testimony
|
|
08
|
Publicizing (Digital Presence) Refereed or Other Papers
|
Little to None
|
Found at Least One
|
|
09
|
Timeline
|
3 or so Years
Intermittent
|
2015-2016
|
|
10
|
MD Self Measurements Shared
|
Absent
|
Absent
|
|
11
|
Accountable
|
Not Really
|
Not Really
|
|
12
|
Progress with Transparency
Qualitative (Prediction)
|
Predict score well
I helped him!
|
In Advance
Scores poorly
|
|
Transparency Progress
Score = (TPS) =
|
9/12 = 75.0%
With Variance
|
7/12 = 58.3%
With Variance
|
||
-
|
||||
20161118-SAT: Table – Scoring Accountability with Embedded
Transparency Accountability Element Screener (Reference Data) – Compares Dobos
and Bera. Doctor Dobos Scores Were
Updated: 20161119-SAT: First Applied to
Dobos 20160513-F:
20160829-M: First Applied to Bera
Comparative Standards of Excellence Predictions
We predict that doctor Bera is one of the better psychiatrists in North Orange County California.
FYI – Psychiatry for the Developmental Disabled
20160829-M: First Applied to Bera
Comparative Standards of Excellence Predictions
We predict that doctor Bera is one of the better psychiatrists in North Orange County California.
Central Assessment - Doctor On
Call Assessment (MDOCA Beta)
Our Doctor On Call Assessment
(MDOCA) Cluster is most likely the only assessment that we will actually share
in detail. This is our second run for
applying our MDOCA cluster or battery.
Since we have proven the concept for ourselves we probably will not test
any of our other psychiatrists.
Catharsis - Noun: catharsis; plural noun:
catharses
Catharsis is the process of
releasing, and thereby providing relief from, strong or repressed
emotions. We consider this work to be
cathartic in that we found relief by venting.
-
Data Elements
We use and report three types of
data: Objective, Transitional, and Subjective.
Our Transitional data elements are most likely to evolve as Subjective
scores are proven. Even our subjective
lived experience can change as we process and reframe. Pigeon holing is one reason how
non-laboratory clinical measures, metrics and measurements suck. A doctor’s evaluation is subjective and they
may report mistaken belief and even distorted findings. Remember House? – His team of doctors made
more incorrect working diagnoses than correct ones. Based on their assumptions they set out on about three different
treatment plans for a showcase client.
The big dollar guys such as transplant surgeons are easily audited and
share both in an accountable and transparent fashion about their practice(s).
-FYI – Psychiatry for the Developmental Disabled
On and off we have checked the
“Dummies” series for books on neurology and psychiatry. We see that there are
now: A Neurology and a Brain Surgery for Dummies. A couple of years back we heard rumor that psychiatry was the
first formalized specialty in Medicine. Back in the early 1990s doctor Deutsch
indicated that PCPs would fill the role as psychiatrist because psychiatrists
have not proven to be effective enough just pushing pills.
Applied for the client Study [PDF] - Psychiatry for Medical Students and Residents - Brain 101 (80 Pages)
Applied for the client Study [PDF] - Psychiatry for Medical Students and Residents - Brain 101 (80 Pages)
http://webcache.googleusercontent.com/search?q=cache:AwFmCK9-K-EJ:brain101.info/Psychiatry.pdf+&cd=2&hl=en&ct=clnk&gl=us
Nabeel Kouka, MD, DO, MBA - New Jersey, USA - August 2009
FYI - American Board of Medical Specialties - Wikipedia
Nabeel Kouka, MD, DO, MBA - New Jersey, USA - August 2009
FYI - American Board of Medical Specialties - Wikipedia
https://en.wikipedia.org/wiki/American_Board_of_Medical_Specialties
Established in 1933, the American Board of Medical Specialties (ABMS) is a non-profit organization of approved medical boards (officially referred to as the "Member Boards" (see below), which represent 24 broad areas of specialty medicine.
The Internet states that Edward A. Jackson (1856-1942) the major contributor to the establishment of the first specialty medical board (Ophthalmology). I guess the rumor was wrong.
American Association of Avian Pathologists (AAAP)
Before I fell ill in 1988 I was on track for participation with the American Association of Avian Pathologists. Professors and other supporter were doing good things behind my back. During my graduate work I was nominated to the AAAP. I think it was professor Yamamoto after I aced his Avian Immunology and Avian Disease classes. My nomination also qualified to attend the yearly Diseases of Poultry (Avian Disease) Conferences.
Practice and Service Models
Back on 20160413-M we felt that Doctors: Deutsch and Singh were the two doctors that helped us the most. As we started to create assessment to reflect and capture our service experiences we determined quantitatively that doctor Dobos was the one on top. So we migrated our findings over from Singh to Dobos. As you could see earlier with published two-paper about Dr. Dobos. Doctors Singh and Deutsch will probably remain anecdotal rather than stimulating thorough studies. Dr. Singh is on our list of potential successor doctors down the line.
-
How is it that a digital presence matters?
Does digital or online presence matter? It didn’t matter for the billion plus humans that lived and died before a digital world. Online there are many articles about the benefit of digital presence especially in the arena of business. But for me the reason digital presence matters is my and mines survivability. For several reasons including a misinterpretation of Thomas Robert Malthus and his speculated catastrophe I consciously opted to not reproduce. Without kids to know me and carry on I rely on the World Wide Web – Simple Hah. In other works I elaborate that this profile qualifies me as a Homo sapiens psyche.
-
Zager: How is…(rule)
Rather than ask why, Professor Zager (Cypress, 2011) say ask how?
Legacy MDOC - Photo Gallery Selections [PENDING]
Appendix Acronyms (AcroCodes) Overarching Legend – Features of a Superior Psychiatrist
Doctor On Call Acronym Legend
Matrix - Acronyms Used Current of
November 20, 2016 – Doctor On Call Assessment Battery
-Established in 1933, the American Board of Medical Specialties (ABMS) is a non-profit organization of approved medical boards (officially referred to as the "Member Boards" (see below), which represent 24 broad areas of specialty medicine.
The Internet states that Edward A. Jackson (1856-1942) the major contributor to the establishment of the first specialty medical board (Ophthalmology). I guess the rumor was wrong.
American Association of Avian Pathologists (AAAP)
Before I fell ill in 1988 I was on track for participation with the American Association of Avian Pathologists. Professors and other supporter were doing good things behind my back. During my graduate work I was nominated to the AAAP. I think it was professor Yamamoto after I aced his Avian Immunology and Avian Disease classes. My nomination also qualified to attend the yearly Diseases of Poultry (Avian Disease) Conferences.
Practice and Service Models
Back on 20160413-M we felt that Doctors: Deutsch and Singh were the two doctors that helped us the most. As we started to create assessment to reflect and capture our service experiences we determined quantitatively that doctor Dobos was the one on top. So we migrated our findings over from Singh to Dobos. As you could see earlier with published two-paper about Dr. Dobos. Doctors Singh and Deutsch will probably remain anecdotal rather than stimulating thorough studies. Dr. Singh is on our list of potential successor doctors down the line.
-
How is it that a digital presence matters?
Does digital or online presence matter? It didn’t matter for the billion plus humans that lived and died before a digital world. Online there are many articles about the benefit of digital presence especially in the arena of business. But for me the reason digital presence matters is my and mines survivability. For several reasons including a misinterpretation of Thomas Robert Malthus and his speculated catastrophe I consciously opted to not reproduce. Without kids to know me and carry on I rely on the World Wide Web – Simple Hah. In other works I elaborate that this profile qualifies me as a Homo sapiens psyche.
-
Zager: How is…(rule)
Rather than ask why, Professor Zager (Cypress, 2011) say ask how?
Legacy MDOC - Photo Gallery Selections [PENDING]
Appendix Acronyms (AcroCodes) Overarching Legend – Features of a Superior Psychiatrist
Doctor On Call Acronym Legend
-
|
||||
AcroCode
|
Table (OBJ) Legend
|
|||
-
|
||||
%
|
One hundred percent is best
|
|||
A&TPS
|
Accountability & Transparency Progress Score
|
|||
AcroCode
|
Description
|
|||
AcroCode
|
Meaning
|
|||
ASSS
|
Appropriate Services Subjective Score
|
|||
ATT
|
Addressing Transparency Tool
|
|||
BSL
|
Ciphered
|
|||
CMS
|
Centers for Medicare & Medicaid Services
|
|||
COTS
|
Commercial-Of-The-Shelf
|
|||
GBDP
|
GB DEATH Program
|
|||
MD
|
Medical Doctor
|
|||
MDOCA
|
MD On Call Assessment
|
|||
MDOCV
|
MD On Call Value
|
|||
MD-P
|
Psychiatrist
|
|||
MD-PCP
|
Primary Care Physician
|
|||
MD-S
|
Specialist
|
|||
MSG
|
Mentalation Solutions Group
|
|||
Obj
|
Objective
|
|||
PAPS
|
Prowess At Practice Score
|
|||
PAPV
|
Prowess At Practice Value
|
|||
RBB
|
Rimal B Bera
|
|||
RUF
|
Results Up Front
|
|||
RUFM
|
Results Up Front Method
|
|||
S&DE
|
Strengths & Deficits Evaluation
|
|||
Subj
|
Subjective
|
|||
TCMS
|
Techno Case Management Score
|
|||
TPS
|
Transparency Progress Score
|
|||
Prowess At Practice Score (PAPS)
The Doctor On Call Assessments address twelve or so item that include equal weight question about Accountability & Transparency as see in business, IT Features for a Superior Psychiatrist. We here at MSG constructed may of our own assessments. Our Technical Case Management Survey addresses features of Digital Medicine. Below we compare doctors Dobos and Bera.
-
Prowess At Practice Value (PAPV)
Data Current as of 201601120-SUN: RUFM – Table - Rating the Doctors On Call (MDOC) -Subjective from Lived and Real World Experience – Scorings: 20160829-M: Bera Data – Applied to Dobos 20160510-TU:
-
Prediction Based On Data
It looks like doctor Bera will not perform as well as doctor Dobos without guidance. Stage-01 guidance is to read this report. Action item – Determine if doctor Bera has read this report.
-
Evaluating Accountability and Transparency Legend
Matrix - Accountability and Transparency Legend
-
Permeation
The Doctor On Call Assessments address twelve or so item that include equal weight question about Accountability & Transparency as see in business, IT Features for a Superior Psychiatrist. We here at MSG constructed may of our own assessments. Our Technical Case Management Survey addresses features of Digital Medicine. Below we compare doctors Dobos and Bera.
-
Prowess At Practice Value (PAPV)
AcroCode
|
Assessment
|
Dobos and Kaiser
Legacy
[% (Items)]
|
RBB and GBDP
Current
[% (Items)]
|
MDOCAT
HWS
|
Doctor On Call Assessment Tool (Beta) – High Weight
Screener
|
83 (12)
|
25.0 (10)
|
MDOCAT
LW
|
Doctor On Call Assessment Tool
(Beta) – Low Weight Fleshing
|
58 (13)
|
50.0 (17)
|
Data Current as of 201601120-SUN: RUFM – Table - Rating the Doctors On Call (MDOC) -Subjective from Lived and Real World Experience – Scorings: 20160829-M: Bera Data – Applied to Dobos 20160510-TU:
-
Prediction Based On Data
It looks like doctor Bera will not perform as well as doctor Dobos without guidance. Stage-01 guidance is to read this report. Action item – Determine if doctor Bera has read this report.
-
Evaluating Accountability and Transparency Legend
AcroCode
|
Meaning
|
|||
A&T
|
Accountability and Transparency
|
|||
A&TS
|
Accountability and Transparency
Score
|
|||
ASSS
|
Accountability Strengths Scale
Score
|
|||
ATT
|
Addressing Transparency Tool
|
|||
COTS
|
Commercial-of-the-shelf
|
|||
MDOC
|
Doctor On Call
|
|||
RUFM
|
Results Up Front Method
|
|||
S&DE
|
Strengths & Deficits Evaluation
|
|||
TPS
|
Transparency Progress Score
|
|||
Matrix - Accountability and Transparency Legend
-
Permeation
Basically I have a high concentration
of information that needs to permeate across into my next doctor’s brain. Information is the permeate. I'm sending my information across A Membrane
of Transparency (AMT).
-
Permutation
-
Permutation
Permutation may be defined as a way,
especially one of several possible variations, in which a set or number of
things can be ordered (and graded) or arranged. This paper is my current permutation about psychiatrists
experimenting using human subjects. Up
until now, what a waste it has been.
-
Accountability & Transparency – Business Application
-
Accountability & Transparency – Business Application
AcroCode
|
Assessment
|
Dobos and Kaiser
Legacy
[% (Items)]
|
RBB and GBDP
Current
[% (Items)]
|
|
ATT
|
Addressing Transparency Tool
Yields TPS
|
71% (11)
|
44% (9)
|
|
A&T
Edmonton
|
Accountability and Transparency COTS (The Edmonton)
Yields A&TS
|
Out of Scope
|
Out of Scope
|
|
S&DE
|
Strengths & Deficits Evaluation
Yields ASSS
|
Strengths (#28)
> Deficits (#4)
|
(*) Prediction
Expectations
Strengths >=
Deficits
|
|
Data Current as of 20161120-SUN: RUFM – Table (MDOC) - Rating the Doctors On Call -Subjective from Lived and Real World Experience - 20160829-M: Bera Data – Doctor Dobos was Scored: 20160510-TU:
(*) – Detailed calculations are held over for being out of scope at this time
ATT Control = Edmonton Commercial-Off-The-Shelf (COTS) Tool
20160916-F: We here at MSG have removed our Edmonton Assessment results because they do not fit for assessing an individual.
-
A & T Comment
Note on Assessing Accountability
and Transparency
In general we prefer finding a commercial-off-the-shelf assessment that fits our needs. We found an A&T Assessment (The Edmundton – Link Below) yet it addresses agencies and not individuals. We have working on our A&T tool for a bit yet we still are not satisfied with it for evaluating individuals. This paper because it contains lived-experience is part of our personal mission about A&T.
FYI – Assessing Your Agency
In general we prefer finding a commercial-off-the-shelf assessment that fits our needs. We found an A&T Assessment (The Edmundton – Link Below) yet it addresses agencies and not individuals. We have working on our A&T tool for a bit yet we still are not satisfied with it for evaluating individuals. This paper because it contains lived-experience is part of our personal mission about A&T.
FYI – Assessing Your Agency
[PDF] - Accountability and
Transparency Board Self-Assessment - Charity Central
(4 pages – Tool itself “The
Edmonton” & A&T-Edmonton)
“As a self-assessment, these
questions help clarify for you where your agency are going.”
-
MSG As An Agency
MSG is the current incarnation of the Tork Doors Operating System. MSG is Mentalation Solutions Group. It grew out of some previous constructs. One notable construct was Tork Reconstruction Company which profit making division Tele-Links Exchange ceased to contribute back in 2004. [INSERT BANK STATEMENT - Done]. With Tele-Links we reached our highest month for income. MSG is hoping to merge next year with The Kline Coalition under its new principle A Kline, MD & PhD. The MSG platform now endears new vibrant construct. AVEY. Last SARAH as of July 2016 has returned to the team after a four year sabatical in Northern Californian. SARAH heads our ways and means division.
-
MSG As An Agency
MSG is the current incarnation of the Tork Doors Operating System. MSG is Mentalation Solutions Group. It grew out of some previous constructs. One notable construct was Tork Reconstruction Company which profit making division Tele-Links Exchange ceased to contribute back in 2004. [INSERT BANK STATEMENT - Done]. With Tele-Links we reached our highest month for income. MSG is hoping to merge next year with The Kline Coalition under its new principle A Kline, MD & PhD. The MSG platform now endears new vibrant construct. AVEY. Last SARAH as of July 2016 has returned to the team after a four year sabatical in Northern Californian. SARAH heads our ways and means division.
-
Figure - High End of My Monthly Earnings
Table – Tekno Case Managemnet - (TCMS) Legend
AcroCodes
|
Translation (Meaning)
|
-
|
|
MDTAT-HWS
|
Doctor Tekno Assessment Tool – High Weight Screener
|
MDTAT-LW
|
Doctor Tekno Assistance Tool – Low Weight
|
TCMS
|
Tekno Case Management Score (Yield)
|
TDCMA
|
Tekno Driven Case Management Assessment
|
TDCMA-P-HWS
|
TDCMA – Provider Version – High Weight Screener
|
TDCMA-P-LW
|
TDCMA – Provider Version – Low Weight
|
20160527-F: Matrix – Legend for Tekno Assessments
(MSG-Betas)
-
-
IT Features for a
Superior Psychiatrist
Of course we all
want the best psychiatrist on the block.
One that not only has a proven track record with medication management
yet understands the epidemiology of disease including environment. It would also be nice if our super-duper
doctor risked, took and passed the Haldol Challenge (Tork Reconstruction
1989). Psychiatrists just don’t know
the learning opportunities they are missing by not experimenting on themselves.
-
TCMS = Tekno Case Management
Score (A Yield)
We are not bragging here yet
strong evidence indicates that we are one if not the one best-trained consumer
in Orange County California about Health & Human Services Technological
Needs. Find below our numbers comparing
doctors’ Dobos and Bera on Technological Prowess.
Comparison Evaluation
AcroCode
|
Assessment
|
Dobos and Kaiser
Legacy
[% (Items)]
20160510
|
RBB and GBDP
Current
[% (Items)]
20160829
|
MDTAT-HWS
|
Yields TCMS-HWS
|
83 (12)
|
25.0 (10)
|
MDTAT-LW
|
Yields TCMS-LWS
|
31 (16)
|
50.0 (17)
|
-
|
20161120-SUN: Table (TCMS) - RUFM – Rating the Doctor On
Call’s Technological Prowess -Subjective from Lived Experience
-
Prosumer and Prosumption
That’s us here at MSG: And that’s what we are doing. We defined our really cool and happening
terms elsewhere but there no use in digging it up because Prosumer’s Prosuming
will be a standalone. Prosumtion is one
reason that, while I type this the man in the bed across from me spends about twenty
hour a day in bed. The VA is really
helping him out :o( He is and has been
inappropriately served for so long he believes it can never get even a little
bit better.
-
Shipwrecked Documents for This Paper (A Bunch)
A bunch is a number of things, typically of the same kind,
growing or fastened together.
MSG Assessment Constructs – Combined - MDOC & TCMS
Combined Evaluation (Subjective) – Bera (RBB)
Timestamp
|
Assessment
|
Responses
|
Score % (Items)
|
Error Rate
%
|
|
20160413-W
|
MDOCV
High Weight
|
1
|
25.0 (6)
|
75.0
|
|
20160413-W
|
MDOCV
Low Weight
|
1
|
45.5 (11)
|
54.5
|
|
20160829-M
|
TCMS
High Weight
|
1
|
25.0 (10)
|
75.0
|
|
20160829-M
|
TCMS
Low Weight
|
1
|
50.0 (17)
|
50.0
|
|
20160929-M
|
Our Vitals Report
|
[1]
|
3.0/5.0 = 58% (4)
|
42%
|
|
20160413-20160929 – Table - Data For Doctor Rimal B Bera –
MSG Constructs: Doctor On Call & Tekno Case Management
-
Roll Back for Objectivity
-
Roll Back for Objectivity
You can compare these subjective findings with the objective
control scores presented earlier. Note
– At this point more than half of our calculations come from inhouse Excel
Spreadsheets (TorkCalc V2016).
-
Technology Evolution
We previously called Tekno, Teckno which in turn we called
Techno.
Medication Collateral Damage Assessment (MCDA) – Across His
Populations (A&T)
-
|
||||
Outcome Class (Medication Associated)
|
Check When Addressed
|
|||
-
|
||||
Audit Medications for Efficacy
|
||||
Career Earnings Off Medications
|
||||
Compliant & Not Well Tolerated
|
||||
Consumer’s Permitted to Drive Daily Titration’s
|
||||
Co-pay Cost Less Than
10% of Consumer’s Income
|
||||
Income From BigPharm
|
||||
Kidney Problems AMB Dialysis Patients
|
||||
Liver Problems AMB Lab
|
||||
Medication Driven - Quality Of Life
|
||||
Medication Driven - Satisfaction
|
||||
Medication Error Reporting
|
||||
Medication Errors on EBR Population
|
||||
Mistaken Beliefs Surrounding Hospitaliztions
|
||||
Number of Break Evens
|
||||
Number of Died Young’s
|
||||
Number of Graduates (Increase Efficiency)
|
||||
Number Served With Medication
|
||||
Number Served Without Medication
|
||||
Over Career Number and Character of “Cocktails”
|
||||
Success by Decreasing Costs
|
||||
Success by Getting Back Off Injections
|
||||
Success by Getting Off Conservatorship
|
||||
Success by Increasing Dosages
|
||||
Array - Medication Collateral Damage Assessment (MCDA) –
Across Doctors Population(s) (A&T) – AMB = As Measured By
-
Individual Medication Management Networks – Treatment Preferences
-
Individual Medication Management Networks – Treatment Preferences
question we ask ourselves in
how to get important case information in the hands of and used by all potential
doctors. Our current doctor indicated
that our treatment preferences probably would not be honored in the Psych
Ward. We will address this under
ZenoNet2017.
-
Prioritized Applying the Lorazepam Fix (Medication Error)
-
Prioritized Applying the Lorazepam Fix (Medication Error)
Earlier this year we suffered
through medication errors across two of our three medications. Fortunately Clozapine was not effected. Yet we are now a bit anxious and hyper
vigilant about medication errors.
Kaiser and doctor Dobos in more that two years never made a medication
error. We owe this largely to a now
passing protocol. Doctor Dobos issued
hand written prescriptions. Before we
left we could see if the prescriptions were "correcnt". Now with E-Prescibing we have two errors in one year. As of today November 20, 2016 we are still
working on a solution to medication errors about an Electronic Health Record
(E.H.R.) platform.
-
Marketing Collateral Comparison
We here at MSG enjoy evaluating and creating marketing collateral and newsletters. Here we compare The John Henry Foundation (Bera’s association) and Casa Youth Shelter (Zager’s association retired). It should be clear that Casa Youth Shelter is way ahead when it comes to performance measures and transparency.
-
Marketing Collateral Comparison
We here at MSG enjoy evaluating and creating marketing collateral and newsletters. Here we compare The John Henry Foundation (Bera’s association) and Casa Youth Shelter (Zager’s association retired). It should be clear that Casa Youth Shelter is way ahead when it comes to performance measures and transparency.
-
Figure - The John Henry Foundation - Few if Any Numbers
-
Figure - Casa Youth Shelter - A Model for Numbers
-
Figure - The John Henry Foundation - Few if Any Numbers
-
Figure - Casa Youth Shelter - A Model for Numbers
Bera Results Appendix –
Associated Documents
In ferreting about we wrote about ten (10) satellite papers. We are still undecided whether to address and Introduction or the Client Assessment (Baseline). We hope to use some of our material in process in both the Introduction and Client Assessment reports.
-
15_MDOC_Profile_16041004_Bera Rates (Excerpt)
This is were we would offer up to doctor Bera any assignments that we feel would help him move
In ferreting about we wrote about ten (10) satellite papers. We are still undecided whether to address and Introduction or the Client Assessment (Baseline). We hope to use some of our material in process in both the Introduction and Client Assessment reports.
-
15_MDOC_Profile_16041004_Bera Rates (Excerpt)
This is were we would offer up to doctor Bera any assignments that we feel would help him move
from practicing to mastered.
-
Innovations to Prevention – Volunteer Work
-
Innovations to Prevention – Volunteer Work
We do volunteer
for work for the OCHCA MHSA Technology Advisory Committee (TAC). This job was supposed to be a holding
pattern for our chosen interest on the Innovations Advisory Committee
(IAC). The MHSA Innovations is delivered
is through Projects. We like projects
because they close and get done. Yet,
unfortunately when delivered they were delivered as Programs. After our hardship of 2012 we determined it
was in our best interest to maximize our preventative behaviors. This paper is a preventive step: Securing a
superior psychiatrist, no gaps in Clozapine, and sustain our environmental
gains.
-
Applied to Bera – Version 2016 (Beta)
-
Applied to Bera – Version 2016 (Beta)
Assessing Rates and Related Rates
- Origin About Innovation
We first developed this material for the OCHCA MHSA Innovations Advisory Committee back in 2011. We were trying select assessment tools that could be used across all MHSA Innovations Projects. In the end we shared our finding in the form of an Outcome Measures Manual with the governing body – Mental Health Oversight & Accountability Commission (MHOAC). They shared approval and accepted our work.
-
The Bera Advisory Committee (BAC)
It would be nice if doctor Bera host and consumer driven advisory committee twice a month. We could measure for rates and trends. We could determine if he has the time left in life to solve his client cohorts’ problems. I think he works with a minimum of three (3) cohorts. What follows is a rather comprehensive list on resolve per unit time. With the BAC: It would be like he was our professor sharing his proven successful methods. We could get assignments and help him out. For our help he might give us non-monetary compensation and subsidies like office space. Wow! That might better empower his clients. Empowerment is related to: Energy, Time, Rest, and Money MSG, 2016).
-
Related Rates
20161118-F: Table – Related Rates (1-L) and Trends that would be desirable to report in the Accountably Section (Beta Version): AMB = As Measured By
We first developed this material for the OCHCA MHSA Innovations Advisory Committee back in 2011. We were trying select assessment tools that could be used across all MHSA Innovations Projects. In the end we shared our finding in the form of an Outcome Measures Manual with the governing body – Mental Health Oversight & Accountability Commission (MHOAC). They shared approval and accepted our work.
-
The Bera Advisory Committee (BAC)
It would be nice if doctor Bera host and consumer driven advisory committee twice a month. We could measure for rates and trends. We could determine if he has the time left in life to solve his client cohorts’ problems. I think he works with a minimum of three (3) cohorts. What follows is a rather comprehensive list on resolve per unit time. With the BAC: It would be like he was our professor sharing his proven successful methods. We could get assignments and help him out. For our help he might give us non-monetary compensation and subsidies like office space. Wow! That might better empower his clients. Empowerment is related to: Energy, Time, Rest, and Money MSG, 2016).
-
Related Rates
Suggestions
|
Nature
|
Hopes
|
||
1-Hospitalization Prevention Rate
|
Number of clients admitted per year
|
Less than 10% and definitely no me
|
||
Benefit Rate
|
Benefit exceed costs
|
TimeSpent decreases
|
||
Correction Rate
|
Mitigating Legal Issues
|
Not required
|
||
Cost Containment Rate
|
Decrease in cost of medications
|
Unlikely
|
||
Efficiency Rate
(Pre-Sell for Psychophysics)
|
Useful Energy Output/Energy Input *100
|
|||
Engagement Rate
|
Mean SED/SPMI age decreasing
|
Adding more Transitional Aged Youth to caseload
|
||
Error Rate
|
Practitioners Self Awareness
|
|||
Eustress Rate
|
Transduction of Stress
|
Resolve more stress the the practitioner creates
|
||
Experimentation Rate
|
Number of medication cocktail incarnations per client
|
How does doctor Singh do it?
|
||
Inappropriate Service Rate
|
AMB Percentatages of Hospitalization and Inhumane Housing
|
|||
Inappropriate Service Rate
|
AMB Number of Current Medications / Number of Trial
Medications
|
|||
Innovation Rate
|
AMB Number of Projects
|
|||
20161118-F: Table – Related Rates (1-L) and Trends that would be desirable to report in the Accountably Section (Beta Version): AMB = As Measured By
Appropriate Doctor Focus Group - Results Compiled by Keith
Edward Torkelson, MS & PHW
Originally Chartered: November 18, 2011: Migrated: November
14, 2016
Suggestions
|
Nature
|
Hopes
|
||
Performance Earning Rate
|
Finding subsidies for patients
|
Start with recovery office supplies
|
||
Probono Work Rate
|
Models:
Chau – Zager – Vu - BMH
|
|||
Recovery Rate
|
Patients that do not need medication anymore
|
Unlikely
|
||
Righting Rate
|
Achieving Desirables Never Experienced Before
|
“Better Than Ever”
(BTE)
|
||
Solvency Rate
|
Profit Trend in his operation(s)
|
Up by a factor of 10 for 2017
|
||
Value Rate
|
Cost rate V Benefit rate
|
ID some huge benefits
|
||
Work or Volunteer Rate
|
Volunteer Hours per unit time
Client and Provider
|
20161118-TH:
Test with Zager failed
|
||
20161118-F: Table – Related Rates (M-Z) and Trends that
would be desirable to report in the Accountably Section (Beta Version)
Definitions for Rates Instrument
Related Rate (CSS)
Since “the system is broken”
Services and Supports have to be made more efficient by improving outcomes
while spending less. Applying: The
Refowitz Triple C Principle - MHSA Policy & Procedure - An MSG Development
(2014)
Efficiency is a measure of how
much work or energy is conserved in a process. In many processes, work or
energy is lost, for example as waste heat or vibration. The efficiency is the
energy output, divided by the energy input, and expressed as a percentage.
Solvency is the ability of a company to meet its long-term financial obligations. Solvency is essential to staying in business as it asserts a company's ability to continue operations into the foreseeable future. Example - A company that is insolvent must often enter bankruptcy.
-
Appendix – Common Community Partners Past and Present
(Inclusive)
Method
|
Partner
|
Note
|
||
-
|
||||
Advocate for Consumer Peer Specialists in Behavioral
Health
|
Californian Mark Leno
(M_L)
|
Senate Bill 614
|
||
Experimentation
EUHS
|
Dr. Himasiri K. De Silva, MD (HKDS)
|
Unsuccessful biochemical lobotomies
(Per APD, MD, 1989)
|
||
Homeless Representative
(OC - May 2016)
|
FV Tech Guy
|
Hope and Innovation
|
||
Housing Specialist
|
Donald L Bren (DLB)
|
MHSA Taxpayer and Funding
|
||
Inappropriately Served & Over-served
|
Kelly Thomas (K_T)
|
“Died Young” while being served and protected
|
||
Man of Peace Methods
(Grace & Role Modeling)
|
Peter Brian Gabriel (PBG)
|
Promoted awareness of Stephen Bantu “Biko”
|
||
Promising Practices Psychiatry
|
Clayton Chau, MD (C_C)
|
Consumer-survivor
|
||
Technique of the Quarter
EUHS
|
Antonio Egas Moniz (AEM)
|
Pre-Frontal Lobotomy
|
||
Writer for “The Resistance”
|
Daryl Steinberg (D_S)
|
Mental Health Services Act
|
||
HomeyGee’s Way
|
(EAK)
|
Promise for the future
|
||
Our National Cornerstone
|
Sylvia Mathews Burwell (SMB)
|
Promise for our futures
Now with Trump she may go away
|
||
Table – Maturing With About Our Community Partners - (AMIN, 2016: Dobos, 2016) - Latest Incarnation 20161114-M: EUHS = Experimentation Using Human Subjects
-
Development Metadata – Pet Pieve
Here at the end let us address Metadata. Basic Metadata is information that describes the data’s properties such as an Integer or Real Number. In a presentation for every slide that contains data particularly in a graph form one slide should be included to clearly address Metadata. One of the most important pieces of Metadata is a link directly to the source of the data presented on the graph slide. In fact during the presentation it would be nice if the presenter only provides the link and navigated directly to the source data.
The End - And in the end, the love you take (share) Is equal
to the love you make (send) – Modified Beatles
El Fin – Slutningen - Конец
Results Job Invoice (20161121-M)
Value Added: $3,586.37
"Independence" By Keith Torkelson
Thomas S-K
-
The Bera Kami Hour
-
Parts of the Cohort
"How we do it around here (CM, 2013)"
Being at it awhile
End of End Gallery
Finished Draft Posting before Format Changes November 20,
2016 @ 7pm (Sunday)
On Time and Under Budget
It was a Pleasure BOS
Now We can go on Thanksgiving Vacation!
Only one last thing to add – The Invoice Our FAV (20161121 Fully Executed)
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