HEALTHMAN_By Keith Torkelson MS_UCD Educated Pathology: MSG Delivers Rate Your Doctor – Vitals Plus Instrument Results – Keith Torkelson, MS – About Behavioral Health Doctor Partnership (201810)

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Assess_Vitals_Plus_Bera_RBB_18092701_Appt-2018-04

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Blogger Titles

MSG Delivers Rate Your Doctor – Vitals Plus Instrument Results – Keith Torkelson, MS – About Behavioral Health Doctor Partnership (201810)

Google Plus Information

Subject Study Concerning – Rimal B Bera, MD – Annual Christmas Report Card (CRC)

Blog - HEALTHMAN

Dedicated to Doctor Ahnika Sarah Kline, MD, PhD

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Partners
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Abstract – Summary

This report is about our principal Keith Torkelson. We are Mentalation Solutions Group (MSG). As of 2018 Keith linked up with a new and improved Behavioral Health Doctor (BHD). His new doctor’s moniker is Rimal B Bera (RBB-MD). Here using our Rate Your Doctor (RYD) Vitals Plus instrument we capture the nature of our final appointment this year with RBB. RBB sustains an association with Brand New Day (BND) Keith’s insurer. For 2018 BND earned 3.5 Stars of 5.0 Stars from the Centers for Medicare & Medicaid Services (CMS). We address as a consumer of Satisfaction with RBB about this final appointment. Our cycle for collecting our Vitals Plus data is a calendar year. We will not see RBB until January 2019. For the Plus component in our Vitals Plus instrument we award RBB 4.9 Stars. For his overall MSG Vitals Plus score we award RBB 4.5 Stars. These finding indicate that Rimal B Bera MD is a high performer about the Brand New Day Network. One of the Key Events or Major Milestones about this yearend close out appointment was that Doctor Bera awarded Keith AKA Buster the honor of being an advocate for which RBB indicated Gratitude. The single Vital Plus element that would improve RBB’s score is that he offers a Consumer Satisfaction Survey. Let’s get to the report: How short and sweet it is!

List – Tables & Matrices

[PDF] - 2018 Medicare Star Ratings - Brand New Day

Matrix – Rubric for MSG Binary Scoring

Table - Cast of Characters – Centered About Rimal B Bera – Medication Management (2018)

Table – Responsibility Assignment Matrix (RAM) About CCCHC Related Teams (2018)

Table - Header Information – Encounter & Data

Matrix - Vitals-Plus Method – Combined Scores

Matrix - Vitals-Plus Method – Vitals Standard Elements

Matrix - Vitals-Plus Method – Vitals-Plus Elements – Part 1 of 2

Matrix - Vitals-Plus Method – Vitals-Plus Elements – Combined Parts 1 and 2

FYI - Medication Management Team – Single Point Accountability (SPA) – RBB

20181010-W: Appointment 4 of 4 - Key Event(s)

Both – 2 minutes of show and tell
Both - Awarded us the Title of Advocate!
Him - Sustaining the New Improved Triage Method
Him – Triple Booked
Us – Hand Deliver Lorazepam Prescription to Pharmacy
Us - Less than one day Vitals Plus Turnaround

Clerical – Summary of Visit not Available (Indicates)

It would appear that Rimal B Bera shares his Electronic Health Record (E.H.R.) with Central City’s E.H.R. Central City has not made available to us the Patient Portal option. Thus we still rely on paper documentation for our Personal Health Record (PHR). In order to complete our reports we needed a document that CCCHC can generate call a Summary of Today’ Visit. We asked Kimberly in clerical for it and she indicated that he had not finished charting yet. This would indicate that RBB collects up enough information about an appointment so that at the end of the day he address complete, proper, and required charting. We here at MSG follow a similar protocol.

The Bigger Picture First

[PDF] - 2018 Medicare Star Ratings - Brand New Day

https://bndhmo.com/wp-content/uploads/2017/11/H0838_Part_D_Star_Rating_2018_template_1_english.pdf

An Overall Star Rating that combines all of our plan's scores.

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Figure – Brand New Day HMO CMS Stars Scores (2018)

Star Scoring Usage

How is it we adopted a Stars Scoring Method (SSM). First, the Centers for Medicare & Medicaid Services (CMS) apply a 5.0 Star Method for valuing their members such as Brand New Day HMO. Second, the majority of Online Rating Sites (ORSs) use the Five Star system. So for leveling about Oranges and Oranges we here at MSG off times use Stars in our reports. If we generated the score we call them Star Equivalents.

Scoring

Metadata > Assessment_Scoring_17121201_Rules V2018

20171212 - Assessment Scoring

We routinely apply a few types of scoring methods. We describe them as: Binary, Stars, and Percentiles.

Matrix – Rubric for MSG Binary Scoring

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Nature	Range	Best	QUAL
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Binary	0.00 \| 0.50 \| 1.00	1.00	No \| SoSo \| Yes Options 0.25 – 0.75 PRN
Stars	0.0 – 5.0	5.0	Example Compare with CMS Stars Scores
Percentile (%)	000.0 – 100.0	100.0	Inter-assessment comparisons and migrations (Portability) Fidelity with Education Standards
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Matrix – Rubric for MSG Binary Scoring – Last Updated: 20180810-F:

Binary Scoring Method (BSM)

P-Pass (1.0) | So-So (0.5) | F-Fail (0.0)

Note: Example of Share - Clozapine & BND 1.5

How is it Binary Interval?

We here at MSG include the Binary Interval Scoring Method (BISM) because it reduces errors with calculations.

Legacy Publication (2017)

Keith Torkelson – Awarded Provider High Scores (201711)

Post Title

MSG Vitals-Plus Assessment Instrument – Applied to Central City Community Health Center – By KE Torkelson (MS-Pathology) – Context of Annual Christmas Report Card (MSG, 2017) – Surveying for Consumer Satisfaction – Rates Team Martha and Clerical

Central City Vitals Plus Scores 2017/11

Encounter Notes

Site = Central City Community Health Center - Garden Grove

Table - Cast of Characters – Centered About Rimal B Bera – Medication Management (2018)

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Character	Clerical & E_Clerical	Clinical	Note
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Anon MD		X
Anon PA		X
Beatrice/Beatriz	X
Bethany	X
Bum Soo Lee MD	X	X
Chester D Mojica MD	X	X
Cynthia	X
Gabby	X
Jeff Gibbs
Jocelyn	X
Martha	X	X
Others PRN		X
20181010-W: Kimberly [New]		X
Rimal B Bera	X	X
Triage – Intern		X
Triage – 3^rd year university		X
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Table - Cast of Characters – Centered About CBC (2017-2018) – Team Rimal B Bera

Triage – Medication Management – Clerical (Scheduling)

Relationships

Team Bera is a Subset of Team Central City (CCCHC). Central City appears to be a Health Care Provider (HCP) for our insurer Universal Care Brand New Day.

Table – Responsibility Assignment Matrix (RAM) About CCCHC Related Teams (2018)

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Team	Clinical	Clerical	E_Clerical	Other	Note
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Team Bera	X	X	X		Medication Management
Team CBC	X	X	X		Clozapine Related
Team CCCHC	X	X	X		Largest Team
Team Gilbert				X	Pharmacy
Triage part of Bera	X				New and Improved
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Matrix – Responsibilities of CCCHC Related Teams (2018)

Table - Header Information – Encounters & Data

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Element	Primary	Secondary	Note

Process	Medication Management	Clozapine
Date of Encounter	20181010-W @130	Made by Jocelyn
End of Year – Appointment 4/4	End of Year	Appointment 4/4
Practitioner	Rimal B Bera MD	Behavioral Health Doctor
Theme(s) about Measurement	Quality of Service	Consumer Satisfaction
Assessment	Vital Plus Tool	Authored by MSG
Number of Data Tables	Five (5)
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Matrix - Vitals-Plus Method – Combined Scores

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		Clinical RBB	Clerical & Scheduling
	Patient Ratings Service Experience Element	20181010 (W) Med Mng Team	Appt Made 20180718-W By Jocelyn For: 20181010-W	Sample CALC
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	Items = 7	5.5/6 91.7%	6.0/6 100%	Sum/# Scored 4.5/5 %
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	Items = 18	15.25/17 89.7%	15.0/17 88.2%	Sum/ # Scored 13.5/15 %
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	Items = 25 (CALC)	20.75/23 90.2%	21.0/23 91.3%	Sum/# Scored 18.0/20 %
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	Star Equivalents (5.0 Stars is the Best)	4.5	4.6	4.50
	With Bonus IF – THEN Impression Add 1 to Numerator	Stayed	Stayed	(18+1)/20 * 100 = 95.0%
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Indications of Satisfaction: Actual Data from 20181010-W: – Team Rimal B Bera

Triage – Medication Management – Clerical (Scheduling)

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Matrix - Vitals-Plus Method – Vitals Standard Elements

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		Clinical RBB	Clerical & Scheduling
Item #	Patient Ratings Service Element	20181010 (W) Med Mng Team	Appt Made 20180718-W By Jocelyn For: 20181010-W	Sample CALC
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01	Ease of Appointment	1.0	1.0	1.0
02	Promptness	1.0	1.0	1.0
03	Courteous Staff	1.0	1.0	1.0
04	Accurate Diagnosis	0.5	NA	X
05	Bedside Manner Demeanor/Rapport	1.0	1.0	1.0
06	Spends Time w Me	1.0	1.0	0.5
07	Follows Up After Visit	NA	1.0	X
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	Items = 7 (MAX)	5.5/6 91.7%	6.0/6 100%	Sum/#Scored 5.0/5*100
	Star Equivalents =	4.6	5.0
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Indications of Satisfaction: Actual Data from 20181010-W: – Team Rimal B Bera

Triage – Medication Management – Clerical (Scheduling)

Matrix - Vitals-Plus Method – Vitals-Plus Elements – Part 1 of 2

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		Clinical RBB	Clerical & Scheduling
Item #	Patient Ratings Service Element	20181010 (W) Med Mng Team	Appt Made 20180718-W By Jocelyn For: 20181010-W	Sample CALC
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01	Accountability	1.00	1.00	1.0
02	Clozapine Awareness	0.75	0.75	1.0
03	Doctor’s Orders	1.00	1.00	0.5
04	Error Free	1.00	1.00	1.0
05	Guidance	1.00	1.00	X
06	Paper Trail (E-Paper Trail)	1.00	1.00	1.0
07	Pharmacy	0.75	1.00	X
08	Phone Support	NA	NA	X
09	Promotes Recovery	1.00	1.00	1.0
10	Satisfaction Survey Offered	0.00	0.00	0.0
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		7.50/9	7.75/9
		Carry	Carry	Stayed
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Indications of Satisfaction: Actual Data from 20181010-W: Encounters – Team Rimal B Bera

Triage – Medication Management – Clerical (Scheduling)

Matrix - Vitals-Plus Method – Vitals-Plus Elements – Part 2 of 2

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		Clinical RBB	Clerical & Scheduling
Item #	Patient Ratings Service Element	20181010 (W) Med Mng Team	Appt Made 20180718-W By Jocelyn For: 20181010-W	Sample CALC
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11	Scheduling	1.00	1.00	1.0
12	Situational Awareness	1.00	0.50	1.0
13	Timeliness	1.00	1.00	1.0
14	Time Spent	0.75	1.00	1.0
15	Values Consumer (Member-Account)	1.00	1.00	1.0
16	Values Consumers Time	1.00	0.75	1.0
17	Healthful Environment	1.00	1.00	1.0
18	Agent of Remedy	1.00	1.00	1.0
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		7.75/8	7.25/8
		Carry	Carry
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Indications of Satisfaction: Actual Data from 20181010-W: – Team Rimal B Bera

Triage – Medication Management – Clerical (Scheduling)

Matrix - Vitals-Plus Method – Vitals-Plus Elements – Combined Parts 1 and 2

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		Clinical RBB	Clerical & Scheduling
Item #	Patient Ratings Service Element	20181010 (W) Med Mng Team	Appt Made 20180718-W By Jocelyn For: 20181010-W	Sample CALC
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	Plus Part 1	7.50/9	7.75/9	Carried Forward
	Plus Part 2	7.75/8	7.25/8	Carried Forward
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	Plus Parts 1 & 2 Items = 18 (MAX)	15.25/17 89.7%	15.0/17 88.2%	Sum/# Scored 13.5/15*100
	Star Equivalents =	4.9	4.4
	Impressions - Sustained or Improvement Bonus	Stayed	Stayed	1.0
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