Tuesday, December 18, 2012

Facts on Mental Healthcare

http://www.washingtonpost.com/blogs/wonkblog/wp/2012/12/17/seven-facts-about-americas-mental-health-care-system/

The Connecticut shooting sparked so many arguments on gun control. I hope that our present administration will not only focus on gun control but  on mental health as well. This article showed 7 facts about our mental health care system. Very interesting.

Tuesday, December 4, 2012

Job Opportunities and Health Care Reform


http://www.delawareonline.com/article/20121202/BUSINESS11/312020020/Tech-worker-opportunity-health-care-law-kicks-in?odyssey=tab%7Ctopnews%7Ctext%7C&gcheck=1&nclick_check=1

Statistics shows that as the new Health Care Reform rolls in, IT jobs are expected to increase by 22%. Computer programmers, and customer support will be in demand once insurance exchange starts. We will be seeing opportunities in hiring  Coders from insurance companies  once the new coding system is implemented. This is a good thing for employment rate.


Friday, November 30, 2012

Interesting Concept On Keeping Seniors Home

http://homehealthcarenews.com/2012/11/new-technology-allows-seniors-to-age-at-home-and-stay-connected/

We're beginning to see more and more new technology for seniors. This is the latest one I have read where our senior would be able to stay home and connected using a web based monitor to check their blood pressure, oxygen saturation,  blood sugar levels, and weight and relay that data to their healthcare professionals. It monitors their medication schedules and movements at home as well.  It's a great way of maintaining their independence- which is a hard thing to give up. LivHOME Caremonitor offers more interesting features such availability of care professional 24 hour/7days, music, photos, even SKYPE. Awesome, right?!

November Is National Home Care Month

Congratulations to All our Home Care Nurses and workers. All of you are making a big difference in our patient's lives. It is not an easy job to keep them away from hospital admissions, so keep up the great work!

Monday, November 12, 2012

Co-producing Healthcare with The Veterans

http://www.forbes.com/sites/realspin/2012/11/11/on-veterans-day-the-healthcare-debt-we-owe-our-troops-and-veterans/

The concept of co-production fascinates me. Studies have shown that empowering patients through co-production yield better outcomes. This article explains how Veterans can manage their own healthcare and be a co-producer of their own health. The VA created a website for them MyHealTheVet.com, where the veteran can manage their own care,schedule their own appointment online, view their lab values and medical records, consult a doctor, fill their prescriptions, etc. I think this is a great way of empowering patients.

Thursday, October 25, 2012

Proposed Settlement Agreement That Will Affect Medicare Beneficiaries

http://www.medicareadvocacy.org/hidden/highlight-improvment-standard/

Often times, we see patients that are needing further skilled services but because they have reached the plateau, Medicare stops paying. Pretty soon this line " for as long as you show improvement, Medicare will continue to pay for your services" will be changed to "Medicare will pay for you're maintenance therapy". This Proposed Settlement Agreement  will hopefully stop CMS from denying patients with chronic conditions the appropriate care they need to continue living a quality life. This will hopefully decrease hospital re-admissions and eventually save us health care dollars.

Thursday, October 18, 2012

Happy Case Management Week!

Don't forget to join us tomorrow as we toast to our accomplishments! Send us your pictures !

(On Friday, October 19, 2012 at 1 PM ET, 12 Noon CT, 11 AM MT and 10 AM PT, CMSA President Nancy Skinner would like you to join her in toasting the individual and collective accomplishments of the case manager. Choose your beverage, set the alarm on your smart phone and put it on your calendar! )  from www.cmsa.org

Tell Us What You Think

https://docs.google.com/spreadsheet/viewform?formkey=dHA4dncwVzA0Z0VoTEVyTFh6Z2pkMUE6MQ#gid=0


We would like to improve our online registration. Please take a moment to take the survey. Follow the link above. Thank you!

Monday, October 8, 2012

Medicare's 3-Day Stay Rule Doesn't Make Sense

http://seniorhousingnews.com/2012/08/08/medicares-3-day-stay-rule-for-skilled-nursing-coverage-ripe-for-elimination/

I am dissappointed to learn that this bill (H.R. 1543 Improving Access to Medicare Coverage Act of 2011) which will eliminate the 3day Inpatient stay rule before SNF admissions only has 1% chance to pass. We need to keep trying because it does not make sense for some patients who does not fall into the 3 day category to waste healthcare dollars.

New Jersey Death With Dignity Act

http://www.nj.com/politics/index.ssf/2012/09/controversial_bill_would_allow.html#incart_river_default

This is a very controversial bill that if passed, New Jersey could be the third state (next to Oregon and Washington) that will allow patients to self  administer life-ending drugs. This will elicit a lot of discussions, I'm sure. Let us know what you think!

Monday, October 1, 2012

Medicare to Fine Hospitals For Readmissions

http://m.yahoo.com/w/legobpengine/news/medicare-fines-over-hospitals-readmitted-patients-084816882.html?orig_host_hdr=news.yahoo.com&.intl=US&.lang=en-US

It's coming! Medicare will start to penalize hospitals for readmissions. Penalty will be as low as 1% and is expected to go up to 3%. This is part of the Health Care Reform ...transforming Health Care from fragmented care to continuing care. This will make healthcare providers to be more vigilant in ensuring that patients follow up with their doctors after discharge. What do we do with non-compliant ones? It will be a challenge to drag them to their appointments.   I can almost foresee hospitals forming initiatives in attempt to reduce readmissions. This could be a good thing!

Thursday, September 27, 2012

Sanofi Reinstated Lovenox Assistance Program

https://patientassistanceprogram.sanofi-aventis.us/index.html

I found out today that Sanofi brought back their Lovenox Assistance Program! Good news right? Not so fast...with the program reinstated, they made some major changes. They no longer give you a confirmation letter prior to discharge.They will only deliver to hospital outpatient pharmacy.  They actually ask you now for dispense log prior to approval. That means, you would have to risk not getting approved while you wait for reimbursement. Do you know of anyone who took advantage of this program? We want to hear how you did it!

Tuesday, September 25, 2012

Percentage of Uninsured Dropped in Twenty States

http://capsules.kaiserhealthnews.org/index.php/2012/09/insurance-coverage-improves-in-20-states-census-shows/

According to the Census Bureau, the percentage of uninsured dropped in 20 states in 2011. This is great news! Take a look at your favorite state and see where it ranks.

Who Should Lead The Medical Home Model?

http://www.kaiserhealthnews.org/daily-reports/2012/september/19/primary-care.aspx?referrer=search

Let's face it, there are shortage in primary care doctors but do you think it's enough reason to utilize other practitioners to lead the Medical Home Model? The nurse practitioners has evolved because of the same reasons...shortage in doctors. Their role has expanded in some states which now includes diagnosing and prescribing medications, but do you think that's enough?

Sunday, September 2, 2012

Prescription Drug Abuse Reform Bill Signed into a Law

http://www.governor.ny.gov/press/08272012prescription-drug-abuse

Finally, someone ackowledged that there is a  problem here. The new law will require the Department of Health to update their Prescription Monitoring program (PMP), healthcare providers and pharmacists can now access the PMP registry before dispensing controlled substance. It will hopefully crack down on those "doctor shoppers". It will also promote e-prescribing which will reduce the theft, forgery, or alteration from paper prescription.It will create safe disposal program for prescription drugs. The article has the detailed explanation of the new law. Way to go New York!

"Partners for Children"- A Beacon of Change for End of Life Care

http://www.reuters.com/article/2012/09/01/us-life-care-idUSBRE88009I20120901

This article showed significant savings on healthcare costs by eliminating the six month time limit on children with life threatening illnesses before they can enter hospice care. It reduced hospital readmissions by 35 percent , a savings of 11percent  per patient. This program "Partners for Children"  was piloted in UCLA. I think it's a good program to adapt. It is however hard for many of us to accept end of life. When do you say enough is enough? My opinion is that it's more of the individual's acceptance of end of life that will decide that...it does not matter if the elimination period is there or not. What do you think?

Thursday, August 23, 2012

Campaign for Better Health with Hairstylists

http://www.cbsnews.com/8301-504763_162-57494974-10391704/doctor-uses-salons-to-encourage-healthy-living-in-the-african-american-community/?tag=cbsnewsMainColumnArea

In allignment with our upcoming meeting topic about the impact of obesity, I would like to share this article about a doctor's campaign to fight obesity. I never thought to correlate hairstyle with obesity, but this article explains how a person who spends more on upkeeping their hairstyle could get discouraged to exercise, therefore, lives an unhealthy life. Very interesting correlation and campaign to fight obesity.

Tuesday, August 14, 2012

Prescription Discount Card for Nassau County

http://www.nassaucountyny.gov/agencies/Comptroller/nassauRx.html

Not too long ago I received a prescription discount card  in the mail from Nassau County. It has a member number specifically attached to my name and home address. Luckily, I have put it aside despite of my reluctance. It's just too good to be true. Until one of my patient whose medications were not covered by his insurance had a need for it.  I almost forgot about this benefit that Nassau County offers for all Nassau resident whose medications are not covered by their insurance. So, I reminded my patient about it and showed them what the card looked like. Unfortunately, she thought it was junk mail and threw it away. The good news is that you can print a copy of the card online. You could save up to 20% off the retail price. I think that's great!

Sunday, August 5, 2012

Keep The Noise Down

http://well.blogs.nytimes.com/2012/08/02/the-clatter-of-the-hospital-room/?ref=health

In our recent collaborative care meeting where I work, we usually score less than what we want on patient satisfaction for keeping the noise level down. There's the beeping of machines, nurses yelling in the hallway, visitors' cell phone ringing, being awakened by a PCA to take Vital Signs in the middle of the night,  the lists can go on and on. It's been a challenge to show improvements on these indicators. One nurse suggested each nurse carries a cell phone to limit yelling in the hallway for the nurse. I have to admit, since the hospital installed a new nurse tracking device, I haven't noticed too much yelling in the hallway for their names. Another suggestion was to take less Vital Signs at night only if the doctor medically allows so. This article has more suggestions from other hospitals. Is your hospital ready to go above and beyond like the Department of Veterans Affairs New Jersey Health Care System in reducing the noise level? It's amazing! You have to read it....

Wednesday, July 25, 2012

National Webinars on Health Care Law

http://www.hhs.gov/partnerships/resources/aca_101-invite.html

Do you ever talk to you patients about the Health Care Law? This would be a good resource for those who need clarification on the Affordable Care Act. The Department of Health  and Human Services are offering a conference call that is  open to public regarding Health Care Law 101. It's also in Spanish. I hope you find it helpful!

Sunday, July 15, 2012

Doctors Answers Their Texts Faster Than Pagers

http://www.beckershospitalreview.com/healthcare-information-technology/7-ways-to-secure-physician-text-messages.html

It's the best invention ever! It's not only the doctors but anyone- even my mother with arthritic fingers answers text messages quicker than the phone call. In my opinion, there's a lot more advantages to using this technology as a way to communicate. It improves workflow, increases patients and providers satisfaction, miscommunications with foreign speaking providers will be avoided. (have you ever tried spelling Rolling Walker to a new resident?) It's pretty embarrasing. The problem however, is  keeping it secure. This article outlined ways to keep text messages secure. I think it's worth giving it a try.

Women Are Lucky

http://www.upi.com/Health_News/2012/07/14/Health-reform-Women-may-be-winners/UPI-21671342320564/

When it comes to the Health Reform, research shows women are winners. Once fully implemented, the rates of unsinsured will significantly dropped. It will also cover a lot more preventive services  without costs that are just for women. So, are you feeling lucky now?

Wednesday, July 4, 2012

Frequently Asks Questions About The HealthCare Reform



 There are so many articles that are out there about HealthCare Reform. I thought this is the most concise and comprehensive one. I have a hard time keeping up with it myself. Hopefully this will help you understand it better.

Sunday, June 24, 2012

Innovative Approach By HHS in Solving Nation's Health

http://www.hhs.gov/news/press/2012pres/06/20120622a.html

 I was reading these new approaches to solving healthcare challenges and what struck me is the part where it mentioned building health resilience technology to withstand natural disasters. It's very important especially that the hurricane season has begun for chronically ill to continue to use their DME's even with prolonged  power outages for example. We could save thousands of lives if we have a way of knowing who needs access to DME's at the time of natural disasters.

Monday, June 11, 2012

A Different Approach to Dementia Care


Check out this new CMS initiative “Partnership to Improve Dementia Care”. I like the fact that CMS will have each nursing home’s antipsychotic use available on Nursing Home Compare. I use this tool a lot of times and refer families to check the site for better decision making strategy.  It’s about time someone looks into a different approach to Dementia care!

Healthcare options for the Young Adult

http://www.sfgate.com/cgi-bin/article.cgi?f=/g/a/2012/06/08/investopedia83231.DTL

It's that time of the year when we have young adults graduate and leave home to start on their own. Somehow, they would need to decide what kind of healthcare insurance they would need. This article explains 3 different options to choose from based on their need. I hope you find it helpful!

Sunday, June 3, 2012

Breast Density Notification Bill

http://www.mercurynews.com/peninsula/ci_20737411/breast-density-notification-bill-its-way-state-assembly

This is an FYI that in California, Senate Bill 1538 which requires health care providers to notify women of dense breast tissue as detected by mammogram is now headed to the  State Assembly and if passed into a law, other states might follow. This could save lives as it will prompt women to go for additional screenings. Does anyone know of similar Bill being filed in New York?

Tuesday, May 29, 2012

Accountable Care Initiative in New Hampshire

We can all learn from this new initiative in New Hampshire to improve care coordination and patient outcomes and lower healthcare costs. We, as case managers, continue to be a critical element in these initiatives. Healthcare had come along way, transforming it from provider centered to now patient centered. We also moved from fragmented care to now continuing patient care. In my opinion, today’s providers are more attuned in ensuring that their patients have the right follow up care.

Wednesday, May 23, 2012

Innovation Programs That Would Help Save Money

http://www.kaiserhealthnews.org/Stories/2012/May/17/innovation-grant-projects.aspx

CMS Innovation Center has awarded grants to different health care organizations for implementing their innovative ideas of saving health care dollars and at the same time improve patient care. One of the grants mentioned here was bringing telemedicine in the remote areas of Rocky Mountains, Colorado. I'm excited to hear all about what  telemedicine has to offer.

Sunday, May 13, 2012

Booming Home Care Agencies

http://www.marketwatch.com/story/home-healthcare-contributes-to-americas-job-creation-as-need-for-patient-preferred-home-based-care-increases-2012-05-11

It's good to know that despite our down economy, the home care industry is booming and expected to grow by 1.6 million caregiving jobs by 2020. I wish Suffolk county would have more home care agencies that would widen catchment area to include Fire Island, Amagansett and other Suffolk towns that are hard to reach areas. My colleague just had a hard time looking for an agency in Fire Island the other day. She must have called at least a dozen agencies and none of them can accept. Unfortunately, it isn't the first time.

Friday, May 4, 2012

Senior Bridge Offers Free CEU

http://seniorbridge.com/Resources/WebinarSeries.aspx

Hello Everyone! Senior Bridge is offering a free webinar with 1.0 CEU! Act fast, it's only available until May 31st. Just follow the link to register. It's a very interesting topic on Advanced Care Planning. So go to the link now!

Tuesday, May 1, 2012

Elder Care Goes Hi-Tech!

http://www.ajc.com/business/elder-care-enters-the-1427924.html

I find it always fascinating to read articles on innovation involving healthcare and our elderly population. This article provides different kinds of technology that is out there and is being tested to be effective. I love the GlowCap idea (sends alert to family/doctors everytime it's opened), what a way to monitor patient compliance. I also liked SimpleC ( a device to help improve memory for patient's with memory loss). I think we are going to see a lot more innovations as this generation embraces the changes that are evolving. I hope you enjoyed the article as much as I did.

Tuesday, April 24, 2012

"Permanent Patients"

http://rockcenter.msnbc.msn.com/_news/2012/04/24/11371569-health-care-laws-leave-hospitals-overwhelmed-by-permanent-patients?lite

I thought i would share this story about "permanent patients" in the hospital setting. These are patients who are "stuck" in the hospital because they don't have a safe discharge plan. According to data from AHRQ this type of patients are on the rise... at least by 20% since 2005 to 2009. Scary number if you think about it. I'm sure we all have our own stories to add to this.

Sunday, April 22, 2012

Home Health Compare Now Added in CMS website


http://www.helpingyoucare.com/19572/medicare-announces-inclusion-of-patient-survey-data-in-home-health-compare-tool

Another breakthrough! I have always referred patients and their families to CMS.gov website to compare nursing homes to help them make more informed decision. I am excited with this new addition. Now my patients and their families can better decide which home care agency to choose based on comparison. See how your agency rate. Visit cms.gov or go to this. http://www.medicare.gov/HomeHealthCompare/search.aspx?AspxAutoDetectCookieSupport=1






























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Wednesday, April 18, 2012

Understanding ACO

http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4334&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date

ACO which stands for Accountable Care Organization is a healthcare entity that would be held accountable for improving care while reducing costs through coordinated care. This is all part of Medicare Shared Savings Program. All ACO's that are successfull in providing quality care and at the same time reducing health care costs will share in savings to Medicare. Does anyone know what percentage that is? This fact sheet shows the first 27 ACO's who signed up to be in the program. Two of them are hoping for higher share of savings in exchange for sharing any losses if costs of care increased. Now, that's interesting!

Sunday, April 8, 2012

Let's Start the Conversation

http://www.nhdd.org/

Hello everyone! I would like to remind all of you that April 16th is National Healthcare Decisions Day. Here's a  video you can share with your patients and their families as you start the conversation in making advanced health care planning.  April 16th was dedicated for purposes of empowering the public through education about the importance of advanced healthcare planning.We all should have a healthcare proxy.

Thursday, March 22, 2012

Medicaid Expansion Might be a Good Thing

http://news.yahoo.com/medicaid-expansion-key-part-affordable-care-act-130207220.html
I think Medicaid expansion is a good thing because more uninsured Americans will now qualify for Medicaid in hope to fill in the gaps in coverage. However, I agree that this might make it difficult for current medicaid insured  because increase in patients could mean longer wait time for appointments. I like the fact that the Affordable Care Act is looking into provisions to attract physicians serving Medicaid population. It's a give and take situation. Do you agree, however, that the provision of Affordable Care Act is unconstitutional?

Wednesday, March 14, 2012

Hats Off to All the Social Workers

http://www.naswdc.org/pressroom/features/general/history.asp

Hello Everyone! Since March is National Social Workers month, I would like to dedicate this posting to all our Social Worker members and non-members in recognition of what they contribute to our society. Social Workers continue to inspire and  make a difference in people's lives by assuming many important roles.  Their expertise is so critical in Case Management. So to all Social Workers- Hats off to you!  Also, if you would like to share your story about a Social Worker touching lives, please post them here. Thank you.

Thursday, March 8, 2012

Alzheimer's Disease - Fatal and Costly

http://news.yahoo.com/alzheimers-dementia-care-cost-u-200-billion-170406464.html

Very scary but it is the reality. Alzheimer's is not only fatal it is also very costly because it is a slow progressing disease.They also attribute it to the fact that 1 of 7 Americans live alone, therefore, they are isolated and changes may not be as noticeable.  I can imagine why it will costs $200 billion in 2012 to care for a patient with Alzheimer's. Some article I read even said that the cost will rise to 1.1 trillion in 2050 which then makes Alzheimer's a public health emergency.  I think we need to invest in research to find cure,  invest in early detection programs or  public education on how to care for those who has Alzheimer's. It might help bring the costs down.

Tuesday, February 28, 2012

Yoga and Medicare

http://www.cnn.com/2012/02/25/health/medicare-covers-yoga-heart-disease/

Not too long ago,  I posted a topic on  Alternative Medicine and payment options for such, now hearing about Medicare paying for programs that includes Yoga classes as a mean to reverse heart disease is great news and only proves that Health Care is making great progress in recognizing ways to reduce healthcare costs. Does anyone heard of anybody taking advantage of this? Do we know of any program in New York similar to this? If you know of any, please share your story.

Saturday, February 18, 2012

Let's Spread the Word- "You Gave, Now Save"

http://www.ncoa.org/enhance-economic-security/center-for-benefits/you-gave-now-save.html

This "You Gave, Now Save" Campaign was recently launched by  National Association of Area Agencies on Aging in partnership with National Council On Aging to make low-income seniors and their families aware of private and public agencies that offers assistance with their health, food, prescriptions, heating, housing, transportation and many more that a lot of low-income seniors might not even realize they qualify for.With the approaching tax return filing day, it's good to know that we could refer these low- income seniors to TCE (Tax Counseling for the Elderly)  program which provides free tax counseling and basic return preparation for those who qualify. To find out more about this campaign download a copy of the pamphlet.

Saturday, February 11, 2012

Fair Labor Standards Act Should Include Home Care Aides

http://newoldage.blogs.nytimes.com/2012/02/08/fair-pay-for-home-health-aides/?ref=health
It looks like the present Administration is trying to do the right thing by proposing regulations that would provide for minimum wage and overtime pay for home care aides. Majority of the home care attendants I have had a chance to work with are hard-workers and well deserving. So, if you want your opinions to be heard, you have up to February 27th to weigh in on this issue. See article where to send in your public comment. Let's help this proposed policy pass.

Friday, February 3, 2012

Is cloud- based services the new innovation for healthcare providers?

http://tech.fortune.cnn.com/2012/01/17/athenahealth-jonathan-bush/


Interesting technology. It would be amazing if a diabetic can check his/her blood sugar through an iphone attachment which will then send an alert to his/her doctor using cloud technology- thus avoiding a potential ER visit. What a great idea! I'm all for it. I bet it will be costly. This could be a potential Health Care Policy.What do you think?

Thursday, January 26, 2012

Lovenox Assistance Program Discontinued

http://umhsheadlines.org/14/sanofi-aventis-discontinues-lovenox-patient-assistance-program-pap-reimbursement-service/

This is a sad news to those needing lovenox assistance. I have utilized Sanofi's assistance program several times in the past and was really satisfied with their efficiency. I guess this is part of cutting back on expenses. Does anyone know of any other options besides the one mentioned in the article?

Tuesday, January 24, 2012

Nassau-Suffolk Hospital Campaign

http://libn.com/2012/01/24/li-hospital-group-offers-health-care-reform-help/
Check out the website by the long island hospital group campaign. I enjoyed reading their policy watch. It's a great resource for everyone. This is a great way to spread the news.

Tuesday, January 17, 2012

Predicting Hospital Re-admissions

http://journals.lww.com/professionalcasemanagementjournal/Fulltext/2012/01000/Affordable_Care_Act__Predictive_Modeling.5.aspx

This is a very interesting article. I highly recommend reading it. It is very informative and has CE as added bonus! It makes me asks how many of you are using a predictive model in your organization to avoid re-admissions? The article also explains the changes in thinking that are needed to adapt the Accountable Care Organizations Models of Care. I firmly believe in developing patient-family-physician-nurse relationships in making discharge decisions. I also think patients are ready for discharge when they “feel and think” they are ready.  This article certainly elicits my curiosity in developing predictive models to prevent re- admissions.

Tuesday, January 10, 2012

New Year's Resolution

Hello everyone! Since it is early January, I know a lot of you are probably writing down lists of resolutions. I am guessing that a lot of you would like to manage your stress level, I know I do. So I’d like to share this article on Quick Stress Relief. My favorite one is “taking a break from technology”. There are a lot of electronic stimulations present now than ever before, that I think it is important to unplug.  We need to surround ourselves with positive energy. It will be an awesome 2012!