Thursday, 24 May 2012

Princess Health and Care in rural hospitals is just as good as that in urban hospitals, study concludes.Princessiccia

While rural Americans have less access to primary care and have worse health outcomes, the care at rural hospitals is equal to, if not better, than that at urban hospitals, a National Rural Health Association report says.

The study also found rural health care is not more expensive than urban care. "However, urban residents rarely out-migrate to rural settings for either routine or advanced treatments or care yet many rural patients are referred to or voluntarily travel to urban providers based on the myth of better care," a summary of the study says.

The study was compiled by iVantage Health Analysis, a private health-care research company. It collected data on Medicare costs and health outcomes for doctors and hospitals for 12 months and divided the results into rural and urban groups based on zip codes, to give a picture of the state-by-state importance of rural hospitals.

In Kentucky, nearly half of its Medicare beneficiaries lived in rural counties in 2010. Nationwide, just 21 percent of them do, though there were western states with much higher percentages. In Wyoming, for example, 69 percent of Medicare beneficiaries live in rural places. Spending per Medicare beneficiary in Kentucky was nearly $8,000 in both urban ($7,851) and rural ($7,879) settings in 2010. That spending is high compared to the rest of the country, however; only nine other states had higher spending.
The study could have wider wider ramifications given changes in the federal health-care reform law and the move toward accountable care organizations, in which doctors and other providers are encouraged to team up to give coordinated care for a population of people and be paid financial incentives to do so.

"Value in health care is created by doing a few things well and not by trying to do everything," the summary reads. "The rural findings may just suggest that by national selection, rural has figured out what it does well and has optimized those services for the patient's benefit." (Read more)
Princess Health and University Hospital's trust to pay for indigent care lacks oversight, state auditor finds.Princessiccia

Princess Health and University Hospital's trust to pay for indigent care lacks oversight, state auditor finds.Princessiccia

An audit of the trust that disburses more than $30 million in state and local funding to provide indigent care at University Hospital has found there is a lack of oversight. There is no evidence taxpayer dollars were abused, however.

"The audit, released by state Auditor Adam Edelen, found that the board structure wasn't suited for proper oversight and the agreement between University Medical Center, which runs the hospital, and state and local governments to administer the money is outdated," reports Laura Ungar of The Courier-Journal.

The audit also found there is insufficient record keeping. "The responsibility for providing a safety net for our most vulnerable is a critical one shared by the university, city and commonwealth," Edelen said. "While this audit underscores the need for modernization and reform of the governing structure, it does not provide justification for those who desire a retreat from that mission." (Read more)

Princess Health and Agriculture commissioner visits six counties to promote local food, better nutrition in school lunches.Princessiccia

State Sen. David Givens, R-Greensburg, watches
as Commissioner James Comer speaks at Green
County High School.(Greensburg Record-Herald)
To encourage child nutrition and healthier school lunches, state Agriculture Commissioner James Comer visited six Kentucky school districts earlier this week. He met with school boards in Owsley, Jackson, Knox, Marion and Metcalfe counties, and visited Green County High School, according to a news release from his office.

Many Kentucky children consume more than half of their daily calories at schools. During a typical school day, 4 in 10 American students buy and eat snack foods and drinks, the Pew Health Group found. More than 23 million children and teens in the U.S. are overweight or obese.

"Children who are overweight and obese are at greater risk of chronic ailments that can damage their quality of life and even shorten their lives," Comer said. "Schools can help students eat better, but many schools simply don't have the resources, the equipment or the training necessary to serve healthy meals on a consistent basis. I want to talk to local leaders about how the Kentucky Department of Agriculture can help."

"Just a small amount of money would enable many school districts to make healthy and nutritious foods available to their students," he said. "The KDA can help these schools wade through federal bureaucracy and find the necessary funding. We can also help with our Farm-to-School Program, which connects schools with local producers who can provide fresh Kentucky Proud foods. That's food for our kids, and it helps local farmers make a living." (Read more)

Wednesday, 23 May 2012

Princess Health and Obama administration spent $25 million on health-care law publicity campaign, part of it exaggerating, McConnell complains.Princessiccia


The Obama administration spent nearly $20 million on mailings to seniors touting the federal health-care reform law and another $5 million on postcards to small business owners informing them of a tax credit under the law, Senate Minority Leader Mitch McConnell, R-Ky., said in a floor speech today. He said the Government Accountability Office found that the mailing to seniors "overstated the law�s benefits."

"These are just a few of the way the administration is quietly promoting its own failed policies; how it's trying to change people's minds about the president's policies with their own money," McConnell said. "The larger point is the fact that we've got a nearly $16 trillion debt, the largest tax hike in history right around the corner, chronic unemployment, and sky-high gas prices, and this President things it's a good idea to spend $20 million to promote Obamacare."

McConnell's remarks can be heard in their entirety by clicking on the video above.

Princess Health and WHAT CHILD BIRTH, POTTY TRAINING, AND YOUR HUNGER HAVE IN COMMON. Princessiccia


One of the most incredible experiences I�ve had is going through labor and delivery of my three children. I remember the intense pain I felt through my pelvis as if I was being ripped apart at the sacrum, similar to the picture of the Levi -brand jeans being torn apart from the right and left side by horses. It felt as if my iliac bones were being ripped out of my body. It would be similar pain to that of being sawed in half at the waist. I couldn�t catch my breath, there was no position that removed the pain, and there was no break between contractions. I remember crying and wondering how I was going to make it through hours of this debilitating pain.
Eventually I did get an epidural. However, it didn�t quite work that well. My right side continued to have the excruciating perpetual pain around my spine and hips, so they upped the epidural so much that I couldn�t feel anything. Not one thing. When it came to pushing the nurses had to tell me when to push. I had no idea if I was having a contraction, how hard the contraction was, and I didn�t have a clue as to what to do. I just pushed as hard as I could, hoping it was enough to end the misery.
I know this is gross, but you know that feeling you get when you are going to go number-2? That feeling tells you what to do, when to do it, and how hard you need to work to get it done?  It�s a feeling of impending need, a feeling of pressure, or a sense of prioritization- otherwise you�re going to shit your pants. During labor and delivery, your body gives you similar feedback, but with pain that is magnified by five-billion three hundred-thousand seven-hundred and ten, or so.  Because I chose to receive an epidural with my first two children, I was never exposed to that feedback and didn�t understand the capacity of the human body to communicate its needs- until the delivery of my third child.
Come to find out later that the pain I experienced with my first two children is called �back-labor�.  My third labor and delivery was a very different experience, however. There was no back pain, there were normal breaks between contractions, and I could breath.  As a contraction would rise I could mentally prepared to relax through the pain. The pain was entirely in my stomach and would build up like a wave that lasted a few minutes. In order to get through the wave of pain, I imagined I was floating on my back like a limp peace of seaweed. The moments I tensed up, the pain was much worse. I quickly learned to submit to the fact that there was no getting out of the delivery and I would have to allow the body to do the work it needed to safely deliver my baby. I willingly stepped aside and went through about 6 hours of this deep relaxed state, allowing my body do what it needed to prepare for delivery.
I regret that I agreed to get an epidural because the pain was manageable (compared to back-labor) with meditation.  But, I am deeply grateful to the nurses because they knew when to turn the epidural down and I ended up have 100% of my feeling back an hour before delivery.  Those nurses gave me the opportunity to understand how incredible the human body is. I could feel everything, and the most amazing feedback my body was giving me was the sensation to push. It came in three-dimensions: how hard, how long, where the pressure was, and when to push.  It was a life altering experience for me. The sensations were so loud and clear that, this time, I was yelling at the nurses and telling them when and what was going on.
My husband and I are done having children, but I would love to go through that experience again. There have been times that I recreate that pain in my mind and I put myself in that meditative state, but it�s not the same. Without the pain or not having a choice in the matter, I�ve found it difficult to duplicate the level of consciousness required to separate my ego from dictating my body.   I wish I could go back and choose to go through the entire labor and delivery without an epidural. But with what experience I was given, the gift was in being exposed to how incredible the body is at taking care of itself through something as miraculous as creating a human being, and then delivering it without killing me or my children. What a mind-blowing piece of art that our intelligence isn�t capable of duplicating.
Are we as humans intelligently capable of duplicating the perfect feedback and guidance that our bodies give to us? Do we need a monitoring device to tell us when to poop and how hard to push? Do diet businesses (that are more concerned about selling products and their profit margins) really know more about our hunger rhythms than your body?  Is there another single human being with adequate super powers to tell you when your body needs to eat, of how much, and what it is craving? Are diets that manipulate food by calories capable of understanding how seasons influence changes in hunger with change in weather and pressure, moon cycles, menstrual cycles, stress and sleep fluctuations, and let us not forget impact on hunger with exercise and activity levels?
To all of the women reading this, has any diet ever explained to you why you are hungrier before your period and why you�re less hungry after you period, and did they adjust your food intake for that reason? Do diets accommodate for any dynamic change in hunger rhythms and do they continue to weigh you as if the water weight you gain each month is fat? My point is that the diet and nutrition industry (which is driven by the need to make money) is so misguided and off when it comes to understanding your body�s own intelligence. I don�t think our conscious intelligence has that capacity, nor the humility.
There is no static diet that can fulfill the many dynamic influences of your body�s need for food hormonally. But there is one perfect system, and that system is hard-wired into your body as a sense of hunger.
Hunger is more than just physical urge to eat. There is timing or a sense of urgency to eat. As you get hungrier the sense of amount of food increases, and then there�s craving for certain flavor, texture, and food substrate (fat, protein, carb, water, salt, fiber, nutrient, etc.). Have you ever considered your body�s dictation rather than the food and diet industries control? I give you this challenge: For the next few weeks, eat only when your body tells you to eat. Eat what your body is craving, but not a bite more than what is necessary to remove hunger. This means you should never be even close to full. This is similar to how you would eat if you were rationing food as of more isn�t an option.  Never get too hungry, avoid fullness at all cost, and eat what your body is craving- NO GUILT OR JUDGMENT OF THE FOOD.
Take notes of changes in energy level, body temperature, sleep, sex drive, acid reflux, and anything that changes as you use your own body rhythms to guide eating. To help I�ve attached the hunger-scale I created for people I coach. You can use your own words to describe hunger and understand that for those of you who are morbidly obese hunger will manifest differently than it does for people who are leaner. For example you might get a headache, burning throat, or quick onset of exhaustion, but not necessarily urgency.
Unfortunately, because we�ve allowed the food and diet industry to dictate when and how much we should eat, many people have completely lost trust in their body, and have lost touch with what hunger feels like and what it�s like not to be full. The more you practice and commit to only eating with your body�s feedback, you�ll notice you naturally feel much better and you naturally lose excess fat without needing to pay for a diet.  The other thing you�ll notice is how less you have the urge to binge.
There are many benefits to using your body to know when and how much to eat. But until you try it, you�ll never know. So take my challenge and let me know after a couple of weeks how amazing your body is and how amazing it�s always been. Like trusting that your body knows when it needs to poop, you have to gain trust that your body knows when it needs food too. Think of it like potty training, but with hunger.

Tuesday, 22 May 2012

Princess Health and Injury prevention policies in Kentucky lacking, study finds.Princessiccia

Kentucky scored a dismal 3 on a scale of 10 in a safety study that assessed states against the the top 10 injury indicators in the country. The state had the 10th highest injury rate, with 76.6 Kentuckians per 100,000 dying from intentional or unintentional injuries.

Injuries are the third leading cause of death nationally, and the leading cause of death for Americans between ages 1 and 44.

The survey assessed states on whether they:
� Have primary seat belt laws.
� Require mandatory ignition interlocks for all convicted drunk drivers, including first offenders
� Require all motorcycle riders to wear helmets.
� Require booster seats to at least the age of 8.
� Require children to wear bicycle helmets.
� Allow people in dating relationships to get protection orders.
� Receive an A in the Break the Cycle Report, which examines teen dating violence.
� Have a strong concussion law.
� Have an active prescription drug monitoring program.
� Have a strong policy in emergency departments that allows researchers and officials to understand injury trends.

Kentucky got points for having a seat-belt law, a strong concussion law and a drug monitoring program. The state was close to getting credit for the booster seat indicator; it requires the seats for children until they are 7. Kentucky also reported more than 85 percent of injury discharges in its emergency departments, but the indicator only gave credit to states that do it more than 90 percent of the time. But Kentucky was far was perfect when it came to teen dating violence, receiving a F grade in the Break the Cycle report.

Because of its injury rate, the study concluded Kentuckains pay $26.8 million in lifetime medical costs due to fatal injuries and $3.3 billion for total lifetime work loss due to fatal injuries.

The study shows how injury prevention policies can help save lives. The report points out that after Kentucky repealed its universal helmet law in 1998, motorcycle deaths rose by 50 percent. (Read more)

Princess Health and Revealing patient safety issues and medical errors are goals of Facebook page set up by ProPublica.Princessiccia

Photo by iStockphoto.com/selimaksan
Interested in creating a venue for those who have been harmed while undergoing medical treatments, ProPublica, the nonprofit, investigative news organization, has set up a Facebook page on the issue.

"Group members have already shared stories of personal disability or the death of a loved one due to surgical mistakes, becoming infected with deadly drug-resistant bacteria and dental mishaps � including cases they claim were not properly addressed by health care providers," Daniel Victor and Marshall Allen report. The page will be moderated by Victor and Olga Pierce.

The page is also open to doctors, nurses, regulators, health-care executives and others interested in discussing medical errors, their causes and solutions. Question-and-answer sessions with experts will be posted, along with links to the latest reports and policy proposals. (Read more)