Princess Health and School nurses start getting scarcer, due to Medicaid problems.Princessiccia

Princess Health and School nurses start getting scarcer, due to Medicaid problems.Princessiccia

children's health county health departments health departments managed care Medicaid nurses school nurses schools

Gusty 11:36 Add Comment

By Molly Burchett
Kentucky Health News

Students in many Kentucky counties will find it harder to see a school nurse due to changes in the state Medicaid program and lack of payment from managed-care companies.

Takirah Sleet, 7, and school nurse Michelle Marra looked at Takirah's
lunch tray to calculate her insulin dosage at Lansdowne Elementary
in Lexington. (Lexington Herald-Leader photo by Pablo Alcala)

In Crittenden County schools, budget woes have forced the Pennyrile District Health Department to request additional money from the school district to keep its school health clinics fully-staffed and open, reports Jason Travis of The Crittenden Press. Allison Beshear, director of the health department, told Travis one reason from the budget crunch is a lack of payment from Kentucky Spirit, which owes the health department $266,000.

Without additional money from the school district, Beshear says, the health department cannot maintain the current level of service at school clinics through the end of the school year.  Proposals have been made to offer services to the district that entail reducing clerical staff without reducing the number of nurses; but in order to do so, trained school staff would have to handle daily medication distribution and help to answer the phones for the clinic.

"Kentucky Spirit has filed two appeals with the Cabinet of Health Services and the Finance Cabinet in which it claims to not be financially responsible for healthcare given in school clinics," reports Drew Adams of WKMS-FM in Murray reports in a story about similar problems in Hopkins County.

Other school districts facing similar problems include those of Bell, Clark and Pike counties. Eleven school health clinics in Bell County could be shut down by the end of this school year, reports WBIR-TV of Knoxville. In Clark County, a lawsuit between the state and Kentucky Spirit has put a halt to reimbursement for health services provided in county schools, reports Rachel Gilliam of The Winchester Sun.

Last month, the Pike County Board of Health filed a lawsuit against Kentucky Spirit because the managed-care firm has stopped reimbursing the Board of Health for school-nurse programs, reports Jordan Vilines of WYMT-TV in Hazard. The money has to be reimbursed in order to provide school nurses.

�I think having someone in the school to ensure that our children are healthy is imperative for the quality of life of our kids, especially in a very rural area," Pike Judge-Executive Wayne T. Rutherford told Vilines.  He said that without reimbursement, school nurses could lose their jobs, which would leave hundreds of kids without immediate medical care.

Kentucky Health News is an independent service of the Institute for Rural Journalism and Community Issues at the University of Kentucky, with support from the Foundation for a Health Kentucky.

Princess Health and Participating in a clinical trial can give patients access to advanced health care.Princessiccia

Princess Health and Participating in a clinical trial can give patients access to advanced health care.Princessiccia

clinical trials health care access University of Kentucky

Gusty 12:21 Add Comment

Access to advanced care does not require big bucks or Cadillac insurance; it is offered on a limited basis through trials of new medical procedures at the University of Kentucky.  People in the university's health-service region can access cutting-edge health care through participation in clinical trials, according to a UK press release. The University of Louisville also does clinical trials.

Clinical trials are necessary to evaluate a drug, device or mode of therapy for a disease. UK investigators recruit individuals willing to contribute to science to participate in various types of trials; some may require participants with specific conditions, while others require healthy participants.  These participants are able to reap the benefits of advanced medical treatment while gaining access to top clinicians and the latest medical information.

"I would tell anyone who has a condition and is thinking about becoming part of a clinical trial that it is one of the most empowering things that people can do," said Dr. Leslie Crofford, chief of the UK Division of Rheumatology and director of Center for the Advancement of Women's Health. "It allows you to learn about a condition that may afflict you or a family member. It allows access and contact with investigators that are very knowledgeable about the condition. It allows a sense that you are doing something active to help not only yourself, but other people with the condition."

As a research insititution, UK is careful about the safety, privacy and oversight of clinical trials and it's important that participants understand the trial methodology, purpose and procedures. The UK Center for Clinical and Translational Science has compiled a helpful list of questions for clinical-trial participants. There are several ways to connect with clinical-trial opportunties and anyone can view currently available clinical trials at the university. Participants may also connect with clinical trials through their physician, or through national listings. (Read more)

Princess Health and Among health providers having difficulty with Medicaid managed care, Cumberland Valley District Health Department stands out.Princessiccia

Princess Health and Among health providers having difficulty with Medicaid managed care, Cumberland Valley District Health Department stands out.Princessiccia

health departments health journalism managed care Medicaid

Gusty 12:13 Add Comment

The financial struggle that recently led to 14 layoffs and an increase in furlough days for the Cumberland Valley District Health Department continues. Other health departments have reported such difficulties, but it may be one of those hurt most.

With its deficit standing at $503,266,  a review of the department�s financial summary from the latter half of last year shows that a large part of the deficit is caused by lack of payments from Kentucky Spirit, a Medicaid managed-care company, according to an article in the Manchester Enterprise.

As recently as September, Kentucky Spirit owed the department over $300,000 for Medicaid services that had been provided. In the December report, Kentucky Spirit had only paid $698 and has since quit cooperating with the state, according to the Enterprise.

Adding to the cash flow problem, another managed-care firm pays a month late, according to department Interim Director Lynett Renner. She said that since 2011, health departments must also pay back to the state a Medicaid match, and are the only health care providers that must do so. 

Those factors, she said, are why the layoffs plus an increase in furlough days are necessary. Beginning Jan. 21, employees will be on a 32-hour workweek. In addition to those two money-saving actions, the department has also eliminated two positions, director of nursing and director of environmental services, the Enterprise reports. 

"What we do touches the lives of everyone in our country,� said Renner and the district will provide its services however it can.

Princess Health and New U of L public-health dean has rural health background.Princessiccia

Princess Health and New U of L public-health dean has rural health background.Princessiccia

health care access public health rural health University of Louisville

Gusty 12:04 Add Comment

Craig H. Blakely, dean at the School of Rural Public Health at Texas A&M University, has been named dean of the University of Louisville School of Public Health and Information Sciences. U of L has a role in rural health in Western Kentucky, overseeing the Area Health Education Centers in the region.

Blakely, who has a Ph.D. and a master's in public health, has researched and published extensively regarding access to care and rural health. His research has focused on under-served expectant mothers and juvenile delinquents, and includes substance-abuse prevention and community-based change. Blakely has also evaluated major initiatives such as a school-based prevention program targeting at-risk youth.

Blakely�s expertise will be invaluable in tackling issues like obesity, access to care, disease management and much more, said Dr. David L. Dunn, U of L's executive vice president for health affairs. Blakely�s appointment is effective April 1 and is subject to approval by the U of L Board of Trustees. He replaces Richard Clover, who has led the school for 10 years.

Princess Health and Childhood obesity is linked to more immediate health problems than doctors formerly realized.Princessiccia

Princess Health and Childhood obesity is linked to more immediate health problems than doctors formerly realized.Princessiccia

ADHD allergies asthma child obesity childhood obesity depression disabilities headaches learning disorders obesity research

Gusty 12:39 Add Comment

While a plethora of research on childhood obesity has linked it to long-term health problems, a new UCLA study focuses on the condition's more proximate consequences, showing that obese children are at a greater risk for immediate health problems than previously thought. That's important for Kentucky, which ranks poorly in many health measures and is third highest in child obesity. (Photo by Tara Kaprowy)

"This study paints a comprehensive picture of childhood obesity, and we were surprised to see just how many conditions were associated with childhood obesity," said lead author Dr. Neal Halfon, a professor of pediatrics, public health and public policy at UCLA.

Compared to kids who are not overweight, the study found that obese children have nearly twice the risk of having three or more reported medical, mental or developmental conditions. Specific medical conditions included bone, joint and muscle problems; asthma; allergies; headaches; and ear infections. Obese children also reported a greater tendency toward emotional and behavioral problems, higher rates of grade repetition, missed school days and other school problems, ADHD, conduct disorder, depression, learning disabilities, and developmental delays.

The study provides the first comprehensive national profile of associations between weight status and a broad set of associated health conditions, a UCLA release said. Halfon said these findings should serve as a wake-up call to physicians, parents and teachers, who should be better informed of the risk for health conditions associated with childhood obesity. (Read more)

Princess Health and Stress-Relief With ZUMBA�. Princessiccia

Princess Health and Stress-Relief With ZUMBA�. Princessiccia

Gusty 04:28 Add Comment

How to get rid of stress with ZUMBA� Fitness?

Managing stress and relieving the symptoms of workplace stress can be accomplished by having a regular exercise routine. Regular and consistent exercise will not only alleviate stress but will also contribute to overall health and a feeling of well being.

Causes of Stress

Stress is an every day occurrence for most people. There are exams to be written, deadlines to keep, rush hour traffic to negotiate and so on. Most of these so called "external" factors that cause stress can't be avoided. If they can't be avoided, then exposure to stress needs to be managed by avoiding situations that will cause stress as much as possible. Limit the risk, so to speak. If that can't be done, then manage the body's reaction to stress so as to handle stress and anxiety better.

Coping with stress and the effects of stress need not be complicated or expensive. A simple program of regular exercise is all it takes to reduce stress related health problems. Exercise can even eliminate some of the so called "internal" causes of stress, which are related to one's frame of mind and outlook on life.

How Exercise Relieves Stress and Anxiety

Exercise essentially burns away the chemicals like cortisol and norepinephrine that cause stress. At the same time, vigorous exercise releases endorphins into the system. Endorphins are morphine-like hormones that are responsible for the feeling of elation, or well being that distance runners get from running. Other chemicals like dopamine and serotonin are also released in the brain during exercise. Together, these give a feeling of safety and security that contributes to off-setting some of the "internal" causes of stress, such as uncertainty, pessimism and negative self-talk.

To benefit from exercise, it needs to be regular. Exercise needs to be part of a daily routine. Instead of working during lunch, why not take the time to go for a brisk walk, a run or work out at a gym? Exercise will reduce stress and reducing stress can increase productivity.

Since exercise reduces stress chemically, it can also have a meditative effect during sustained cardiovascular work outs. The rhythmic running on the open road or treadmill can relax and clear the mind. Clearing the mind allows for a fresh approach to perplexing and stressful problems.

Regular exercise also impacts on the way you feel about yourself. For example, if clothes fit comfortably and your body is toned due to regular exercise, you feel good about yourself. If you feel good about yourself, your self confidence is given a boost and stress due to feelings of inadequacy is reduced as a result. It will not only make you healthier but regular exercise will also cut down on stress and anxiety and their associated symptoms.

To book your place for our stress-relieving ZUMBA� Fitness class, CLICK HERE

Learn more: http://www.naturalnews.com/028727_exercise_anxiety.html#ixzz2HfYJnEEX

Princess Health andSINGLETS ARE IN!.Princessiccia

Princess Health andSINGLETS ARE IN!.Princessiccia

Gusty 08:29 Add Comment

The new H+P Singlets are in, and they look sweet!

$35 each

Request yours today: seandelanghe@gmail.com