Archive for the ‘Uncategorized’ Category

  • Why Geriatric Care Management is Critical


    Dr. David B. Samadi, a regular contributor on medical issues on The Fox News Channel, recently appeared on the subject of overseeing the care of your relatives and why it needs to be current.

    His report included the need to have the nursing facility oversee nutrition, safety and fall precautions and abuse and neglect prevention. For this oversight to be truly effective one needs to employ a Geriatric Care Manager (GCM), a fairly new position.

    The GCM should be a Registered Nurse (RN) who is contracted by the family, attorney or Power of Attorney to evaluate and assess care, communicate with MDs, reconcile medications and treatments, and follow the client on a routine basis and report back to the families. The GCM should accompany the client to MD appointments and serve as a spokesperson for the family, communicate health issues and serve as an advocate on behalf of the client for appropriate and effective care.

    Often the client has memory issues or is simply unable to understand the medical terminology or ask the right questions, often during an NP or MD visit that lasts less than ten minutes. The GCM can get prescriptions filled and can set up a medication reminder box at home or in the facility where the client is staying.

    The GCM sends an assessment that includes problems the patient is experiencing, how the patient voices their problems, the RN assessment, and the recommended plan to improve the client’s care and to problem solve

    The family can respond to the need for further services, a will, advanced directives, estate attorney referrals, follow up appointments, special procedures, a referral to A Skilled Nursing Service and Private HHA for Activities for Daily Living (ADL) assistants. ADLs include incontinence care, feeding, dressing, ambulation, transferring and restroom use. They also include shopping for clothing, shoes and podiatry appointments (a podiatrist or pedicurist must have a license to trim toe nails or finger nails).

    For special procedures it is critical to hire and involve a GCM for any age group. The GCM can schedule the procedure, receive the MDs preparation orders for the patient, transport the patient to the hospital or outpatient center and stay with the client during the procedure and recovery. The GCM receives the MDs follow up orders for post procedural care, transport the patient back to their home or facility, obtain lab results and those of the procedure, assess the patient and assist in hiring one-on-one care for the client.

    As the healthcare system becomes more and more complicated, the GCM is increasingly becoming a critically important member of the healthcare team, An advocate such as a GCM is hired to navigate the system, including provisions of private insurance policies, Medicare, Medicaid, supplemental insurance coverage and long term care policies.

    Payment for a GCM is not reimbursed by insurance companies and is a private pay arrangement between the parties of the patient and GCM or legitimate GCM Company. The GCM company should have a corporate or LLC status, be bonded, insured, offer workman’s compensation insurance to its employees and to have sufficient additional liability insurance for the safe transportation of clients. The NAPGCM certification gives a seal of approval that the GCM company meets the standards of NAPGCM.

  • Dedication of The Reinsch Pierce Family Center for Breast Health


    My dear friends Lola Reinsch and her husband J. Almont Pierce have made a very generous and special gift to The Virginia Hospital Center. The Reinsch Pierce Family Center for Breast Health at Virginia Hospital Center has been named for Lola’s family and was made in loving memory of her mother and father Dolores G. Reinsch and her husband Emerson G. Reinsch in appreciation for the excellent care they received at the Hospital since its opening in 1944.

    The Center for Breast Health at Virginia Hospital Center was the first in Virginia and the Washington, DC region to earn a three-year accreditation in breast care from the National Accreditation Program for Breast Center. The center offers patients with a full range of multi-disciplinary services all under one roof, making it more convenient and less time consuming for the patient. The breadth of the advancements made possible by the Reinsch Pierce family gift are transformational for the center for the advancement of breast health, providing access to innovations and enhanced services for women in the community for years to come.

  • The Rounds: Budgets, Romneycare and Canada


    Attention lately has been focused on the federal budget and Rep. Paul Ryan’s bold and forward-thinking budget proposal. While some Democrat efforts have been focused on stirring up fear at town hall meetings, a bi-partisan effort in the Senate to tackle the budget is proposing deep reforms to Medicare and Medicate that rival Rep Ryan’s plan. This is a major step forward!

    The Senate proposal by Republican Bob Corker of Tennessee and Democrat Claire McCaskill of Missouri aims to save $7.6 trillion over 10 years by capping federal spending at 20.6 percent of gross domestic product within a decade, down from 24.3 percent now.

    Meanwhile, Americans are increasingly in favor of repealing Obamacare.

    And how’s the prototype of Obamacare doing in Massachusetts? By almost any measure, Romneycare is a failure. Peter Suderman of Reason states:

    So insurance coverage has increased, but largely thanks to tax-funded subsidization. Yet that’s created problems too: As more people got coverage, the system has struggled to keep up with increased demand for services. Uncompensated care, frequently cited as the justification for ObamaCare’s mandate, has remained expensive as emergency rooms have been flooded. And we’re not even getting into the cost overruns.

    Sally Pipes at Forbes also explores the state of Romneycare and then-Governor Mitt Romney’s promise that “Every uninsured citizen in Massachusetts will soon have affordable health insurance and the cost of health care will be reduced.” Has this come to pass?

    The Massachusetts Medical Society found that 56% of physicians are not taking on new patients. Wait times for appointments are climbing. Just two years after reform took root, one clinic in Western Massachusetts had amassed a waiting list of 1,600 patients.

    Originally projected to cost $1.8 billion this year, the reform effort is now expected to exceed those estimates by $150 million. An analysis from the Massachusetts Taxpayers Foundation found that state spending on health care reform grew from $1.04 billion in 2006 to about $1.75 billion in 2010. Over the next 10 years, RomneyCare will likely cost $2 billion more than predicted.

    What happens if we repeal Obamacare? Yuval Levin of The National Review takes a look at how the GOP may approach replacement reforms.

    Finally, congrats must go out to Prime Minister Stephen Harper of Canada, who’s Conservatives won an election on Monday after running on their record of fiscal responsibility, business-friendly atmosphere, tapping the nation’s natural resources, balancing the budget by 2015, and going in the opposite direction of the United States by reforming their universal healthcare system by introducing private market forces.

    Cartoon: Walt Handelsman

  • House Republicans Passed a Credible Budget


    As Congress wraps up their recess this week, the town hall meetings held in the various districts across the country were all but pleasant. The bottom line is that many citizens at these meetings are affected by scare tactics, and the left-leaning media has a lot to do with this. The Democrats are scaring people into thinking change in the entitlement programs like Medicare are aimed at destroying them rather than transforming them from bloated government entitlements to an effective voucher system run by private insurance companies.

    The Ryan Plan smartly avoids any changes for persons that are 55 and older. Those younger than 55 will have, in ten years, better choices and higher quality care that will reduce the federal deficit by billions. Paul Ryan is a very smart man and he anticipated the push back we’re now seeing play out and has provided intelligent responses to citizens’ questions. This is demonstrated in a Kaiser Foundation Survey that finds 54% of those polled support Ryans Plan. A Gallup Poll out this week shows that Paul Ryan’s Plan is polling far better than President Obama’s debt reduction plan in all age groups except those under 25 (who voted overwhelmingly for Obama in 2008).

    Recommendations by some Members of Congress that a Bipartisan Task Force where Republicans and Democrats can contribute ideas is not a good idea. The Democrats have no alternative plan. As I wrote last week, Obama has no plan to work out a solution to balancing the budget or solving the Medicare crisis.

    That leaves it to the Republicans to continue taking the lead. They have a brilliant plan from Ryan that they were able to pass. This is an excellent start.

  • Sign the Petition to Reform Medical Liability


    Medical liability reform is finally back on the legislative agenda on Capitol Hill and it’s time for our voices to be heard! H.R. 5, the HEALTH Act, is making its way through the maze of procedures on Capitol Hill. The bill was passed recently by the House Judiciary Committee. Next up is the House Energy and Commerce Committee.

    If your congressman is on the House Energy & Commerce Committee, you can call, e-mail, or tweet to urge them to support H.R. 5 as it was introduced. Encourage your friends to do the same by sharing this on Facebook and Twitter.

    Protect Patients Now has the tools for you to contact your Representative. Click Here.

  • The Arizona Shooting and the Illogical Left


    The senseless shootings in Tucson, AZ on Saturday that critically wounded Congresswoman Gabrielle Giffords, killed six innocent people and injured 13 others was the act of a lone gunman.  The killer, Jared Loughner, by all accounts planned the shooting for some time as demonstrated a letter and a scribbling on an envelope from 2007 that refers to a Giffords event he attended. Furthermore, interviews with a former college professor and classmates at a local college that Loughner attended adds to the evidence that Loughner acted as a lone-wolf. The professor reflected on incidents in his classroom where Jared was a student and described unruly, unusual and basically inappropriate behavior.

    The strange and out-of-place behaviors witnessed by the college professor and classmates have also been on display in Internet posts that were not necessarily solely political in nature but, disjointed , incongruous, delusional and paranoid.  All of the signs certainly point to the behavior of a psychopath. His psychoses appeared to have manifested itself in tragedy that occurred on Saturday in the Safeway parking lot.

    The liberal media outlets, including MSNBC, The New York Times, NBC as well as politicians like Dick Durbin have fingered “Right Wing Zealots”, the popular Tea Party movement as well as Bill O’Reilly, Sarah Palin, Michelle Bachmann, Rush Limbaugh, and many more. Pima County Sheriff Clarence Dupnik added to this hysteria by frequently injecting his opinions as to why this tragedy occurred instead of having sound facts to back up what he was saying.
    » Read the rest of the entry..

  • The Rounds (12/20/10)


    Steve Chapman of the Chicago Tribune dissects the Obama Administration’s case for the constitutionality of ObamaCare:

    When the individual mandate to buy coverage was challenged in court, the Obama administration argued, essentially, three things: 1) The Constitution gives the government the authority to regulate interstate commerce, 2) everything people do and don’t do affects interstate commerce, and therefore 3) the government may regulate everything and everyone.

    Read it here.

    In The Washington Post, Florida AG Bill McCollum lays out why 20 states are challenging ObamaCare both on the individual mandate and increased burdens placed on states for Medicaid. His point on the tough spot states are in with Medicaid:

    …under the new Medicaid program, childless adults with incomes at 138 percent above the poverty level are eligible for coverage. States could not have foreseen that Congress would impose this radically altered program when they originally agreed to a partnership role and a financial commitment.

    But states don’t have any real options:

    The Justice Department has argued that states could withdraw from Medicaid, but Congress passed this legislation counting on states staying in the program and knowing that withdrawal is costly and virtually impossible.

    Read it here.

    Rich Lowry in the New York Post outlines the logic pickle the Obama Administration has gotten themselves into over whether the individual mandate penalties are a penalty or a tax.

    In an ABC News interview in September 2009, Obama scoffed when George Stephanopoulos resorted to the dictionary to argue that the penalty must be a tax… No sooner had the law passed than Obama’s Justice Department began insisting in court that the penalty is a tax.

    Read it here.

  • Victor Davis Hanson to Pepperdine this Spring


    Author and historian Victor Davis Hanson is headed to Pepperdine University School of Public Policy this spring as their William E. Simon Distinguished Visiting Professor. I hold both Pepperdine and Victor Davis Hanson in high regard. This is a great match!

    The Pepperdine University School of Public Policy is built on the differentiated philosophy of nurturing leaders to use the tools of analysis and policy design to effect real change and based on the conviction of elevating culture and personal moral certainties.

    Victor Davis Hanson is the Martin and Illie Anderson Senior Fellow in Residence in Classics and Military History at the Hoover Institution, Stanford University and Professor Emeritus of Classics at California State University, Fresno. He is also a nationally syndicated columnist for Tribune Media Services. Among Numerous awards, honors, and fellowships, Hanson was awarded the National Humanities Medal in 2007 and the Bradley Prize in 2008.

    Hanson is the author of hundreds of articles, book reviews, scholarly papers, and newspaper editorials on matters ranging from ancient Greek, agrarian, and military history to foreign affairs, domestic politics, and contemporary culture.  He has written or 17 books and has written or edited for The New York Times and The Wall Street Journal among others.