Wednesday, February 28, 2007

Health Care Jobs and the Americans With Disabilities Act

http://www.eeoc.gov/facts/health_care_workers.html

U.S. Equal Employment Opportunity Commission

"Health care is the largest industry in the American economy. The health care industry provided more than 13 million jobs in 2004 and is expected to account for 19 percent of all new jobs created between 2004 and 2014 — more than any other industry. In addition, the health care industry has a high incidence of occupational injury and illness. Health care jobs may involve potential exposure to airborne and bloodborne infectious disease, injuries from syringes, and other dangers; many health care jobs can also be physically demanding and mentally stressful.
The new Q&A fact sheet provides practical information about applying ADA employment rules in health care jobs, in a variety of settings - from public and private hospitals and nursing care facilities to doctors’ and dentists’ offices and diagnostic laboratories. The occupations within the health care field are many and varied, including not only physicians, surgeons, dental hygienists and nurses, but social workers, physical therapists, medical records clerks, laboratory technicians, paramedics, home health aides, and custodial and food service workers in medical facilities. "

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American Hospitals Embracing Health Information Technology

http://www.aha.org/aha/content/2007/pdf/070227-continuedprogress.pdf

American Hospital Association

"More and more, hospitals across America are embracing health information technology (IT) and its benefits for quality of care and patient safety, according to survey results released today by the American Hospital Association (AHA). The survey, the AHA’s second snapshot of how hospitals are using IT, found that nearly half of all responding community hospitals reported moderate or high use of health IT in 2006, compared to a response of 37 percent in 2005.
Hospitals also reported dramatic increases in the use of computerized alerts to prevent negative drug interactions. In 2006, 51 percent of hospitals were using real-time drug interaction alerts, up from 23 percent in 2005"

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Tuesday, February 27, 2007

Supporting caregivers of people with dementia

http://www.scie.org.uk/publications/misc/dementia-guideline.pdf

National Collaborating Centre for Mental Health, UK

This guideline makes recommendations for the identification, treatment and care of people with dementia and the support of carers.

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Personal Health Records and Electronic Health Records

http://www.kpihp.org/publications/docs/phr%5Fsummary.pdf

Kaiser Permanente Institute for Health Policy

On September 28 and 29, 2006 public and private sector professionals convened to discuss ways to better integrate personal health records and electronic health (medical) communications records.

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Monday, February 26, 2007

Health Information Online

http://www.pewinternet.org/pdfs/PIP_Healthtopics_May05.pdf

Pew Internet & American Life Project

"Eight in ten internet users have looked for health information online, with increased interest in diet, fitness, drugs, health insurance, experimental treatments, and particular doctors and hospitals"

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Demographic Profile -- The 65+ Population

http://www.metlife.com/WPSAssets/78466792201110468360V1F65+Profile-10-10-04.pdf

MetLife

Demographic statistics on the 65+ U.S. population.

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Friday, February 23, 2007

http://nces.ed.gov/programs/stateprofiles/

National Center for Education Statistics

Search for statewide information in elementary and secondary education characteristics and finance, postsecondary education, public libraries, assessments, and selected demographics for all states.

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Reducing Disparities

http://www.kpihp.org/publications/docs/disparities%5Fsummary.pdf

Kaiser Permanente Institute for Health Policy

A roundtable of 30 experts on health disparities met in September 2006. The aim of the roundtable was to push the dialogue on health disparities beyond the usual boundaries of health systems and toward notions of multi-sectoral collaboration, stakeholder engagement, and developing policy solutions to address the broad range of underlying influences on health.

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Thursday, February 22, 2007

Working Towards Wellness in Preventing Chronic Disease

http://www.pwc.com/us/eng/about/ind/healthcare/pubwellness.html

PricewaterhouseCoopers

"In collaboration with the World Economic Forum, PwC’s Health Research Institute undertook to research the impact of chronic disease and to review best practices in developing, launching and maintaining wellness programmes. Working Towards Wellness: Accelerating the prevention of chronic disease - reveals the consensus of in-depth interviews with thought leaders from multinational corporations, industry associations, vendors, regulatory agencies, and the medical community.
From this research, PwC’s HRI submits:
--Chronic disease is the leading cause of death and disability worldwide.
--Increasingly chronic disease affects people in low to middle-income countries as well as in high-income countries.
--Chronic diseases impair productivity and lead to associated costs.
--Multinational companies are using the workplace to promote long-term behavioural changes which will benefit employers, employees and communities."

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The Rising Burden of Health Spending on Seniors

http://www.ncpa.org/pub/st/st297/st297.pdf


National Center for Policy Analysis


"In less than two decades, half of everything seniors consume may be health care, according to a new study by the National Center for Policy Analysis (NCPA). For today’s oldest seniors, this has already happened.

The study notes that total health care spending on the elderly - including both out-of-pocket spending by seniors and third-party expenditures - will constitute a growing portion of seniors’ “total potential consumption.” “Total potential consumption” includes everything seniors can consume: all their personal income plus all health care expenditures by third parties net of premium payments.

--Health care today makes up about two-of-every-five dollars of seniors’ total potential consumption - 43 percent.
--In just 17 years (by 2024), health care will equal 50 percent of seniors’ total consumption.
--For the oldest seniors - age 75 and older - health care already makes up more than half of all they consume.

Since Social Security represents such a large portion of seniors’ retirement income - particularly for older seniors - examining health spending as a percentage of Social Security benefits is also informative:

--Today’s seniors spend an amount equal to 44.5 percent of their Social Security benefits on health care.
--The amount will rise to 60.9 percent by 2030 and to 81.3 percent by mid-century.
--By 2070, almost all (93.4 percent) of seniors’ Social Security checks will be dedicated to spending on health and medical care."

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Tuesday, February 20, 2007

Demographic Profile -- American Baby Boomers

http://www.metlife.com/WPSAssets/34442486101113318029V1FBoomer%20Profile%202005.pdf

MetLife

This 4 page handout includes many statistics on the baby boomer population in the United States.

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The Power of Consumer Choice

http://www.kpihp.org/publications/docs/competition%5Fsummary.pdf

Kaiser Permanente

"In December 2005, the Kaiser Permanente Institute for Health Policy, Health Affairs, and the Center for Studying Health System Change convened a group of experts to discuss the notion of consumerism as a driving force in health care competition. The goal of the conference was to discuss what it would take to harness the power of health care consumers more effectively."

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Friday, February 16, 2007

Beyond No Child Left Behind

http://www.aspeninstitute.org/atf/cf/%7BDEB6F227-659B-4EC8-8F84-8DF23CA704F5%7D/NCLB_Book.pdf

The Aspen Institute Commission

"The Aspen Institute’s Commission on No Child Left Behind report “Beyond NCLB: Fulfilling the Promise to Our Nations’ Children” illustrates the broad, bipartisan commitment to improving our nation’s schools that was behind the No Child Left Behind Act of 2001. The Commission’s recommendations recognize the solid foundation built by NCLB and reaffirm the law’s core principles including accountability, high standards and having all students reading and doing math at grade level by 2014.
The report supports many of the key proposals advanced in President Bush’s “Building on Results: A Blueprint for Strengthening the No Child Left Behind Act” that was released last month. I am encouraged that the Commission addressed embedding growth models in the law to measure student achievement over time, the pressing need for highly qualified teachers in every classroom, and more significant interventions and critical resources for schools that are chronically underperforming. "

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Coverage Patterns Among SCHIP-Eligible Children and their Parents

http://www.urban.org/publications/311420.html

The Urban Institute

"This brief uses the 2005 Current Population Survey to examine national patterns of coverage among families with SCHIP eligible children. Key findings are that: close to 2 million uninsured children are eligible for SCHIP, the majority of SCHIP enrollees could not be enrolled in an employer plan that covers their parents, and almost 40% of SCHIP enrollees lives with an uninsured parent. This implies that federal funding will have to be increased substantially to cover the remaining eligible but uninsured children and that many children stand to lose coverage altogether if federal funds are inadequate to meet existing program needs. "

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Thursday, February 15, 2007

Alternative Medicine Use by U.S. Households

http://www.medstat.com/uploadedFiles/docs/Research_Brief--Alternative_Medicine--2006.pdf

Thomson Medstat

“The Thomson Medstat consumer healthcare survey found that 37.2 percent of U.S. households regularly turn to alternative treatments for everything from headaches to diabetes. The most common reason cited for using alternative medicine was to improve general wellness. Nearly two-thirds of respondents said their physicians were aware of their use of alternative medicine.”

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Resources on SCHIP

http://www.kff.org/medicaid/kcmu020907pkg.cfm

Kaiser Family Foundation

"The Foundation’s Kaiser Commission on Medicaid and the Uninsured released new resources on children’s coverage, including a timeline and specialized state fact sheets, and cosponsored a Capitol Hill briefing on the upcoming debate on the reauthorization of SCHIP."

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Friday, February 09, 2007

Patient-Centered Care for Underserved Populations

http://www.esresearch.org/documents%5F06/Overview.pdf

This report focuses on how patient-centered philosophies can be incorporated into health care delivery models targeting the underserved.

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Adult Day Services

http://aspe.hhs.gov/daltcp/reports/2006/keyADS.pdf

Office of the Assistant Secretary for Planning and Evaluation, HHS

Adult Day Services are a nonresidential community service provided outside of the home. The programs have evolved to become a community service to meet caregivers' need for respite in order to work, fulfill other obligations, and recover from the demands of continuous care. There are three major types that are generally recognized: a social model, a health or medical model, and a specialized model.

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Wednesday, February 07, 2007

Comparison of States' Obesity Initiatives

http://www.ubalt.edu/experts/obesity/

University of Baltimore

"With several states and cities taking positive steps to combat the nation’s obesity epidemic, especially as it affects children, the University of Baltimore Obesity Initiative’s third national assessment shows that quantifiable efforts are underway in various state legislatures—where a growing number of public-policy watchers believe that progress can be made to stop this costly and deadly trend.
The Obesity Initiative’s latest report card gives six states—California, Illinois, Oklahoma, Pennsylvania, South Carolina and Tennessee—an “A” for their legislative and public-policy work in the past year to control obesity in children. Only three states—California, New York and Tennessee—earned the same grade for their efforts across all populations. Still, the number of states taking steps to control the prevalence of overweight Americans is climbing rapidly, and the resulting attention in the media and the public is improving the odds that the epidemic—currently estimated by the Obesity Initiative as costing the United States $130 billion in direct medical costs each year (extrapolated from Centers for Disease Control estimates from 2000)—can be brought down to manageable levels. "

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Educating Doctors About Health Disparities

http://www.om-pc.com/content/pdf/1750-4732-1-5.pdf

Source: Osteopathic Medicine and Primary Care

“Racial and ethnic health disparities inarguably exist in the United States. It is important to educate primary care clinicians regarding this topic because they have the ability to have an impact in the reduction of health disparities. This article presents the evidence that disparities exist, how clinicians contribute to these disparities, and what primary care clinicians can do to reduce disparities in their practice. Clinicians are able to impact health disparities by receiving and providing cross-cultural education, communicating effectively with patients, and practicing evidence-based medicine. The changes suggested herein will have an impact on the current state of health of our nation.”

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Tuesday, February 06, 2007

Parental Influences on Adolescent Physical Activity

http://www.ijbnpa.org/content/pdf/1479-5868-4-3.pdf

Source: International Journal of Behavioral Nutrition and Physical Activity

“Strategies to promote physical activity among adolescents should focus on increasing levels of family cohesion, parental engagement, parent-child communication and adolescent self-esteem.”

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Race, Ethnicity, and Medical Care

http://www.kff.org/minorityhealth/upload/6069-02.pdf

Kaiser Family Foundation

"The Kaiser Family Foundation’s updated version of Key Facts: Race, Ethnicity and Medical Care, 2007 Update, serves as a quick reference source on health disparities, presenting the best available data and analysis.
This report includes data on the uninsured and access to care by race/ethnicity as well as information about the disproportionate effect that specific conditions such as diabetes, HIV/AIDS, and asthma have on racial and ethnic minority populations in the U.S. New in the 2007 Key Facts are demographic data on the racial/ethnic minority population in each state and the U.S. territories. This edition of Key Facts also includes data from the National Healthcare Disparities Report, examining changes in health care disparities over time."

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Monday, February 05, 2007

State Options for Reducing Overweight and Obesity

http://www.astho.org/pubs/ReduceOverweightObesity.pdf
Association of State and Terratorial Health Officials

"Currently, 65 percent of U.S. adults are overweight and 30 percent are obese. The percentage of young people who are overweight has more than doubled in the past year. This paper outlines eight actions that states can consider taking to reduce overweight and obesity."

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Assisted Living facilities -- comparing state to state

http://www.ahrq.gov/research/residentcare/residentcare.pdf

Agency for Healthcare Research and Quality, HHS

"This report was commissioned to describe the extent of information that is available to consumers and families about assisted living facilities from State agencies and describe State oversight policies and practices. One purpose of this project was to assess the interest among State agencies in ways to help consumers compare facilities

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Friday, February 02, 2007

Pandemic Flu Community Strategy

http://www.cdc.gov/od/oc/media/pressrel/2007/r070201a.htm

U. S. Department of Health and Social Services, Centers for Disease Control and Prevention

"Based on the projected severity of the pandemic, government and health officials may recommend different actions communities can take in order to try to limit the spread of disease. These actions, which are designed primarily to reduce contact between people, may include:

1. Asking ill persons to remain at home or not go to work until they are no longer contagious (seven to 10 days). Ill persons will be treated with antiviral medication if drugs are available and effective against the pandemic strain.
2. Asking household members of ill persons to stay at home for seven days
3. Dismissing students from schools and closing child care programs for up to three months for the most severe pandemics, and reducing contact among kids and teens in the community
4. Recommending social distancing of adults in the community and at work, which may include closing large public gatherings, changing workplace environments and shifting work schedules without disrupting essential services."

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Family Child Care Meets Needs of Working Parents

U.S. Department of Health and Human Services, Administration for Children and Families

http://www.acf.hhs.gov/programs/opre/cc/nsc_low_income/reports/care_in_home/care_in_home.pdf
"The findings of the report, based on in-depth study of 618 families using family child care and 533 family child care providers, include the following:
--Family child care met several practical considerations of the parents, such as availability of care to cover the parent’s off-hours or irregular work schedules, the costs of care and the convenience of the location;
--About half of the homes provided care for children of all ages – from infants to school-age children – a great help for parents trying to arrange care for more than one child;
--Most parents considered more than one possible care arrangement before selecting family child care. Fewer than 10 percent wanted a different arrangement than the one they were using; --Safety for their children, the relationship with the provider and trust were among parents’ most compelling reasons for choosing family child care;
--Family child care arrangements are remarkably stable. Most of the children (90 percent) were in a single, full-time child care arrangement and providers in the study had been providing care for an average of seven years; and
--Family child care homes provided safe places for children, close supervision, warmth and responsiveness to children’s needs and environments with little stress or conflict."

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