Facebook plots first steps into health care

Chief executive Mark Zuckerberg may step up his personal involvement in health. Zuckerberg and his wife Priscilla Chan, a pediatric resident at University of California San Francisco, recently donated $5 million to the Ravenswood Health Center in East Palo Alto.

Any advertising built around the health initiatives would not be as targeted as it could be on television or other media. Pharmaceutical companies, for instance, are prohibited from using Facebook to promote the sale of prescription drugs, in part because of concerns surrounding disclosures.

Privacy concerns

Privacy, an area where the company has faced considerable criticism over the years, will likely prove a challenge. This week, the company apologized to users for manipulating news feeds for the purposes of research.

But Facebook may already have a few ideas to alleviate privacy concerns around its health initiatives. The company is considering rolling out its first health application quietly and under a different name, a source said. Market research commissioned by Facebook found that many of its users were unaware that photo-service Instagram is Facebook-owned, the source said.

Read MoreFacebook launches new tools to grow advertising

Facebook's recent softening of its policy requiring users to go by their real names may also bolster the company's health plans. People with chronic conditions may prefer to use an alias when sharing their health experiences.

"I could see Facebook doing well with applications for lifestyle and wellness, but really sick patients with conditions like cancer aren't fooling around," said Frank Williams, chief executive of Evolent Health, a company that provides software and services to doctors and health systems.

People would need anonymity and an assurance that their data and comments wouldn't be shared with their online contacts, advertisers, or pharmaceutical companies, Williams said.

It remains unclear whether Facebook will moderate or curate the content shared in the support communities, or bring in outside medical experts to provide context.

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Facebook plots first steps into health care

Lake Forest Dental Health Care Dentist REVIEWS Lake Forest , CA. – Video


Lake Forest Dental Health Care Dentist REVIEWS Lake Forest , CA.
Reviewed Lake Forest Dental Health Care is a top reviewed Dentist in Lake Forest , CA. This video shows some of the excellent reviews and testimonials that have been offered...

By: Local Orange County Business Reviews

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Lake Forest Dental Health Care Dentist REVIEWS Lake Forest , CA. - Video

Mystery Still Surrounds The Death Of Health Care Executive and His Wife – Video


Mystery Still Surrounds The Death Of Health Care Executive and His Wife
After being found dead in their home after a fire on Sunday morning, there are still a lot of questions surrounding the deaths of John and Joyce Sheridan. Police still have the home roped...

By: Chasing New Jersey

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Mystery Still Surrounds The Death Of Health Care Executive and His Wife - Video

Health care enrollment expected to be easier this year

Local experts on the Affordable Care Act expect this year's open enrollment period to run a bit smoother.

"We really think this year is going to be much better," Brenda Jackson, the county's director of Social Services, said at a Tuesday night panel discussion on the health law hosted by the Cumberland County Library. "I think last year was a little frustrating for folks trying to navigate this process."

Jackson said she feels that this year there might be more people enrolling because of the penalty for not having health coverage, which will increase from $95 to $325 per person. In addition, she said, Medicaid enrollment will be easier because the technical glitches that plagued both the federal health insurance marketplace and the state's benefit tracking system will be cleared up.

In North Carolina, hundreds of thousands of residents were left without coverage under the law because the state refused to expand Medicaid. Judy Klinck, executive director of Better Health, said that leaves many uninsured people stuck seeking care in the emergency rooms or urgent care facilities, and then with very limited options for additional treatment once the emergency has been stabilized. Organizations such as The CARE Clinic, Stedman-Wade Health Services can provide primary care for the uninsured, she said.

Moderator Tim White, opinion editor for The Fayetteville Observer, asked the panelists if the Affordable Care Act or some other model would be the ideal way to expand health coverage.

Janel Lewis, a certified application counselor with Stedman-Wade Health Services, said it's too early to pass judgment on the Affordable Care Act. There are still many more people who did not sign up for coverage because they didn't know they could get financial assistance, she said.

"We did not reach everyone," she said of local outreach efforts, "but we are going to ramp up with this upcoming (enrollment period)."

Like any system, Jackson said, the Affordable Care Act needs to be reevaluated.

"I think the issue with the Affordable Care Act is that it's not user-friendly."

She said the law has gotten caught in a political tug-of-war that has helped foster misinformation and complicated trust among consumers.

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Health care enrollment expected to be easier this year

Health care focus of State of County event

CINNAMINSON Health care and its rising costs are issues that will continue to challenge both business leaders and the public even with reforms enacted under the federal Affordable Care Act.

That was the message of Virtua CEO Richard Miller to the more than 200 business and local officials at the annual State of the County dinner Tuesday night. The dinner was at The Merion on Route 130 in Cinnaminson.

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Health care focus of State of County event

Jail health care up for vote

Published: Wednesday, October 1, 2014 at 3:55 p.m. Last Modified: Wednesday, October 1, 2014 at 11:19 p.m.

After close to a decade with the same private health care provider treating inmates in the county jail, the Volusia County Council will decide today whether to keep the countrys largest and perhaps most controversial jail medical contractor or switch to a new company.

Volusias expiring contract with Corizon, the corrections giant that has contracts in more than 500 facilities around the country, has opened up the Volusia Branch Jail to two new bidders: Correct Care Solutions, which is in almost 500 correctional facilities, and Armor Correctional Health services, which is in less than 60.

The decision is a roughly $25 million one, with a three-year contract up for grabs covering an estimated $8 million in annual costs. It will affect the health of thousands of people who spend time behind bars, many of them in poor health, facing untreated mental conditions or dealing with substance abuse.

People think we just shove people in the corner and give them an aspirin, Volusia County Manager Jim Dinneen said of the health care at the jail, which conducts about 25,000 medical screenings on intake each year. We do the things that we are legally responsible for, but also the things we think are morally appropriate.

Corizon, formerly Prison Health Services, has been under contract with Volusia since 2005. Before that, the contract belonged to the publicly supported Halifax Health system. The county initially had planned to recommend renewing the Corizon contract this year, then changed course and decided to accept bids. Dinneen said it was time to test the water, particularly because of the changes that have occurred in health care over the past decade. Halifax did not submit a bid.

The St. Louis, Missouri-based Corizon is the medical provider in 75 state correctional facilities in Florida (under a 5-year, $1.2 billion contract that started last year), along with eight county jails like Volusias. It has faced criticism over the years, including last week, when state Department of Corrections Secretary Mike Crews threatened to withhold payments amid concerns that the level of care continues to fall below the contractually required standard, according to a letter Crews sent the company.

The jail medical clinics are vastly different from prison clinics in large part because of the population. Prison inmates are in custody long-term. Jail inmates come and go, and many of them are less likely to get medical treatment after they leave the jail. That can lead to required further treatment if theyre arrested again.

We are the front line, Volusias director of public protection George Recktenwald said.

Like health care costs in general, jail medical costs have risen. The cases treated vary widely, from simple physical illnesses, dental issues and infections to specialty services that require hospital transport. Some of the jails recent expensive medical cases include an attempted suicide (six weeks of hospital care), an inmate with multiple gunshot wounds (three weeks in the hospital, plus 18 visits and several surgeries), a Pacemaker replacement and, in the past year, 10 babies delivered.

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Jail health care up for vote

Bredesen: More must be done for health care

Gov. Phil Bredesen addresses the audience at the Chattanooga Convention Center in this file photo.

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As former Tennessee Gov. Phil Bredesen took the stage at The Chattanoogan hotel to address a room full of doctors Wednesday night, he began by saying that since the time mankind lived in caves, healers have been among the most honored people in society.

I want to say that at the outset, said Bredesen, because you are about to hear me be very critical of some of things in the health care system we have today.

Bredesen, who before his governorship was the founder of health care management company HealthAmerica Corp., spoke at the University of Tennessee College of Medicine Chattanoogas Internal Medicine Update.

Held on the one-year anniversary of the implementation of the Affordable Care Act, the evenings talks focused on evolving health care policy.

Bredesen said the new law does not get to the root of the unwieldy problems of the American health care system, which, he charged, is the most expensive in the world while its quality remains average or inferior to other comparable nations.

Instead, the law doubles down on a massively wasteful system that needs substantial overhaul.

If you took Americas current health insurance model and applied it to homeowners insurance, he said, damage repair would look like a bunch of disconnected construction: No general contractor, no building codes and with each worker spending money on whatever materials he thought necessary on the expectation that insurance would pay for it.

More standardized measures of quality care are essential to improve medical performance, he argued. And without more tension between buyer and seller in the health care market, health costs will only continue to skyrocket, he said.

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Bredesen: More must be done for health care

El Paso Rotary Club celebrates centennial with health care clinic

Paul Hutchton, M.D. and clinic manager Betty Gallegos inside the OBGYN exam room in the new RotoCare primary health clinic at 301 Schutz in El Paso's Lower Valley. (Rudy GutierrezEl Paso Times )

Looking for a signature project to celebrate the Rotary Club of El Paso's 100th anniversary, the organization recently opened the RotaCare Clinic in the Lower Valley.

"About 25 to 30 years ago, there were some doctors in California and Rotarions who set up a number of clinics in the Bay Area," said Greg Hartley, a Rotary Club of El Paso member.

"There's a couple in Oregon, and a couple in Washington State that were established in order to help the indigent and the under-insured and the working poor to get basic health care needs. We used their model and brought it back to El Paso."

The RotaCare Clinic at 301 S. Schutz St., in Ysleta neighborhood, is the first in Texas. It opened Sept. 13 and will be open from 9 a.m. to 3 p.m. every other Saturday starting Oct. 11.

Stacy Nguy, center, a fist year medical student at the Paul L. Foster School of Medicine and Cecyl Casta on, a freshman medical biology student at UTEP take inventory of medical supplies in a storeroom at the RotaCare Clinic at 301 S. Schutz Saturday. The volunteers were helping get the primary care clinic going. The Rotary Clubs of El Paso is helping to fund the clinic, which will be staffed by Texas Tech. It will start seeing patients Oct. 11. (Rudy GutierrezEl Paso Times )

RotaCare is a volunteer alliance of medical professionals, organizations and community members dedicated to providing free primary, quality healthcare services to uninsured families and individuals with limited ability to pay for medical care.

The clinic is staffed by resident physicians from the Paul L. Foster School of Medicine at the Texas Tech University Health Sciences Center in El Paso.

"The clinic is open and free to anyone who needs help," Hartley said. "We're trying to get them basic health care and trying to get them into the health care system."

Dr. Richard McCallum, a professor and founding chairman of the Department of Internal Medicine at the medical school, serves the clinic's medical director.

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El Paso Rotary Club celebrates centennial with health care clinic

Health Care and Construction Workers Create Pink Ribbon for Breast Cancer Awareness

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Newswise More than 600 health care and construction workers donned pink hard hats while forming a giant human ribbon at the UC San Diego Jacobs Medical Center construction site today in support of National Breast Cancer Awareness month.

The event, coordinated by EMCOR/Dynalectric San Diego, launches a month-long call to action campaign to remind people to be screened for breast cancer, the second leading cause of cancer death among women after lung cancer. According to the American Cancer Society, 40,000 women are expected to die from breast cancer in 2014.

Breast cancer can affect both men and women, said Anne Wallace, MD, director of the UC San Diego Health System Comprehensive Breast Health Center. Knowing your family history and risk factors could save your life. Have a discussion with your physician now about risks associated with your individual genes. If you need treatment, seek a comprehensive breast center where youll get customized treatment plans using a team-approach that cares for the whole patient.

Wallace and other UC San Diego Health System employees joined EMCOR/Dynalectric and Kitchell construction workers, along with Congressman Scott Peters, Speaker of the Assembly Toni Atkins and San Diego County Supervisor Ron Roberts to form the 88-foot-long pink ribbon. Throughout the month of October, workers at the Jacobs Medical Center construction site will wear the pink hard hats.

The 10-story Jacobs Medical Center is slated to open in La Jolla in 2016, with three clinical care units under one roof: the Hospital for Advanced Surgery, the Hospital for Women and Infants and the newly named Pauline and Stanley Foster Hospital for Cancer Care.

The Hospital for Cancer Care will be the only in-patient facility of its kind in San Diego County, which has the fifth largest U.S. population, and where cancer is the No. 1 cause of death. With 108 dedicated beds, the facility will double UC San Diego Health Systems capacity to treat patients with every form of malignancy. It will also be the critical inpatient venue for delivery of scientific discoveries made by university researchers, providing the region with a broad array of leading-edge treatments.

For example, patients will have access to targeted, personalized treatments, such as stem cell therapy and cell-based immunotherapy, both requiring inpatient care by specialized staff. It will provide expanded state-of-the-art facilities for treatment of some of the most fragile patients, including those cared for by the Blood and Bone Marrow Transplant Program, jointly sponsored by UC San Diego Health System and Sharp Healthcare.

The proximity between the Hospital for Cancer Care and UC San Diego Moores Cancer Center seamlessly connects and aligns patient care.

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Health Care and Construction Workers Create Pink Ribbon for Breast Cancer Awareness

Challenges Abound for Vermonts Mental Health Care System

Randolph For evidence of the failings and limitations of the network of public and private providers that deliver mental health care in Vermont, look at the headlines.

In recent months, there were stories of the suicide of Vermont Law School professor Cheryl Hanna a few days after she was forced to wait in a emergency room until a psychiatric bed became available in the states largest hospital; of a patient kept in restraints for 12 hours at a Bellows Falls mental health facility and coerced into taking medication; of a pair of suicide attempts by teenagers receiving psychiatric care at the Brattleboro Retreat.

For a view of what the state is doing to prevent future tragedies, as well as to improve care and replace a problem-plagued, 54-bed psychiatric hospital in Waterbury that was destroyed by Tropical Storm Irene, look to Act 79.

That law, passed in 2012, put forward a master plan for a comprehensive, humane and efficient mental health care system that encouraged even some skeptics. Theres a lot good to be said about Vermonts system, said Ed Paquin, executive director of Disability Rights Vermont, a nonprofit that represents and advocates for Vermonters with disabilities. Were pretty supportive of the direction that Act 79 puts the state in.

But implementing that plan has proved challenging. Said Julie Tessler, executive director of the Vermont Council of Developmental and Mental Health Services, an organization of 16 social service agencies: Act 79 expressed a wonderful vision and we are still working on it.

That work is done every day and night by caregivers around the state, often in the psychiatric wards of hospitals and less visibly in local clinics and other community programs.

People dont understand what we do, said Linda Chambers, executive director of the Clara Martin Center, which provides services in Orange and parts of Windsor counties. Were doing the heavy lifting with the hardest clients, she added. Otherwise, they go to higher levels of care.

Clara Martin is one of 10 nonprofit organizations tapped by the Mental Health Department to deliver front-line care for mental illness in their communities. Like their counterparts in many states, Vermont advocates and caregivers would like to see the role of large state hospitals minimized and caregiving decentralized and integrated in communities. But as in other states, the shift in caregiving responsibilities to local clinics and programs has rarely been accompanied by a similar shift in resources.

Constrained for revenue, community mental health providers have been hard-pressed to offer competitive salaries. That has made staff recruitment and retention difficult. The resulting vacancies in caregiving positions can translate into extended waits for therapy and other programs. And that can delay the start of treatment for new patients and leave stranded in high-level care facilities patients who have recovered enough to return to treatment closer to home that is less expensive.

The repercussions dont stop there. When scarce high-level care beds are occupied by less severely ill patients, they arent available for those whose needs are desperate. And when care is unavailable from mental health specialists, patients turn instead to hospital emergency rooms and primary care doctors.

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Challenges Abound for Vermonts Mental Health Care System