'Exciting' changes happening in Iowa's mental health care

DES MOINES | Multiple years in the making, Iowas new method of delivering mental health services is underway.

The early feedback from officials on the ground is mostly positive and cautiously optimistic. Officials think the transition from services delivered by counties to a collaboration of multiple-county regions will improve mental health care in the state.

But many also caution that significant challenges remain, such as shortages of patient beds and psychiatric physicians and the lack of a statewide system for treating children with mental health issues.

And there is the ever-present concern that the new system will be sufficiently funded.

The state recently completed a transition to 15 multi-county mental health regions, a process that started roughly three years ago with state legislators who sought to balance of available services and spending and create efficiencies by pooling resources.

Now, each region is required to offer a baseline of mental health services, including outpatient therapy, community living support and support for employment, according to the Iowa Department of Human Services, and counties tax residents at the same rate statewide.

By combining counties into regions, the redesign aimed to create efficiencies and savings that would then free up funds to reinvest in services and lower property taxes.

The regions went into effect July 1, and so far were hearing positive feedback and excitement about how the redesign may help bring even more new services to the regions in years to come, said Rick Shults, Iowa Human Services division administrator of mental health and disability services, in a statement emailed to the Lee Enterprises Des Moines Bureau.

MHDS Regions are focused on ensuring that defined core services are available to individuals with mental illness or intellectual disabilities," Shultz wrote. "Many MHDS Regions have sufficient funds to expand to (include) comprehensive crisis services and justice-involved services.

Major changes

See the rest here:

'Exciting' changes happening in Iowa's mental health care

Analysis: Jindal under fire in La. on health care

BATON ROUGE, La. (AP) Gov. Bobby Jindal has been viewed as a health care policy wonk, and he's tried to build on that image ahead of a likely 2016 presidential campaign, positioning himself as the candidate with substantive ideas.

But his administration's handling of health care matters at home could undermine his bonafides in the subject area and threaten his efforts to sell himself as a health care expert.

Jindal's former health secretary Bruce Greenstein was indicted last week for lying about his involvement in the awarding of a $200 million Medicaid contract, a deal the administration didn't cancel for several years despite ongoing questions about Greenstein's involvement.

The Republican governor's privatization of the LSU charity hospital system remains under scrutiny with federal officials, who rejected the first set of financing plans for most of the deals and who continue to raise questions about the rewrite.

Plus, the Jindal administration's management of the health insurance program that covers 230,000 state workers, public school teachers, retirees and their dependents is facing heavy criticism, as the program continues to drain a reserve fund to cover expenses.

Not exactly the kind of stories Jindal will want retold in New Hampshire and Iowa and in his political speeches to Washington power-players.

In the most recent news, Greenstein was indicted on nine counts of perjury, tied to sworn testimony about the state's now-canceled contract with Client Network Services Inc., or CNSI.

The company was selected by the state in 2011 for a 10-year Medicaid claims processing contract. The deal sparked controversy as soon as CNSI was chosen, with state lawmakers questioning the involvement of Greenstein, a former CNSI vice president.

Under questioning in a confirmation hearing with senators three years ago, Greenstein acknowledged that a decision he made in the bid solicitation process made CNSI eligible for the contract.

But the Jindal administration proceeded with the deal until a federal subpoena seeking information about the contract award became public in March 2013.

Read the original:

Analysis: Jindal under fire in La. on health care

Oral Health Care Awareness Programme For Maternal, Child

BANDAR SERI BEGAWAN: The Ministry of Health through Department of Dental Services has enhanced the health care services to achieve better quality and highly comprehensive dental services. A number of oral health care awareness programmes have been conducted throughout the country.

The Oral Health Promotion Division at the Department of Dental Services was established in August 2006. Since then, a number of oral health awareness programmes have been organised. This includes Toddlers Programme in all Maternal and Child Health Clinics nationwide.

According to Ampuan Dr Siti Nur Hanisah binti Ampuan Dr Haji Brahim, a Dental Officer at the Ministry of Health highlights, World Health Organisation (WHO) had targeted one case for Decay Missing Filled Teeth in 12 years of age group in 2010. By 2013, Brunei Darussalam had successfully accomplished the target with one case compared to 5 cases in 1999. This shows that such programmes is effective in raising the level of oral health care.

Ampuan Dr Siti Nur Hanisah further explains, oral or gum diseases may trigger early stages of more serious diseases such as diabetes and heart problems. Therefore it is important for maternal women to look after oral health. She added that the oral disease will have a negative impact on them as well as their babies during the pregnancy. Also, improper oral health has been linked to premature newborns and low weight.

In conclusion, the importance of oral health care should be stressed all the time. Also to achieve good oral health for everyone in the family in response to the alarming situation of high incidence of tooth decay among pre-school children. This is to ensure the nation practise long-term healthy lifestyle in the future.

Easy Ways Of Oral Health:-

BRUDIRECT.COM

If you have any stories or news that you would like to share with the global online community, please feel free to share it with us by contacting us directly at This email address is being protected from spambots. You need JavaScript enabled to view it.

Read the original here:

Oral Health Care Awareness Programme For Maternal, Child

Advancing Solutions in Medicare and Medicaid to Create Greater Value – Video


Advancing Solutions in Medicare and Medicaid to Create Greater Value
Medicare and Medicaid make up an ever-increasing piece of the of the growing pie of total health care costs in the United States. Medicare is heading towards insolvency as Baby Boomer retirements...

By: U.S. Chamber of Commerce

Read the rest here:

Advancing Solutions in Medicare and Medicaid to Create Greater Value - Video

India: Graft in health care impoverishes millions

NEW DELHI (AP) Digamber Rawat rarely emerges from the tiny windowless room he shares with his parents because a mysterious illness has wasted away the strength in his legs. His family can't afford private health care, but they must pay for it anyway, even when they go to free government hospitals for help.

Rawat said that at a government hospital in central Delhi, a doctor ordered X-rays and scans that could have been performed in-house. "But when we would go to the hospital lab for the tests, they would give us the name of a private clinic and say, 'Go get it done there and then we will look at it,'" he said.

In this Sept. 23, 2014 photo, Indians stand in a queue to get themselves registered to be examined by a doctor at a government hospital in Allahabad, India. India has a network of free government hospitals and around 37,000 primary health care centers across the country, but they are crowded, badly equipped and inadequately staffed. (AP Photo/ Rajesh Kumar Singh) (Rajesh Kumar Singh/AP)

Tests at the hospital lab would have been 1,500 rupees ($25). At a private clinic, they cost more than $130. Rawat's parents make a combined 15,000 rupees ($245) per month, barely enough to feed the family and buy medicine for their 21-year-old son.

"They knew we were poor, but they just didn't care," said Rawat's mother, Bhavna Devi, wiping tears with her threadbare sari.

Rawat's story is played out across India, where hundreds of millions of poor people without any kind of health insurance are forced to seek medical treatment at private clinics because of poor services and corruption at government hospitals. Those clinics are widely accused of ordering unnecessary tests to run up costs.

Government officials, health experts and many physicians agree that India's $74 billion health care industry is preying on poor people, thanks to a cozy nexus among unethical doctors, hospitals and diagnostic laboratories.

Health care costs push some 39 million people into poverty every year in India, according to a 2011 study in the Lancet medical journal.

India has a network of free government hospitals and around 37,000 primary health care centers across the country, but they are crowded, badly equipped and inadequately staffed. Yet patients who turn to expensive private clinics may be subjected to unnecessary medical tests, scans or even surgery, with the referring doctor getting a commission for the work.

Dr. David Berger, an Australian who worked as a volunteer physician in a small hospital in India, created an uproar when he described the practice of referrals and kickbacks in an article published in the British Medical Journal in May. He wrote that when doctors accept kickbacks, it "poisons their integrity and destroys any chance of a trusting relationship with their patients."

Link:

India: Graft in health care impoverishes millions

Why Your Plan Was Cancelled: Health Insurance and the Affordable Care Act – Video


Why Your Plan Was Cancelled: Health Insurance and the Affordable Care Act
There #39;s a bizarre reason why millions of Americans saw their health plans cancelled in 2013 and, as explained in a new video featuring Robert Graboyes of the Mercatus Center at George Mason...

By: MercatusCenter

Read more:

Why Your Plan Was Cancelled: Health Insurance and the Affordable Care Act - Video

ICRC urges concrete steps to protect health care in conflict – Video


ICRC urges concrete steps to protect health care in conflict
Last year, an ICRC team reached Dammaj, a town in northern Yemen, to deliver medical supplies and evacuate 164 casualties. This was an example of the need to respect medical personnel and facilitie...

By: International Committee of the Red Cross (ICRC)

Originally posted here:

ICRC urges concrete steps to protect health care in conflict - Video

paralysis stroke treatment in Bangalore, stroke treatment in Bangalore – Video


paralysis stroke treatment in Bangalore, stroke treatment in Bangalore
paralysis stroke treatment in Bangalore, stroke treatment in Bangalore, KNC Arogyadhama Health Care Center , http://www.kncarogyadham.com/, Rehabilitation, with Geriatric and Nursing care Center,...

By: Old Age Homes In Bangalore kncarogyadhama

Excerpt from:

paralysis stroke treatment in Bangalore, stroke treatment in Bangalore - Video

Health care system treats the dying like an ATM

Joseph Andrey, 91, just wanted to go home to die.

The reasons he couldnt constitute todays must-read piece in the New York Times that reveals anew that our health care system is broken.

He was stuck in a nursing home. The forces of the health care system hospitals, nursing homes, home health agencies, insurance companies, and the shifting crosscurrents of public health care spending conspired against Andrey and his daughter.

A hospital released him to a nursing home for rehabilitation. But no rehabilitation was happening. He was only getting worse.

He ended up back in the hospital and, this time, his daughter wanted to honor his wish to go home to die.

But in the health care system, the wishes of a dying patientand hisdaughter dont matter.

Theres money to be made. The nursing home gets nearly $700 a day from Medicare.

Home care agencies abruptly dropped or refused high-needs cases like her fathers as unprofitable under changes in the states Medicaid program. Hospitals, eager to clear beds, increasingly sent patients to nursing homes. The nursing homes were often too short-staffed to reliably change diapers but still drew premium Medicare rates, ordering hours of physical therapy and other treatment that studies showed was often useless or harmful.

Even hospice was limited. Now mostly for-profit, hospice companies would provide supervision and visits at home a few times a week through Medicare if a doctor certified that Mr. Andrey had only six months to live. The hidden catch: He would lose all Medicaid home care, the daily help he needed to be home at all.

A home-care agency refused to help because he was in an out of the hospital too much and the girls as the office manager for the agency reportedly referred to the aides couldnt make any money.

Read the original:

Health care system treats the dying like an ATM

Quebec's drastic health care overhaul to eliminate 1,300 managers

CTV Montreal Published Thursday, September 25, 2014 9:02PM EDT Last Updated Friday, September 26, 2014 7:05AM EDT

Quebec's health care system is in for a major shake-up thanks to Bill 10, a plan to cut bureaucracy and improve direct health care services.

Under the plan, Quebecs 18 regional health boards will be eliminated and hospitals and other institutions will lose their administrative boards. Only the island of Montreal, due to its higher population, will be allowed to have more than one local health care agency -- it will have five.

In all, 1,300 managers will lose their jobs. The government says this measure will save $220 million a year.

We want to seize this opportunity to make what we consider to be a necessary change in the culture of our network, in order to make sure that once and for all the system will work for the patient, period. Not for themselves, not for their boss, not for me, not for the prime minister, to the patient, said Health Minister Gaetan Barrette.

Barrette says Anglophone institutions will still have input even though they will lose their administrative boards.

The law will stipulate that health ministers must appoint members of cultural and linguistic minorities to the boards of the new super agencies that will take over.

Some of the unions representing health care workers say the bill doesn't attack the real problems with the health care system, overcrowding and the wait lines.

They say the minister needs to go much further and that they're worried about how the bill centralizes a lot of power into the minister's hands in terms of his control over pointing the boards and directing local health care delivery.

The rest is here:

Quebec's drastic health care overhaul to eliminate 1,300 managers