Drexel Medicine Specialist: It’s Important to Trust Your Health Care Provide – Video


Drexel Medicine Specialist: It #39;s Important to Trust Your Health Care Provide
Laniece Coleman, director of Nurse-Midwifery Services, talks about why it #39;s so important for a woman to have a trusted relationship with her health care prov...

By: Drexel Medicine

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Drexel Medicine Specialist: It's Important to Trust Your Health Care Provide - Video

Healing the psychological scars of trauma with the Peter C. Alderman Foundation – Video


Healing the psychological scars of trauma with the Peter C. Alderman Foundation
Over one billion people in the world have directly experienced torture, terrorism or mass violence. Survivors are often left with lifelong mental disabilitie...

By: Search for Common Ground

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Healing the psychological scars of trauma with the Peter C. Alderman Foundation - Video

Health care diplomat Lois Quam's new role seems natural

Lois Quam, a Minnesota native, former UnitedHealth executive and health care adviser to the U.S. State Department, has been named chief operating officer of the Nature Conservancy in Arlington, Va. (Courtesy of Nature Conservancy)

After a long career shaping health care policies at both the private and very public levels in Minnesota and Washington, Lois Quam has found another project: helping heal the planet.

At least that's what she sees as the mission of the Nature Conservancy, the organization she joined last week as chief operating officer. She will be based in Arlington, Va.

Quam was a longtime UnitedHealth executive and oversaw significant growth at the Minnetonka-based health care giant. During those years, she also worked on public health care initiatives, from chairing Gov. Rudy Perpich's Minnesota Health Care Access committee, beginning in 1989, to working with then-first lady Hillary Clinton in 1993 on the President's Task Force on Health Care Reform.

In 2011, she reunited with Clinton, then secretary of state, at the U.S. State Department, and also worked with current Secretary John Kerry leading global health initiatives across a number of organizations.

In an interview last week, on her second day at the Nature Conservancy, Quam described her new role. Her answers were edited for clarity and consistency.

How does your health care work translate into your new job at the Nature Conservancy?

"Illness is related to pollution, unsafe water; and protecting the land and water that our lives depend on is one of the effective ways to help us stay well.

"I've always tried to find a better way to do things: How can we find better or more effective ways to protect our land and water?

"I like finding those gems, those really good ideas. I like taking good ideas and bringing them to full potential.

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Health care diplomat Lois Quam's new role seems natural

Our healthcare system is excellent but..

Health care at government hospitals is cheap but the other services are a let down.

COMMENT

By T Hanuratha

Healthcare in Malaysia, without doubt, has undergone tremendous positive changes compared to ten or fifteen years ago. Government hospitals are now the pillar of the nations health care system which guarantees cheap and affordable health services.

A check with the Health Ministry website revealed that there were 150 big hospitals in the country, for a population of 30 million.

Historically, health care in Malaysia has undergone fundamental transformations since the countrys independence with medical care transforming gradually to meet the medical needs of today.

Although, the number of private hospitals in Malaysia had increased, providing world class health care services, the charges imposed by these private entities could be mind boggling.

This is another reason why the Malaysian masses converge at government hospitals for their health care needs. They need not fork-out thousands of ringgit for a simple surgery at the government funded hospitals.

Primary health care costs is a mere RM1 for outpatient treatment and RM5 for specialist care. And this includes obstetricians, gynecologists and pediatricians. Senior citizens need not pay a single sen for health care.

While all these policies and the way the system operates had brought benefit to Malaysians, there are several areas which need to be looked into, especially at government hospitals.

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Our healthcare system is excellent but..

"Reinventing American Health Care" — A Book Discussion with Ezekiel Emanuel and Thomas A. Farley – Video


"Reinventing American Health Care" -- A Book Discussion with Ezekiel Emanuel and Thomas A. Farley
On March 24, 2014, Roosevelt House held a book discussion featuring Ezekiel Emanuel, author of the just-published Reinventing American Health Care: How the A...

By: Roosevelt House

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"Reinventing American Health Care" -- A Book Discussion with Ezekiel Emanuel and Thomas A. Farley - Video

Health-care changes seem to be paying off

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And in that regard, B.C. ranks the highest in the country. While we sit second-tolast in per-capita spending, (only Quebec ranks lower) we beat most other provinces in all kinds of areas: best cancer survival rates, lowest heart attack rate, longest life expectancy, lowest infant mortality rate, etc.

Have we finally wrestled that voracious gobbler of tax dollars the public health-care system to a standoff, if not to the ground? By that I mean the days of the system automatically devouring increasingly large amounts of money every year to feed itself may be drawing to a close, at least in British Columbia.

Of course, I dont mean the health-care system will stop being the biggest area of government spending by far.

But the rate of growth in spending is slowing down significantly. The annual hike is down to 2.6 per cent this year, compared to just several years ago when it was above five per cent.

Now, there are those who think this is bad news. After all, shouldnt we be plowing even more money into the system rather than less? If we dont, wont health-care standards suffer? The answers are: a) not necessarily and b) no.

The ideological defenders of the public health-care system everything is to blindly think the only measuring stick worth anything is per capita spending. In other words, B.C. should spend more dollars per person than anywhere else, and things will take care of themselves.

But those with experience in the system, who study it and come up with good ideas for change, point to another and far better measurement: health outcomes.

And in that regard, B.C. ranks the highest in the country. While we sit second-tolast in per-capita spending, (only Quebec ranks lower) we beat most other provinces in all kinds of areas: best cancer survival rates, lowest heart attack rate, longest life expectancy, lowest infant mortality rate, etc.

When it comes to wait times for certain surgeries, theyve been mostly going down and not up. The median wait time for a hip joint replacement has declined to 13 weeks from 19 weeks over the last 10 years, while a knee joint replacement has gone from 25 weeks to 18 weeks over the same time period.

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Health-care changes seem to be paying off

Sebelius Resigns After Health Care Rollout Fiasco

WASHINGTON (AP) Embattled Health and Human Services Secretary Kathleen Sebelius is resigning as the White House seeks to move past the election-year political damage inflicted by the rocky rollout of President Barack Obama's signature health care law.

Sebelius' resignation comes just over a week after sign-ups closed for the first year of insurance coverage under the so-called Obamacare law. The opening weeks of the enrollment period were marred by widespread website woes, though the administration rebounded strongly by enrolling 7.1 million people by the March 31 deadline, exceeding initial expectations. Enrollment has since risen to 7.5 million as people were given extra time to complete applications.

Even with the late surge in sign-ups, the law remains unpopular with many Americans and Republicans have made it a centerpiece of their efforts to retake the Senate in the fall.

Sebelius' resignation could also set the stage for a contentious confirmation hearing to replace her. In a sign that the White House is seeking to avoid a nomination fight, the president was tapping Sylvia Mathews Burwell, the director of the Office of Management and Budget, to replace Sebelius. Burwell was unanimously confirmed by the Senate for her current post.

A White House official requested anonymity to confirm Sebelius' resignation and Burwell's nomination ahead of the formal announcement. Obama has not nominated anyone to replace Burwell as budget director.

Obama remained publicly supportive of Sebelius throughout the rough rollout, deflecting Republican calls for her resignation. But she was conspicuously not standing by his side last week when he heralded the sign-up surge during an event in the White House Rose Garden.

The official said the 65-year-old Sebelius approached Obama last month about stepping down, telling him that the sign-up deadline was a good opportunity for a transition and suggesting he would be better served by someone who was less of a political target.

A spokeswoman for Sen. Pat Roberts, a Republican from Sebelius' home state of Kansas, called the resignation "a prudent decision" given what she called the total failure of Obamacare implementation.

Sebelius dropped no hints about her resignation Thursday when she testified at a budget hearing. Instead, she received congratulations from Democratic senators on the sign-up surge.

A popular former governor of Kansas, Sebelius has been one of Obama's longest-serving Cabinet officials and his only HHS secretary. She was instrumental in shepherding the health care law through Congress in 2010 and implementing its initial components, including a popular provision that allows young people to stay on their parents' insurance plans until age 26.

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Sebelius Resigns After Health Care Rollout Fiasco

Ohio considers legislation to control its health care

Ohio is one of 21 states that have introduced legislation to control its health care, which includes controlling federal dollars and changes that could affect health care in the state.

Legislation would allow states to join a federally created health care compact that would transfer the authority and responsibility to make health care decisions from federal control to the member states. So far, only North Dakota has failed to pass legislation through its statehouse to join, and three states Arizona, Minnesota and Montana have had their governors veto legislation. There are eight states with legislation approved by their governors, and Ohio is one of eight states with legislation still pending.

Republican Reps. Terry Boose, of Norwalk, and Wes Retherford, of Hamilton, introduced House Bill 227 this past June, which would allow Ohio to be a member of the health care compact. The bill passed out of the State and Local Government Committee on April 2 by way of a 10-8 vote. The vote was down party lines, though Republican Bob Hackett, of London, voted with the Democrats. Committee member Rep. Matt Lundy, D-Elyria, said this bill is not right for Ohio.

The proposal is so extreme and has such a negative impact on the health of our citizens that even Arizona Gov. Jan Brewer vetoed (a similar bill), said Lundy. Arizonas state legislature passed its version of the health care compact bill in 2011, but it was vetoed by the controversial governor who became criticized in the national media for signing Arizona Senate Bill 1070, known as the show me your papers law. The U.S. Supreme Court in June 2012 struck down key provisions of SB 1070 but upheld a provision that allows police to check a persons immigration status in certain circumstances.

The governors in Montana and Minnesota exercised pocket vetoes by never signing the bills that passed each of their respective states legislatures.

Meredith Tucker, Ohio Democratic Party communications director, called the bill a partisan stunt.

Its sad that Ohio Republicans continue these partisan stunts when there are so many important issues facing struggling Ohio families, she said.

U.S. Rep. James Lankford, R-Oklahoma, introduced House Joint Resolution 110 in February and has garnered support from 11 Republican congressmen, including Urbana Rep. Jim Jordan, who have signed on as co-sponsors. The Oklahoma Republican said this resolution is a breakthrough governance reform that allows states to clean up the health care mess created by the federal government.

Those member states are then free to implement their own health care systems without interference from federal bureaucrats, using federal health care funds already collected and spent in their state, Lankford said.

Because of their displeasure with the Affordable Care Act, commonly referred to as Obamacare, Retherford said he and several Ohio legislators felt it necessary to work to join the health care compact efforts. And besides that, he said health care is an issue that should be taken care at the state level.

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Ohio considers legislation to control its health care

Business Journal: Health care changes offer challenges and opportunities for Conway Regional

Health care is in transition in Faulkner County.

Conway Regional Health System is accountable to the community to provide high quality, compassionate health care services. The mission statement sets the expectations for every person who wears a Conway Regional badge.

This means the work lives of the Conway Regional staff should be dedicated to making decisions that will lead to the highest quality care for patients in Faulkner and surrounding counties. This level of accountability flows from the board of directors down to everyone in the organization including both clinical and non-clinical staff.

The challenge of delivering on these expectations is growing as we transition into a new era of accountability in providing health care. Health systems are encouraged to provide more creative, smarter answers to delivering on those expectations. The Conway Regional Board of Directors and Executive Leadership Team are tasked with responding to these opportunities.

The way hospitals, physicians and other providers are reimbursed is changing.

Health care reimbursement is transitioning from a fee for service system in which providers (such as Medicare and Medicaid) pay based on the number of services or tests conducted, to a system where providers are paid more for improving outcomes and driving value. Under the new system, providers are being paid based on improved care experiences, improved health of populations and lower per capita costs.

The challenge currently is that most of the payment is based on volume but as more and more of the payment moves to outcomes or improving overall health, providers will have to change their focus and processes to respond. The challenge is to know when to shift from the fee for service model to the value based model when they have conflicting incentives.

Growing government regulations and expectations have begun placing about 5 percent of hospitals federal reimbursement at risk annually. Other payers are also moving more and more of their payment to a value based formula. We have seen and will continue to see different models (such as bundled payments, primary care medical homes and others) as we search for the best way to drive improved outcomes and reduced costs, said Jim Lambert, Conway Regional Health Systems President and CEO.

The Affordable Care Act has resulted in significant changes in the countrys insurance structure to help many formerly uninsured or under insured people pay for health care. The cost of uncompensated care remains significant for the nations health care facilities, including Conway Regional.

In 2013 Conway Regional provided more than $10 million in uncompensated care. This means medical services for which no payment is received. Uncompensated care includes charity care and bad debts.

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Business Journal: Health care changes offer challenges and opportunities for Conway Regional