MNA Blog (Page 73)

Recent news and updates from the Minnesota Nurses Association.

Nurses often take their skills beyond the bedside.  They travel the world showing compassion for the world’s sick and suffering, spreading a single-standard of care for all people, and ensuring a just distribution of life’s basic necessities.  However, saving the world can mean starting with the questions, “where do I go?” and “what can I do that will actually make a difference?”

Nurses can answer those questions in classes offered through the Institute for Women’s Leadership at Rutgers University.  The Global Women’s Health Leadership certificate program was developed with National Nurses United, and enrollment is open for classes in the fall of 2013.
… Read more about: Don’t know how to save the world? Learn here.  »

Recently, US News & World Report released its “Best Hospitals” list.  What’s interesting is what criteria a national news magazine uses to judge what’s “best.”  Link here.  

The criteria seems to favor reputation versus results.  Note that patient safety only counts five percent toward the total score and ranking.  Of course, many hospitals rank themselves based on patient satisfaction scores.  The patient survey affect hospital quality ranks, which have many variables including when did the patient fill out the survey or what patients filled out the survey.   New parents, for example, are prime targets for a patient survey score.

Kaiser Health News noted the patient satisfaction scores drive hospitals in the story they did about hospital food going gourmet. 
… Read more about: What makes a good hospital? Really.  »

Minnesota’s HMOs continue to bank huge surpluses.  According to health care analyst Allan Baumgarten’s report, which was cited here by the Twin Cities Business Journal, health plans in the state collectively socked away $241 million in 2012.  That’s up from 2011 profits of $230 million.

HMOs will disagree with the word profits, as they’re non-profits, but their revenues combined mean they’re now sitting on $1.9 billion in savings.  State law require them to save money to remain solvent, but the latest figures show the state’s health plans are now banking $1.3 billion more than regulations require.

HealthPartners alone generated nearly $128 million in operating income over the past two years, which earns it the title of most profitable HMO in the state. 
… Read more about: HMOs’ piggy banks get bigger  »

When the Robert Wood Johnson Foundation and the National Institute on Nursing Research released a study on the effects of nurse staffing in NICUs, it was a unique look into how nurse workloads affect non-adult patient outcomes.  The study was conducted by researchers from the University of Pennsylvania, University of Medicine and Dentistry of New Jersey, Ohio State University, Dartmouth College, and the University of Vermont.  Data was collected at 67 Vermont-Oxford Network hospitals on very-low-birthweight (VLBW) babies hospitalized between 2008 and 2009.  Surveys on nurse staffing levels and patient acuity levels were tracked daily.

The result was not surprising.  The researchers say that staffing below national guidelines by just .1 nurse-per-infant led to a shocking 40% increased risk of infection. 
… Read more about: Nurses not the only ones paying attention to staffing problems  »

Minnesota lawmakers met at the Capitol on Tuesday to discuss ways to combat the spread of synthetic drug abuse that his hit Duluth, Hibbing, and other places spread wide across the state.  The newly-formed “Select Committee on Controlled Substances and Synthetic Drugs” created by House Speaker Paul Thissen and headed by Duluth State Representative Erik Simonson is charged with holding hearings across the state and reporting back to the legislature by February 25th with recommendations.

Unlike traditionally banned drugs, manufacturers of synthetic drugs, often referred to as “bath salts,” are continually creating different drug formulas in a response to the banning of chemicals used to make the synthetic substances, which effectively replaces banned chemicals with new ones. 
… Read more about: Synthetic Drug Committee Meets Again  »

HEALTH CARE NEWS

How the American Health Care System Killed My Father    Nor is he dead because of indifferent nursing—without exception, his nurses were dedicated and compassionate.

Hospital Exposes Patients to Needless Radiation For The Money   Cardiologists and the Infirmary Health System in Mobile, Ala., are accused of needlessly exposing patients to radiation in a nine-year-running kickback scheme tainting an estimated $522 million in Medicare, Medicaid and Tricare reimbursements since 2004.

2013 a Banner Year for Minnesota Children’s Mental Health    In-reach services were added so that care could be provided when a child leaves the hospital or emergency room to help reduce readmissions and ensure a smooth transition.
… Read more about: MNA NewsScan, July 10, 2013: Hospital scam puts patients at risk; ACA intensifies debate on patient safety standards  »

HEALTH CARE NEWS

How Consistent Hospital Error is Having a Deadly Effect on the Health Care System    “Medical harm is probably one of the three leading causes of death in the U.S., but the government doesn’t adequately track it as it does deaths from automobiles, plane crashes, and cancer. It’s appalling,” he told the magazine.

The 9 Things You MUST Check Before Choosing a Hospital    7. Check the Nurse-to-Patient Ratio – Ideally, a nurse should have only four to six patients under his or her care at a time (and less if it’s critical or intensive care).
… Read more about: MNA NewsScan, July 8, 2013: Hospital error rate “appalling;” Is 68 the new 65?  »

Minnesota’s own UnitedHealth just made headlines by announcing that it is dropping out of the pool of private companies that would offer individual policies in California.  Aetna has also dropped out of the California market.  Source: http://www.latimes.com/business/la-fi-unitedhealth-insure-calif-20130702,0,4370321.story

It’s not a tragedy for Californians.  Both of those companies only had a combined 58,000 customers who can now seek new coverage in one of 13 Covered California providers.  What’s apparent, however, is that private companies are dropping out of even lucrative markets such as California where they can’t create policies that keep their costs down and rates up.  It’s the equivalent of taking their ball and going home, which in UnitedHealth’s case is employer-offered plans.
… Read more about: If big insurers drop out, who steps in?  »

NOTES ON NURSING

More Cancer Specialist Nurses Improve Hospital Care   Patients of better staffed trusts were more likely to report that people treating and caring for them worked well together and they received enough emotional support during outpatient treatment.

HEALTH CARE NEWS

Obamacare Postpones Employer Mandate for a Year    Employers who don’t provide health insurance will be spared penalties of up to $3,000 per worker until 2015, a one-year delay of a major component of President Barack Obama’s health care reform law.

Kickstart Your Medical Bills   The Kennett family of Alexandria is one of thousands turning to the Internet to raise money for medical bills.
… Read more about: MNA NewsScan, July 3, 2013: Nurses, staffing, special skills combine to improve care for cancer patients  »

NOTES ON NURSING

sisters-of-mercy-painting_420Union Army’s Top Nurses Were Nuns   This insight honors the 150th anniversary of the Battle of Gettysburg.    The Daughters of Charity at their provincial house in Emmitsburg, Md., could hear the cannons of Pickett’s Charge 10 miles off. They helped their chaplain pack a wagon with medical supplies and, when the cannons were silenced, a dozen sisters rode with him to tend to the wounded.

HEALTH CARE NEWS

Hospitals Reward CEOs for Profit Over Quality    Across the nation, boards at nonprofit hospitals such as Valley are often paying bosses much more for boosting volume rather than delivering value, according to interviews with compensation consultants and an examination of CEOs’ employment contracts and bonus packages.
… Read more about: MNA NewsScan, July 1, 2013: Nuns as nurses in Civil War; How bogus are patient satisfaction scores  »