Health Care Reform (Page 4)

Nurses-Week

NOTES ON NURSING

HHS Secretary Sebelius Hails Nurses   National Nurses Week gives us a chance to recognize the contribution of the health care providers at the heart of our health care system.  Every day, nurses provide leadership, innovation and advocacy to meet the health care needs of Americans.

Advanced Nurses Lower Costs, Improve Care   Studies find that Advanced Practice Registered Nurses who provide preventive  care are as effective as primary-care physicians in accuracy of diagnosis and  prescription.

LABOR UPDATES

The Labor Market Won’t Be Healthy Until People Feel Like they Can Quit Their Jobs  The unemployment rate may be falling and the number of jobs rising.
… Read more about: MNA NewsScan, May 8, 2013: Kaiser battle=sign of vibrant HC unions  »

NOTES ON NURSING

Successful Nurse-Intensive Chronic Disease Management Experiment in Jeopardy    But Health Quality Partners, with its emphasis on continuous nurse-to-patient contact, did work. Of the 15 programs, four improved patient outcomes without increasing costs. Only HQP improved patient outcomes while cutting costs.

HEALTH CARE

Austerity is Hurting Our Health    Austerity is having a devastating effect on health in Europe and North America, driving suicide, depression and infectious diseases and reducing access to medicines and care, researchers said on Monday.

Uninsured Population Swells    About 84 million were uninsured or underinsured, 3 million more than when the 2010 health law was signed and 20 million more than in 2003.
… Read more about: MNA NewsScan, April 29, 2013: Successful program=funding cuts  »

NOTES ON NURSING

Nurses Fight State by State for Minimum Staffing Laws   Legislatures in at least seven states and the District of Columbia are trying to answer that question as they debate bills that would require hospitals to have a minimum number of nurses on staff at all times.

Ruling:  MI Hospital Cheated Nurses Out of Proper Pay   McLaren Lapeer Region improperly cut the wages of 51 registered nurses and must pay them tens of thousands of dollars in back pay, an arbitrator has ruled.

LABOR UPDATES

Minnesota’s Pay Equity Laws Have Bridged Gap for Women   Fifty years after Congress passed the Equal Pay Act, women still make less than men.
… Read more about: MNA NewsScan, April 24, 2013: CA adjusting well with state-mandated RN staffing levels  »

NOTES ON NURSING

Boston Nurses Talk of Caring for Wounded and Families of Marathon Bombing    The screams and cries of bloody marathon bombing victims still haunt the nurses who treated them one week ago. They did their jobs as they were trained to do, putting their own fears in a box during their 12-hour shifts so they could better comfort their patients.

HEALTH CARE

Seniors Get Hung Up in Health Care Scams   Many of the fraudsters seem to be preying on the public’s confusion over the massive changes taking place in the nation’s health care system.
… Read more about: MNA NewsScan, April 22, 2013: Boston RNs talk; The jobless trap  »

Standards of Care Campaign Update
House File 588 (HF588) passed the full Minnesota House of Representatives 73-58 on Wednesday. There was bipartisan support for our bill to require the Department of Health to study the correlation between staffing and patient outcomes and hospitals to report their staffing quarterly to the public. Take a moment to thank our author and champion Representative Joe Atkins. He has gone to the mat for nurses over and over again because he believes us when we say patients are vulnerable in Minnesota’s hospitals today. His email is rep.joe.atkins@house.mn.   The bill still has to clear one more committee in the Senate.
… Read more about: MNA Legislative Update, April 19, 2013  »

NOTES ON NURSING

Nurse Crisis in New York   Despite an increase in candidates, the State Nursing Association said hospitals aren’t hiring. In the end, it is hurting patients. State Assemblyman Richard Gottfried is the sponsor of the State Staffing Bill.

What Nurse Jackie Means for America   The reality of health care lurks outside our studio in Queens, New York, and informs some of what the writers create. The relentless money crunches. Corporate overlords coldly pulling strings on delicate medical and staffing decisions. Overcrowded waiting rooms and illogical triage. Communication vacuums between doctor and patient. The constant vulnerability of patients to not only disease, but to the system.
… Read more about: MNA NewsScan, April 17, 2013: Nurse crisis in NY; Hospitals profit from errors  »

Standards of Care Update

MNA nurses and representatives continue to meet with legislators to update them on the goals of the Standards of Care Act.  MNA is proposing that hospitals be required to report their staffing plans and actual nurse hours per patient day, and a Department of Health study of hospital staffing and its effect on nursing sensitive indicators like infections, falls and pressure ulcers.  We are confident that a MDH study will validate what nurses already know–that proper nurse staffing leads to better nurse outcomes–but we also recognize the need for Minnesota-specific data.  Our main objective for the remainder of the 2013 legislative session is to ensure that a comprehensive and accurate study is completed. 
… Read more about: MNA Legislative Update, April 5, 2013  »

LABOR UPDATES

Harry Kelber:   1914 – 2013     Harry Kelber spent 80 years as a labor activist. Through it all he championed worker ownership of their unions. When Labor Notes commissioned a roundtable on “organizing the unorganized” in 2007, Harry’s contribution argued that rank-and-file workers should be part of organizing drives.

HEALTH CARE 

Did Hospitals Profit Off Drugs Meant for the Poor?   An inquiry by a U.S. senator has found that three nonprofit hospitals in North Carolina have made millions from a discount drug program intended to help the poor and uninsured.
… Read more about: MNA NewsScan, April 3, 2013: RIP Harry Kelber; CAH Mortality Skyrockets  »

NOTES ON NURSING

One Step Further.  Standards of Care Act Passes Another Legislative Committee   Patients and families are closer to having their risks reduced in hospitals, as the House Committee on Government Operations gave its endorsement of the Standards of Care Act today.  The bill requires hospitals to provide staffing according to nationally-established standards.

Nurses Courtney Lucht, Eric Tronnes and Juli Uzlik testifed about the need to have a foundation of standards because hospitals are not providing even the minimum staff they promise.  Tronnes described fruitless meetings with hospital management in Staffing Advisory Committees because “productivity invariably trumps safe nursing care.”

Next step for the bill is likely to be the House committee on Health Policy.
… Read more about: MNA NewsScan, March 6, 2013; Standards of Care Act moves forward; MI nurses propose staffing legislation  »

NOTES ON NURSING

Study:  Management Not in Tune with Quality Improvement   It appears that while hospital management asserts that patient-centred care is important and invests in patient satisfaction and patient experience surveys, our findings suggest that the majority do not have a structured plan for promoting improvement of patient satisfaction and engaging clinicians in the process.

HEALTH CARE

Kids, Seniors Prone to MRSA Infections Depending on Season   Children have a greater risk for infection with methicillin-resistant Staphylococcus aureus (MRSA) in summer while seniors have a greater risk in winter, according to the study published online Feb.
… Read more about: MNA NewsScan, March 4, 2013: Chasm between boardroom and bedside; MRSA quirks  »