Healthcare (Page 11)

HEALTH CARE

Docs Weigh In:  Workloads are Unsafe   (JAMA abstract only)  For resident physicians, workload so heavy as to result in physician fatigue is associated with increased medical errors and has led to the implementation of work-hour restrictions.23 For nurses, a recent cross-sectional analysis showed a significant association between patient mortality and low staffing.4 Fourteen states have enacted legislation and/or adopted regulations to address nurse staffing.5

 

LABOR UPDATES

Ford UAW Workers Receive $8,300 Profit Payout    UAW members have not had a wage increase in at least eight years, relying on lump-sum payments and profit sharing for between 20% and 25% of their annual pay, Dziczek said.
… Read more about: MNA NewsScan, January 30, 2013: Docs weigh in-patients are not safe  »

NOTES ON NURSING

OpEd: Report Medical Errors and Caregiver Injuries   Every 24 hours across the nation there are, on average, 4,658 newly identified hospital-acquired infections, 1,369 patient falls and perhaps as many as 800,000 medication errors. Furthermore, injuries to caregivers are among the highest rates of any occupation, with as many as 950 injuries per day in the United States.

HEALTH CARE

A Hospital Bill Without the Hospital    To many people this may be the equivalent of billing for oral surgery after a teeth cleaning. But Lahey Hospital and Medical Center, which owns the dermatology practice, said Reed’s insurer allows the Burlington hospital to charge patients an overhead fee when they are treated by doctors it employs — even when their offices are not located in the hospital but in a medical building 1½ miles away.
… Read more about: MNA NewsScan, January 28, 2013: Medical errors & caregiver injuries need Presidential priority  »

NOTES ON NURSING

When Paying It Forward Pays Us Back    One such example is the Transitional Care Model (TCM), which provides planning and home follow-up by trained nurses for chronically ill Medicare patients during and after hospitalization. The TCM illustrates a key point. Often, to save money you need to change systems, or add new functions, not just cut things.

Nurse Staffing, Bedsores Remain on Parkland Problem List    Parkland Memorial Hospital has completed 94 percent of the quality and patient safety targets necessary for it to continue receiving federal funding, but the institution continues to struggle in the areas of nurse staffing, timely patient discharges and bedsore prevention, according to a report given to the hospital’s Board of Managers Tuesday.
… Read more about: MNA NewsScan, January 23, 2013: When paying it forward pays us back; Prolong CPR  »

NOTES ON NURSING

Nursing Receives Unproportionately Low Percentage of NIH Budget   Specifically, nurses get 0.75% of the US National Institutes of Health budget, even though nurses make up the majority of health professionals in the US.

Nurse-Led Recycling Initiative Reduces OR Waste   Pallotta and her OR colleagues were spurred to action when they read a study that found a large proportion of OR products could be recycled. What followed was a nurse-driven, evidence-based study and analysis of HackensackUMC’s practices and how they could be altered.

LABOR UPDATES

MnSCU, 4-year Faculty Reach Contract Agreement    The agreement includes a 2.2 percent pay raise, retroactive to last fall, said Nancy Black, president of the Inter Faculty Organization.
… Read more about: MNA NewsScan, January 16, 2013: Where’s the love from NIH for RNs?  »

NOTES ON NURSING

Improving Nurses’ Work Environment Can Help Reduce Readmissions    The study, led by Matthew McHugh, PhD , JD, MPH, RN, FAAN, assistant professor at the University of Pennsylvania School of Nursing, found that  increased nurse-to-patient staffing ratios and a good work environment for nurses were associated with reduced 30-day readmission rates for Medicare patients with heart failure, myocardial infarction, and pneumonia. Funding for the study came from the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program.

New Grads Finding Rough Road to Employment    Since the recession, health care has been the single biggest sector for job growth, but that doesn’t mean it’s easy to get hired.
… Read more about: MNA NewsScan, January 14, 2013: More Nurses Mean Fewer Readmissions  »

Legislative Session Begins

On Tuesday, the 2013 Session of the Minnesota Legislature began. Both the House and Senate have introduced their first key pieces of legislation:

  • The House and Senate each introduced a bill to establish a health insurance exchange, a key part of the Affordable Care Act that will provide an online marketplace for Minnesotans to compare different health insurance policies. This is an opportunity to improve access to health care and lower costs for uninsured and underinsured Minnesotans. The bill was crafted by a bipartisan group including chief House author Rep. Joe Atkins (DFL-Inver Grove Heights), Representative Jim Abeler (R-Anoka) and Representative Greg Davids (R-Preston).
  • … Read more about: MNA Legislative Update, January 11, 2013  »

HEALTH CARE

Poor Performance Means Less Medicare Reimbursement for Most Minnesota Hospitals Medicare is revamping its payment system for hospitals as part of an effort to make them accountable on quality. The latest change will give bonuses and penalties to hospitals based on how well they performed on quality measures.

Health Care and Pursuit of a Profit Make a Poor Mix   A shareholder might even applaud the creativity with which profit-seeking institutions go about seeking profit. But the consequences of this pursuit might not be so great for other stakeholders in the system — patients, for instance.
… Read more about: MNA NewsScan, January 9, 2012: Medicare Penalizes MN hospitals; For profit=poor care  »

NOTES ON NURSING

Twin Cities Nurses Ratify Contract   Although negotiations between nurses and hospitals in 2010 featured a loud
public debate over nurse-to-patient staffing ratios, the parties didn’t debate
the issue this time.

HEALTH CARE

In Their Own Words:  Health Care Industry Leader:  “Hospital Care 3,000 Times Less Safe Than Air Travel”    “The  Harvard Medical Practice Study (of 1991) showed that 1% of hospital patients  were injured due to errors judged… to be negligent. That’s a death or injury  rate of 10,000 per million. The U.S. airline comparative number is 341 people  dead or injured in 95.2 million flights, U.S.
… Read more about: MNA NewsScan, December 21, 2012: TC nurses approve 3 yr contract; Hospital care 3k less safe than air travel  »

HEALTH CARE

Is Mayo Gaming the System?       The CEO of St. Peter’s River’s Edge Hospital and two area physicians have asked the Attorney General to investigate Mayo Clinic Health Systems in St. Peter and Mankato, alleging its doctors and staff are misinforming patients in an effort to funnel patients away from smaller community hospitals and toward Mayo-affiliated facilities.

Advocates for Mental Health Have Momentum After Conn. Massacre    Advocates say the most important objective is strengthening community-based mental health services. They are also focused on early diagnosis and treatment of ill children, and efforts to erase the stigma that surrounds mental health problems.
… Read more about: MNA NewsScan, December 20, 2012: Mayo games?; 11K new jobs  »

LABOR UPDATES

More Young Adults Are Homeless   Across the country, tens of thousands of underemployed and jobless young people, many with college credits or work histories, are struggling to house themselves in the wake of the recession, which has left workers between the ages of 18 and 24 with the highest unemployment rate of all adults.

RNs Picket at UMass “12 Days of Grinchmas”   The daily picketing, which began on Dec. 10 and will continue through Dec. 21, is being held for one hour each day. Nurses will hold Grinch-themed signs and candles, and sing some special UMass-oriented Grinchmas carols as part of their protest against deteriorating staffing conditions and management’s lack of concern for its patients and employees.
… Read more about: MNA NewsScan, December 19, 2012: Hospital lays off hundreds and still renovates; For-profit prison operator sued for prisoner death  »