Healthcare (Page 8)

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In: Health Care Reform, Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

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  »

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In: Bargaining, Health Care Reform, Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

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  »

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In: Healthcare, Hospitals, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

NOTES ON NURSING

Fatigue is Pervasive in the Health Care Industry; Directly Linked to On-the-job Errors     Sixty-nine percent of healthcare professionals surveyed said that fatigue had caused them to feel concern over their ability to perform during work hours. Even more alarmingly, nearly 65 percent of participants reported they had almost made an error at work because of fatigue and more than 27 percent acknowledged that they had actually made an error resulting from fatigue.

PA Considers Nursing by the Numbers   A pair of Democratic state lawmakers have introduced bills in both the House and Senate that would mandate a minimum number of registered nurses-to-patient ratio at all hospitals in the state.
… Read more about: MNA NewsScan, April 1, 2013: RN fatigue pervasive and harmful to patients  »

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NOTES ON NURSING

RN Grad Student:  “The $4450 Urgent Care Visit     “This was one patient on one day in one healthcare facility incurring every form of systemic waste Fineberg puts forth in his article and is also illustrated by Stephen Brill’s lengthy account of overcharging, particularly those who are uninsured or underinsured.”

HEALTH CARE

Fairview-Sanford Merger Talks Bring Scrutiny   Fairview Health Services, the Twin Cities’ second-largest hospital and clinic group, is weighing a merger with South Dakota-based Sanford Health in negotiations that have triggered concerns on the part of Minnesota Attorney General Lori Swanson. 
… Read more about: MNA NewsScan, March 27, 2013: AG Swanson sets public hearings on Fairview-Sanford merger  »

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In: Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

NOTES ON NURSING

Study Says NICUs Need Nurses   A surprising number of the nation’s neonatal intensive care units (NICUs) have too few nurses, a new study by researchers from the University of Pennsylvania and the University of Medicine and Dentistry of New Jersey (UMDNJ) has found.

HEALTH CARE

It’s Come to This – A Lottery for Health Care Coverage    Tennessee residents who have high medical bills but would not normally qualify for Medicaid, the government health care program for the poor, can call a state phone line and request an application. But the window is tight — the line shuts down after 2,500 calls, typically within an hour — and the demand is so high that it is difficult to get through.
… Read more about: MNA NewsScan, March 25, 2013: NICU nurses needed; Tennessee’s HC lottery  »

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In: Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

NOTES ON NURSING

Healing the Hospital Hierarchy   Most people in health care understand and accept the need for clinical hierarchies. The problem is that we aren’t usually prepared for them; nor are we given protocols for resolving the inevitable tensions that arise over appropriate care.

LABOR UPDATE

Income Inequality Shapes MN Tax Debate   Even in middle-class, middle-American Minnesota, income inequality is rising. It’s not a new phenomenon.

HEALTH CARE

New Database Reveals Thousands of Hospital Violation Reports    Hospitals make mistakes, sometimes deadly mistakes. A patient may get the wrong medication or even undergo surgery intended for another person.
… Read more about: MNA NewsScan, March 20, 2013: Hospital hierarchy; Error reporting  »

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In: Activism, Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Patient Safety, Politics, Unsafe Staffing

Standards of Care Update

The Standards of Care Act, our bill to establish patient assignments limits, had its third hearing today in the House Health and Human Services Policy committee. The bill passed with amendments, despite serious objections from the hospitals. As amended, the bill has a narrower focus than its original version, but a delivers a victory for patients and nurses by laying a strong foundation for documenting the crisis of patient risk in Minnesota that nurses witness every day. In fact, Committee Chair Rep. Tina Liebling of Rochester offered a strong endorsement of MNA’s concerns when she stated “there is broad agreement that there is a problem.”

By no means, however is the work done.
… Read more about: MNA Legislative Update, March 16, 2013  »

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Standards of Care Act Update        

   The Standards of Care Act, MNA’s bill to establish patient assignment limits for nurses passed the Government Operations committee 8-7. The committee passed an amendment to the bill to exempt Critical Access Hospitals (rural hospitals with 25 or fewer beds that meet certain federal criteria) from the legislation. MNA continues to believe that all patients in Minnesota, regardless of their geographic location, are entitled to the same standard of safe nursing care.
  In the House, the bill is now headed for the Health and Human Services Policy Committee. We will alert you when a hearing date is scheduled.
… Read more about: MNA Legislative Update, March 8, 2013  »

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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  »

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In: Activism, Bargaining, Health Care Reform, Healthcare, Hospitals, Labor Unions, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

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  »