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Saturday, February 24, 2018

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Free health clinic for uninsured of Wise, VA, by Remote Area Medical. Source: Vanessa Potter Photos, http://tinyurl.com/cahf3l3

This week’s New England Journal of Medicine includes a study of the impact of expanding Medicaid coverage to more poor, uninsured adults under the age of 65 years. Comparing states that expanded their Medicaid coverage with surrounding states that did not, the Harvard School of Public Health researchers–Benjamin D. Sommers, M.D., Ph.D., Katherine Baicker, Ph.D., and Arnold M. Epstein, M.D.–reported that expansion of Medicaid eligibility is associated with reduced mortality,  a 25% increase in Medicaid coverage, 15% lower rates of uninsurance, a 21% reduction in cost-related delays in care, and a 3% increase in self-reported excellent or very good health.”

Senior Fellow, Nancy Cabelus, DNP, MSN, RN, is an international forensic nurse consultant currently working with Physicians for Human Rights on a program addressing sexual violence in conflict zones in central and east Africa.

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Nancy Cabelus

In recent weeks I visited impoverished areas in Kenya to specifically meet with women and talk with them about sexual violence.  In Kibera slum, the largest and most renowned slum on the African continent, I spoke one morning with 16 women.  The women I met with are HIV positive and receive antiretroviral (ARV) treatment.  I asked the women to whom they would turn if they or someone close to them were raped. All said that they would seek care from a doctor but most were not aware of places they could go where medical treatment was free. Only two reported that they would seek help from the police. Police are perceived as rude, accusatory, and often ask for bribes from women seeking help.  Two women stated they would speak to the tribal chief in the slum and eleven others said they would tell a trusted friend. None would tell a family member and would prefer to suffer in silence rather than deal with the stigma and family outcast attached to rape.

Daliah Heller, PhD, MPH, joins the Center for Health Media and Policy (CHMP) at Hunter College this year as a Visiting Scholar.

I’m beginning to think Health Homes are one of the best-kept secrets in the Patient Protection and Affordable Care Act (ACA). I’ve spoken with a lot of health care providers lately, and few seem to know about this provision, and that it is not the same as a Medical Home, though could be part of one.

Health Homes are case management-type entities established by the state health authority to
serve Medicaid-eligible people with chronic health conditions. ACA includes substance use
disorders among the eligible conditions, alongside mental health conditions, asthma, diabetes,
heart disease, and being overweight. And for the record, the term ‘substance use disorder’ refers
to a spectrum of excessive or harmful alcohol or drug use.

On July 17th I attended the Title V Summer Institute Media Training Workshop held at the Hudson County Community College Culinary Arts/Conference Center in Jersey City, presented by Barbara Glickstein and Dr. Kenya Beard. This program was a series of workshops aimed at improving diversity in nursing and in classrooms, retaining students from Hispanic and Latino communities, and helping to mentor them in study skills, test taking, and leadership. Only 1.7% of nurses in America are Hispanic or Latino, and the purpose of the Title V grant is to increase this percentage so that it may be proportional to the percentage of Hispanic and Latino patients in hospitals. The purpose of this specific workshop, called Nurse Messenger Media Training, was to teach foundational media skills, so that attendees would leave knowing how to address the media in a way that clearly expresses why diversity in nursing is essential, as well as how to share several key points during a short interview, and also how to capture the targeted audience. The workshop, a series of interactive, engaging, and educational activities, was definitely successful, as attendees left saying how much more confident they felt now and how they were camera-ready. Attendees had the opportunity first to learn about why addressing the media effectively is crucial in achieving their goals, and then to practice addressing the media- first in mock television interviews and then in mock press releases- after articulating the key points they wanted to express as well as the audience they wanted to reach. Although participants in the program were wary at first of being put on the spot and having to watch themselves on TV after having their mock interviews, they soon realized how fun and empowering having a media presence can be, and everyone left seeming ready to head to the newsroom for a real televised interview.

This post, by Senior Fellow Liz Seegert, was originally published on July 10, 2012 on TheAtlantic.com, presented by Capella University. It is reposted here with their permission.
tech_nursing_largeThere’s no doubt that technology is revolutionizing health care. Nowhere is this more true than in the field of nursing

From telemedicine to smart beds, nurses are at the forefront of managing high-tech health care solutions. The right technology can help nurses deliver more efficient, safer and higher-quality patient care.

Changing for the Better

“Telemedicine and tele-monitoring are commonplace now,” said Patricia Spencer, RN, BSN, MBA, former director of dialysis services at South Nassau Community Hospital in Oceanside, N.Y. “Care coordination is done electronically, allowing patients to remain at home. We check on patients virtually, and remotely retrieve vitals such as glucose levels, or heart rate.”

Senior Fellow, May May Leung, PhD, RD, is an assistant professor at the CUNY School of Public Health at Hunter College.  Her research expertise includes the development and evaluation of innovative health communication and community-based interventions to prevent childhood obesity. 

Source: http://1.usa.gov/MK5YMI

Source: http://1.usa.gov/MK5YMI

As we all have heard by now, the Supreme Court upheld Obama’s Affordable Care Act on June 28th!  Overall the Act, which aims to increase access to health coverage for Americans, has remained relatively unchanged.

Did you know that this Act also includes a provision (Section 4205) related to restaurant menu labeling?  This provision mandates restaurants and similar retail food establishments with 20 or more locations to post calorie content information for standard menu items directly on the menu and menu boards.  Vending machine operators with 20 or more machines are also required to disclose calorie content for certain items.

Barbara Glickstein doing show-n-tell with her Droid.

Barbara Glickstein doing show-n-tell with her Droid.

I am posting this from 30,000 feet up on a flight returning from the National Symposium of Nurse Practitioners held in Cooper Mountain Colorado. Wow. The Rocky Mountains are gorgeous. This city gal opened the door to her patio the first evening and a baby squirrel made her way in to my surprise. A loud shoo sent her running out to my relief. There’s just so much nature I can handle.

I was honored to keynote this group of 1000 Nurse Practitioners (NPs). My talk, “Adapt & Thrive: Health Care in the Digital Era” (shout out of thanks to CHMP NAC member Pat Thomas who helped me coin that title). My message- new media is where NPs can bring their voices. Their voices are needed and the digital media landscape is where they can address issues that will influence healthy public policy, educate the public and advocate to remove barriers that limit their scope of practice, create equity in reimbursement in both federal and private insurance programs and gain access to more federal funding to create innovative models of care in communities across the United States.