Well, to continue the piece on ID theft. Another part of the woman's day article is entitled: If your identity is stolen, follow these five steps:
1. Put a fraud alert on your credit reports. You only have to contact one credit bureau (equifax.com, experian.com or transunion.com). They, in turn, will alert the other two.
2. Get copies of your credit reports. Once you place a fraud alert, you're entitled to a free copy of your credit report from each credit bureau Check each report for unauthorized charges.
3. Notify your bank, creditors and utility companies about any affected accounts. Speak to someone in the security or fraud department; follow up in writing.
4. Call 877-IDTHEFT or visit FTC.gov to alert the Federal Trade Commission.
5. File a police report. It will be helpful if creditors want proof of a crime.
The article also mentions turning off your friends ability to share your information on social networking sites. This can be difficult for some as networking is how some make their living and build their companies. I will tell you that it is very easy to place the fraud alert on your credit report. Thankfully, my bank has a great fraud department and they gave me tips on who, what and how this may have happened to me. I have taken steps to help, but this still does not mean I am completely safe. My only hope by posting about this topic is that the information helps someone and that this in turn makes it tougher on those who choose to be thieves!
Monday, July 30, 2012
ID Theft, scary invasion of privacy!
Well I was hacked and my identity compromised in my personal life, so I am going to share part of an article I read in woman's day magazine. The part is entitled 5 signs of Identity Theft.
1. Your mail goes missing. If you stop receiving bills, bank statements or other mail, it could mean that an ID thief has changed the address on those accounts.
2. You're denied a credit card, a loan or a mortgage, even though you have an excellent credit history. Someone may have racked up charges in your name that were never paid, destroying your credit rating.
3. You receive bills for goods or services you didn't buy. The unexpected bills are a red flag that your credit card information was most likely stolen.
4. You're bombarded with calls from collection agencies about unpaid charges you never made.
5. After you file your taxes, you're notified by the IRS that someone has already filed under your name and social security number. Now she has your tax refund.
I had number 3 happen this past week. Thankfully, I was on top of things and had been checking my credit card to verify charges, etc while paying bills. Otherwise, I may not have caught this and the charge may have gone through. It appears that the thief may have obtained my information from my Barnes and Nobles account. I notified both my bank and BN. ID theft is scary stuff. My bank immediately cancelled/closed my account. But, it still does not change the fact that the theif has my personal information! Today I placed a fraud notice with with credit bureau's so my credit rating hopefully will not be impacted.
1. Your mail goes missing. If you stop receiving bills, bank statements or other mail, it could mean that an ID thief has changed the address on those accounts.
2. You're denied a credit card, a loan or a mortgage, even though you have an excellent credit history. Someone may have racked up charges in your name that were never paid, destroying your credit rating.
3. You receive bills for goods or services you didn't buy. The unexpected bills are a red flag that your credit card information was most likely stolen.
4. You're bombarded with calls from collection agencies about unpaid charges you never made.
5. After you file your taxes, you're notified by the IRS that someone has already filed under your name and social security number. Now she has your tax refund.
I had number 3 happen this past week. Thankfully, I was on top of things and had been checking my credit card to verify charges, etc while paying bills. Otherwise, I may not have caught this and the charge may have gone through. It appears that the thief may have obtained my information from my Barnes and Nobles account. I notified both my bank and BN. ID theft is scary stuff. My bank immediately cancelled/closed my account. But, it still does not change the fact that the theif has my personal information! Today I placed a fraud notice with with credit bureau's so my credit rating hopefully will not be impacted.
Monday, July 16, 2012
Health promotion topics
After exploring some health
promotion topics in the 'The Community Guide' (a resource compendium of more
than 200 interventions that have been reviewed by the Task Force on Community Preventive
Serviceshttp://www.thecommunityguide.org/index.html):
- Identify two topics that interest you regarding health promotion in your community
- Explain why these topics are of particular significance to you
The first topic which interests me is asthma, specifically
in children. I am very concerned with the signs and symptoms of this illness
being recognized. The s/s can change as
a child ages, or possibly not develop until they are older. Typically, when you
think of asthma you think tightness of chest, and wheezing. However, a chronic
persistent cough, complaint of frequent headaches, dark circles under the eyes,
GERD, loss of appetite, and fatigue are other s/s that should be looked for and
addressed in any child. Once a diagnosis has been made and the child is put on
medications, it needs to be stressed/instilled that just because the child is
feeling better does not mean they can stop their medications. My son has
asthma, eczema, and allergies. He was diagnosed with allergies and eczema prior
to his first birthday. But, at this young age he was also having reflux
problems. It was through my persistence and after switching pediatricians, that
he was finally diagnosed with asthma at the age of three. No child should be
vomiting (projectile) every day, every meal, when upset, when playing and continue
to show little growth or weight gain. Another sign for my son was that his
coughing, etc. became worse at night. My son has been on Advair for several
years, along with allergy medications like Claritin he is able to do very well
and at the age of 7 he now has his blue belt in Jiu Jitsu, plus he can focus
better in school.
Reference:
WebMD, (Jan. 2011). Asthma Guide. Retrieved from http://www.webmd.com/asthma/guide/nocturnal-asthma-nighttime-asthmahttp://www.webmd.com/asthma/guide/nocturnal-asthma-nighttime-asthma
The second topic which interests me is oral health. In our
community the water is not fluoridated.
When I was a child I took immaculate care of my teeth, however I still
was called the cavity queen by my family, due to having so many cavities. My
brother has never really taken great care of his teeth, however he has never
had a cavity in his entire life. This was more likely due to his eating cheese
every night before going to bed. My parents always taught us to take good care
of our teeth. This was in part because my father's parents lost their teeth at
an early age. His mother lost her teeth in her twenties. If you have cavities, or generally do not take
care of your teeth the bacteria inside your mouth can lead to not only
gingivitis, but systemic diseases. Someone with an immunocompromised system is
at a greater risk of morbidity. (NIDRC, 2010). Having cavities can allow the
bacteria to get into your bloodstream. (Mayo, 2010). I have always been
obsessed with good teeth. Ever since I was young it turned into a competition
between me and my brother. Now, I am happy to say that I have not had a single
cavity since I was a teenager. That was more than 20 years ago. My husband and
my children have never had cavities. I also, do not have plaque buildup when I
go for my exams every six months. I have always believed that a healthy smile
indicates how you feel. I believe that it is important for children to be
taught about good oral health while they are young so, they develop good habits
and not wait until they have cavities or worse.
References:
Centers for Disease Control and Prevention (CDC), (2011,
Jan.) Division of Oral Health. Oral Health Resources. Retrieved from http://www.cdc.gov/OralHealth/index.htmhttp://www.cdc.gov/OralHealth/index.htm
Mayo Clinic Staff, (2010, Nov.). Adult Health. Oral health:
A window to your overall health. Retrieved from http://www.mayoclinic.com/health/dental/DE00001http://www.mayoclinic.com/health/dental/DE00001
National Institute of Dental and Craniofacial Research,
(NIDCR),(2010, Mar.). Oral Health in America: A Report of the Surgeon General
(Executive Summary). Retrieved from http://www.nidcr.nih.gov/nidcr2.nih.gov/Templates/CommonPage.aspx?NRMODE=Published&NRNODEGUID={7A6ABF55-F4F9-4FF9-9FC4-3BF6A423CD4F}&NRORIGINALURL=%2fDataStatistics%2fSurgeonGeneral%2fReport%2fExecutiveSummary.htm&NRCACHEHINT=Guest#partThreehttp://www.nidcr.nih.gov/nidcr2.nih.gov/Templates/CommonPage.aspx?NRMODE=Published&NRNODEGUID=%7b7A6ABF55-F4F9-4FF9-9FC4-3BF6A423CD4F%7d&NRORIGINALURL=%2fDataStatistics%2fSurgeonGeneral%2fReport%2fExecutiveSummary.htm&NRCACHEHINT=Guest%23partThree
Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act makes many
changes not just inside the health
care industry, but within all industries. The PPACA
seemingly takes the steps necessary to assure not
only the uninsured, but the underinsured will have some sort
of health care coverage. The health care
reform law requires that all Americans have health
insurance, which means employers will need to
prepare for a new wave of young employees needing insurance
coverage. With health care costs rising
and salary increases remaining small, employers may need to
get creative when it comes to
compensation and benefits in 2011 to ensure they communicate
their value effectively and motivate
and engage employees. For example, cost-conscious employers
may offer more benefits to attract and
retain talent, such as flexible work options, including
adjustable work schedules or telecommuting.
Vacation buy and sell programs, where employees can purchase
or sell back extra vacation days to their
employer, are another low cost creative option likely to
gain appeal. (Marzulli, 2011).
With
all the changes coming about due to the new Patient Protection and Affordable
Care Act
there are many employers having to search for creative and
new ways to cut costs. One of the creative
ways employers seem to be turning to are wellness incentive
type programs which include but are not
limited to the following: education, preventive care,
fitness and nutrition. (Loehrke, 2011). The
employers who have developed wellness programs have recently been asking their employee's to
voluntarily provide a health risk assessment. Does this mean
that your employer is delving into your
personal affairs? Not necessarily. Employers cannot require medical information unless they
reasonably
believe that the employee cannot or will not be able to
perform an essential function of their job due to
a medical condition, or if the employee may pose a threat to
themselves or others due to that condition.
(Loehrke, 2011).Thus, many employers are still trying to
find ways to decrease health care costs.
Decreasing
health care costs is a goal of employer's even for their employee's who take
care of
aging loved ones. It's no surprise that employees who care
for older relatives may cost employers more
in terms of reduced productivity and higher absenteeism. But
a recent study by the Met-Life Mature
Market Institute now finds that family caregivers tend to
have higher health care costs as well. The study
estimates that U.S. employers pay 8 percent more per year in
health care costs for employees without
those responsibilities. This could potentially cost U.S.
employers $13.4 billion per year, according to the
report. Among the
chronic conditions more prevalent in caregivers than noncaregivers: depression,
costing one particular company an estimated $6,380 in
increased medical expenses; hypertension
combined with coronary artery disease, costing $30,073; and
diabetes costing $14,979. (Baker, 2010).
Within
some companies it looks like employee's are being receptive to the creative
ideas their
employers are having. Is this because employee's are
realizing that these programs could save them
money in the long run? "Only 31 percent of employees
who had negative feelings about the way their
medical benefits were handled felt good about their health
care plans" (Wells, 2010). "Claims auditors
estimated that an average 3 percent to 8 percent of enrolled
employees' dependents would be
ineligible. Assuming a $1,900 average annual cost per
dependent, savings can be substantial. Plans with
3 percent ineligibility per 10,000 dependents would save
$570,000; those with 8 percent ineligibility
might net a return of about $1.5 million" (Wells,
2010). "A recent analysis by Hewitt Associates reports
average premium increases for 2009-2010 at 6 and 6.9
percent, respectively, and projects an 8.8
percent average premium increase for 2011" (Loehrke,
2011).
Bear in mind that the new health care reform
act protects many individuals who would soon be
uninsured, and/or, underinsured, some due to ineligibility. Many of these previously ineligible
individuals are adult children who will now remain covered
until age 26. (Tyler, 2010). The previous
savings employer's have by not covering these individuals
may now be a potential cost increase and
possibly force some employers to increase premiums for
health care coverage of their employees'
and
dependents. "A
recent analysis by Hewitt Associates reports average premium increases for
2009-2010
at 6 and 6.9 percent, respectively, and projects an 8.8
percent average premium increase for 2011"
(Loehrke, 2011). Who will be impacted by the provision
requiring employers to make coverage available
for all children until they turn 26? Beginning in 2014, even
an adult child who has access to coverage
through his or her
employer will be eligible for coverage through a parent's plan. This impact may
be
substantial with a projected increase of up to 4 percent of
total plan costs. This impact should be
minimal for plans which are employee only. (Tyler,
2010). The financial incentive to change
to employee
only coverage appears strong, many employers are not at this
time saying they expect to make the
change to employee only coverage. This financial incentive
is strong especially since coverage
generally costs employers much more than the $2,000 per
employee penalty as addressed within the
health care reform act. (Tyler, 2010). Employers are simply
looking at the difference in cost of insuring
an employee compared to the cost of the penalty. This means that business leaders look at
benefits
from a cost standpoint. If the burden is more in providing
coverage then they will more than likely drop
the benefit of dependent coverage for their employees. (Tyler,
2010). This would mean dependents, and
in some cases spouses would be amongst the millions of
uninsured. Employers are finding additional
changes for their previously uninsured employees as
regulated within the new PPACA law.
Many
employers have found themselves in a quandry and in need of guidance from the
government on how to interpret the Patient Protection and
Affordable Care Act which was signed into
law in March 2010. One of the pieces of this reform act
employers seem to be looking for is how to
define full-time employee status. The employers are asking
for specifics on how to measure the 30-hour
workweek requirement for a full-time status. (Sammer,
2011). This change in the law means,
employees
who did not meet full-time status before and were ineligible
for health care coverage may now meet the
requirement. So, what does this mean to you and your
employer? What this means is if you were
previously considered part-time you could possibly now by
law be deemed full-time and eligible to
receive the benefits of a full-time employee. What it means
for your employer is they would now be
required to provide the same health care benefits, as they
do to all full-time employees. "Growth
in the
average total health benefit cost per employee in the United
States picked up steam in 2010, rising 6.9
percent to $9,562" (Miller, 2011). There is a provision
within the Patient Protection and Affordable Care
Act for employers with health plans in existence when the
law was signed to be "grandfathered". This
provision has several regulations not released until June
17, 2010 by the Obama administration. (Miller,
2011). According to the regulations, a sponsor that wants to
keep a plan grandfathered cannot cut or
significantly reduce benefits, raise co-insurance charges,
raise co-payment charges by more than $5,
adjusted annually for inflation, raise deductibles
significantly, reduce employer contributions by more
than 5 percentage points, or change insurance companies. (Tyler,
2010). These grandfathered plans still
could not exclude coverage of pre-existing conditions or set
annual or lifetime coverage limits, but they
can avoid the reform law's requirements for additional
reporting on employees' W-2 tax forms. (Tyler,
2010). Many employers' view the additional W-2 reporting
requirements in the top provisions impacting
costs.
We have
already started to see changes come about from the PPACA. Beginning in June of
2010
we started seeing
Medicare beneficiaries who reach the Part D "donut hole" get a
$250 rebate, and a
change toward those with pre-existing conditions being
offered insurance until 2014. (Lankford, 2010).
In September 2010 the provisions for covering dependent
children up to age 26 were revealed. We also
saw the new regulation requiring insurers to cover certain
preventive services and prevention of
imposing lifetime limits on the dollar value of coverage.
They also can no longer rescind coverage except
for fraud, or exclude
pre-existing conditions on children. So far for the 2011 year Medicare
recipients
will now get free preventive services and a 50% discount on
brand-name drugs purchased in the Part D
donut hole. We also saw reimbursements for over-the-counter
drugs in tax-favored medical accounts
become disallowed.
The projection for 2013 is for Flexible spending account contributions
to be limited
to $2,500 per year. However, the threshold for deducting
medical expenses on a tax return rises from
7.5% to 10% of adjusted gross income, those age 65 and older
are exempt through 2016. In 2014
according to the new law we will see all U.S. citizens and
legal residents being required to have health
insurance. There will be penalties of $95 or 1% of income,
rising to $695 or 2.5% of income in 2016. We
will also see people younger than 65 who earn up to 133% of
the poverty level become eligible for
Medicaid, and a tax
credit for those singles earning $44,000 or less and $80,000 or less for
families buy
coverage. In 2018
health plans will be hit with a 40% tax on the portion of coverage worth more
than
$10,200 for individuals or $27,500 for families. (Lankford,
2010).
Another
change began at the start of 2011. Individuals who earn more than $85,000 or
$170,000 if married filing jointly will have to pay a
high-income surcharge for Part D premiums.
(Lankford, 2010). The law does appropriate $5 billion for a
high-risk pool, in effect from June 2010 until
2014 to help people otherwise locked out of the insurance
system to buy subsidized policies. The new
pool's policies must cap annual out-of-pocket spending at
$5,950 for individual coverage or $11,900 for
families (not including premiums). (Lankford, 2010).
Despite
the positive changes for U.S. citizens there is a great deal of negativity
regarding the
PPACA as it is currently written. "Dan Wolterman,
president and CEO of Memorial Hermann Health
System in Houston, says it's because the law is flawed and
needs revisions. However, he does say that
the PPACA offers a platform to begin a necessary realignment
of the stakeholders in the provision of
quality healthcare. However, he's concerned, as are many
other senior healthcare executives who
participated in a survey by Health Leaders magazine. They
feel that the law as written pays
disproportionate attention to access. In other words,
insuring the uninsured. " (Betbeze, 2010). Mr.
Wolterman states, "The pay or play provisions on both
the employer and individual are set much too
low. Incentives are strong to opt out. I don't believe in
the intermediate term that the number of
uninsured will go down. In fact, we run a very good chance
that they will go up as employers opt out.
Penalties were set artificially low intentionally."
(Betbeze, 2010). In the Health Leaders
survey many
respondents express concern that the access problem can't be
fixed without massive change in the
delivery system, addressing such concerns as fee-for-service
financial incentives that have been left in
place during the transition period. Wolterman goes on in saying "The federal
government is cutting
their reimbursement and disproportionate share funding. If
you improve your quality, your
reimbursement per unit of service will go down and your
bottom line will go down as well."(Betbeze,
2010). When asked
about the law's provision of an independent payment advisory board under the
executive branch, Wolterman says, "If you read the fine
print in the law, this is not an impartial group,
it's not accountable to Congress, and it fundamentally
changes how Medicare rates and budgets have
been done. Although they can override the board's decision,
they would have to substitute other cuts to
take the place of anything they override. Not a lot of
people in our industry understand that
implication." (Betbeze, 2010).
In
years past larger hospitals or health systems (those with more than 500 beds)
were
somewhat insulated from economic adversity, times have
changed and capital budgets are reflecting it.
By definition, a capital expenditure is an outlay of cash to
acquire or upgrade a business asset that
includes purchasing or constructing a new building or wing,
or upgrading an existing one and it also
encompasses clinical or technological equipment purchases.
Generally, the motivation for these actions
is to promote growth; however, growth may be on the back
burner as healthcare leaders strive to fulfill
government mandates. So, it is not surprising that many
facilities/providers are using most of their
capital budgets to add electronic medical record
equipment. Providers that fail to adopt
certified EMR
systems or can't demonstrate meaningful use by 2015 will
find their Medicare reimbursements decline
by 1%, then by 2% in 2016, 3% in 2017, 4% in 2018, and so on
up to 95% depending on future
adjustments. Through an incentive that is part of the
American Recovery and Reinvestment Act,
providers can receive up to $44,000 in Medicare incentive
payments beginning in 2011 for implementing
these systems.
Ultimately when providers look at the dollars that could potentially be
left on the table,
it is a compelling reason to focus on getting EMR
systems. (Minisch-Pourshadi, 2011). The prospective
ease of access to
patient records through EMR is purported to aid providers in seeing more
patients, at
a faster rate, and in a shorter amount of time. EMR is slated to eventually eliminate or at
least decrease
the use of emergency departments by those who do not have a
regular doctor. Studies have shown that
those residing in the poorest communities had a 21% higher
rate of hospitalization in 2008 than those
residing in all other communities. Community income level
had the least impact on the hospitalization
rate of patients 65 years and older, with the poorest
communities experiencing similar rates compared
to all other communities.(Cantlupe, 2011). Between 1997 and
2008, the number of hospital discharges
grew by 15%; however growth varied widely by expected
primary payer. For example, Medicaid
discharges increased at twice that rate (up 30%), followed
closely by uninsured discharges (up 27%). The
number of discharges billed to Medicare grew by 18%. Despite
the double-digit growth of discharges by
those payers, growth in the number of discharges billed to
private insurance and other payers remained
relatively stable (up 5% and 4% respectively). (Cantlupe,
2011). Will the new reform law be able
to
come to full fruition
with the ever increasing rate of hospitalizations, and need for care?
There
is a question of whether there will be enough providers to take care of
everyone. Younger
physicians are wanting a life outside of their practice with
fewer hours there is the pressing need for
more primary care. In the years ahead, there is the looming
reality of millions of uninsured entering the
health care system, never mind the crunch of the aging baby
boomers eventually needing not only
medical help, but also government assistance. Physicians are
facing the reality of a 23% Medicare pay
cut that was scheduled to take effect December 1, but which
was subsequently delayed by Congress.
Nearly 13% of 516 responses to a recent survey done by
American Academy of Family Physicians said
they would consider no longer seeing patients if Congress
failed to override the mandatory pay cuts.
This demonstrates a serious threat to Americans' access to
healthcare. This will make many patients,
children, their parents, and their grandparents face the all
too real prospect of losing their doctors. The
cuts by Medicare
could force doctors out of business. If that happens, all patients in the
community
would lose access to needed healthcare regardless of the
type of insurance coverage. So, in
essence it
would be like Medicare patients were uninsured or underinsured. But, we have to face the stark
reality
that our physicians are also a business. They cannot
continue to run that business if 30% of their
customers were going to reduce their payments by 25% or
more. (Commins, 2011).
"Although
health care providers debate their individual and personal obligations to
provide
uncompensated care, the system itself finessed the problem
for a long time by shifting the costs of care
from the uninsured to the insured. This unofficial but
practical approach to indigent care was ethically
tolerable as long as the reimbursement system for paying
patients was so open ended that the cost of
treating the uninsured could easily be passed on to paying
patients. "(Sultz, 2011).
References
Baker, B., (2010, July). Caregivers Incur Higher Health
Costs For Selves, Workforce Management, 89(7),
pp. 8.
Betbeze, P., (2010, Dec.). Reform Without Results, Health Leaders, 13(12), pp. 28-32.
Cantlupe, J., (2011, Mar.). The Quest For Quality, As
healthcare reform sharpens the focus on quality outcomes, the ability to achieve and demonstrate success becomes
increasingly important, Health Leaders, 14(3), pp. 14-26.
Commins, J., (2011, Jan.). The Demands on and by Physicians,
Health Leaders, 14(1), pp. 12-13.
Lankford, K., (2010, Jun.). Health Reform, Phase1: What You
Will See When, Kiplinger's Personal
Finance, 64(6), pp. 20-21.
Loehrke, K., (2011, Apr.). The Legalities of Employee
Wellness, Talent Management magazine, 7(4), April 2011, pp.32-34.
Marzulli, T., (2011, Jan.).
Making Benefits Work in 2011,
Talent Management Magazine, 7(1),
pp. 28-31.
Miller, S., (2011, Jan.). Per-Employee Health Costs Jump 6.9
Percent, HR Magazine, 56(1), pp.14.
Minisch-Pourshadi, K., (2011, Mar.). Caution Leads to
Capital Budget Cuts, Delays, Health
Leaders, 14(3), pp. 30-34.
Sammer, J., (2011, Jan.). Navigating Health Care Reform's
Unclear Mandates, HR Magazine,56(1),
pp.14.
Sultz, H. A., & Young, K. M. (2011). Health care USA:
understanding its organization and delivery (7th ed.). (pp. 26-27,227-229, 259,395-396)Sudbury, Mass: Jones and
Bartlett Publ..
Tyler, K., (2010, Sept.). Health Care Reform Now: FIRST
Things First, HR Magazine, 55(9), pp.
40-54.
Wells, S.J., (2010, Jul.). Overseeing Audits of Your Health
Plans, HR magazine, 55(7), pp. 34-39.
How does research affect health care? discussion
Post your thoughts on the following:
- How has research affected Health Care Policy?
- Please provide specific examples.
- What research would be helpful in moving a policy initiative forward?
- Is there research you have encountered in practice or your readings, in this course or in other courses, from which a policy initiative should be developed?
Much of the research into health care costs has focused on
the financing of health care, and as a result most of its importance is better
understood. There is little disagreement today with the propositions that
providers respond to financial incentives, that open-ended payment of hospitals
and physicians is inflationary, or that payment by third parties helps to
increase health care costs. One of the
most dramatic outcomes of health policy research has been the development of DRG's
and their adoption as the basis for Medicare hospital fees in the 1983 social
security legislation. "The health reform legislation recently discussed by
Congress would develop an infrastructure for the ongoing generation and
dissemination of information on the comparative effectiveness of different
health care treatments." (Docteur, 2010). The Rand Corporation does innovative studies
of health insurance, health care reform, women's health, as well as, other related
topics. They are a nonprofit company who
does research and studies for the public as well as private entities. They help to determine if things like
payback, or incentives are appropriate. Research that would be helpful in moving
policy forward are things like understanding dangerous consumptions of things
like alcohol, food addictions and other eating disorders. It would seem that
eating disorders of all kinds are on the rise. The mental aspect of why people
are obese is an area I would like to see more research on. We hear about what
obesity does. We are now seeing a change by the FDA on lap band surgery to
include those who are overweight, and have a problem, like sleep apnea instead
of those who are morbidly obese. Has enough research been done to warrant the
necessity of invasive surgery, albeit less invasive than gastric bypass?
References:
Docteur, E.,Berenson, R.,
(2010, Feb.). How will Comparative Effectiveness Research Affect the
Quality of Health Care?
Retrieved from http://www.rwjf.org/files/research/20100218qscomparativeeffectiveness.pdfhttp://www.rwjf.org/files/research/20100218qscomparativeeffectiveness.pdf
Rand Corporation, (2011, Apr.). Health and Health Care.
Retrieved from http://www.rand.org/topics/health-and-health-care.htmlhttp://www.rand.org/topics/health-and-health-care.html
Discussion 2:
As your final posting, identify at least two challenges facing the U.S.
health care system that cause you the greatest concern. Discuss how you will
impact these concerns through your professional activities. 1. The biggest challenge really is health wellness promotion. This would fall under the improvement in health care quality and safety.
2. Patients should be listened to and their feelings about their care should be valued. A patient is the only one who has been with themselves all the time and should be considered an expert on themselves. To many times health care providers dismiss the patient.
3. A shortage of nurses has always been a challenge for many places, however now we have the potential with the new healthcare reform law to also have shortages of primary care doctors, as well as, other providers in health.
There are so many challenges facing our health care, you could potentially list and discuss a great deal more.
References:
Nursing Online Education database, (NOEdb), (2011). 5 Little-Known Giant Health Care Issues Facing the United States. Retrieved from http://noedb.org/library/features/5-little- known-giant-health-care-issues-facing-the-united-states
Children's Media Use and Sleep Problems discussion
Browse one of the topics. You will
find a wealth of information. Select one or two articles that interest you and
share a brief summary of your findings with your group. Do not duplicate
topics!
Post your selected topics so group
members are aware of what you have selected.
Topics include: Health Reform,
Medicaid/CHIP, Medicare, Costs/Insurance, Uninsured/Coverage, State Policy,
Prescription Drugs, HIV/AIDS, U.S. Global Health Policy, Minority Health,
Women’s Health Policy, and Media and Health.
Attach a copy of the article to your
posting or include a link to the article in your posting. You are expected to
read and respond to the postings of other members in your group.
My topic is Children's Media Use and
Sleep Problems. The link to my article is http://www.kff.org/entmedia/upload/7674.pdf
However, I will also be attaching a
copy of the article for this post.
Well the article is just as we all
would have expected it. Watching too much TV, playing too much with video
games, etc will and can interfere with normal sleep patterns. Isn't this
exactly what doctors and researchers have been telling us adults that have
sleep problems, for years now? Parents why are we allowing our children to
watch TV, or be on their cell phones in bed? This article even talks about kids
taking their cell phones to bed with them to text! I was at my son's Jiu Jitsu
dojo last night. I heard the owners' wife telling someone how her son has a
cell phone and she just got him an upgrade. She was talking about an 8 year old
boy! Am I wrong in thinking there is something innately wrong with an 8 year
old having a cell phone? The truly sad thing is that I know of other children
his age who have cell phones, and obviously he has friends with phones because
his kept ringing. It must have rang at least 6 or 7 times in that one hour. But, at this vulnerable age parents wonder
when they over indulge their children why the kids don't behave, or act whiny
when things don't go their way! OR, is this just me and my backward way of
thinking? Children now are doing things and behaving in manners that I did not
until I was older. Is 8 or 9 years old the new 12 or 13? But, when you try to
explain to parents why their children may not be sleeping, or are having
attention problems in school does what you say even get through? Why are we
allowing our children to have all this technology? Is it because we have grown
so accustomed to it ourselves that we now think nothing of even our youngest
children having all the techno gear too? How young is too young to have a cell
phone, ipod, etc.?
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