Category: Trends In Health Care - Part 10

Public housing project a national model for supporting health

By Katie Kerwin McCrimmon The woman is missing most of her teeth, but grins like a 6-year-old at a birthday party. Unsteady on her feet, the 48-year-old homeless woman nonetheless proudly describes the meaning of the famous Emanuel Martinez mural outside Denvers La Alma Recreation Center. The young Chicano man is the future. The Indian is our past, says Gina Marie Crespin, who grew up in the Lincoln Park area and now spends her days in the neighborhood park. The eagle is power, Crespin says, pointing to the center of the mural where the soaring birds wings spread to form…

Opinion: New approaches to paying for health care

By Gena Akers It’s a fact:  The decisions you make in your personal life about diet and exercise have a dramatic impact on whether you can get healthy and stay healthy, and what your health care will cost. But beyond these personal health choices, there is broad agreement that one underlying cause of the rise in health care costs is how care is paid for. Currently, health care services are generally sold through the fee-for-service model in which providers are paid a predetermined amount for each discrete service they provide to a patient.  Rather than rewarding the quality of care…

ER ‘frequent flyers’ need more care, not less

By Katie Kerwin McCrimmon Frequent flyers at hospital ERs sought emergency care at least four times a year and accounted for anywhere from 11 to 40 percent of total emergency room visits around the U.S., according to seven new studies unveiled this week at the annual meeting of the American College of Emergency Physicians in Denver. In one of the studies, researchers in San Diego identified a group of super users, each of whom visited an ER 21 or more times in a single year. These patients bounced from hospital to hospital. While they represented just .2 percent of all…

Empowered nurses key to health care reform

By Mary Winter DENVER Holli Wiseman remembers when nurses were expected to be seen, not heard. In the late 1970s, shortly after shed graduated nursing school and was working at Porter Hospital, Wiseman says a doctor screamed at her: Dont give the patient any information unless the doctor says to! Wisemans faux pas? Shed taken time to explain blood pressure readings to a man in her care. Wiseman laughs at the memory. Today, of course, doctors depend on you to give patients information, says Wiseman, a clinical nurse specialist with the Visiting Nurse Association in Denver. Teaching is a major…

‘Genius’ honored for preventing repeat hospitalizations

By Katie Kerwin McCrimmon The MacArthur Foundation has honored a Colorado doctor with a $500,000 genius grant for his work to help chronically ill older adults stay well. University of Colorado School of Medicine geriatrician, Dr. Eric Coleman, has won the prestigious MacArthur fellowshipfor creating the concept of low cost transition coaches. The coaches provide relatively simple support to chronically ill older adults and their caregivers for a month after hospitals release the patient. His program is called Care Transitions Intervention. The issue is critically important because hospital readmissions are costing taxpayers an estimated $17.5 billion dollars a year. Studies…

Melding mental, physical health a struggle

By Katie Kerwin McCrimmon COLORADO SPRINGS The relationship is on the rocks. Long divided into opposing cultures, doctors, who focus on the body, are trying to work side-by-side with behavioral health experts who try to heal patients minds. In a grand Colorado experiment called Advancing Care Together, 11 pilot sites are participating in a $4 million four-year experiment to bring these disparate worlds together. And some are pining for a divorce. Or at least they want a proper wedding that includes electronic medical records that actually talk to each other. If we want it, weve got a put a ring…

‘Patch’ Adams advocates joyous revolution in health care

By Diane Carman Hunter Doherty Patch Adams is a physician who has never made a penny from medicine. He treats patients with laughter and loving, and he rebels openly against the tyranny of market capitalism. He said he is ashamed of the U.S. health care system. Its not about health. Its not about care. And its not a system, its a business. Adams spoke at the Tivoli Student Union on the Auraria campus Wednesday, challenging his audience to join his revolution of joy for the sake of their own well-being and that of the planet. You can decide to never…

Rates of uninsured drop, insurance premiums rise modestly

By Katie Kerwin McCrimmon and Kaiser Health News The number of Americans without health insurance fell to 48.6 million last year, or 15.7 percent of the population, the first drop since 2007, according to new U.S. Census numbers released today. At the same time, a report from the Kaiser Family Foundation has found that health insurance premiums for employer-sponsored family health coverage reached $15,745 this year. Thats up 4 percent over last year, but a more modest increase than in previous years when health costs far outpaced earnings. The average family pays nearly $4,500 a year for its share of…

Circumcision opponents want new AAP recommendations retracted

By Katie Kerwin McCrimmon The American Academy of Pediatrics (AAP) has reversed decades of advice on circumcision and now says that the benefits of the procedure outweigh the risks. The first policy statement on circumcision since 1999 has triggered angry reactions from opponents who called on the influential group to immediately retract the policy recommendation. Since the 1970s, the AAP had said circumcisions were not medically necessary. Removing the foreskin of the penis from infant boys is an ancient Jewish and Islamic tradition, but circumcision rates have been declining in the U.S. and even in Israel. An increasing number of…

Opinion: The Ryan plan — better medicine at a lower price

By Linda Gorman The selection of Paul Ryan as Mitt Romneys running mate holds out hope that people in public life are finally beginning to appreciate the fact that market-oriented health care reforms offer the best potential for finally giving elderly Americans the ability to get better medical care at a lower cost. They do this by giving people an incentive to use health care more wisely. Individuals and their physicians know more about the health care that they need and what adds value to it than any number of officials in Washington, D.C., and various state capitols workingon value-based…