www.NEGAonline. org

 

GERONTOLOGY TOPICS

JULY 2007

Eugene E.Tillock,Ed.D.,LNHA. Executive Director

1 CUTTS ROAD. DURHAM. NH 03824-3102

603-868-5757 EMAIL genetsr@comcast.net

 

 

SUMMER BLUES OR SOMERTIME BEAUTY?

 

With staffing problems the summer months may be a time for the blues but otherwise there are special opportunities to broaden the quality of living of your residents/patients, through participation in numerous outdoor activities that are not available at other seasons of

the year.  Outdoor picnics and parties, recreational activity and items such as gardening all come into play.  A seasonal group of volunteers may be developed utilizing teenagers and other young people who are free from college attendance.  Some family members who would otherwise be occupied with younger children might have more open and flexible schedules for volunteering during summer months.  An option is to have community groups such as the local garden club come to the facility and beautify it with their plantings, which they can encourage the residents to care for.  Make it a beauty time!!!!!

 

BRING ON THE PETS: LET THERE BE CLOWNS

 

With access to the great outdoors, it is an ideal time to have a pet contest and to have family members bring in the varied number of pets from home that were beloved by the residents prior to admission. Caution:  No wild animals allowed, but pet rocks are always suitable! Recently the media highlighted the “ugliest dog in the world”.  Other categories might be selected and prized awarded accordingly.  This is a good opportunity to bring in the local media, particularly the TV crews, to portray the human interest stories that are so endearing to

those in the public.  If you really want a bright flare, then get some of the local service club members to come in as clowns to host activities of the day.  At the same time, you might play the old favorite of most of the residents, over your public address system, the song “Bring

on the Clowns” by Judy Collins.  A great time will be enjoyed by all!

 

 

 

MASSACHUSETTS STARTS INSURANCE GAINS

 

            Although imperfect and leaving some people without coverage the new mandatory health insurance program initiated by Massachusetts is an important step forward toward addressing this priority problem of national need.  With forty million or so people not having health insurance coverage, this should be high on the list for the political agenda with those elected to run the country in Nov/2008.    A current hospital bill for a f day stay after several hours in an

emergency room for a high fever of undetermined origin, follows:

 

 

 

R&C SEMI-PR ROOM  4 DAYS 622.          $2,488.00

EKG                                                                 2,163.00

LABORATORY                                                5,540.00

RADIOLOGY                                                      516.00

EMERGENCY ROOM                                    1,422.00

                                 PHARMACY/IV                                                   688.73

                                THERAPY SERVICES                                        682.00

     TOTAL CHARGES:                                $13,504.73

 

          These were actual charges.  They did not include separate billings for physician services.  Through antibiotic therapy the fever was abated, although the etiology remained undetermined!

          The largest number of personal bankruptcies nationally are from unpaid hospital/medical bills that are routinely sent on to high powered collection agencies for payment.  How well can

your employees or neighbors with limited or no coverage cope with such bills, in not only routine cases such as this but with grave longer term health and medical emergencies?

 

          It is certainly long past the time when there is panic at the term “Socialized Medicine” when it comes toward recognizing the need for health care for all Americans.  We don’t have to rely on Michael Moore’s “SICKO” movie to be dissatisfied with our being the only industrialized nation in the world without universal health insurance and with a standing of 37th in the countries with respect to overall health care for our citizens.

 

          Where we can spend a billion dollars a day on the war effort, while irresponsibly increasing our national debt for many generations to come, we must certainly do better in health care financing.  The continuing dance of the regulators in reducing

reimbursement while demanding ever increasing quality and performance are a contradictory abomination.  This even persists in our veterans administration system where gross

failure to meet our responsibilities to past and present veterans becomes more glaring every day.  Time to change!

 

HIPAA SECURITY AND REGULATIONS

 

            Increasingly from T J Maxx to the Providence Health System and to the Office of Veterans Affairs, we learn of massive security breaches of personal and confidential medical information.  The trust and confidence of the client public and their families is all but shattered when this happens.  Identify theft is widespread and growing and serious personal implications result when security of the personal medical data of patients and employees is compromised!

Such breaches can lead to loss of revenue, potential regulatory fines, Potential civil suits, and damage to business assets. Each facility must develop a functional plan of risk analysis

to focus on prevention of code and ethical violations.  It is essential that appropriate administrative, technical and physical safeguards are incorporated into the facility plan so that it is in full compliance.  NEGA offers a valuable computer assisted –home study course For 12 approved CEU credit hours, in its Introduction to HIPAA Regulations.  Extensive written materials are provided as well as computer and telephone support and interaction services.  A pre and post examination are provided with a 75% passing score needed for course completion. 

 

Send Registration checks to:  Systems Educators Inc, 1 Cutts Road, Durham, NH 03824-3102 for $198.00. A certificate of course completion for the CEU credits is provided!

 

OVERSEAS CARE FOR PATIENTS/EMPLOYERS

 

            If it costs $12,000 less and offers similar results, why not get your orthopedic surgery done in India?  During the past year some employers and healthcare intermediaries have begun to encourage this line of thinking.  Employers have played an important role in this

trend, with some offering their employees hefty bonuses if they voluntarily agree to head overseas for expensive medical procedures. Even without the encouragement of employers, self-employed patients And other price conscious buyers began going overseas in growing

Numbers during 2006.  In fact, with consumers sometimes saving 80 Percent or more over U.S. fees, they’d be crazy not to consider the idea.  Short of a major—and well publicized – set of accidents or poor outcomes resulting from care in India, this practice is expected to

grow rapidly next year. Some patients electing overseas care in top grade facilities with

US board certified physician specialists have elected to combine their

medical experience with a vacation like convalescence and rehabilitation.

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NEW MEMBERS ARE INVITED TO JOIN NEGA AT THIS TIME!  50% OFF FOR DUES FROM JULY 1ST THROUGH DECEMBER 31ST: $12.50 AND $50.00***

MEMBERSHIP APPLICATION FORM

 

PRINT FULL NAME:_____________________________Profession:_____________

Home address:____________________________________Prof.Lic.#______________

City:___________________State:_________ZIP:________

Home phone:(     )________________(H)EMAIL:__________________________

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Please enclose check to NEGA with this application form.  Amount: $____________***

Calendar Year Dues: $100 Institutional Member  $25 Individual Professional

MAIL TO:  NEGA, 1 CUTTS ROAD, DURHAM, NH 03824-3102

Contact NEGA Executive Director, Dr. Gene Tillock   genetsr@comcast.net

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SUMMER HEAT & PATIENT DEHYDRATION!!!

 

This is a critical time of the year when perhaps the most life threatening risk factor for patients is dehydration.  Optimal fluid intake is crucial not only for survival but for patient well-being. Jeanie Kayser-Jones, RN, Ph.D. proposes several of the following for

reducing the risk of patient dehydration:

1.     Older people should have 1,500 to 2,000 ml of fluids daily.

2.     Nursing homes should provide in service education on the

importance of adequate fluid intake, and should teach their

staff members how to give beverages safely.

3.     Staff should make beverages available/accessible 24/7.

4.     Professionsl staff must supervise patient fluid intake daily.

5.     Nursing staff should check fluid intake/output of patients

who are at risk for dehydration.

6.     The patient care plan must follow a systematic plan to

insure adequate fluid intake for all residents.  This plan

should ensure total daily intake to meet desired standards.

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