Archive for the 'Reform' Category

Ashworth Student, Betty Ray Mydland, Notes Landmark Amendments To The Americans With Disabilities Act…

Wednesday, October 8th, 2008

americans with disabilities act by you. 

With praise from disability groups and business organizations alike, President George W. Bush has signed into law amendments to the Americans with Disabilities Act (“ADA”) that will significantly expand the protections afforded to disabled individuals.

The new law, entitled the ADA Amendments Act of 2008 (“ADAAA”), expressly overturns several landmark Supreme Court decisions narrowly interpreting the definition of “disability” and will make disposing of ADA cases prior to trial more challenging for employers. The changes to the ADA take effect on January 1, 2009. 

Read the full article by clicking here… 

Betty Ray Mydland
Ashworth Student

Ashworth Medical Billing Student Gains New Perspective On Health Care Industry…

Wednesday, June 11th, 2008

 
              Thanks to Gisela Giardino for permission to use this Photo.

I enrolled in April of last year, but I had to set my studies aside for a few months due to a sprained left ankle and a fractured right ankle.  It was kind of hard to study when you’re constantly sleeping!

I’m now back to work and studying…

The medical billing course has been extremely helpful in my present job working for the “Insurance” company.  It has really opened my eyes to the health-care industry as a whole. I can now see why doctors, hospitals, and insurance companies do what they do—not saying that either side is right or wrong.  I have worked both sides of the fence. 

However; I now have a greater understanding of the whole concept and I really do think that Ashworth has been my greatest teacher EVER!!

I highly recommend that all who are studying this course to not get discouraged. There is light (and a great job) at the end of the tunnel!!

Good Luck and Be Blessed…

Dani
Medical Billing Student
Ashworth University School of Health Care

Some Unhealthy Places You May Not Be Aware Of, But Should Be!

Monday, April 21st, 2008


                     Thanks to Cae for permission to use this Photo. 

A new obsession of mine is Digg, which is a place where users share interesting links on the web. I came across this one link about The Worst Places for Your Health, and some places I was never aware of until now. Not that I’m a germaphobe or anything, but its better to be safe than get sick from something you could have prevented. 

Your toothbrush on your bathroom sink. Being that your toilet is most likely close by, and when you flush, toilet funk is propelled as far as 6 feet, one place being your sink and everything on it! A better place to put your toothbrush is in a closed cabinet.

The worst place to sit on a plane - the rear. Not the best place to sit if you’re prone to motion sickness. The better place to sit is near the middle or closest to the wing.·       

Putting your handbag on the kitchen counter. This is something I’m not surprised of, since most of us put our handbags all over the place, whether it be the floor in a restaurant, workplace or even dare I say…the floor of a public restroom! A study showed up to 10,000 bacteria per square inch on purse bottoms–and a third of the bags tested positive for fecal bacteria! A kitchen counter is definitely not a great place to put your bag.·       

Setting your veggies or fruit in the sink before washing. The kitchen sink holds even more germs than a toilet does - which I never was aware of…even if you drop the perfect piece of fruit, it’s better to toss it. (more…)

Are American Voters Really Divided On Health Care Reform?

Monday, March 31st, 2008


          Thanks to Lorianne DiSabato for permission to use this Photo. 

It is time, I think, to face the realpolitik of health care reform. That means asking a question few reformers dare to discuss:  How will we win the Congressional votes needed to pass serious health care reform? The American Prospect’s Ezra Klein put this question on the table at the “Take Back America” conference last week.  A pragmatic progressive (in the best sense), Klein pulled no punches:  “There are so many people in this town [D.C.] who do such smart policy thinking,” he observed. But “what we don’t give enough thought to is the politics of reform. This is a political problem. Until we have the votes in the Senate, we can’t get anything done.”Without the votes, Klein told reformers, “you don’t have a plan; you have a position.”

Some assume that, if we elect a progressive president, he will “put the votes together” to achieve reform. But the fact is that even an optimistic, charismatic JFK wasn’t able to persuade Congress to unite behind healthcare for the elderly in the early 1960s—a time when seniors were the poorest group in America. It was only after Kennedy was assassinated that a wily LBJ (who had grown up in Congress and knew where all of the bodies were buried on the Hill) was able to leverage a martyred president’s last wishes to help pass Medicare in 1965. The fact that LBJ had won by a landslide sealed the deal.

This time around, nailing the votes that would secure something like “Medicare for Everyone Who Wants It” will be much tougher. As I noted in my first post in this series, “Obstacles to Health Care Reform,” the lobbyists representing the for-profit health care industry enjoy enormous power. The money at stake in the health care industry has grown exponentially since 1965. And thanks to generous campaign contributions, the industry’s lobbyists wield great influence, even among liberal politicians.                  

Who can counter that kind of power?  Citizens who vote.  Lobbyists have dollars, but a billion dollars won’t help a politician if his constituency has made it clear that it won’t re-elect him unless he passes a particular piece of legislation that voters want. Nevertheless, any hope that pressure from voters will give Congressmen the spine to stand up to the lobbyists turns on the assumption that voters share common goals. With that assumption in mind, I decided to take a hard look at where most voters stand on health care reform. Polls show that the majority of Americans say that they want universal healthcare—but drill a little deeper, and you’ll find that different groups have very different priorities.

(more…)

Healthy Kids, Less Crimes?

Thursday, March 6th, 2008

take two and call me in the morning

Photo courtesy of Okko_Pyykko

There’s one issue that hasn’t seen much airtime during the Presidential election, and you probably didn’t even realize its absence. That issue is crime, and it hasn’t come up because it’s just not as scary as it was in the past. In one of the great mysteries of criminology, crime began to fall in 1993 and continued to plummet throughout the 1990s and into the 21st century.

Experts have offered explanations ranging from higher incarceration rates to more cops on the streets to the legalization of abortion (this last theory, put forth by economist Steven Levitt in the best-selling Freakonomics, has since been disproved). But ultimately no one can pinpoint exactly what happened, mostly because no one really knows what causes crime as a broad, social phenomenon. If we can’t explain what causes it, we can’t understand what causes it to decline—and thus politicians can’t take credit for it or offer solutions.

But for all the head-scratching, there is one promising line of inquiry that’s only now beginning to see scholarly attention: the link between peoples’ health as children and their criminal activity as adults. Believe it or not, there’s been relatively little empirical work done to link childhood mental disorders and adult offenses. That’s changing. In November, The American Journal of Psychiatry published a study that asked whether “the national crisis in child community mental health services” contributes to “delinquency,” and whether more robust, timely responses to “youths with mental disorders” can reduce adult crime. The answers were “yes” on both points. (more…)

Government Suppresses Damaging Health Report From American Public!

Monday, February 18th, 2008


              Thanks to Tahoe Sunsets for permission to use this Photo.

The Center for Public Integrity, a public interest investigative journalism organization, has obtained copies of a Centers for Disease Control and Prevention (CDC) study of environmental and health data in eight Great Lakes states that was scheduled for publication in July 2007.

The report, which pointed to elevated rates of lung, colon, and breast cancer; low birth weight; and infant mortality in several of the geographical areas of concern has not yet been made public. A few days before the report was slated to be released, it was pulled. Meanwhile, at precisely the same time, its lead author, Christopher De Rosa, has been removed from the position he held since 1992.  The Center for Public Integrity is asking why.

The study, “Public Health Implications of Hazardous Substances in Twenty-Six U.S. Great Lakes Areas of Concern” was developed by the CDC’s Agency for Toxic Substances and Disease Registry (ATSDR) at the request of the International Joint Commission, an independent U.S-Canadian organization that monitors and advises both governments on the use and quality of boundary waters. The CDC report brings together two sets of data: environmental data on known “areas of concern” — including superfund sites and hazardous waste dumps — and separate health data collected by county or, in some cases, smaller geographical regions. The study does not try to prove cause and effect. Instead, it outlines areas for further study and data collection on the link between pollution and health.”Let’s say we have a superfund site and we also find elevated risk of leukemia in the county — is that related? We don’t know, but people living in the area can logically argue that we ought to find out,” Dr. Peter Orris, a professor at the University of Illinois School of Public Health and one of the peer reviewers of the study told Oneworld.net. (more…)

Electronic Health Records: We Need A Strategy That Protects Patients…

Thursday, January 17th, 2008


                 Thanks to Corey for permission to use this Photo.

At one point in time, a long time ago (around 2000), I wondered if centralized, government maintained electronic health records was the way to go.  In defense of this position, my arguments revolved around the notions of efficiency and control, in that it was easier for systems to be monitored, maintained, and updated if they were all in one place.  But, as anyone with a technical background could point out, there are significant technical issues behind such a strategy.  It would seem that some people agree: “German doctors say no to centrally stored patient records“.

What I find interesting is the proposed “counter” solution:

As an alternative, the German private doctors’ body is suggesting the use of encrypted USB-sticks. These could be handed over to patients and would carry all relevant patient data, including digital images such as radiographs or CT-scansWow.  I haven’t heard a call for the use of physical based media in quite some time.  Personally, I thought that this line of thinking was disappearing as the feasibility of cloud computing increases and slowly becomes a realistic option.  In all fairness, there are a few other very interesting points raised by the group representing the German physicians. 

Allow hackers to try to and crack the USB system in order to prove that it can be made safe.

Make patients more aware of what information is collected and stored. (more…)

Insurance Companies Stop Paying Due To Hospital Errors…

Wednesday, January 16th, 2008

             Thanks to Kimberly Hurst for permission to use this Photo.

The following Wall Street Journal article should be of great interest to our medical students.  Insurance companies, never on anyone’s sympathy list, have long been complaining that they should not be responsible for paying out insurance claims related to hospital errors.  This position in itself is reasonable; however the issue also contains elements of a slippery slope argument.  Instead of simply refusing accountability for grave errors (mistaken operations, infected blood transfusions, etc.)—industry experts foresee private insurers, much like Medicaid, gradually widening the definition of “errors” to include non-coverage of patient infections alledgedly contracted during a hospital stay.  The CDC states that approximately 99,000 deaths occur annually due to hospital-based infections!  With added pressure being placed on them from the insurance industry, hospitals find themselves under fire for not improving their health safety standards.  In response, hospitals say that increased regulation will only increase health care costs for the patient and further complicate a hospital system already drowning in bureaucracy. 

The medical billing implications are also intriguing.  Due to dense and often confusing medical billing language, many patients are more often than not unaware that they are being billed for hospital errors.  Now that private insurers are beginning to adopt the Medicare model, patients may well be more informed about what exactly is on their medical bill, but hospitals will ultimately have to find new ways to offset the added costs they absorb to raise their infection prevention standards.  As this story continues to unfold, I have a feeling that the patients’ best interests will get lost in the details. 

Ryan Rode
Interactive Services Manager
Ashworth University School of Health Care       

Ashworth Fitness-Exercise Instructor Explains Why Exercise Is Good For You…

Monday, January 14th, 2008

 
                   Thanks to Akuan for permission to use this Photo.

You’ve probably heard countless times how exercise is “good for you.” But did you know that it can actually help you feel good, too? Getting the right amount of exercise can rev up your energy levels and even help improve your mood.

Rewards and Benefits

Experts recommend that teens get 60 minutes or more of moderate to vigorous physical activity each day. Here are some of the reasons:

Exercise benefits every part of the body, including the mind.

Exercising causes the body to produce endorphins, chemicals that can help a person to feel more peaceful and happy. Exercise can help some people sleep better. It can also help some people who have mild depression and low self-esteem. Plus, exercise can give people a real sense of accomplishment and pride at having achieved a certain goal — like beating an old time in the 100-meter dash.

Exercising can help you look better.

People who exercise burn more calories and look more toned than those who don’t. In fact, exercise is one of the most important parts of keeping your body at a healthy weight.

Exercise helps people lose weight and lower the risk of some diseases.

Exercising to maintain a healthy weight decreases a person’s risk of developing certain diseases, including type 2 diabetes and high blood pressure. These diseases, which used to be found mostly in adults, are becoming more common in teens. (more…)

The 08′ Candidates Talk A Good Game, But Are Their Health Care Reform Promises True?

Friday, January 11th, 2008


                   Thanks to Bethany for permission to use this Photo.

Last week, I appeared on a four-person health care panel that was televised in New Hampshire.  The panel included a conservative who surprised me by arguing that the difference between the progressive candidates’ proposals for health care reform and the conservatives’ position on health care just isn’t that great. Looking at the candidates’ proposals, I disagreed.  Put simply, the conservatives would like to make government smaller. They want to “outsource” many of government’s jobs to the private sector. They tried to privatize Social Security, and they have partially succeeded in privatizing Medicare by paying private insurers a steep premium to take care of seniors under Medicare Advantage. (See my post about the high cost of the program here).

Finally, the vote on SCHIP split along conservative/ progressive lines, with conservatives voting against expanding SCHIP. As President Bush explained, more funding for SCHIP would expand the government’s role in our health care system. The progressives who voted for SCHIP believed that government should expand, as needed, to provide a safety net for its citizens. If the market cannot provide affordable, high quality health care for all Americans, then the government must step in. (more…)