This document summarizes several grants related to children's health, including grants to:
1) Fund eight community coalitions through the Children's Health Care Allies Against Asthma Program to improve asthma care for children.
2) Support surveys of how managed care initiatives affect child welfare services.
3) Fund three studies examining health care financing and delivery problems affecting adolescents.
4) Create a new fellowship program in environmental pediatrics.
PCG Human Services White Paper - Cross-System Approaches That Promote Child W...Public Consulting Group
Child welfare agencies can successfully partner with Medicaid and managed care organizations to address the complex health and behavioral needs of children who experience maltreatment. If prevention and intervention efforts are applied early and effectively, these high-risk children and youth may avoid costly health conditions and experience improved health and psychological outcomes.
Child abuse and neglect is an important concern that negatively affects the physical and psychological well-being of a population that is already vulnerable. Increased preventive services to children in high-risk households can help states minimize the cost of health/medical services to deep-end youth, reduce the number of children with chronic medical conditions and can improve general well-being outcomes. Providing targeted prevention programs and interventions to these children of at-risk families have been shown to reduce the cost of providing intensive services to children with poor health outcomes later on.
Children who are investigated for maltreatment or enter the child welfare system have greater health needs. Children investigated by the welfare system have been found to have 1.5 times more chronic health conditions than the general population. After controlling for other risk factors, children with maltreatment reports have a 74-100% higher risk of hospital treatment. Over 28% of children involved with maltreatment investigations are diagnosed with chronic health conditions during the three years following the investigation.
The document discusses the financial burden faced by families of children with cancer. It notes that while treatment has improved survival rates, cancer is still the second leading cause of death for children in the US. The diagnosis often results in significant costs, including direct medical costs and indirect costs from lost income or productivity due to caregiving responsibilities. Parents frequently need to reduce work hours or quit jobs entirely to care for their child, resulting in lost wages and benefits. The document outlines the various coping strategies families employ, such as taking on debt, but also notes that securing assistance can be challenging due to fragmented resources that have varying eligibility criteria. It highlights the role of Family Reach in providing flexible grants to address multiple family needs like housing, food and
This document describes a study that conducted focus groups with pregnant and postpartum women employed in an urban corporate setting in North Carolina. The purpose was to examine their knowledge gaps and recommend topics for maternal education programs sponsored by health insurance companies. Two focus groups were held with a total of 8 participants. Responses were analyzed using NVivo software. Results indicated several topics that should be considered for educational materials, including visual content, interactivity, father involvement, breastfeeding/bottle feeding, booklet length, and mental health/postpartum depression. However, the small sample size limits generalizability, so more in-depth focus groups are needed to inform future studies.
This document discusses the high costs of child abuse and neglect on physical and psychological well-being. Children who experience abuse have greater health needs and costs, with estimated lifetime costs per victim of over $200,000. The document outlines opportunities for states to partner across agencies to address the health needs of at-risk children, including Section 1115 waivers, health homes, care coordination, and data sharing initiatives. These partnerships aim to provide early intervention and reduce long-term health costs and risks while improving outcomes.
Speakers: Jenny Holladay, Regional Emergency Management Specialist, U.S. Department of Health –
Administration for Children & Families in Region 10
Lewissa Swanson, Regional Emergency Management Specialists, HHS/Administration for
Children and Families
Presenters will provide an overview of the final recommendations made by the National Commission on
Children and Disasters report submitted to the White House and Congress. The presentation will
highlight identified gaps in planning for children and recommendations that have already been
implemented, including developing and enhancing partnerships. The Commission was required to study
a broad range of domestic policy areas related to the needs of children affected by disasters, including: Child welfare, Child care, Housing (sheltering, intermediate, long-term), Evacuation and Transportation,
Elementary and Secondary Education, Juvenile Justice, and State and Local Emergency Management.
In the fictional country of PeoplePower, citizens and healthcare professionals work together to redesign the healthcare system based on the principle of "nothing about me without me".
Key aspects of the new system include:
1) Electronic medical records and communication technologies that enhance the patient-clinician relationship and shared decision-making.
2) Patients actively contributing to their own records and receiving education materials from clinicians.
3) Patients and clinicians jointly measuring quality of care through individual "quality contracts" and a national database that fuels research while protecting privacy.
The summary focuses on the high-level vision of patient empowerment and partnership between patients and clinicians in PeoplePower's healthcare system.
This policy proposal recommends increasing outpatient mental health treatment options in California as alternatives to hospital emergency rooms and inpatient care. Current resources are inadequate to meet the high needs, especially for homeless individuals who lack health insurance and stable housing. The proposal suggests educating the public about outpatient options, shifting focus to prevention and crisis stabilization services in the community. Preliminary evidence indicates outpatient programs can be equally effective at lower costs. The city of San Francisco has issued a $350 million public health bond to expand services that could save millions if it reduces repeat hospital admissions. The proposal urges other California cities to consider similar strategies using state mental health funds.
The document lists 14 publications authored or co-authored by Catherine Hess while with the National Academy for State Health Policy between 2014 and 2012. The publications address topics including children's health coverage, the Affordable Care Act, Medicaid, community health centers, and state health policy issues.
PCG Human Services White Paper - Cross-System Approaches That Promote Child W...Public Consulting Group
Child welfare agencies can successfully partner with Medicaid and managed care organizations to address the complex health and behavioral needs of children who experience maltreatment. If prevention and intervention efforts are applied early and effectively, these high-risk children and youth may avoid costly health conditions and experience improved health and psychological outcomes.
Child abuse and neglect is an important concern that negatively affects the physical and psychological well-being of a population that is already vulnerable. Increased preventive services to children in high-risk households can help states minimize the cost of health/medical services to deep-end youth, reduce the number of children with chronic medical conditions and can improve general well-being outcomes. Providing targeted prevention programs and interventions to these children of at-risk families have been shown to reduce the cost of providing intensive services to children with poor health outcomes later on.
Children who are investigated for maltreatment or enter the child welfare system have greater health needs. Children investigated by the welfare system have been found to have 1.5 times more chronic health conditions than the general population. After controlling for other risk factors, children with maltreatment reports have a 74-100% higher risk of hospital treatment. Over 28% of children involved with maltreatment investigations are diagnosed with chronic health conditions during the three years following the investigation.
The document discusses the financial burden faced by families of children with cancer. It notes that while treatment has improved survival rates, cancer is still the second leading cause of death for children in the US. The diagnosis often results in significant costs, including direct medical costs and indirect costs from lost income or productivity due to caregiving responsibilities. Parents frequently need to reduce work hours or quit jobs entirely to care for their child, resulting in lost wages and benefits. The document outlines the various coping strategies families employ, such as taking on debt, but also notes that securing assistance can be challenging due to fragmented resources that have varying eligibility criteria. It highlights the role of Family Reach in providing flexible grants to address multiple family needs like housing, food and
This document describes a study that conducted focus groups with pregnant and postpartum women employed in an urban corporate setting in North Carolina. The purpose was to examine their knowledge gaps and recommend topics for maternal education programs sponsored by health insurance companies. Two focus groups were held with a total of 8 participants. Responses were analyzed using NVivo software. Results indicated several topics that should be considered for educational materials, including visual content, interactivity, father involvement, breastfeeding/bottle feeding, booklet length, and mental health/postpartum depression. However, the small sample size limits generalizability, so more in-depth focus groups are needed to inform future studies.
This document discusses the high costs of child abuse and neglect on physical and psychological well-being. Children who experience abuse have greater health needs and costs, with estimated lifetime costs per victim of over $200,000. The document outlines opportunities for states to partner across agencies to address the health needs of at-risk children, including Section 1115 waivers, health homes, care coordination, and data sharing initiatives. These partnerships aim to provide early intervention and reduce long-term health costs and risks while improving outcomes.
Speakers: Jenny Holladay, Regional Emergency Management Specialist, U.S. Department of Health –
Administration for Children & Families in Region 10
Lewissa Swanson, Regional Emergency Management Specialists, HHS/Administration for
Children and Families
Presenters will provide an overview of the final recommendations made by the National Commission on
Children and Disasters report submitted to the White House and Congress. The presentation will
highlight identified gaps in planning for children and recommendations that have already been
implemented, including developing and enhancing partnerships. The Commission was required to study
a broad range of domestic policy areas related to the needs of children affected by disasters, including: Child welfare, Child care, Housing (sheltering, intermediate, long-term), Evacuation and Transportation,
Elementary and Secondary Education, Juvenile Justice, and State and Local Emergency Management.
In the fictional country of PeoplePower, citizens and healthcare professionals work together to redesign the healthcare system based on the principle of "nothing about me without me".
Key aspects of the new system include:
1) Electronic medical records and communication technologies that enhance the patient-clinician relationship and shared decision-making.
2) Patients actively contributing to their own records and receiving education materials from clinicians.
3) Patients and clinicians jointly measuring quality of care through individual "quality contracts" and a national database that fuels research while protecting privacy.
The summary focuses on the high-level vision of patient empowerment and partnership between patients and clinicians in PeoplePower's healthcare system.
This policy proposal recommends increasing outpatient mental health treatment options in California as alternatives to hospital emergency rooms and inpatient care. Current resources are inadequate to meet the high needs, especially for homeless individuals who lack health insurance and stable housing. The proposal suggests educating the public about outpatient options, shifting focus to prevention and crisis stabilization services in the community. Preliminary evidence indicates outpatient programs can be equally effective at lower costs. The city of San Francisco has issued a $350 million public health bond to expand services that could save millions if it reduces repeat hospital admissions. The proposal urges other California cities to consider similar strategies using state mental health funds.
The document lists 14 publications authored or co-authored by Catherine Hess while with the National Academy for State Health Policy between 2014 and 2012. The publications address topics including children's health coverage, the Affordable Care Act, Medicaid, community health centers, and state health policy issues.
This document discusses expanding access to mental health care through school-based health centers (SBHCs). It notes that while SBHCs have evolved since the 1900s to address various health needs, more is still needed to fill gaps in access to mental health care for children and teens. Key changes proposed include increasing and stabilizing funding for SBHCs from federal and state governments. This would allow for improved outreach, quality measures, and accountability. The impacts of these changes would be decreased health risks and costs to society by expanding access to mental health services for underserved youth populations.
2013 community health workers nej mp1305636Roger Zapata
This document discusses the potential for community health workers (CHWs) to improve health outcomes and reduce costs in the United States. It makes three key points:
1) CHWs have been shown to be effective in improving health in multiple areas like maternal/child health and chronic disease management in other countries. Expanding CHWs in the US could improve health and create new jobs.
2) There are three models for organizing CHWs in the US - as extensions of hospitals, through community non-profits, or through dedicated management organizations. More research is needed but CHW programs have shown potential to reduce costs for Medicaid/Medicare patients.
3) Policy changes like developing the evidence base on CH
This document discusses the issue of providing health care to undocumented immigrant children in the United States. It notes that failing to address this issue rationally and equitably will have major adverse consequences for the U.S. health care system. While some hospitals are feeling strain from providing uncompensated emergency care to undocumented immigrants, reforms are underway that could help reimburse doctors for online medical consultations and address inequities in access to healthcare.
This document summarizes research on the effectiveness of Court Appointed Special Advocates/Guardian ad Litem (CASA/GAL) volunteers. It finds that children with a CASA volunteer spend more time with the child, are more likely to have their recommendations accepted in court, and receive more ordered services. Additionally, children with a CASA volunteer are less likely to remain in long-term foster care, reenter the child welfare system, and are more likely to achieve a permanent plan of reunification or adoption. Judges report that CASA volunteers provide high quality, beneficial input that informs court decisions and supports court processes.
This randomized clinical trial evaluated the effects of social needs screening and in-person resource navigation (the intervention) compared to an active control of written resource information on social needs and child health. The trial involved 1809 caregiver-child pairs from low-income families seen at pediatric clinics. At 4-month follow-up, families receiving in-person navigation reported greater reductions in social needs and greater improvements in their child's overall health compared to the control group. This study provides evidence that addressing social needs in pediatric care can positively impact both family circumstances and child health.
Coping strategies of mothers having children with special needsAlexander Decker
1. The study aimed to identify the coping strategies of mothers with children who have special needs and determine if coping strategies relate to mothers' demographics.
2. The study found relationships between age and coping strategies of reframing and passive appraisal. Birth order related to mobilizing family help acceptance.
3. The study recommended further research with larger populations and exploring coping strategies of other family members like siblings and extended family.
This document discusses exemptions to state-mandated vaccinations. It provides an overview of exemption policies across states, including the types of exemptions permitted and trends over time. It also summarizes recent legislative efforts in several states to strengthen exemption policies by adding educational requirements, limiting religious exemptions, or eliminating philosophical exemptions. The document concludes with lessons learned from advocacy efforts and resources for finding parent advocates to provide personal stories to legislators.
Better to Best Patient Centered Medical HomePaul Grundy
Better to best -- consensus meeting between large employers, HHS, CMS, DOD OPM, hospitals, Primary care association, AMA, healthcare plans around the elements that add value in the Patient Centered medical home. coordination of care, access to care Health information technology and payment reform.
Sleuthing journal on current health promotion ppt1puri002
1) New York City has over 8 million residents spread across 5 boroughs and offers public health services through the NYC Department of Health and Mental Hygiene.
2) The document discusses various health services available in NYC including walk-in immunization clinics, urgent care clinics, vaccination and STD testing services targeted towards teens, and services for uninsured persons living with HIV/AIDS.
3) Vaccination rates in NYC are high at 95% due to vaccination programs in schools, pharmacies, and clinics aligned with national averages. Anyone can also get a flu shot at medical facilities or pharmacies promoting vaccinations.
This study examined the impact of local health departments' (LHDs) funding on emergency preparedness activities. The researchers used data from the 2013 National Profile of Local Health Departments to analyze the relationship between LHD funding levels/sources and the number of emergency preparedness activities conducted. The results showed that LHD revenue predicts the number of emergency preparedness activities carried out, and that certain funding sources determine the number of activities more than others. Having an emergency coordinator also impacted the number of activities. The purpose was to determine if LHD revenue predicts emergency preparedness activities.
The document provides updates on various global health issues including:
1) The Ebola response in West Africa was criticized for coming too late, long after the worst of the epidemic had passed. New treatment facilities remain empty as cases decline.
2) Next-generation antiretrovirals could prove game-changing for HIV treatment due to lower costs and side effects, but expanding access significantly will require more collaboration and advocacy.
3) Rickettsial diseases like spotted and typhus fevers are underrecognized causes of treatable central nervous system infections across Southeast Asia. More attention is needed for these neglected infections.
This document summarizes a research paper that examines how the Massachusetts Department of Children and Families (DCF) provides support to pregnant women with substance use issues while also imposing surveillance. The author argues that through its definition of a "good mother," DCF unintentionally creates a paradox where it aims to support women but ends up perpetuating fear through threats of child removal. Interviews with social workers, medical providers, and a mother in recovery treatment reveal tensions between support and punishment within DCF policies and practices. The author calls for redefining what makes a good mother and incorporating more family support into mandatory reporting policies.
The document discusses the Human Papillomavirus (HPV) which affects millions of young people each year in the US. A vaccine, Gardasil, was developed in 2006 to protect against some dangerous strains of HPV. While the vaccine can prevent various cancers, some parents object to it as they believe it may encourage early sexual activity in teens. However, students interviewed said parents should trust doctors' recommendations and discuss sexual health openly with their children. With around 6 million new HPV cases annually, some students felt the government should play a role in mandating the vaccine. Healthcare professionals support mandates to prevent HPV-related cancers.
The document discusses the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). It provides background on WIC, including its origins, eligibility requirements, funding levels, and number of participants. The central argument is that WIC eligibility may need to be more closely monitored given that Medicaid expansion could allow for more lenient income eligibility standards and greater expansion of WIC. Key sources used quantitative data and analysis to examine the relationship between Medicaid policy and WIC participation levels.
This document discusses leveraging social media and digital tools for health. It notes the rising costs of healthcare and aging population as environmental challenges. Social media is seen as a way to empower patients to influence friends and family about health issues. Key points made include that over 90% of Facebook users have used it for health information, and that social media can help build relationships and trust while reaching across age groups. Measuring outcomes of social media strategies is also mentioned as an important discussion topic.
The increase of single parent families: An examination of causespleasure16
This document summarizes grants committed by the Avon Foundation for breast cancer programs in 2003, totaling over $27 million. The majority of funds went to direct clinical care and services for underserved populations at public hospitals across the US. Significant funds also supported public education, outreach, patient navigation and advocacy programs, as well as breast cancer research. Smaller amounts were granted for education programs for women's empowerment and support services to help breast cancer patients.
The document provides information on special grants provided under Hong Kong's Comprehensive Social Security Assistance (CSSA) Scheme. It discusses the administration of standard special grants and discretionary grants, and explains the mechanisms for adjusting payment rates for rent allowance, meal allowance, special diet allowance, and grants for school-related expenses. The payment rates for these grants will be adjusted downwards from June 2003 or the 2003-2004 school year in line with established mechanisms to account for price changes over time.
The document provides guidelines for selling gold coins through select post offices in partnership with Reliance Money Ltd. Key points include:
- Reliance Money Ltd. was selected to supply gold coins based on competitive proposals received. Coins will be of 24 carat purity in denominations of 0.5g, 1g, 5g and 8g.
- Post offices will receive a 4% commission on coin sales. Gold rates and inventory will be managed through a software system with no human intervention.
- Detailed procedures are provided for stock supply and replenishment, coin sales, payment processing, record keeping, and dispute resolution between customers and Reliance Money.
- Strict processes
1) The two-tier gold system established in March is threatened by South Africa's offer to sell gold to the IMF and by European banks wanting to buy gold from South Africa.
2) The US wants to preserve the two-tier system while avoiding a breakdown in international cooperation or a dispute over the IMF's obligation to buy gold.
3) The document proposes that the US agree to an $35 floor price for newly mined gold South Africa needs to sell, and allow South Africa to count existing gold holdings as monetary gold. In exchange, South Africa would sell newly mined gold in the market and avoid withholding supply.
Recycling of Cellular Telephones in Mainepleasure16
This document is a memorandum opinion from a United States District Court regarding the government's application for an order authorizing the installation and use of a pen register and caller identification system on two telephone numbers and the production of real-time cell site information. The court initially denied the application, finding the government needed to show probable cause to obtain real-time cell site information. The government then submitted a letter arguing existing statutes allow such information upon less than probable cause. The court examines these statutes and determines they do not authorize access to real-time cell site information without a showing of probable cause.
This document discusses expanding access to mental health care through school-based health centers (SBHCs). It notes that while SBHCs have evolved since the 1900s to address various health needs, more is still needed to fill gaps in access to mental health care for children and teens. Key changes proposed include increasing and stabilizing funding for SBHCs from federal and state governments. This would allow for improved outreach, quality measures, and accountability. The impacts of these changes would be decreased health risks and costs to society by expanding access to mental health services for underserved youth populations.
2013 community health workers nej mp1305636Roger Zapata
This document discusses the potential for community health workers (CHWs) to improve health outcomes and reduce costs in the United States. It makes three key points:
1) CHWs have been shown to be effective in improving health in multiple areas like maternal/child health and chronic disease management in other countries. Expanding CHWs in the US could improve health and create new jobs.
2) There are three models for organizing CHWs in the US - as extensions of hospitals, through community non-profits, or through dedicated management organizations. More research is needed but CHW programs have shown potential to reduce costs for Medicaid/Medicare patients.
3) Policy changes like developing the evidence base on CH
This document discusses the issue of providing health care to undocumented immigrant children in the United States. It notes that failing to address this issue rationally and equitably will have major adverse consequences for the U.S. health care system. While some hospitals are feeling strain from providing uncompensated emergency care to undocumented immigrants, reforms are underway that could help reimburse doctors for online medical consultations and address inequities in access to healthcare.
This document summarizes research on the effectiveness of Court Appointed Special Advocates/Guardian ad Litem (CASA/GAL) volunteers. It finds that children with a CASA volunteer spend more time with the child, are more likely to have their recommendations accepted in court, and receive more ordered services. Additionally, children with a CASA volunteer are less likely to remain in long-term foster care, reenter the child welfare system, and are more likely to achieve a permanent plan of reunification or adoption. Judges report that CASA volunteers provide high quality, beneficial input that informs court decisions and supports court processes.
This randomized clinical trial evaluated the effects of social needs screening and in-person resource navigation (the intervention) compared to an active control of written resource information on social needs and child health. The trial involved 1809 caregiver-child pairs from low-income families seen at pediatric clinics. At 4-month follow-up, families receiving in-person navigation reported greater reductions in social needs and greater improvements in their child's overall health compared to the control group. This study provides evidence that addressing social needs in pediatric care can positively impact both family circumstances and child health.
Coping strategies of mothers having children with special needsAlexander Decker
1. The study aimed to identify the coping strategies of mothers with children who have special needs and determine if coping strategies relate to mothers' demographics.
2. The study found relationships between age and coping strategies of reframing and passive appraisal. Birth order related to mobilizing family help acceptance.
3. The study recommended further research with larger populations and exploring coping strategies of other family members like siblings and extended family.
This document discusses exemptions to state-mandated vaccinations. It provides an overview of exemption policies across states, including the types of exemptions permitted and trends over time. It also summarizes recent legislative efforts in several states to strengthen exemption policies by adding educational requirements, limiting religious exemptions, or eliminating philosophical exemptions. The document concludes with lessons learned from advocacy efforts and resources for finding parent advocates to provide personal stories to legislators.
Better to Best Patient Centered Medical HomePaul Grundy
Better to best -- consensus meeting between large employers, HHS, CMS, DOD OPM, hospitals, Primary care association, AMA, healthcare plans around the elements that add value in the Patient Centered medical home. coordination of care, access to care Health information technology and payment reform.
Sleuthing journal on current health promotion ppt1puri002
1) New York City has over 8 million residents spread across 5 boroughs and offers public health services through the NYC Department of Health and Mental Hygiene.
2) The document discusses various health services available in NYC including walk-in immunization clinics, urgent care clinics, vaccination and STD testing services targeted towards teens, and services for uninsured persons living with HIV/AIDS.
3) Vaccination rates in NYC are high at 95% due to vaccination programs in schools, pharmacies, and clinics aligned with national averages. Anyone can also get a flu shot at medical facilities or pharmacies promoting vaccinations.
This study examined the impact of local health departments' (LHDs) funding on emergency preparedness activities. The researchers used data from the 2013 National Profile of Local Health Departments to analyze the relationship between LHD funding levels/sources and the number of emergency preparedness activities conducted. The results showed that LHD revenue predicts the number of emergency preparedness activities carried out, and that certain funding sources determine the number of activities more than others. Having an emergency coordinator also impacted the number of activities. The purpose was to determine if LHD revenue predicts emergency preparedness activities.
The document provides updates on various global health issues including:
1) The Ebola response in West Africa was criticized for coming too late, long after the worst of the epidemic had passed. New treatment facilities remain empty as cases decline.
2) Next-generation antiretrovirals could prove game-changing for HIV treatment due to lower costs and side effects, but expanding access significantly will require more collaboration and advocacy.
3) Rickettsial diseases like spotted and typhus fevers are underrecognized causes of treatable central nervous system infections across Southeast Asia. More attention is needed for these neglected infections.
This document summarizes a research paper that examines how the Massachusetts Department of Children and Families (DCF) provides support to pregnant women with substance use issues while also imposing surveillance. The author argues that through its definition of a "good mother," DCF unintentionally creates a paradox where it aims to support women but ends up perpetuating fear through threats of child removal. Interviews with social workers, medical providers, and a mother in recovery treatment reveal tensions between support and punishment within DCF policies and practices. The author calls for redefining what makes a good mother and incorporating more family support into mandatory reporting policies.
The document discusses the Human Papillomavirus (HPV) which affects millions of young people each year in the US. A vaccine, Gardasil, was developed in 2006 to protect against some dangerous strains of HPV. While the vaccine can prevent various cancers, some parents object to it as they believe it may encourage early sexual activity in teens. However, students interviewed said parents should trust doctors' recommendations and discuss sexual health openly with their children. With around 6 million new HPV cases annually, some students felt the government should play a role in mandating the vaccine. Healthcare professionals support mandates to prevent HPV-related cancers.
The document discusses the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). It provides background on WIC, including its origins, eligibility requirements, funding levels, and number of participants. The central argument is that WIC eligibility may need to be more closely monitored given that Medicaid expansion could allow for more lenient income eligibility standards and greater expansion of WIC. Key sources used quantitative data and analysis to examine the relationship between Medicaid policy and WIC participation levels.
This document discusses leveraging social media and digital tools for health. It notes the rising costs of healthcare and aging population as environmental challenges. Social media is seen as a way to empower patients to influence friends and family about health issues. Key points made include that over 90% of Facebook users have used it for health information, and that social media can help build relationships and trust while reaching across age groups. Measuring outcomes of social media strategies is also mentioned as an important discussion topic.
The increase of single parent families: An examination of causespleasure16
This document summarizes grants committed by the Avon Foundation for breast cancer programs in 2003, totaling over $27 million. The majority of funds went to direct clinical care and services for underserved populations at public hospitals across the US. Significant funds also supported public education, outreach, patient navigation and advocacy programs, as well as breast cancer research. Smaller amounts were granted for education programs for women's empowerment and support services to help breast cancer patients.
The document provides information on special grants provided under Hong Kong's Comprehensive Social Security Assistance (CSSA) Scheme. It discusses the administration of standard special grants and discretionary grants, and explains the mechanisms for adjusting payment rates for rent allowance, meal allowance, special diet allowance, and grants for school-related expenses. The payment rates for these grants will be adjusted downwards from June 2003 or the 2003-2004 school year in line with established mechanisms to account for price changes over time.
The document provides guidelines for selling gold coins through select post offices in partnership with Reliance Money Ltd. Key points include:
- Reliance Money Ltd. was selected to supply gold coins based on competitive proposals received. Coins will be of 24 carat purity in denominations of 0.5g, 1g, 5g and 8g.
- Post offices will receive a 4% commission on coin sales. Gold rates and inventory will be managed through a software system with no human intervention.
- Detailed procedures are provided for stock supply and replenishment, coin sales, payment processing, record keeping, and dispute resolution between customers and Reliance Money.
- Strict processes
1) The two-tier gold system established in March is threatened by South Africa's offer to sell gold to the IMF and by European banks wanting to buy gold from South Africa.
2) The US wants to preserve the two-tier system while avoiding a breakdown in international cooperation or a dispute over the IMF's obligation to buy gold.
3) The document proposes that the US agree to an $35 floor price for newly mined gold South Africa needs to sell, and allow South Africa to count existing gold holdings as monetary gold. In exchange, South Africa would sell newly mined gold in the market and avoid withholding supply.
Recycling of Cellular Telephones in Mainepleasure16
This document is a memorandum opinion from a United States District Court regarding the government's application for an order authorizing the installation and use of a pen register and caller identification system on two telephone numbers and the production of real-time cell site information. The court initially denied the application, finding the government needed to show probable cause to obtain real-time cell site information. The government then submitted a letter arguing existing statutes allow such information upon less than probable cause. The court examines these statutes and determines they do not authorize access to real-time cell site information without a showing of probable cause.
The document discusses a survey of cell phone recycling programs in New York City. The survey examined compliance with New York state legislation requiring cell phone take-back programs, as well as voluntary programs. Key findings include:
- Only 36% of visited stores had visible take-back signs as required by law. Verizon Wireless stores complied most consistently.
- 28% of stores visited had a visible drop-off box. Boxes were often hidden from view.
- 30% of stores listed on the voluntary RBRC program website did not have drop-off boxes as advertised.
- Employees generally lacked knowledge about their store's recycling program, except at Verizon Wireless stores.
The survey found
The document provides information about parking at Metrorail stations, paying fares, accessibility features, and transferring between Metrorail, Metromover, Metrobus, and the South Miami-Dade Busway. Key details include: parking at stations costs $4 daily; fares are $2 with reduced fares of $1; stations have elevators, escalators and stairs for accessibility; and many transfer options exist between rail and bus services.
The "A Practical Playbook: Public Health & Primary Care Together" initiative is marking its one-year anniversary of promoting collaboration between public health, primary care, and academia. Over the last year, medical and public health graduate programs have incorporated the Playbook into their curricula. The Playbook is also being used as a resource by public health practitioners. It aims to improve population health by fostering greater collaboration between primary care and public health. Going forward, the Playbook will provide thought leadership, technical assistance, and opportunities to bring partners together.
Think of your local community. What health-related issue current.docxirened6
Think of your local community. What health-related issue currently affects a large number of people within your community? How could research help address this issue? How would you go about obtaining more data on the health-related issue you identified?
This is an opportunity for you to explore the practical application of how to create a plan to obtain data on a health-related topic, specifically in your community. Please respond in first person, share personal experiences to further develop your understanding of how evidence-based practice can affect health-related issues at the community level.
Use as references:
National Center for Health Statistics (NCHS)
- National and state data sets as well as statistic reports. Information about ordering data sets that cannot be downloaded.
CDC Data and Statistics page
- much more than NCHS
CDC WONDER
- WONDER provides a single point of access to a wide variety of reports and numeric public health data.
Agency for Healthcare Research and Quality
- Data and Surveys
Statewide Planning and Research Cooperative System (SPARCS)
- Data dictionaries, documentation and request forms. No searchable data online.
U.S. Census Bureau
,
Current census data including information broken down by state, city, and region.
WHOSIS
-- WHO Statistical Information System
In two different paragraph give your personal opinion to Valencia Matilus and Malika Nelson, them do not need a different referents use the same as them.
Valencia Matilus
In the community in Florida many people are infected by the chronic illness hypertension is a common disease cholesterol, fatigues, and stress. Patients are major risks cardiovascular, stokes, and leading causes of death, respectively in the community. In 2016, 80,722 deaths were caused by high blood pressures. In 2014, high blood pressures were five times more deaths than it was in 2016. Hypertension has referred to high blood pressures. Hypertension is a big major cause of premature death worldwide (Benjamin, 2016).
Hypertension very often had no signs or symptoms. Once the primary care doctor has diagnosed the patient had high blood pressures as a medication. Patients can lower their blood pressures by changing their diet, and exercises. In 2015-2016, in the communities 1/3 patients have controlled high blood pressures. 2017, recent revised guidelines more than one patient have unknown or undiagnosed if they have high blood pressures. In 2016, the total costs directed for high blood pressures were $54.8 billion. It’s projected for the year 2035, the total costs will be reach $221.8 billion. I’ll suggest implementing public health to have more programs to help to reduce the hypertension problems. Healthcare providers have provided more information, have classes for the patient, and show them how to eat, have nutrition in the clinic or private doctor offices to reduce mortality. (Benjanmin, 2016).Florida, adults ages 18-39; 45 to 79, nearly half of patients can .
Care Coordination in a Medical Home in Post-KatrinaNew OrleaTawnaDelatorrejs
Care Coordination in a Medical Home in Post-Katrina
New Orleans: Lessons Learned
Susan Berry • Eleanor Soltau • Nicole E. Richmond •
R. Lyn Kieltyka • Tri Tran • Arleen Williams
Published online: 14 July 2010
� Springer Science+Business Media, LLC 2010
Abstract This is a prospective study to evaluate ability of a
nurse care coordinator to: (1) improve ability of a pediatric
clinic to meet medical home (MH) objectives and (2)
improve receipt of services for families of children with
special health care needs (CSHCN). A nurse was hired to
provide care coordination for CSHCN in an urban, largely
Medicaid pediatric academic practice. CSHCN were iden-
tified using a CSHCN Screener. Ability to meet MH criteria
was determined using the MH Index (MHI). Receipt of MH
services was measured using the MH Family Index (MHFI).
After baseline surveys were completed, Hurricane Katrina
destroyed the clinic. Care coordination was implemented for
the post-disaster population. Surveys were repeated in the
rebuilt clinic after at least 3 months of care coordination. The
distribution of demographics, diagnoses and percent
CSHCN did not significantly change pre and post Katrina.
Psychosocial needs such as food, housing, mental health and
education were markedly increased. Essential strategies
included developing a new tool for determining complexity
of needs and involvement of the entire practice in care
coordination activities. MHFI showed improvement in
receipt of services post care coordination and post-Katrina
with P \ 0.05 for 13 of 16 questions. MHI demonstrated
improvement in care coordination and community outreach
domains. Average cost was $36.88 per CSHCN per year.
There was significant improvement in the ability of the clinic
to meet care coordination and community outreach MH cri-
teria and in family receipt of services after care coordination,
despite great increase in psychosocial needs. This study pro-
vides practical strategies for implementing care coordination
for families of high risk CSHCN in underserved populations.
Keywords Care coordination � Medical home �
Children with special healthcare needs (CSHCN) �
Title V CSHCN � Hurricane Katrina
Eleanor Soltau has relocated to Atlanta, Georgia, after her
involvement with this research.
S. Berry (&) � N. E. Richmond � A. Williams
Department of Pediatrics, Louisiana State University
Health Sciences Center, 1010 Common Street Suite #610,
New Orleans, LA 70112, USA
e-mail: [email protected]
N. E. Richmond
e-mail: [email protected]
A. Williams
e-mail: [email protected]
E. Soltau
Children’s Hospital Medical Practice Corporation,
New Orleans, LA, USA
e-mail: [email protected]
S. Berry � N. E. Richmond � A. Williams
Louisiana Office of Public Health, Children’s Special Health
Services, New Orleans, LA, USA
R. L. Kieltyka � T. Tran
Department of Pediatrics, Louisiana State University Health
Sciences Center, 1010 Common Street Suite #2710,
New Orleans, LA 7011 ...
Methods of Humanitarian Intervention - APA 2019Dr. Chris Stout
Narrative version with reference links is available on LinkedIn at: “State of Philanthropy: Finding Hope Among the 'Disaster' of Humanitarian Aid” https://www.linkedin.com/pulse/state-philanthropy-finding-hope-among-disaster-aid-dr-chris-stout/
Note Compare and contrast public health funding (and resulting im.docxcurwenmichaela
This document discusses public health funding at the state and local levels and how it impacts service delivery and program quality. At the local level, funding comes from local taxes, fees, and Medicaid/Medicare reimbursements, while state programs are funded through federal appropriations. However, decreasing public health budgets have led to understaffing, threatening the ability to offer effective services. Funding shortages most severely impact low-income communities that rely most on public health programs. Better financial decisions are needed to ensure resources are distributed equitably.
Northwestern University was awarded $375,000 in federal funding from the U.S. Department of Health and Human Services Office of Minority Health to support re-entry programs over 5 years. The funding will support the "Rethink & Relink Chicago!" program led by Dr. Doreen Salina, which will connect those transitioning from jail to their communities with health services, healthcare coverage, housing assistance, education, and employment programs through partnerships with community organizations. The overall goals of the funding program are to improve coordination between criminal justice, public health, and social services to address health access barriers and disparities for the re-entry population.
The document provides information on various searchable databases and grant opportunities related to family health and children's health and safety. Section 1 summarizes three searchable databases - Houghton Mifflin Harcourt, Grant Forward, and Grants.gov. Section 2 indicates the document author's areas of interest. Section 3 profiles 10 different foundations and government agencies that offer relevant grants, including the Michael and Susan Dell Foundation, Highmark Foundation, Centers for Disease Control and Prevention, and American Heart Association. Eligible applicants and example funded projects are described for each funder.
The document proposes an action plan to combat fatal genetic childhood diseases through research, education, and prevention. It summarizes advances in diagnostic testing that can screen for over 500 recessive diseases simultaneously. The plan calls for the Fatal Genetic Childhood Diseases Act to expand funding for diagnostic test development, promote public health education, and increase access to preconception and prenatal screening with the goal of reducing or eliminating these diseases. Key stakeholders needed for implementation include prospective parents, schools, researchers, healthcare providers, insurers, and non-profit organizations.
Feeding Infants and Children From birth to 24 months.pdfTayeDosane
This document summarizes an existing report titled "Feeding Infants and Children from Birth to 24 Months: Summarizing Existing Guidance". The report was produced by the National Academies of Sciences, Engineering, and Medicine and examines guidelines on feeding recommendations for infants and young children. It abstracts recommendations from 38 eligible guideline documents on topics like breastfeeding, introduction of complementary foods, nutrient supplementation, and communication strategies. The report also evaluates the consistency of recommendations between guidelines and identifies gaps in evidence to help inform future guidance.
This document discusses children and youth with special health care needs (CYSHCN). It provides information on the prevalence of CYSHCN in the US from national survey data. It describes how CYSHCN are more likely to experience adverse childhood experiences and health disparities. The document also discusses social determinants of health, minoritized CYSHCN populations, evolution of public policy, unique needs of CYSHCN families, life course approach, mental health challenges, health care financing challenges, Medicaid/CHIP coverage, medical home model, importance of family engagement, care coordination challenges, educational supports, transition planning needs, and conclusions regarding maternal and child health programs supporting CYSHCN.
Module 8 Public Health Genetics Screening Programs and Indiv.docxmoirarandell
Module 8: Public Health Genetics: Screening Programs and Individual Testing/Counseling
221
Case Study 2: Ethical Implications of a Decision on MCADD Screening of
Newborns
As Director of the State Health Department, John Jamison has responsibility for the state’s Newborn
Screening Program, which currently screens every infant born in the state for six disorders, including
phenylketonuria, hypothyroidism, and hemoglobinopathies. The state’s newborn screening program has
had a quiet and respected history in the state up until now, unlike some other health department
programs, such as the state cancer registry that was a recent focus of legislative hearings and a public
outcry over privacy concerns.
The nurse practitioner who directs the newborn screening program, Sally Scott, has just reported that
pressure is building for the addition of new testing for genetic disorders to the battery of required state
screenings for newborns. Sally says pressure is coming from many sources, including individual parents,
powerful advocacy groups within the state, and even some physicians. A coalition of these interested
parties has just met with her and requested the state health department’s support for a bill to add a test
for one particular disorder this legislative session – the test for Medium Chain Acyl-CoA
Dehydrogenase Deficiency (MCADD). The group intends to issue a press release within two or three
days and plans to publicize whether the state health department is supportive of the test.
Sally believes the test for MCADD is likely to garner more attention and support from the public and
the press than other newborn screening tests, because MCADD increasingly has been mentioned as a
potential cause of Sudden Infant Death Syndrome (SIDS).
Sally met with Jamison yesterday for guidance. She warned him that MCADD is just the latest, in what
she believes is becoming a continuing and growing problem for the state health department regarding
genetic screening for newborns. As director of newborn screening for the last five years, she has been
receiving frequent inquiries about the possibility of expanded newborn genetic screening, both for
particular disorders and for predisposing conditions.
Jamison asked Sally to get back to him today with as much relevant material as she can quickly find, so
that they can review the data and discuss the options with the department’s epidemiologist, health
policy analyst, and the Director of the Division of Maternal and Child Health.
At the meeting Sally presents the following information.
The State legislature, with guidance from the health department when appropriate, has the authority to
establish newborn screening policies, including deciding which disorders should be included among the
battery of newborn screening tests.
Currently parental consent is not required for the newborn screening tests in the state. All newborn
screening tests are conducted by the state lab, which re ...
1. Coalition ProposalVaccination Policy for Infectious Disease P.docxmonicafrancis71118
1. Coalition Proposal
Vaccination Policy for Infectious Disease Prevention and Control
Scope of the Problem
Vaccines have done an excellent job at preventing many diseases, some of which can be deadly if not prevented. When bacteria or viruses enter the body, they immediately begin to attack and multiply, which then causes an infection. The immune system will then fight off the infection and establish antibodies, which will help recognize and fight off the same disease in the future. For this very reason, it has been important for children to be vaccinated at an early age so that they may establish those antibodies their bodies need. Vaccines act as the disease so that the body may produce antibodies, but the good thing is that it won’t cause an infection (CDC, 2017).
There are current policies that mandate vaccinations in the U.S., for example, all children are required to be up to date on their vaccines before beginning school. The problem is that there are many loopholes and exceptions to the rule, whether it’s due to religious reasons or other medical issues. Because of this, there are still many children and adults who have yet to be fully compliant with vaccine requirements
Some important statistics to note (Johns Hopkins Medicine):
· CDC estimated 2,700 new cases of hepatitis A in the U.S.
· It is estimated that in 2011, 19,000 new cases of hepatitis B and 17,000 cases of hepatitis C occurred.
· In 2012, nearly 10,000 new cases of tuberculosis were reported.
· Approximately 36,000 people per year die from influenza and pneumonia.
· 50,000 new cases of HIV infection occur annually.
· In 2012, new cases of STD’s were reported, including HPV, Chlamydia, Gonorrhea, HIV, and Syphilis.
Who is affected by this problem? Identify.
Children are mainly affected by this problem due to parents’ hesitancy for vaccinations. Although law mandates for children to be vaccinated for school enrollment, parents have the option to use exemptions to avoid having their children vaccinated. Currently, medical exemptions are allowed for medical reasons in all states, and it is estimated that one to three percent of children are excused from vaccinations because of these exemptions. Parents have continued to use reasons to avoid vaccinations, for example, the belief that the decline in vaccine-preventable diseases is due to improved health care, hygiene, and sanitation (Ventola, C. L., 2016).
Health disparities among Blacks, Hispanics, and Whites have played a huge role in terms of vaccination coverage. Studies have shown that health insurance has a direct impact on the vaccination coverage in adults, therefore, low-income families who can’t afford health insurance will most likely not get the vaccines they need. With that being said, uninsured prevalence was higher among non-Hispanic blacks (19.5%) and Hispanics (30.1%) compared with non-Hispanic whites (11.1%) (Lu, P., et al, 2015).
What has been written on the issue and policy options?
There ha.
This document discusses the evolution of primary health care models for developing countries from the 1950s-1970s. It describes how the comprehensive primary health care model proposed at the 1978 Alma-Ata conference aimed to achieve health for all through universal access and addressing social determinants of health. However, selective primary health care, focusing on cost-effective disease interventions, was seen as more feasible. Some argue comprehensive primary health care was never truly implemented, while others view it as an experiment that failed. Debate continues on the best policy approach to improving global health.
This randomized controlled trial tested the effectiveness of postcard mailings on increasing dental utilization among low-income children in Yakima County, Washington. Over 5,800 children were randomly assigned to receive different postcards or no postcards. The postcards provided information about enrolling in the county's dental program or highlighted specific benefits like fluoride varnish. Analysis of Medicaid claims data found no significant differences in dental utilization rates between the groups, indicating the postcard mailings did not increase utilization of preventive dental services. Baseline utilization was already relatively high, potentially limiting the impact of the mailings.
This document discusses the need for increased patient safety in the U.S. healthcare system. It notes that medical errors have increased significantly in recent decades. While suggestions have been made to improve policies, procedures, and oversight, leadership within individual organizations will be key to implementing new patient safety protocols. Research is also needed to better understand errors and develop solutions. A focus on leadership, data, education, and continuous improvement can help healthcare organizations strengthen patient safety standards over time.
The Pennsylvania Patient Safety Authority estimates that more than 2,600 lives and $147 million have been saved from 2004 to 2015 through improved patient safety efforts across Pennsylvania. Certain measures showing concentrated safety improvements, such as reductions in falls, infections, and wrong-site surgeries, were analyzed using the Authority's reporting data and estimates of prevented deaths and costs. While progress has been made, the Authority acknowledges more work is still needed to enhance patient safety.
This study is to focus attention on the extent to which the health care needs of
adolescents and young adults are being planned for and addressed as New York implements the Patient
Protection and Affordable Care Act (ACA)
Impact of Health Systems Strengthening on HealthHFG Project
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
The document discusses efforts by the US Department of Health and Human Services (HHS) to address the growing challenges posed by multiple chronic conditions. HHS released a 2010 strategic framework with 4 goals: 1) foster health system changes like accountable care organizations and medical homes, 2) empower individuals through self-management programs, 3) equip clinicians with guidelines and training, and 4) enhance research. Since then, HHS has made progress in areas like expanding self-management programs, testing new care models, establishing payments for non-face-to-face care management, and increasing focus on comorbidities in clinical trials and guidelines. However, more accelerated efforts are still needed across all goals to better meet the needs of the growing multiple
Objective: To identify the prevalence, demographics, resource utilization, and outcomes of Children with Special Health Care Needs (CSHCN) in a Pediatric Intensive Care Unit (PICU).
Methods: All children (< 21 years) admitted during a six-month period were included in the study. CSHCN were identified using
the CSHCN screener and Federal Maternal and Child Health Bureau definition. Demographic data, Pediatric Index of Mortality (PIM-2), and hospital mortality were recorded. Resource utilization was assessed by the use of health care services, the cumulative Therapeutic Intervention Severity Score, and hospital charges.
I n t h e Picture This: Smart Cell Phone Camera Networkspleasure16
This document provides a summary of Maine's first annual report on cell phone recycling efforts in the state as required by Maine law. It finds that in 2008, approximately 54,400 cell phones were recycled in Maine, up from an estimated 1% recycling rate in 2003. This establishes a baseline for measuring the effectiveness of collection efforts going forward. Over 900 cell phone collection sites now exist statewide ensuring convenience for residents. Compliance among retailers was around 73% and most major carriers have developed recycling programs, though some small carriers require further follow up. Continued education efforts are needed to increase consumer awareness and motivation to recycle old phones.
C O N T RO L L I N G E L E C T RO N I C S V I A S M Spleasure16
1) Fort Bragg FCU is collecting school supplies from April 1 to June 30 to send to troops in Afghanistan to help build trust with local communities. Needed supplies include notebooks, pens, pencils, pencil sharpeners, small toys, and healthy treats in ziplock bags.
2) Donations can be dropped off at any FBFCU branch location. Cash donations are also accepted.
3) Interest rates are low, so now is a good time for members to purchase a home and take advantage of a new government tax credit of up to $8,000 for qualified first-time homebuyers.
This document describes a system that allows electrical devices to be remotely controlled via text messaging. It works by using an INSTEON controller connected to a computer to communicate with INSTEON switches. Twitter is used as an SMS gateway so that a phone can send commands to Twitter which are then read by a script on the computer controlling the switches. The script checks Twitter for commands and sends the appropriate signals to the switches via the INSTEON controller.
Job-Hunt FREE 15-Minute Guide to Layoff Self-Defensepleasure16
This document summarizes the results of a survey conducted by the Wisconsin Department of Transportation (WDOT) on cell phone use and motor vehicle crashes from May to October 2002. The survey found that cell phone use by drivers was reported in 1.5% of crashes surveyed. It provides background on bills proposed in the Wisconsin legislature regarding cell phone use and limitations. The report is intended to help legislators and safety officials better understand the issue but notes the limited scope of the study.
AWARENESS OF PERFORMANCE DECREMENTS DUE TO DISTRACTION IN YOUNGER ...pleasure16
This document provides 6 steps to protect yourself if you are at risk of being laid off from your job.
The steps are: 1) Establish private contact channels like a personal email and phone number. 2) Increase external networking through alumni groups and professional organizations. 3) Update your resume privately and collect recommendations. 4) Expand your online presence by registering a domain name. 5) Leave your current job before layoffs start to avoid credibility issues. 6) Take the steps before an actual layoff to prepare without tipping off your employer.
This study examined how well calibrated younger and older drivers were to performance decrements caused by distraction from cell phone use. Forty drivers completed driving tasks on a closed test track while performing a mental math task on a handheld or hands-free phone. Drivers' estimates of performance changes due to distraction were compared to actual changes measured across multiple driving performance measures. The results showed that drivers generally were not well calibrated to the magnitude of distraction effects, with some estimates even showing performance changes in the opposite direction of reality. Younger male drivers in particular tended to underestimate distraction impacts. The findings suggest that lack of awareness of distraction effects could influence drivers' decisions to engage in distracting activities.
Address Book IntegrAtIon wIth Jd edwArds enterprIseone And Jd ...pleasure16
The document provides instructions for installing, configuring, and using Guardian mobile security software. It allows users to enable invisible SMS notifications if an unauthorized SIM is inserted, protect access to apps and data with a password, and purchase upgraded editions for additional features like remote tracking and wiping of a lost phone. Configuration involves setting the notification recipient, secret code, and selecting which apps to password protect. The software comes in Free, Gold, and Platinum editions that can be upgraded by purchasing a registration code.
Cell Phone–Based System Could Improve HIV/AIDS Drug Trackingpleasure16
Address book integration with JD Edwards and other systems can seem simple but is actually quite complex due to various data formats, proliferation of contact information types, and inconsistencies. Magic Software's iBolt is a code-free integration tool that can model the necessary business rules and processes through visual design to facilitate real-time or batch address book integration and information sharing between systems.
2008 DEER HUNTING INFORMATION AND ON-LINE/TOLL FREE TELEPHONE ...pleasure16
1) Researchers at NYU are developing a cell phone-based system called SmartTrack to improve HIV/AIDS drug distribution and patient treatment in Africa.
2) SmartTrack will use cell phone technology to more easily track drug shipments and monitor patient medication adherence and health outcomes.
3) The system aims to address key issues with drug supply chains in Africa like theft and counterfeiting, and help ensure patients follow drug regimens correctly.
This document provides information on deer hunting regulations in Illinois for 2008, including seasons, licenses required, legal firearms, tagging and reporting requirements, and other rules. Key details include:
- Deer hunting seasons include archery, youth firearm, two firearm seasons, muzzleloader, and late-winter antlerless.
- Hunters must report deer harvested within 10 hours via the online or phone check-in system and attach the confirmation number to the tag.
- Legal firearms are shotguns, muzzleloaders, and handguns .30 caliber or larger. Only expanding bullets may be used.
- Hunters must have the proper licenses, permits, and FOID card and follow regulations on tagging, transporting,
The document provides information about recognizing and reporting telephone fraud. It advises consumers to be wary of telemarketing calls and asks questions to determine if a call is legitimate or a scam. Consumers can report fraudulent calls to the FTC and state attorneys general to help law enforcement investigate scams and stop telemarketers. The national Do Not Call registry allows consumers to limit unwanted telemarketing calls by registering their phone numbers.
phone records could track rapist, expert sayspleasure16
Pre-paid phone cards allow users to pay for calling time in advance. However, some cards do not deliver the advertised number of minutes due to hidden fees or charges. Consumers should carefully check rates, expiration dates, and terms and conditions for any additional charges to ensure they get full value for the card. The FTC advises consumers to report any issues with non-working cards.
Bus left you waiting in the cold? Use your cell phone to track it downpleasure16
This article summarizes an expert's opinion that cell phone records could help identify the Northwest Serial Rapist in Columbus, Ohio. The expert, Ben Levitan, believes that by analyzing the cell phone towers that picked up signals from the victims' phones during each attack, police could generate a list of phone numbers near each crime scene and likely identify one phone number common to all the lists, pointing to the rapist. The Columbus police are skeptical but say they will consider any potential leads. They continue to encourage women to take safety precautions.
The Talk-N-Trace is a point-to-point communication and tracing set that allows up to 4 units to communicate hands-free over wired connections. It has a built-in ringer, volume control, and low battery indicator. To use it, the user connects one Talk-N-Trace to each end of the wire pair and presses the on button to power it on and allow conversation or signal the other end by holding the button to ring the other unit.
This report summarizes a comparative accident study between years when a limousine company did and did not allow cell phone use. Survey results from drivers found most believed cell phone use increased distraction and accidents. Accident rates in categories like rear-end collisions and sideswipes decreased from 1998 to 1999 after the company introduced cell phones. However, the decreases were smaller than projections from studies finding 34-400% higher accident risks with cell phone use. The report examines literature on impacts of cell phone use on driving and identifies best practices to reduce risks.
PRLog.Org - Free Web Service Lets You Locate, Track, Sync, Protect ...pleasure16
This free audio tour provides an overview and descriptions of modern outdoor sculptures located at the Getty Center. It includes commentary from sculptors and curators about 27 sculptures by artists such as Henry Moore, Isamu Noguchi, Joan Miró, and others. Visitors can dial a phone number and enter stop codes to listen to details about individual sculptures or get an overall description of the Sculpture Garden.
TechStone Soft announces the release of MobiWee, a cloud-based service that allows users to remotely access, backup, sync and secure their mobile devices. MobiWee offers features like contact and file management, SMS messaging from a computer, email setup, call forwarding, locating lost devices, and locking or wiping devices from a web browser on any computer. The service works across different phones, operating systems, and computers using 3G or WiFi connections. TechStone Soft created MobiWee to give users control over their information by storing it in the cloud rather than on the device manufacturer's servers.
Report telemarketers and annoying callers. Trace any phone number.pleasure16
This document provides a guide to cell phone usage and service plans in New York City. It begins by discussing factors to consider when choosing a provider such as reception quality, which can vary significantly depending on location. It then offers tips on optimizing contracts, including negotiating deals when renewing, and choosing contract types such as individual plans, family plans, or prepaid options. The guide also covers topics like minimum contract lengths, early termination fees, phone replacement options, and laws regarding cell phone use in NYC. Overall, the document aims to help New Yorkers better understand their cell phone service options and get the most value from their plans.
The document describes techniques for conducting metabolizable energy assays in ducks, including feeding and excreta collection methods. Surgical attachment of a plastic retainer ring to the vent allowed excreta to be collected in plastic bags attached to the ring over 102 hours. Test ingredients were administered by orogastric tube in two doses. Excreta was collected by replacing bags at regular intervals. The techniques allowed accurate determination of apparent and true metabolizable energy values for various feed ingredients in ducks.
Understanding of Self - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Covey says most people look for quick fixes. They see a big success and want to know how he did it, believing (and hoping) they can do the same following a quick bullet list.
But real change, the author says, comes not from the outside in, but from the inside out. And the most fundamental way of changing yourself is through a paradigm shift.
That paradigm shift is a new way of looking at the world. The 7 Habits of Highly Effective People presents an approach to effectiveness based on character and principles.
The first three habits indeed deal with yourself because it all starts with you. The first three habits move you from dependence from the world to the independence of making your own world.
Habits 4, 5 and 6 are about people and relationships. The will move you from independence to interdependence. Such, cooperating to achieve more than you could have by yourself.
The last habit, habit number 7, focuses on continuous growth and improvement.
Aggression - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
ProSocial Behaviour - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
ProSocial Behaviour - Applied Social Psychology - Psychology SuperNotes
CONTRACTS & GRANTS
1. GrantWatch
Grants
A separate CHCS grant enables the HCRTP
Children’s Health Care
to increase the child welfare capacity in its
Allies Against Asthma Program. The site visits to determine the impact of managed
Robert Wood Johnson Foundation (RWJF) behavioral health plans on children and fami-
has chosen eight community coalitions to re- lies and to ensure that findings from its sur-
ceive planning grants under this $12.5 million veys are coordinated with the CWLA surveys.
national program, the goal of which is “to help A federally funded George Washington Uni-
combat the rising tide of asthma among chil- versity managed care contracting study is be-
dren,” said a press release. The broad-based ing expanded under another CHCS grant to
coalitions—in locales such as Long Beach, include site visits to assess how child welfare
California; Washington, D.C.; and San Juan, at-risk contracts are linked to Medicaid man-
Puerto Rico—will use the grants to develop aged care contracts. The three projects will
models that improve access to and quality of jointly publish reports “that link findings in
clinical care for kids with pediatric asthma, child welfare to those in behavioral health
reduce symptoms, and “foster patient and care.” The CWLA noted, “For the first time,
community education.” The key to the initia- policymakers, administrators, advocates, and
tive “is to tackle” this chronic condition other stakeholders will be able to find, in one
“through coalitions that integrate clinical, en- source, comprehensive data on managed care
vironmental, and community-derived ap- efforts across public sector systems responsi-
proaches,” Noreen Clark, director of the pro- ble for serving children and families.”
gram, noted in the release. The aims of the $98,796 over five years. Funded by the CHCS under 279
program, administered by the University of the Annie E. Casey Foundation’s Children in Managed
Michigan School of Public Health, include re- Care Initiative.
ducing “hospital admissions, emergency room University of California, San Francisco, In-
visits, and number of missed school days by stitute for Health Policy Studies, San Fran-
children with asthma,” the release said. cisco, CA. This grant supports three studies
$1,191,609 over one year. Funded by the Robert Wood that aim “to identify the major health care fi-
Johnson Foundation. nancing and delivery problems affecting ado-
Child Welfare League of America (CWLA), lescents and the health care providers who
Washington, DC. This grant partially funds serve them,” according to grantee materials.
two national surveys of child welfare adminis- Paul Newacheck, a principal in the San Fran-
trators. Through these surveys researchers cisco office of the Maternal and Child Health
will determine “how managed care initiatives Policy Research Center, will direct a national
affect the financing, management, and deliv- health insurance study to assess teens’ cur-
ery of physical and mental health care services rent insurance status and coverage trends for
to children and families served by the child them. Among areas receiving attention is
welfare system,” said a Center for Health Care “whether recent expansions in Medicaid and
Strategies (CHCS) press release. The CWLA S-CHIP [the State Children’s Health Insur-
will fully coordinate this survey work with ance Program] have resulted in” fewer unin-
that of the Health Care Reform Tracking Proj- sured adolescents. Margaret McManus and
ect (HCRTP)—a partnership of Georgetown Harriette Fox, principals in the center’s two
University, the University of South Florida, Washington, D.C., offices, will direct a study
and the Human Service Collaborative— of the “benefit policies and cost-sharing re-
which receives major funding from the federal quirements” in the biggest health mainte-
government, the grantee said. The HCRTP nance organizations and preferred provider
tracks behavioral health care under Medicaid. organizations in each state regarding services
HEALTH AFFAIRS ~ May/June 2001
2. GrantWatch
that teens need. McManus and Fox will also illness by providing an early warning system
direct a study assessing the views of providers to alert public health professionals and com-
in four urban communities about “their ability munities about clusters and trends in dis-
to deliver needed services” for teens and about ease,” according to Pew Charitable Trusts ma-
specific access barriers for this population. terials. This start-up funding goes to a new
Newacheck told Health Affairs that “the project environmental health advocacy group, TFAH,
as a whole will collect and synthesize infor- headed by Shelley Hearne. It “will lead the
mation on the financing of health care for ado- effort” to advocate for such a disease-tracking
lescents [by] using a unique combination of na- network, which was recommended by the
tional, state, and community-level data sources.” Pew Environmental Health Commission. (See
Health Affairs “GrantWatch,” Mar/Apr 2001,
$564,369 over three years. Funded by the William T.
pages 296–297.) The grantee’s broader mis-
Grant Foundation.
sion “is to champion federal policies to
strengthen the public health system and pre-
Environmental Health vent disease,” Pew said. Activities funded un-
der these grants include “policymaker educa-
Ambulatory Pediatric Association,
tion; rigorous, nonpartisan research and
McLean, VA. Although “toxic chemicals in
analysis; and effective outreach” to key audi-
the environment are strongly suspected of
ences. The Joyce Foundation said that its
contributing to serious new disease patterns
grant is targeted for “a series of report cards
in children, including asthma…few practicing
on midwestern states’ systems for tracking
pediatricians have any training in recognizing
health data that may have connections or
environmental factors in disease,” according
causative links to environmental exposure.”
to the New York Community Trust’s Febru-
280 TFAH “believes that better information can
ary 2001 newsletter. This funding supports a
identify disease clusters that warrant further
new three-year fellowship program in envi-
research, help public officials catch prob-
ronmental pediatrics at Children’s National
lems…early, and allay groundless health
Medical Center/George Washington Univer-
scares,” the foundation added.
sity School of Medicine, Children’s Hospital
$5 million over two years. Funded by the Benjamin
( Boston)/Harvard Medical School, and
Spencer Fund, an independent foundation established
Mount Sinai School of Medicine. The national
in 1993.
program will train three fellows in its first
$2,500,000 over two years. Funded by the Pew Chari-
“class” in areas including epidemiology,
table Trusts.
biostatistics, ethics, and policy analysis. After
$250,000 over two years. Funded by the Joyce Founda-
the first three years, the grantee will apply “to
tion.
the American Board of Pediatrics to have the
$150,000 over two years. Funded by the Rockefeller
fellowship approved for board certification in
Family Fund, located in New York City.
the new subspecialty of environmental pedi-
$100,000 over two years. Funded by the Bauman
atrics.” The William T. Grant Foundation and
Foundation, located in Washington, D.C.
the U.S. Environmental Protection Agency
$100,000 over two years. Funded by the Tortuga
provided start-up funding for the program.
Foundation, an independent foundation established in
$500,000 over three years. Funded by the Educational
1979.
Foundation of America, which is located in Westport,
$10,000 over one year. Funded by the Jenifer Altman
Connecticut.
Foundation.
$150,000 over one year. Funded by the New York
Community Trust.
Outcomes And Quality
Trust for America’s Health (TFAH), Balti-
more, MD. “Nationwide disease tracking National Committee for Quality Assurance
(NCQA), Washington, DC. With two other
would help spur efforts to prevent [chronic]
HEALTH AFFAIRS ~ Volume 20, Number 3
3. GrantWatch
Commonwealth Fund grants, the NCQA “de- care provided by in dividual physician
veloped the first national database” on the groups.” The CHCF hopes that “energy and
quality of Medicaid managed care plans, the resources freed up…can be refocused on im-
fund noted. However, “partly because of dif- proving quality of care,” the foundation’s Ann
ferences in Medicaid programs, states have Monroe commented in the release. She told
had uneven success in collecting performance Health Affairs that “all of the parties involved,
data” from such plans. This project aims to including the regulators, are contributing
determine and address problems that states time and effort to the improvement teams.”
have encountered when using the Health Plan $499,000 over one year. Funded by the California
Employer Data and Information Set (HEDIS) HealthCare Foundation.
to measure plans’ performance. Project com- Princeton Survey Research Associates
ponents are a survey of state Medicaid pro- (PSRA), Princeton, NJ. This contract funds a
gram managers; analysis of survey results and survey on quality of health care for minority
formulation of recommendations for the and low-income patients. As disparities in
NCQA’s broad-based Committee on Perform- quality of care within the U.S. population are
ance Measurement; and documentation of becoming an important issue, the Common-
barriers to measuring Medicaid managed care wealth Fund said that it wants to find out
plan quality that are unrelated to HEDIS, such more about them and what kind of care the
as “constant changes in the eligibility status of underserved are receiving. Building on a 1994
beneficiaries.” Fund materials also noted the Commonwealth survey, PSRA is now “prob-
potential value of this project: “With more ing more extensively” into issues from the pa-
accurate and complete information,” state tient’s viewpoint, such as patients’ prefer-
Medicaid officials will be better situated to ences—a large sample is being polled in six 281
“compare plans’ performance against external languages. Survey findings on “the causes and
standards and hold plans accountable for the human costs of disparities in care” will be re-
quality of care they provide.” leased in fall 2001. Findings should be valu-
Up to $69,955 over eleven months. Funded by the able to providers, researchers, policymakers,
Commonwealth Fund. and advocacy groups. The PSRA Web site
notes, “We maintain independence on all is-
National Committee for Quality Assur-
sues of public debate.”
ance. This grant funds a partnership of the
Up to $362,585 over ten months. Funded by the Com-
NCQA, the California HealthCare Founda-
monwealth Fund.
tion (CHCF), and the Pacific Business Group
on Health that aims to “streamline” oversight
of physician groups in California, according to
a February 2001 NCQA press release. The
state has “multiple oversight requirements for
managed care organizations…and their con-
tracted physician groups.” The project’s goal
is “to reduce the physician groups’ cost of
oversight.” Using teams that include repre-
sentatives of managed care and provider
groups, the California Departments of Man-
aged Care and Health Services, and Region 9
of the Health Care Financing Administration,
the project aims “to reduce redundant over-
sight and create the opportunity to institute
efficient evaluation processes that will pro-
vide consistent information on the quality of
HEALTH AFFAIRS ~ May/June 2001
4. GrantWatch
Grant Outcomes
cal condition.” Poor nutrition “is likely to be a
Outcomes Of Grants
major contributor” to such conditions, the re-
port adds. Thirty-two percent of males in the
“The ABCs of Medicare: Prepare Yourself
study sample stated that “they had never been
for the Debate,” a briefing sponsored by the
to a doctor or clinic in their lives.” The task
Alliance for Health Reform and the Henry J.
force plans to release its final report, contain-
Kaiser Family Foundation (KFF), was held
ing its recommendations, in spring 2001. In
for congressional staffers and others 12 Febru-
response to the recommendations, the en-
ary 2001 on Capitol Hill. Diane Rowland and
dowment announced on 22 March 2001 that it
Trish Neuman of the foundation and Kathy
pledged $50 million over five years to help to
Buto of the Congressional Budget Office
improve California farm workers’ health.
spoke. Rowland gave a short “beginner’s
The panel’s final report will be on the endowment’s
course” on program basics, followed by
Web site, <www.calendow.org>. Click “Publications
Neuman’s discussion of gaps in Medicare;
and Reports.” The Suffering in Silence report is avail-
Medicare+Choice; prescription drug cover-
able there or by calling 800-449-4149, ext. 3271.
age; and challenges ahead, including improv-
ing benefits, paying providers fairly, and pro-
“When the Smoke Clears: Tobacco Control
tecting the poor. Buto discussed some of the and Prevention” was among the informative
more complex aspects of Medicare. A partici-
sessions at Grantmakers In Health’s (GIH’s)
pant asked whether a Medicare prescription
Washington Briefing, held in November 2000.
drug benefit would ruin the Medigap market.
Donna Grande of the RWJF’s Smokeless
Neuman responded that the market would
282 States: National Tobacco Policy Initiative,
change, but Medigap plans could still help en-
which is administered by the American Medi-
rollees with cost sharing.
cal Association, chaired this session. She
For more information, call the alliance at 202-466-
noted that the RWJF had recently expanded
5626. For a February 2001 KFF revised fact sheet,
the program by $52 million and that it was “a
“Medicare at a Glance,” go to the KFF’s Web site,
new program for the most part.” It hopes to
<www.kff.org>, or call 800-656-4533 and request
achieve three main outcomes: increased state
Item no. 1066b.
tobacco excise taxes; “clean indoor-air poli-
Responding to the “alarming findings of a cies, specifically [in] restaurants and other
recent benchmark study,” Suffering in Silence: public places”; and reimbursement for smok-
ing-cessation programs. Applicants for
A Report on the Health of California’s Agricultural
Workers, the California Endowment “assem- Smokeless States, which was reauthorized for
bled a blue ribbon task force…to find mean- three years, “must be able to mobilize a broad-
ingful and long-term solutions to the health based statewide coalition, foster public
crisis” described, a press release said. Endow- awareness of the [tobacco-control] issue, and
ment president Robert Ross said in the re- advocate tobacco-control policies within
lease that the foundation hopes that recom- their state,” according to a recent issue of the
mendations of the panel, chaired by former RWJF’s newsletter.
Rep. Esteban Torres, “will be instrumental in Ron Dendas of the Dorothy Rider Pool
shaping future policy and programs in Cali- Health Care Trust reported on the Coalition
fornia.” Prepared by the California Institute for a Smoke-Free Valley, which Pool (and oth-
for Rural Studies and funded by the endow- ers) have funded over the years. He said that
ment, the November 2000 report says that among other things, the coalition successfully
“the risks for chronic disease…are startlingly increased the number of smoke-free busi-
high” for farm workers—mostly “young men nesses and public sites and has “helped imple-
who would normally be in the peak of physi- ment tobacco sting operations” in Pennsylva-
HEALTH AFFAIRS ~ Volume 20, Number 3
5. GrantWatch
Genetic Testing and Screening in the Age
nia’s Lehigh Valley. “I think they’ve played a
of Genomic Medicine, released in February
role in reducing the number of cigarettes used
by smokers” by making it harder to smoke, 2001, was supported in part by the National
“but they really haven’t had the impact on get- Human Genome Research Institute and the
ting people to stop” smoking, he admitted. Greenwall Foundation. This timely report
Dendas later discussed roles grantmakers can from the New York State Task Force on Life
play in forming a coalition. The American Leg- and the Law, chaired by Antonia Novello, is
acy Foundation’s Lyndon Haviland, a physi- intended “as a guide to policy makers in New
cian, discussed its advertisements that use York State and elsewhere who are grappling
public health messages. She added that Leg- with the difficult issues associated with pre-
acy is evaluating its activities “extensively” dictive genetic testing” in the clinical context.
and that it has a large amount of data. Focused on such testing (which includes “re-
productive testing and late-onset testing of
For more information about the session, call GIH,
healthy adults to determine future disease
202-452-8331. For information on Smokeless States,
risks”), the report also discusses informed
call 312-464-4903. Call Ron Dendas at 610-770-9346
consent, confidentiality, insurance and em-
about the Coalition for a Smoke-Free Valley.
ployment issues, genetics counselors, and is-
Publications sues surrounding using genetic tests as popu-
lation-based screening. The panel, having
Falling through the Cracks: Health Insur- examined ethical, legal, and social issues,
ance Coverage of Low-Income Women, a makes numerous recommendations to en-
February 2001 report funded by the KFF, was courage safe and effective testing. (It con-
prepared by Roberta Wyn and colleagues. cludes, for example, that “it is generally inap-
283
They look at the current state of coverage for propriate for federal or state governments to
poor women and at changes in their coverage mandate population genetic screening.”) Dur-
from 1994 to 1998. For example, they examine ing the three-year project that culminated in
certain subgroups of such women who are at the report, two themes emerged: (1) “the enor-
especially “high risk for being uninsured and mous potential that predictive genetic testing
have been disproportionately hard hit by pol- poses for health care and the need to promote”
icy changes” in that time period; these include its use “in both research and clinical care”; and
low-income single mothers, who had “the (2) despite the “potential promise” of such
largest drop in Medicaid coverage…as the wel- testing, the existence of “potentially dangerous
fare reform policies took hold.” The authors misunderstandings and misperceptions within
caution that “unless they are disabled, non- the general public about the role of genes.”
elderly adults without children generally do For information on ordering the 411-page report with
not qualify for Medicaid, no matter how a base price of $6.75 a copy, go to <www.hes.org> and
poor.” The effects of race and ethnicity and click “Medical Ethics,” or call 518-439-7286.
work status are also discussed. The authors
The Origins and Implementation of Badger
propound the view that public and private
Care: Wisconsin’s Experience with the
efforts are needed to improve the plight of
State Children’s Health Insurance Pro-
low-income women. “Providing incentives
gram (SCHIP) was issued by the Milbank
and opportunities” for them to join the work-
force offers them “the promise of financial inde- Memorial Fund in February 2001. Author
pendence—but the protection of health cover- Coimbra Sirica recounts the history of this
age is needed” for these new opportunities to successful program “that since 1999 has pro-
have the desired effect. vided health insurance to working parents
with low incomes and their children,” the
The report (Pub. no. 1611) is available on the KFF’s
Web site, <www. kff.org/content/2001/1611>, or by foreword by Dan Fox and Samuel Milbank
explains. Wisconsin, under then Governor
calling its publication request line, 800-656-4533.
HEALTH AFFAIRS ~ May/June 2001
6. GrantWatch
Tommy Thompson, “had enrolled almost 95 states (five did not participate), the District of
percent of all uninsured children in families Columbia, and Puerto Rico, the report notes
with incomes up to 200 percent of the federal that “states spend more on the problem of
poverty level” as of November 2000, as other substance abuse than they do on Medicaid.” It
states were struggling to enroll kids in also points out that alcohol is “linked to the
SCHIP. In a nutshell, BadgerCare’s premise is largest percentage of state substance abuse
that “covered adults have an incentive to en- costs.” Among the report’s recommendations
roll their eligible children in an insurance pro- are that states target treatment and preven-
gram.” Kids are covered under SCHIP, and at tion “to selected populations that hold prom-
the time the report was written their parents ise for high return” and expand the “use of
were covered by Medicaid under a waiver. state powers of legislation, regulation and
(However, in January 2001 the U.S. Depart- taxation” to reduce substance abuse’s im-
ment of Health and Human Services approved pact—for example, by requiring persons who
a landmark SCHIP waiver for Wisconsin, al- are in state-funded programs to get treatment.
The report is available on CASA’s Web site, <www.
lowing it to now use SCHIP funds to cover
parents with incomes above 100 percent and casacolumbia.org>, or by sending a check for $15 to
below 185 percent of the federal poverty level CASA, Nineteenth Floor, 633 Third Avenue, New
with continuing coverage up to 200 percent of York, NY 10017-6706.
poverty.) Among the report’s important
The Commonwealth Fund’s Task Force on
points are that BadgerCare has a comprehen-
the Future of Health Insurance recently is-
sive benefit package and uses creative out-
sued two reports. The January 2001 Challenges
reach efforts. However, the program has been
and Options for Increasing the Number of Americans
“more expensive than originally projected,”
284 with Health Insurance, by Sherry Glied, discusses
Sirica explains in this succinct overview.
issues surrounding “incremental insurance
The report is available from Milbank either on its Web
expansions.” Glied later provides an overview
site, <www.milbank.org>, or by calling 212-355-8400.
of various policy options using incremental
Shoveling Up: The Impact of Substance expansions for helping “the working unin-
Abuse on State Budgets was released by the sured, whose family incomes often fall above
National Center on Addiction and Substance 100 percent of the federal poverty line.” The
Abuse at Columbia University (CASA) in options draw on ten task force–commissioned
January 2001. Funded by the Starr Founda- papers, which were written by insurance pol-
tion, RWJF, Carnegie Corporation of New icy experts and extend other researchers’
York, and the Abercrombie Foundation, as work, on topics such as the pre-Medicare
well as Primerica Financial Services and the population, an extended Federal Employees
National Institutes on Drug Abuse and on Al- Health Benefits Program, and various kinds of
cohol Abuse and Alcoholism, the report, using tax credits.
conservative assumptions, found that states Expanding Employment-Based Health Coverage:
spent $81.3 billion “to deal with substance Lessons from Six State and Local Programs, a Feb-
abuse” and addiction in 1998, but only 3.7 per- ruary 2001 report by Sharon Silow-Carroll
cent of that amount was used for prevention and colleagues, profiles two community-
and treatment. CASA chairman and president based and four state-administered programs
Joe Califano commented in the introduction, set up to provide coverage to the working un-
“The choice for governors and state legislators insured. The authors include a helpful sum-
is this: either continue to tax their constitu- mary table. Most of the programs discussed
ents for funds to shovel up the wreckage of focus on small employers and their workers.
alcohol, drug and nicotine abuse and addic- Challenges for policymakers and those plan-
tion or recast their priorities” to focus on pre- ning programs include “spreading risk and ad-
vention and treatment. Based on a survey of dressing adverse selection” so as “to prevent
HEALTH AFFAIRS ~ Volume 20, Number 3
7. GrantWatch
the programs from spiraling into a high-risk outcomes are abstract and hard to communi-
pool and to retain private health plan partici- cate; assistance from the media is needed. He
pation” and having “a stable and sufficient also mentioned that some system is needed to
funding source.” safeguard patient data. Kanter stated that the
foundation would allocate $1 million in addi-
Both reports (Glied: Pub. no. 415, Silow-Carroll: Pub.
no. 445) are available on the fund’s Web site, <www. tional funds for developing a database proto-
type and for communications efforts targeted
cmwf.org>, or by calling toll-free 888-777-2744.
at physicians, disease groups, and policy-
makers. Craig Turk, former chief counsel of
Announcements Sen. John McCain’s campaign for president, is
the foundation’s executive director.
The California Wellness Foundation will
For more information, visit HELP’s Web site, <www.
soon add the following funding priority areas:
healthlegacy.org>, or call 202-638-5687.
environmental health, diversity in the health
professions, women’s health, healthy aging, and The Robert Wood Johnson Foundation and
mental health. Teen pregnancy prevention, vio- Johns Hopkins University ( JHU) launched
lence prevention, and work and health will re- Partnership for Solutions: Better Lives for
main priority areas. The work and health pro- People with Chronic Conditions on 26 Febru-
gram, however, will make changes to its grant ary 2001. The initiative’s intent is “to raise
making, a spokesperson told Health Affairs. Each awareness of the challenges faced by children
area includes five “themes,” including unders- and adults with chronic conditions and help
erved populations and policy, the foundation’s policymakers identify possible solutions,” ac-
Winter 2000–2001 newsletter reports. New cording to a press release. The initiative “does
“grant application guidelines are expected to be not endorse a specific approach to improving 285
released in spring 2001.” the delivery and financing of care for people
For details, visit the foundation’s Web site, <www. with chronic health conditions, [but] it is
tcwf.org>, or call 818-593-6600. committed to fostering a national discussion
about a wide array of private and public solu-
The Kanter Family Foundation and the U.S.
tions,” Lew Sandy of the RWJF said in the
Agency for Healthcare Research and Quality
release. Also that day results of a Harris Inter-
(AHRQ) are “jointly pursuing the feasibility
active poll of adults were released. The survey,
of a national outcomes database that doctors
conducted during March–November 2000,
and patients can use to determine which
found that 94 percent of respondents “favor
treatments work best for specific diseases and
adding a prescription drug benefit” to Medi-
conditions,” according to the Web site of their
care, and 92 percent favor each of these poten-
public/private project called the Health Leg-
tial solutions: “government-funded long-term
acy Partnership (HELP). Other goals of HELP
care insuran ce” and “a tax break for
include providing people with information
caregivers.” A consortium of partners joins the
based on science—evidence-based medicine
RWJF and JHU in this initiative, directed by
and outcomes research—and encouraging
Jerry Anderson of JHU.
standardization of outcomes data “through-
For details, visit the initiative’s Web site, <www.
out the healthcare system.” HELP held its first
partnershipforsolutions.org>.
conference in October 2000 in Washington,
D.C. Businessman, philanthropist, and cancer
survivor Joe Kanter and physician John
Key Personnel Change
Eisenberg, AHRQ director, both spoke to a
crowd of more than 200 persons. Kanter told
them that HELP was not seeking money—the Gary Yates, president and chief executive offi-
cer of the California Wellness Foundation,
project just needed help educating the public
about these issues. Eisenberg commented that is GIH’s new chairman of the board.
HEALTH AFFAIRS ~ May/June 2001