Health Care Reform To Detect Alzheimer's

According to the Society of Actuaries, the leading cause of U.S. long-term care claims is Alzheimer's, the brain disease that renders over 5 million Americans unable to handle all the acts of daily living unaided.

President Obama states in an article he wrote "What Health Care Reform Means for the Alzheimer's Community" -- that the recent health reform legislation, the Affordable Care Act, will assist Alzheimer's sufferers and their caretakers in several ways:

-- Require new health insurance plans to cover preventive services;

-- Reduce out-of-pocket prescription drug costs for Medicare beneficiaries;

-- Make Alzheimer's-related training available for long-term care employees; and

-- Offer a new long-term care insurance public option -- the CLASS Act.

 

Part of the Health Care Reform that becomes effective is the annual wellness visit for Medicare beneficiaries beginning January 2011. The care is part of the comprehensive health care reform legislation known as the Patient Protection and Affordable Care Act

 

New reforms under the Affordable Care Act  begin to bring to an end some of the worst abuses of the insurance industry. These reforms will give Americans new rights and benefits, including helping more children get health coverage, ending lifetime and most annual limits on care, and giving patients access to recommended preventive services  without cost-sharing. These reforms will apply to all new health plans, and to many existing health plans as they are renewed. Many other new benefits of the law have already taken effect, including rebate checks for seniors in the Medicare  donut hole and tax credits for small businesses. And more rights, protections and benefits for Americans are on the way now through 2014.

 

As the leading research, advocacy, and support organization for Alzheimer's disease, the Alzheimer's Association®  has been actively involved in efforts to increase early detection of Alzheimer's and other dementias. To provide better medical care and outcomes for individuals with Alzheimer's and other dementias, possible dementia must first be detected, followed by diagnosis and notation in a patient's medical record. To provide this foundation for better care to Medicare beneficiaries, the Alzheimer's Association® is pleased that cognitive impairment has been included in the Annual Wellness Visit for older Americans.

 

As baby-boomers move into the after-65 age group, they will benefit from the health care modifications and reforms. The Alzheimer's Association® has established the Medicare Cognitive Impairment Workgroup comprised of stakeholders and national thought leaders with expertise in the detection of cognitive impairment. The group will come together in January to build consensus around appropriate methods and processes that can be used in the primary care setting to detect possible cognitive impairment during the Medicare Annual Wellness Visit.

Medical Errors in Hospitals Worse Than Previously Estimated

Medical Malpractice - Consumer Reports

The Office of the Inspector General, Consumers Union, the nonprofit publisher of Consumer Reports, published results of a study that looked at the number of injuries to patients while in hospital care.  The findings are disturbing.

A hospital is where people go when they need care.  They certainly do not expect to get worse while they are there.  And the other disturbing news is that most hospital errors are never reported.  One sure way to hear about them is when lawyers, fighting for consumers, file lawsuits against hospitals for negligence that causes injury to patients.

This sounds, as conservatives would say, "anti-american."  Suing hosptials is, afterall, what drives up insurance rates for the rest of us.  Not true!  The cost of health care is what drives up insurance rates.  Get your facts straight. 

Profit for medical providers, including hospitals, is what drives rates up.  But I digress...

Number of Patients Injured in Hospitals

The OIG calculated that Medicare patients harmed during that month required an additional $324 million in hospital care. The study estimated the annual cost for these events in hospital care alone at $4.4 billion.

According to the OIG, an estimated 15,000 Medicare patients experienced medical errors in the hospital that contributed to their deaths each month. That amounts to about 180,000 patients annually.

No Reporting Requirements

And amazingly, 25 states and the District of Columbia collect data from hospitals on the incidence of certain medical errors. But only six states have disclosed hospital-specific medical error information to the public. Even worse, half of all states do not have any medical error reporting requirements in place.

Electronic Health Records

And lets all watch how Electronic Health Records contribute to medical malpractice.  Designed to make information more accessible, are the users, doctors and nurses, competent in their usage?  Health information technology (health IT) makes it possible for health care providers to better manage patient care through secure use and sharing of health information.

Health care providers, policymakers, patients, and payers share the vision of a health care system powered by information technology. The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 authorizes grants and incentives totaling an estimated $14 billion to $27 billion to promote “meaningful use” of electronic health records (EHRs) by providers.1,2 In the excitement over health information technology, some of the potential risks associated with it have received less attention, such as the possible effects of this technology on medical malpractice liability. Yet even now, the potential for EHRs to ameliorate some sources of stress related to liability while reinforcing others is apparent.

So think about that next time life puts you or a loved one in the hospital.

 

 

Dementia Made Worse by Smoking & Fish Oil Not Helping

Las Vegas Human Brain Injury Blog

We normally attribute smoking to lung cancer. A Recent Study now links smoking to later life dementia. My mother smoked more than a pack a day and finally succumbed to the disease. Her cancer originated in the lungs and metastasized to her brain. The 6 month ordeal was absolutely heartbreaking. And she quit smoking after getting the diagnosis which was obviously too late. She was my personal longitudinal study subject of the consequences of smoking. And she thought she was so clever with her moth balls to hide the odor and pretend she was not smoking. And I remember during the year prior to her diagnosis how her apartment, food she prepared, clothes she washed, and just about everything else smelled like moth balls. A far cry from theEast Coast Long Island Italian aromas of holiday cooking I cherished from my childhood.

Beginning January 1, 2011, the 79 million-member baby boom generation will begin - at a rate of 10,000 per day - reaching the age of 65. Growing older, while not the cause of Alzheimer's, is the single most significant factor in gauging a person's risk of the disease. The Alzheimer's Association estimates that the number of Americans with this devastating disease will balloon from just over 5 million today to 7.7 million by the year 2030 and could reach nearly 16 million by the middle of the century.

And now we have increased risk of dementia due to smoking.

“We found a two-fold increase in risk [of dementia] among those who smoked two packs per day, a 44 percent increase in those who smoked one to two packs, and 37 percent increase in those smoking one-half a pack per day in mid-life,” Dr. Whitmer told Neurology Today. I wonder if my mother began having dementia that ended up being masked by the cancer. She was forgetting things more.

The study, published in the October 2010 issue of Archives of Internal Medicine, sought to discover whether smoking, a know risk factor for several life-threatening diseases, had long-term association with dementia. This link is previously controversial. The study compiled data over many years. The results revealed a 100% increase in dementia. This does not leave a lot of room to think heavy smokers are immune from related dementia.

So what can you do besides not start or quit smoking? Take more Fish Oil? Not so fast.

Fish oil is oil derived from the tissues of oily fish. Fish oils contain the omega-3 fatty acids eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA), precursors to eicosanoids that

are known to reduce inflammation throughout the body, Studies published in 2004 and 2009 have suggested that fish oil may reduce the risk of depression and suicide. One such study reported that patients who were given the omega-3 fatty acid docosahexaenoic acid fared no better cognitively or functionally than those who took a placebo over 18 months. and are thought to have many health benefits.

So now you know. To decrease the risk factor for dementiaDO NOT SMOKE. If you think you’re decreasing the risk factor by taking Fish Oil, you may not be. As for me, I continue to not smoke and continue taking Fish Oil.

Position Paper On Definition of Traumatic Brain Injury

The Archives of Physical Medicine Rehabilitation published its Position Statement: Definition of Traumatic Brain Injury in November 2010.  This new definition will hopefully serve advocates of those clients and patients who sustain traumatic brain injury.

This adds to the medical literature that supports the reality that brain injury need not involve loss of conciousness but rather an alteration of conciousness.  And, that mild brain injury can be due to variety of mechanisms. 

Of particular interest to me is the language "alteration in brain function" which leaves room for the brain injuries where a person is not knocked out.  How many times do we see opponents of traumatic brain injury relying on loss of concious as a necessary element.  The world famous case of Phineas Gage, and the railroad tie through his brain, did not involve loss of conciousness.

Imaging technology has improved our understanding and diagnostic clarification of the impact of mild traumatic brain injury.  We better understand the more subtle neurocognitive and neuroaffective deficits that may result from traumatic brain injury in general.

In April 2009, the United States Department of Veterans Affairs and Department of Defense issued a Clinical Practice Guideline for management of concussion/mild traumatic brain injury.  In civilian, military, and veteran populations, there is increased recognition of the interrelationship between traumatic brain injury (TBI) and some psychological health (PH) disorders and the need to better understand the relationships by integrating research for these topics.

Simply stated, the definition is"

TBI is defined as an alteration in brain function, or other evidence of brain pathology, caused by an external force.

BRAIN INJURY CONFERENCES AND EVENTS IN 2011

Brain Injury Conferences and Events in 2011

For those of us interested in upcoming truamatic brain injury conferences, I obtained this information.

  • Brain Injury Association of America

The Brain Injury Association of America launches its new web site at http://www.biausa.org/. Check out the latest information on developments and advancements in the brain injury field.

Visit the site today to find information on available support services, upcoming training and education opportunities, participate in new online forums and much more!

  • International Brain Injury Association

The International Brain Injury Association is pleased to announce that the Ninth World Congress on Brain Injury will be held March 21-25, 2012, in Edinburgh, Scotland.

  •  Interagency Conference on Traumatic Brain Injury (TBI)

The Third Interagency Conference on Traumatic Brain Injury (TBI) will be held on June 13-15, 2011, in Washington DC at the Washington Hilton.

The first Federal Interagency Conference was held in 1999, and the second in 2006. Attendance at these conferences far exceeded expectations of the planning committee and was way beyond the capacity of the hotel. Feedback from attendees indicated that the conferences were highly successful educational events for the attendees and many requested that the conference continue to be offered in the future. As a result of this enthusiasm, the continued focus of TBI in the media and the need for researchers, clinicians and policy makers to “get out” the “latest and greatest” advances in TBI research and clinical care, a third conference is to be sponsored by a consortium of Federal Agencies. For the first time, this consortium brings together civilian and military research efforts.

Click here for more Brain Injury related conferences and events.