Posts Tagged ‘care facilities’
Guest article by Gina Cook
Everyone knows that the senior population is growing fast. By 2051 one in four people in the population is likely to be a senior over the age of 65. Yes, this will put a strain on our healthcare system, but this has been known for years yet what has been done to prepare? Very little!
Working in a retirement home in Scarborough, Ontario, I see this every day. On a daily basis we get phone calls from social workers and families saying that they need immediate care for a senior. We spend a great deal of time educating families who are told that their loved one is ready for discharge from hospital and they don’t know where to turn. They end up at our home often with very little information and are distressed, confused and frankly without being given the information they need to make an informed decision. Read the rest of this entry »
The PCMH and Home Care Data: An Interview with Melissa McCormack is a byline article by Melody Wilding
The Patient-Centered Medical Home (PCMH) Model is a new approach which seeks to enhance care coordination and community-based care.
To learn more about how health care data fits into the PCMH model and how the new approach will helps seniors, we spoke with PCMH specialist Melissa McCormack of Software Advice, a source for medical systems reviews.
How does home care fit into the PCMH model?
The PCMH model is all about putting the patient at the center of care. Under traditional fee-for-service models, doctors have no incentive to follow their patient’s health outside of the office, because they receive no compensation for doing so. But the PCMH model rewards doctors for keeping their patients healthy, which incentivizes them to monitor their patients’ health not just in the office, but at home, too.
Instead of searching for a doctor, calling for an appointment, taking time off work, and then driving to the doctor’s office, just connect online with video.
Healthcare just got a whole lot easier for consumers, thanks to American Well and a new telehealth service that connects people to physicians through their iPad, iPhone or Android device as well as any web browser.
The company’s technology manages physician availability and allows consumers to either choose a specific doctor or simply connect to the next available one. They can also review doctors’ professional profiles and see how other patients rate them.
Doctors accessed via American Well are currently available for live video consults 24 x 7 x 365 in 44 states and the District of Columbia. The $49 cost of a 10-minute video call can be paid via credit card, debit card or health savings account, and at that rate it costs less than a typical office visit, which averages $68 and can reach up to $120 Read the rest of this entry »
Hospital Prices No Longer Secret As New Data Reveals Bewildering System, Staggering Cost Differences
When a patient arrives at Bayonne Hospital Center in New Jersey requiring treatment for the respiratory ailment known as COPD, or chronic obstructive pulmonary disease, she faces an official price tag of $99,690.
Less than 30 miles away in the Bronx, N.Y., the Lincoln Medical and Mental Health Center charges only $7,044 for the same treatment, according to a massive federal database of national health care costs made public on Wednesday. Read the rest of this entry »
By Arthur Delaney (original on Huffington Post)
ROANOKE, Va. — William McCormick remembers from his working-class upbringing in Covington, Va., that neighbors took care of neighbors.
“Both my parents worked in the mill,” he said. “For people in the neighborhood who were hungry we’d make up two or three bags of groceries, put $5 or $10 in it, set it on the porch, knock on the door and leave. We wouldn’t tell ‘em who did it.”
Now McCormick is 70 years old and living alone in a one-bedroom apartment in a six-story building. Only about 40 of the building’s 144 units are occupied. The parking lots are barren and the hallways are dingy with torn carpets. McCormick considers the building “spooky.”
Some Disturbing Stats:
- There are already 40M seniors 65+ today, with 10,000 more reaching age 65 every day.
- 40% of them are low-income (below 150% of poverty level) and will need public assistance.
- The poverty threshold for a family of four is $22,113, and the 2010 average income of the bottom 90% was $26.364.
- People 90+ had a median income of just $14,760 in 2010, about half of it from Social Security. 37.3% of them lived alone and depend on services like Meels on Wheels.
“Real doctors. Real medicine. Really convenient.”
HealthSpot Station was prominently featured in the central lobby just as you entered the Las Vegas Convention Center during CES 2013, an honor that only the most interesting companies get.
Doctors and patients meet face-to-face like they always have, only in this case, the face-to-face is virtual: the doctor is in his home or office; the patient is seated in the kiosk; and the kiosk is located in a retail store. The HealthSpot Station kiosk allows board-certified doctors to conduct remote diagnosis and treatment using high-def videoconferencing and digital medical devices that appear behind locked doors when needed.
Jack and Jill went up the hill
Up Jack got, and home did trot,
By Wayne Caswell
Jack and Jill were in their late 60s and had been married for 37 years when Jack suffered a severe stroke and required care beyond the abilities of his partner. After leaving the hospital, he went into a nursing home, and the family home was sold to pay for his care, which was expensive and projected exceed $84,000 per year.
Jill couldn’t maintain the big house herself and couldn’t afford it either, so she moved into a small apartment alone, without her lifelong mate. Being separated affected the couple’s morale, but worse was that it affected their health and their finances. Without long-term-care insurance, their life savings were depleted quickly before Medicaid finally kicked in. And now the grown children had two places to visit to support their declining parents. It didn’t have to be that way.
Just as in the nursery rhyme, Jack goes home and recovers more quickly there – in familiar and loving surroundings where Jane hires professionals to help care for him. That decision lets the couple stay together, and the kids have just one place to visit.
Universal Design was not offered when they built their home, and even though renovating the home for wheelchair accessibility often costs as much as $50,000, they felt it was financially better than the alternative. The project was entirely funded with home equity, so they didn’t even have to touch their retirement money, or the kid’s future inheritance. You see, Jack and Jill are like most American seniors, 90% of whom would rather live at home as long as possible and are willing to seek help to do that.
As seniors age, they may need help with daily tasks. Helping them decide on appropriate living arrangements is critical to staying safe and healthy. Investing in home modifications and some sort of medical alert system is a cost effective way for seniors to feel safe and secure while living an independent lifestyle, as this infographic suggests. Read the rest of this entry »
The Waiting Room is like a punch to the gut for people cast off and left out of our U.S. medical care system, what some call the best in the world. When Democrats and Republicans vie for your votes and debate healthcare reform, remember that these are not the people they are talking about. Most don’t even notice the plight of those at the bottom — this ugly underside. But our politicians, and the billionaires who set their agenda, should be made to watch this documentary, because these are the 47 percent they talk about — the people left out of the American Dream. They’re real people.
This character-driven documentary film uses unprecedented access to go behind the doors of Oakland’s Highland Hospital, a safety-net hospital fighting for survival while weathering the storm of a persistent economic downturn. Stretched to the breaking point, Highland is the primary care facility for 250,000 patients of nearly every nationality, race, and religion, with 250 patients – most of them uninsured – crowding its emergency room every day. Using a blend of cinema verité and characters’ voiceover, the film offers a raw, intimate, and often uplifting look at how patients, staff and caregivers cope with disease, bureaucracy, frustration, hope and hard choices during one typically hectic day.
The ER waiting room serves as the grounding point for the film, capturing in vivid detail what it means for millions of Americans to live without health insurance. Young victims of gun violence take their turn alongside artists and uninsured small business owners. Steel workers, cab drivers and international asylum seekers crowd the halls. (movie trailer follows)
Occupy Healthcare is a movement to influence and impact the future of healthcare, as well as an online community to discuss healthcare reform issues. Recently they invited me to submit my perspectives, and below is what I sent.
Occupy Health Care – a proposal from Wayne Caswell, Modern Health Talk
Historically, the biggest impact in health outcomes has come from public health initiatives such as clean water, sewage systems, and immunization programs. But that success is minimized by a “sick care” system that is profoundly broken, with perverse incentives to view patients as customers, treat symptoms, and pay practitioners for each test, drug and procedure.
ACA is meant to fix that, with more emphasis on positive outcomes and overall health & wellness, both to minimize the need for medical care in the first place and thus reduce costs, and to maintain a healthy and productive workforce that contributes to a vibrant economy. ACA is a good start, but there’s still more work to be done, and it won’t come from private industry or the insurance model, because natural incentives prevent it.
I believe that the key to health reform is getting the incentives right, and that means getting private insurance companies out of BASIC health care entirely. Their profit motive gives them an incentive to increase costs, knowing that higher costs = more insurance customers paying higher premiums. What I propose instead is a hybrid public/private model that capitalizes on contrasting incentives, eliminates the need for health insurance, and saves over $1 trillion per year.