The announcement, made this week by First Lady Michelle Obama, detailed the release of a total of $851 million in grants. Two state-run health centers are among the grant recipients. The Upper Cumberland Primary Care Project will receive $1.4 million and Stewart County Community Medical Center was awarded $349,000.
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And thats the story nationwide: health care access and jobs. The Recovery Act Capital Improvement Program (CIP) grants will support the construction, repair and renovation of over 1,500 health center sites. More than 650 centers will use the funds to purchase new equipment or health information technology (HIT) systems, and nearly 400 health centers will adopt and expand the use of electronic health records.
To see a list of Recovery Act CIP grantees by state, go to www.hhs.gov/recovery.
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And thats the story nationwide: health care access and jobs. The Recovery Act Capital Improvement Program (CIP) grants will support the construction, repair and renovation of over 1,500 health center sites. More than 650 centers will use the funds to purchase new equipment or health information technology (HIT) systems, and nearly 400 health centers will adopt and expand the use of electronic health records.
To see a list of Recovery Act CIP grantees by state, go to www.hhs.gov/recovery.
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House Republicans Health Care Solutions Group, chaired by Congressman Roy Blunt (MO), announced their approach to comprehensive health care reform with the release of an outline this week. Republicans are calling for universal access to high quality health insurance at a price individuals, and the country, can afford. Party leaders have crafted a plan they believe will appeal across the aisle, accomplishing the mutual goals of Democrats and Republicans to improve the current health care system and make it work better for everyone.
Although few details are available about the reform proposal, community health centers are referenced as a part of the Republicans solution to comprehensive health care reform. The plan promises to improve health and wellness and make health care more convenient by expanding access to community health centers. Reps. Blunt (MO) and Brown-Waite (FL) both used this weeks press conference on the plan as a springboard to praise health centers and cite their increased funding and availability of Federally Qualified Health Centers as a critical part of the solution to our national health care crisis.
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Zakaria: No, I dont mean the Iranian regime will fall soon. It may I certainly hope it will but repressive regimes can stick around for a long time. I mean that this is the end of the ideology that lay at the basis of the Iranian regime.
The regimes founder, Ayatollah Ruhollah Khomeini, laid out his special interpretation of political Islam in a series of lectures in 1970. In this interpretation of Shia Islam, Islamic jurists had divinely ordained powers to rule as guardians of the society, supreme arbiters not only on matters of morality but politics as well. When Khomeini established the Islamic Republic of Iran, this idea was at its heart. Last week, that ideology suffered a fatal wound.
CNN: How so?
Zakaria: When the supreme leader, Ayatollah Ali Khamenei, declared the election of Mahmoud Ahmadinejad a divine assessment, he was indicating it was divinely sanctioned. But no one bought it. He was forced to accept the need for an inquiry into the election. The Guardian Council, Irans supreme constitutional body, met with the candidates and promised to investigate and perhaps recount some votes. Khamenei has subsequently hardened his position but that is now irrelevant. Something very important has been laid bare in Iran today legitimacy does not flow from divine authority but from popular support.
CNN: There have been protests in Iran before. What makes this different?
Zakaria: In the past the protests were always the street against the state, and the clerics all sided with the state. When the reformist president, Mohammed Khatami, was in power, he entertained the possibility of siding with the street, but eventually stuck with the establishment. The street and state are at odds again but this time the clerics are divided. Khatami has openly sided with the challenger, Mir Hossein Moussavi, as has the reformist Grand Ayatollah Montazeri. So has Ali Larijani, the speaker of the parliament and a man with strong family connections to the highest levels of the religious hierarchy. Behind the scenes, the former president, Akbar Hashemi Rafsanjani, now head of the Assembly of Experts, another important constitutional body, is waging a campaign against Ahmadinejad and even the supreme leader himself. If senior clerics dispute Khameneis divine assessment and argue that the Guardian Council is wrong, it is a death blow to the basic premise behind the Islamic Republic of Iran. It is as if a senior Soviet leader had said in 1980 that Karl Marx was not the right guide to economic policy.
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If you want the full anouncement, please email me at siobhan @ creighton.edu Brief project proposal (approximately 2 -3 pages see attachment) are due by JUNE 19, 2009. Questions may be directed to nichsr@nlm.nih.gov. DO NOT SUBMIT PROPOSALS TO ME! This is an information only posting - I can send you the full announcement but not reiceve the proposal!
Goal – Advance the Overall Mission of Partners (“Helping the public health workforce find and use information effectively to improve and protect the publics health”) by identifying and pursuing collaborations that increase access to and/or use of evidence and evidence-based information needed to improve the quality and performance of public health agencies and systems.
Funding Funding will be available in 2009 (and likely in 2010) to support development and implementation projects that collaboratively promote the mission of Partners related to quality improvement.
• Estimated range of awards for development-only projects is approximately $2000-5000, for projects that would start during summer 2009 and be completed within the calendar year.
• Estimated range of awards for support of implementation approximately $5,000- 50,000 per year, for projects that would start by fall 2009 and be completed within 12 to 24 months.
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5.15.09
On CNN: A Community Health Center Doctor on Health Reform
Dr. Michael Brooks from West End Medical Centers Offers His Prescription for Better Access
5.12.09
New: Funding Guidance for Health Center Grantees
The guidance is for grantees whose project periods end on or after October 31, 2009, and before October 1, 2010.
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We are creating WisdomCards in priority order based on the most popular terms and phrases searched in health but want to hear from you.
You can search for this page title in other WisdomCards or if you would like us to create a WisdomCard for your search, send an email to requests@organizedwisdom.com and we'll be sure to add it to our list!
Have a great day.
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Contemplating the fifth anniversary of the program from the podium, its co-namesake and Community Health Center pioneer Jack Geiger said he could look out into the audience and see people from Denver, and Watts, and the South Bronx, and all of that early flood of people involved in the health center movement. re all still here. Thats a testimony to the survival of what was then this new kind of institution.Our place in the national health care spectrum is going to grow, Geiger said, and he identified three resulting tasks: emphasizes the importance of primary care; promoting health centers as a place to work (this is a way to live out in your career the professional motives that brought you to medicine in the first place and upholding the mission upon which the health center movement was built.
Keynote speaker Dr. Reed Tuckson executive vice president and chief of medical affairs at UnitedHealth Group discussed looming health challenges and the presence of health centers on the front lines of treatment and preventive care.
This is a good moment to rededicating ourselves to attending these challenges thinking about old problems in new ways. We need you to be more engaged than you have ever been before. We have got to communicate that we have a shared vision, Tuckson told hundreds of attendees.
We have to turn to data research what is the cost-effectiveness, what works, Tuckson added, noting UnitedHealths support of the Geiger Gibson Program to do just that
The culmination of the session came as the 2009 Geiger Gibson Emerging Leader Award was presented to Shantelle A. Leatherwood, MHA and Lana Sargent, MS, RN, FPN-c, GNP-BC. Leatherwood is practice administrator at Christ Community Health Services; Sargent is director of nurse practitioners and physician assistants at Family Health Center of Worcester, Mass.
Leatherwood was recognized for accomplishments including the development and securing of funding for The JOURNEY, an ongoing youth development program, as well as management of the opening of three health centers. My desire is to impact (health center patients) not only medically, but spirtually, emotionally, socially, she said.
Sargents accomplishments have included the development of the Family Nurse Practitioner Residency Program at the University of Massachusetts and partnership on a geriatric research project with UMass. It has been an extraordinary journey, she said.
The award has been given annually since 2007, recognizing those who have been furthering the goal of providing high-quality, culturally competent care to health center patients, said Ann Hathaway Peters, executive director of Lamprey Health Care, before introducing the winners. The caliber of the nominees was simply breathtaking.
Ross Brooks also spoke to a warm reception. Brooks won the 2008 Emerging Leader Award but was unable to attend last years ceremony due to the death of his father. David Reynolds senior health policy advisor for U.S. Senator Bernie Sanders (I-Vt.) provided the introduction and noted that Brooks had become a father himself five weeks earlier.
Brooks, Leatherwood and Sargent received standing ovations.
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The Spring 2009 Ad-ology Media Influence on Consumer Choice survey found that 53 percent of patients between the ages of 25 and 34 years old were the most influenced by social media.
The survey is conducted throughout the year by Ad-ology Research to study online, traditional and social media influences on buying decisions. Ad-ology Research surveyed an online consumer panel of 1,213 adults from January 5-8, 2009.
Social media outlets such as forums and discussion boards had a influence on 20 percent of this age group, and the research suggests hospitals should target this group with an online space where these parents-to-be can interact.
Progressive hospitals are already participating in social media through specific micro-sites, social networking, online communities and targeted online marketing, said C. Lee Smith, president and CEO of Ad-ology Research. Urgent care and maternity provide excellent opportunities to connect with younger consumers, and social media is the way to engage this group.
Other key findings of the survey included:
- Women accounted for approximately 60 percent of those who researched family doctors online
- Hospital/urgent care Web sites had the most influence on 18-to-24-year old patients (53.
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5.1.09
NEW: Federal Trade Commission Extends
Enforcement date has been pushed to August 1, 2009 (instead of May 1).
5.1.09
NEW: HRSA Posts Capital Improvement Program Guidance for Recovering Act Funding
The American Recovery and Reinvestment Act provides grants to health centers to serve more patients and stimulate new jobs.
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4.23.09
California Health Center Leader Testifies in DC
William Hobson discussed publicly insured patients and health reform before the U.S. House Ways and Means Committee.
4.21.09
A New Era for National Service and the Community HealthCorps
President Obama signs the Kennedy Serve America Act.
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"But National Park Service hydrologists last fall tallied more than 50,000 acre feet per year _ nearly 16.3 billion gallons _ proposed by applications in Amargosa Valley alone, or enough to supply more than 50,000 typical American homes."
sure, air-cooled use 90% less and produce 30% less power when it's hot (when power is needed most), but that's still 1.65 BILLION gallons a year in just one of 50 areas. any water taken from Salton Sea or brackish aquifers also needs to be thoroughly cleaned and desalinated before it can be used, which means huge amounts of energy and toxic salty waste. the sources for the Salton Sea no longer replenish it, so, like all readily-accessible water, it is FINITE.
rooftop solar can produce FAR more power with no desert death and NO water waste but Big Energy is blocking us from getting fair payments for generating it. push back.
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To help transform health care, the state should invest more in electronic infrastructure that supports the automated exchange of electronic medical information, writes Russell Sarbora of Community Health Network of Washington. Increased efficiencies, lower costs and less waste of resources will help improve the health-care system.
By Russell Sarbora Special to The Times
IN Washington, state spending on health care ranks second only to education. The state has consistently asked how we can improve efficiency, reduce costs and focus scarce resources on insuring and caring for more Washingtonians.
The rapid exchange of accurate and timely information is going to transform the delivery of medical care. Infrastructure that supports the automated exchange of electronic medical information is and will continue to be a primary driver for efficient health-care delivery. We need to encourage and realize an efficient infrastructure for interoperability between electronic medical-record systems.
Washington state has at least two key assets already in place that have the potential to support creation of this infrastructure. These are the Washington State Health Care Authority-sponsored Health Information Infrastructure Advisory Board (HIIAB), and the Community Health Network of Washington (CHNW), the nations largest system of community health centers.
The 19 community health centers that make up the network are the primary health-care home for more than 600,000 low-income people in Washington state, including one-third of the states uninsured adults and one-half of the states uninsured children.
At CHNW we are working with HIIAB to achieve its objectives and have already implemented electronic medical-record systems that cover more than 70 percent of our member clinics and more than 85 percent of our patient population.
Business pressures will eventually produce efficient health-data-exchange services for patients served by commercial insurers and providers who rely primarily on commercially insured patients. But who will ensure that similar services are provided to vulnerable populations?
Through continued support for the HIIAB and by strengthening efforts to encourage the interoperability of electronic medical records, Washington state can improve patient health and safety while simultaneously controlling state-funded health-care costs.
Electronic medical records are used in the vast majority of acute-care facilities in Washington state; by all laboratory-service organizations operating in the state; by almost 25 percent of Washingtons primary-care physicians, and by more than 70 percent of CHNWs member physicians. Yet, there is no statewide or national infrastructure today that supports sharing this information.
This infrastructure needs to be created, and the states that do so will lead the nation in delivery of efficient health care during the next decade. Washington state can and should be a leader in realizing this goal.
To achieve this leadership position, our state must adopt existing data-exchange policies and standards for health-information exchanges between organizations receiving state funding, provide incentives for technology investments required to support health-information exchanges, and financially support pilot programs that enable health-information exchanges.
CHNW is already working with HIIAB to create a Health Record Banking system that supports sharing of health information between patients and their health-care providers. We need to upgrade this existing business process to use current generation technology and thereby overcome existing shortcomings in reliability, efficiency and accuracy.
Interoperability between electronic medical-record systems is the key to achieving widespread sharing of clinical data. Today, these proprietary systems are incented to constrict access to the data they contain and there are numerous unresolved issues regarding access to the data and under what conditions data are shared.
Fortunately, the HIIAB is well-versed in these issues and well-positioned to support their resolution. The HIIAB is already proceeding with the creation of mechanisms to support patient access and control of their health data. However, the single greatest shortfall in the proposed Health Record Bank system is the absence of mechanisms to automatically include physician-created health data in these patient-controlled record systems. Lacking this critical body of data, the value of Health Record Banks will be substantially diminished.
We need to extend the HIIAB charter and role to encourage interoperability between electronic medical-record systems employed in Washington State and to achieve automated exchange of clinical data. The technology to do so already exists. Policy and will are the only hurdles to be overcome.
Russell Sarbora is the chief information officer for Community Health Network of Washington.
Copyright © 2009 The Seattle Times Company
Above article published on http://seattletimes.nwsource.com
Share your views and comments with OmniMD, a CCHIT Surescripts® certified Electronic Medical Records Solution Providers.
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A hundred days after the spill, the Tennessee Valley Authority is bringing in medical experts to asses long-term health risks. There are growing signs that those risks could be significant. "Avner Vengosh, a professor of earth and ocean sciences at Duke University, who has studied the Kingston ash spill, said part of the Emory River showed arsenic levels more than 100 times greater than what is acceptable in drinking water," writes Flessner. Dr. Vengosh said other samples of the river downstream showed elevated levels of mercury."
"Many people fear that they are poisoning their family by staying where they are," Sarah McCoin, of the Tennessee Coal Ash Survivors Network, told the House Subcommittee on Water Resources and Environment. "TVA is not listening to us. Its as if they dont care."
A separate report by the Environmental Integrity Project says "TVA records over the past decade indicate heavy metals have been detected around all six of the TVA coal plants that use wet ash disposal," writes Flessner. Eric Schaeffer, a former EPA official who heads the EIP, said "TVA plants are routinely discharging toxic metals at levels that are predicted to damage aquatic ecosystems or make fish unsafe to eat.
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Its a first-or-its-kind online guide gives people information that explains how economic pressures during hard times can affect physical and mental health and where they can turn for help. Titled "Getting Through Tough Economic Times" the online guide (available at samhsa.gov/economy/) is full of practical advice on "identifying health concerns, developing coping skills and finding help," according to a statement..
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