A new poll shows trouble for lawmakers who back the Republican plan to repeal and replace Obamacare.

A Quinnipiac University poll released last Thursday found that a wide majority of voters — 57% to 20% — disapprove of the Republican health care bill. Those numbers are virtually identical to public sentiment both shortly after the bill passed the House in early May and back in March when an attempt to pass an earlier version failed.
 Just 17% of independent voters say they are more likely to vote for a member of Congress who supports the bill, while 41% say it would make them less likely to support that member.
Voters disapprove of President Donald Trump’s handling of health care by large margin — 62% to 32% — and half of them think he should not support the repeal effort.

CBS New York reported the conviction of Jacky Stanley, an employee of Northeast Center for Special Care nursing home for sexually abusing six residents who had suffered traumatic brain injuries, the New York state Attorney General’s office announced.   Stanley will face between 8 1/3 and 25 years in prison, according to Attorney General Schneiderman.

Prosecutors said between July 2014 and February 2015, Stanley used his position to gain access to residents and forcibly perform oral sex and other acts. He even abused one resident while the resident slept, the release said.

“Jacky Stanley used his position as a caretaker to commit reprehensible and disturbing acts of abuse. The bravery shown by his victims at trial will help ensure that he will never be able to terrorize vulnerable New Yorkers again,” Schneiderman said in the release.

Rates of catheter-associated urinary tract infections (CAUTIs) dropped by 54 percent across more than 400 long-term care facilities that participated in a patient safety project funded by the Agency for Healthcare Research and Quality (AHRQ), according to a study published today in JAMA Internal Medicine.

The project adapted AHRQ’s Comprehensive Unit-based Safety Program (CUSP) for use in long-term care facilities. Previous AHRQ efforts to implement CUSP and other safety programs in hospitals have led to significant reductions in CAUTIs and bloodstream infections associated with central line catheters.

We continue to see the power of AHRQ tools to help front-line staff tackle safety problems, now in nursing homes as well as hospitals,” said Jeffrey Brady, M.D., M.P.H., director of AHRQ’s Center for Quality Improvement and Patient Safety. “This means that some of the most vulnerable members of society – those who reside in long-term care facilities and nursing homes – are less likely to be harmed as a result of infections.”

CAUTI is a type of healthcare-associated infection (HAI) that is common in long-term care facilities, where up to 10 percent of residents have urinary catheters. CAUTI can sometimes lead to severe illness and hospitalization and generates significant expenses for antibiotics and hospitalizations. The infections are generally treatable with antibiotics, but long-term or repeated use of antibiotics can increase the risk of other infections as well as lead to development of antibiotic resistance.

CUSP is designed to promote improvement in leadership, teamwork, communication and safety culture to facilitate consistent use of evidence-based practices for infection prevention.  During the project, CAUTI rates dropped from about 6.4 to 3.3 per 1,000 catheter days. Three-quarters of the facilities showed a CAUTI rate reduction of at least 40 percent, indicating that this approach could benefit a majority of long-term care facilities.

To help doctors, nurses and other leaders in all long-term care facilities prevent CAUTIs, AHRQ has released a Toolkit to Reduce CAUTIs and Other HAIs in Long-Term Care Facilities. This practical resource is based on the experiences of facilities that participated in the project. It includes checklists and other tools and educational materials to guide facilities that seek to apply infection-reduction programs.

AHRQ, part of the Department of Health and Human Services (HHS), works with other federal agencies, researchers, and providers to prevent and reduce HAIs and combat antibiotic-resistant bacteria. AHRQ’s mission is to produce evidence to make health care safer, higher quality, more accessible, equitable and affordable and to work within HHS and with other partners to make sure that the evidence is understood and used. For more information about AHRQ’s work to prevent HAIs, visit www.ahrq.gov/hais.

Artesia Daily Press reported on the Associated Press article about New Mexico’s lawsuit against one of the nation’s largest nursing home chains, Preferred Care Partners Management Group. The lawsuit stems from thin staffing at nursing homes across the state that made it impossible to provide good care.

New Mexico Attorney General Hector Balderas says many patients suffered as a result and some died. New Mexico alleges residents were not getting the care they needed, and the state and federal government were being improperly billed.

“This is going to be a very compelling case that we bring before the jury, and we’re glad that the judge is siding with many of our motions to have this case move forward,” he said.

The lawsuit uses a novel approach to outline its claims, relying on the number of hours it takes to complete basic tasks, from helping residents to the bathroom to feeding and bathing them.

These are real people in these places,” one family member said of the patients. “When you have a shortage of staff, when you have uncertified nursing assistants working there, when you have individuals who don’t speak English, it’s just one thing on top of another. It’s not about a person missing a bath one day, people are dying from neglect.”

 

Six men were taken to the hospital after paramedics responded to a report of overdoses at Columbus Manor Residential Care Home nursing home. The facility provides care for mentally ill patients.

According to the Fire Department, the overdoses involved a “PCP type” substance, but police said they could not confirm the type of drug until a toxicology report is completed.

The facility was placed on lockdown, and a full internal investigation was underway. He said all six people were back at the nursing home Thursday morning, and were doing well.

The Endocrinology Advisor had an article on the FDA’s decision to place a Black Box warning on canagliflozin drug labels to include prominent boxed warnings describing the risk to patients.

“Data from 2 large clinical trials have confirmed that treatment of type 2 diabetes with canagliflozin (Invokana®, Invokamet®, and Invokamet XR®; Janssen Pharmaceuticals, Inc.) may lead to an increased risk of leg and foot amputations, according to a US Food and Drug Administration (FDA) Drug Safety Communication.”

The long-awaited nonpartisian Congressional Budget Office “score” of the House-passed version of Trumpcare states that 23 million Americans would lose health insurance coverage over the next ten years, as compared to current law.  CBO also found that after increasing premiums initially, Trumpcare would “eventually” reduce average premiums for policies offering far fewer benefits.

For older, poorer and sicker people, however, the picture is much darker.  CBO estimates premiums for some elderly low-income people could go up by 800 per cent.

A day after the White House released a $4 trillion budget full of draconian cuts aimed particularly at poor people is not the best time to discover that its health care bill will deny health insurance to 23 million Americans. As CBO notes, AHCA would reduce federal revenues by $992 billion — in no small part by cutting taxes on wealthy people.

Former CNA Todd Fulton pleaded guilty to sexually assaulting an elderly female patient while he was working at the Geraldine Thompson Nursing Home in Wall Township.  Under the terms of the plea agreement, prosecutors will recommend that Fulton be sentenced to seven years in state prison, Gramiccioni said.

Fulton admitted that he sexually assaulted a female patient while he was a nursing assistant.

 

WSOCTV reported that the North Carolina Department of Health and Human Services investigators visited Lake Park Nursing and Rehabilitation Center three days after Channel 9 exposed allegations of patient abuse.  Investigators spent four days at Lake Park nursing home and found repeat problems.

State officials said that their visit was in response to a new complaint in March.  The investigation stated that a patient had not received a shower in two weeks and staff provided him with a washcloth to wash his face, “but that’s it.” The facility was also cited for “neglecting to feed and provide incontinence care for dependent residents.”

Channel 9 uncovered two lawsuits against the facility that are alleging sexual assault and abuse.

The continued failure of the facility during three federal surveys of record show a pattern of the facility’s inability to sustain an effective Quality Assurance Program.

Lake Park nursing is a special focus facility, one of only about 80 in the country, which means it has a history of persistent poor quality, according to Medicare.  Medicare said the facility has shown ‘no improvement for 12 months.

In the report, the facility’s administrator blames family members. “One of the biggest barriers to achieving substantial compliance is difficult families,” it read.

 

People like employer-based health insurance coverage because it’s the exact opposite of the kind of market Trumpcare creates. There’s no medical underwriting. Healthy people and sick people pay the same amount for their coverage. Paul Ryan is promising that they won’t be exposed to the every-man-for-himself principles that guide Republican policy on the individual market.  Ryan is lying.

As Stephanie Armour and Michelle Hackman reported in The Wall Street Journal earlier this month, the GOP health-care plan would actually jeopardize existing coverage for people who get insurance through their employer, not just the ones who get it from Medicaid and the individual market. The Republican plan would give states a waiver from Obamacare’s insurance regulations, which require that plans cover essential benefits and prevent them from putting lifetime caps on a person’s costs. And employers who shop for insurance can select a plan from any state.

That means every employer buying insurance could purchase plans that subject their employees to the kinds of price discrimination that Republicans want to impose on the individual market. People with preexisting conditions, or family members who have one, could suddenly find the workplace insurance they thought was totally safe now exposed them to massive new costs and the risk of medical bankruptcy.