Archive for the ‘HIN Blog’ Category

Keeping Kids Heart-Healthy

December 19th, 2007 by Melanie Matthews

A recent study from University of Michigan found that babies born with severe heart defects are much less likely to die before leaving the hospital if they are treated at the centers that treat the largest numbers of these patients.

And another report from the University of Florida found that some stimulant medications used to treat children with attention-deficit hyperactivity disorder (ADHD) may be landing more kids in the ER due to cardiac symptoms.

Heart health is paramount for children, and here are some tips from the American Heart Association (AHA) that medical professionals can pass onto their patients to keep kids heart healthy.

  • Monkey see, monkey do: Advise parents to help their children develop good physical activity habits at an early age by setting a good example themselves.
  • Too much of a good thing: Suggest that parents limit their children’s television, movies, videos and computer games to less than two hours a day to help to increase physical activity.
  • Make exercise a family affair: Encourage family outings and vacations that involve vigorous activities such as hiking, bicycling, skiing, swimming, etc.
  • Don’t be lazy: Suggest walking or riding bikes to nearby destinations whenever possible as well as using stairs instead of elevators and escalators when at shopping malls.
  • Playtime first: Discourage homework immediately after school to let children find some diversion from the structure of the school day. Kids should be active after school and before dinner.
  • No more boring sweaters for birthday gifts: Recommend that parents choose fitness-oriented gifts — a jump rope, mini-trampoline, tennis racket, baseball bat, a youth membership at the local YMCA or YWCA.

    Click here for a complete list of tips from the AHA.

  • Exercise is Pivotal in Disease Management

    November 14th, 2007 by Melanie Matthews

    Over two-thirds of patients would be more interested in exercising to maintain good health if they received advisement from their doctors and were given additional resources, according to a new study from the American College of Sports Medicine. And while 41 percent of physicians talk about the importance of exercise with their patients, they don’t always offer suggestions on the best ways to be physically active.

    Exercise isn’t all about looking great — in fact, the benefits of exercise are far greater than fitting into your favorite pair of jeans. According to the Mayo Clinic, daily exercise can improve one’s mood, help fight chronic diseases, help manage weight, strengthen one’s heart and lungs and more.

    However, possibly the hardest part of exercise is sticking with it. Often times people are discouraged when they do not see instant results from their efforts. Here are some tips from the American Heart Association that healthcare providers can suggest to their patients to keep them looking — and more importantly feeling — great!

  • Choose activities that are fun, not exhausting. Add variety. Develop a repertoire of several activities that you can enjoy. That way, exercise will never seem boring or routine.
  • Wear comfortable, properly fitted footwear and comfortable, loose-fitting clothing appropriate for the weather and the activity.
  • Find a convenient time and place to do activities. Try to make it a habit, but be flexible. If you miss an exercise opportunity, work activity into your day another way.
  • Use music to keep you entertained.
  • Surround yourself with supportive people. Decide what kind of support you need. Do you want them to remind you to exercise? Ask about your progress? Participate with you regularly or occasionally? Allow you time to exercise by yourself? Go with you to a special event, such as a 10K walk/run? Be understanding when you get up early to exercise? Spend time with the children while you exercise? Try not to ask you to change your exercise routine? Share your activity time with others. Make a date with a family member, friend or co-worker. Be an active role model for your children.
  • Don’t overdo it. Do low- to moderate-level activities, especially at first. You can slowly increase the duration and intensity of your activities as you become more fit. Over time, work up to exercising on most days of the week for 30-60 minutes.
  • Keep a record of your activities. Reward yourself at special milestones. Nothing motivates like success!
  • If you’ve been sedentary for a long time, are overweight, have a high risk of coronary heart disease or some other chronic health problem, see your doctor for a medical evaluation before beginning a physical activity program.
  • Heart Health

    October 25th, 2007 by Melanie Matthews

    This week’s Disease Management Update focuses on healthy hearts and presents two possible techniques for maintaining heart health in your patients. Visit this blog entry to read (and hear) about two nurses from Hackensack University Medical Center who are pursuing perfect care with their award-winning heart failure team.

    Breast Cancer Awareness Continues

    October 11th, 2007 by Melanie Matthews

    As Breast Cancer Awareness Month continues, this week’s DM Update focuses on a newly discovered link to early onset of the disease, and how treatment of the disease can vary by race. In an effort to create more breast cancer awareness this month, the HIN blog is posting daily entries on breast cancer throughout the month of October.

    Related Posts:
    Reading Between the Lines of the “Abnormal Mammogram” Letter
    Benefits of Hypnosis before Surgery for Breast Cancer
    Breast Cancer Facts and Figures 2007-2008

    Healthcare Reform in 2008

    October 4th, 2007 by Melanie Matthews

    Fellow healthcare blogger Steve Beller, Ph.D., recently blogged about presidential hopefuls and determining the best healthcare reform plan — what factors need to be considered and what needs to change in the healthcare industry.

    What approaches are working for your organization and what changes would you like to see in the coming year? Take HIN’s Healthcare Trends and Forecasts in 2008 survey and let us know!

    Related Posts:
    Healthcare Trends and Forecasts in 2008

    Move Over Orange: Think Pink as October Ushers in Breast Cancer Awareness Month

    October 1st, 2007 by Melanie Matthews

    Social networking is a big part of today’s online environment—whether you’re a student, a business professional or even a breast cancer survivor.

    As October 1 marks the beginning of Breast Cancer Awareness month, General Mills and Ellen DeGeneres have announced the inception of PinkTogether.com, an online community geared toward bringing together people who have been affected by the disease.

    Through its MySpace page, breast cancer patients, survivors, supporters and medical professionals alike band together in continuing the fight for a cure to this disease that claims more than 40,000 lives a year. With the slogan “One person’s story is another person’s hope,” PinkTogether encourages its visitors to share their stories and struggles in hopes that they will provide inspiration for others.

    Social networking seems to be the new frontier for disease management and wellness, as a recent blog post notes that baby boomers are using social networking sites more often. As this new phenomena is gaining momentum in the healthcare industry, it will be interesting to see both patient and provider responses to this new wave of “treatment.”

    Social networking in the healthcare arena doesn’t stop there. In fact, Bob Coffield’s healthcare law blog references a new physician-exclusive tool—PeerClip—that helps physicians, physician assistants and nurse practioners collaborate with colleagues. Just how these new social networking sites will change the face of disease management and healthcare as a whole remains to be seen.

    General Mills is furthering the cause of breast cancer awareness by donating $2 million to Susan G. Komen for the Cure and adorning many of their products in pink. Purchasing these products serves as a sign of support in the fight against breast cancer.

    I don’t know about you, but I will be eating more than my fair share of Cheerios this month.

    Related Posts:
    Exercise in Disease Management: The Future Looks Rosier after 39-Mile Trek
    Incorporating Cultural Diversity into Your Healthcare System

    Doctor-Patient Communication is Key in Asthma Management

    September 20th, 2007 by Melanie Matthews

    Asthma is a serious condition. It affects upwards of 30 million people in the United States and over 300 million people worldwide — which makes it extremely important for primary care physicians (PCP) to discuss this chronic disease with their patients who have it. However, the contrary seems to be true, as most people with asthma who take medication rarely discuss the condition or medication side effects with their doctors, according the Global Asthma Physician and Patient survey (GAPP).

    Doctor-patient communication is a crucial factor in asthma management. What are some things you can do differently with your patients to ensure the best outcomes when dealing with this chronic disease?

    1. Develop an asthma action plan with your patient. According to national guidelines for asthma management, PCPs must write and discuss treatment plans with their asthma patients. Such action plans encourage open communication between doctors and patients.

    2. Discuss the condition and the asthma action plan with your patients. Keep their action plan timely by encouraging patients to tell you when and how their condition is changing. Encourage your asthma patients to visit at least once every six months. As a PCP, it is critical that you have the most recent up-to-date information on your patient’s asthma. Encourage patients to keep an asthma symptoms diary as well.

    3. Identify what triggers your patients’ asthma the most. Help them to limit their exposure to the worst one and to control triggers in the home.

    4. Encourage asthma patients to become familiar with first aid procedures for managing asthma-related emergencies.

    5. Promote healthy eating habits and exercise in your asthma patients. According to a recent study, children who are obese at the time of puberty are three times more likely than their peers to suffer from asthma in their teens. Further, some studies say obese adults are three times more likely to develop asthma than thinner adults.

    Incorporating Cultural Diversity into Your Healthcare System

    August 17th, 2007 by Melanie Matthews

    This week’s Disease Management Update features two recent studies published in the American Cancer Society’s journal CANCER that illustrate that race can and does play a part in disease management. For example, Asian men are have better prostate cancer survival rate, while African American women are worse off when it comes to breast cancer.

    These studies highlight the fact that hospitals, physicians and the likes are incorporating diversity into their practices and treating the patient and not just the disease, recognizing that diagnoses and outcomes differ from patient to patient and from race to race.

    How can hospitals and primary care providers take steps to incorporate diversity into their practices and accommodate the diverse nature of their patients?

    SAMHSA toolkit

    • The U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) has developed a free resource kit for American Indian, Alaska Native and Native Hawaiian populations that addresses fetal alcohol spectrum disorders (FASD). Native cultures are known for their understanding of healing, wellness, and the cycles of nature. The Native Initiative works with these strengths and the strengths of community elders to bring Native people messages about FASD that are culturally respectful and meaningful.

    • Patti Ludwig-Beymer, administrative director of education and research at Edward Hospital in Naperville, Illinois says just knowing a few key words of a foreign language helps healthcare providers develop a trusting relationship with their patients.

    • Barnes-Jewish Hospital created a Center for Diversity and Cultural Competence in May 2006 to promote diversity and cultural competence initiatives and programs throughout the hospital, reduce health disparities, promote dialogue for issues of diversity, recruit diverse staff and create an environment where all patients and staff are respected and included. The hospital believes it must face the racial, class and economic inequities in healthcare. The region is home to 52 percent of St. Louis’s African American population, and 17 percent of the population use a primary language other than English. In addition, 24 percent of the population in the region is diverse.

    What initiatives are YOUR organization taking to address the issues of diversity and disparities within the healthcare industry? Leave a comment and let us know!

    Easing Parents’ Fears about the HPV Vaccine

    August 9th, 2007 by Melanie Matthews

    When the Food and Drug Administration approved Merck & Co.’s human papillomavirus (HPV) vaccination, Gardasil, to prevent cervical cancer in females as young as 9 years old, many parents viewed it as an opportunity to reduce their child’s risk for this disease. However, with everything controversial, there are two sides, and for some parents, Gardasil was cause for concern. Many are still not sure what exactly the vaccine or the disease itself is all about.

    So what can doctors do to calm these fears? HIN tackles the most common fears parents have about Gardasil and helps physicians who are trying to do the same in their own practices.

    FEAR: The HPV vaccine will encourage young girls to engage in sexual activity since it would make them immune to certain sexually transmitted diseases (STDs) that are caused by HPV.

    FACT: According to Amanda F. Dempsey, M.D., Ph.D., MPH, a pediatrician at the University of Michigan, the vaccine will not encourage sexual activity. Scientific evidence does not support the idea that a vaccine for an STD can influence a person’s behavior. Dempsey likens it to seatbelts — are you more apt to drive recklessly now that you are securely fastened to your vehicle?

    FEAR: The vaccine may not be effective against all types of HPV.

    FACT: The vaccine is nearly 100 percent effective in protecting against four strands of HPV. While there are currently more than 100 strands of HPV, the vaccine protects against types 6 and 11, which are responsible for more than 95 percent of genital warts cases, and types 16 and 18, which are responsible for more than 70 percent of cervical cancer cases. In addition, over the next few decades, the occurrence of HPV could be reduced by more than 70 percent due to this vaccine.

    FEAR: The vaccine is unnecessary because condoms are meant to protect against STDs.

    FACT: The vaccine can prevent a very common infection that is not completely controlled by condoms. HPV is mainly contracted from skin to skin contact, unlike most other STDs, making condoms not 100 percent effective prevention methods.

    Demsey says that parents’ opposition to the vaccine could become a major barrier to the use of this preventive treatment, if their concerns and questions about the HPV vaccines are not adequately addressed. Currently, only 44 percent of U.S. parents polled by the C.S. Mott Children’s Hospital National Poll on Children’s Health support a school HPV mandate.

    Mexico: Not Just a Spring Break Destination Anymore

    August 2nd, 2007 by Melanie Matthews

    More and more Americans are heading south of the border these days, but it’s not for spring break and these are not college students. They are uninsured or fed-up Americans seeking alternatives to U.S. healthcare in Mexico.

    “Medical Tourism,” a term that refers to the practice of traveling to another country for healthcare, is gaining much popularity due to the inexpensive and convenient nature of healthcare abroad. Nearly 150,000 Americans travel abroad every year for lower-cost medical care for everything from elective procedures to more complex surgeries including joint replacement, cardiac surgery, dental surgery and cosmetic surgery.

    This observation comes right on the heels of a study that I blogged about last week. According to the University of Southern California, residents of Mexico are healthier than their Mexican-American counterparts. With that in mind, is it any wonder Americans are leaving the U.S. to deal with their healthcare needs? Some U.S. companies are even sending employees to Mexico for their annual checkups, and some insurers are reimbursing for procedures performed abroad.

    Mexico isn’t the only country attracting medical tourists — India, Thailand, Singapore and Malaysia are also among the places Americans are turning to for their healthcare needs. But Mexico’s proximity to the U.S. makes it a very attractive alternative to many Americans.

    However, along with these drastically cheaper prices — basic surgical procedures in Mexico are about 40 percent cheaper than in the U.S. — comes some questions. How can something so much cheaper be as good as — or better than — anything we can receive at home? But those who have taken the journey and experienced it for themselves say the procedures are not only cheaper, but more enjoyable all together due to friendlier staffs.

    Maybe the U.S. healthcare system will take the hint from its Latin neighbors and offer its citizens quality healthcare at these competitive prices. You know what they say — what happens in Mexico, stays in Mexico. As far as healthcare is concerned, let’s hope that’s not the case.