Archive for the ‘Wellness/Prevention’ Category

Medicare Weighs in on Obesity Counseling for Seniors

December 15th, 2011 by Cheryl Miller

Call it Medicare meets the Biggest Loser.

CMS is now swallowing the costs of screening and counseling for beneficiaries considered to be obese, or at risk for obesity. Doctors determine patients’ eligibility, and those who meet the requirements, or have a BMI greater than or equal to 30 kg/m2, get to participate in the program.

Eligible “contestants” receive dietary and nutritional assessments and face-to-face counseling sessions in a physician’s office each week for a month, and then every other week for an additional five months. The “biggest losers,” or those that lose at least 6.6 pounds, or 3 kg during those six months, get continued sessions for up to a year.

The benefits of the program far outweigh the costs, given the burden that obesity places on states: a recent study from Duke University showed that obesity costs states $15 billion a year in medical expenses. And according to the CMS, over 30 percent of both men and women in the Medicare population are estimated to be obese, a condition that is directly and indirectly associated with many chronic diseases, including those that disproportionately affect racial and ethnic minorities such as cardiovascular disease and diabetes.

Efforts to help curb the epidemic aren’t new; as we reported in our recent survey on Obesity and Weight Management, nearly 72 percent of respondents said they were implementing programs to manage weight or prevent obesity. While adults accounted for the largest population target, 6.4 percent of respondents said that they were targeting the Medicare population with their weight control programs.

Unlike the “Big Reveal” on the network series, we won’t get to see the transformed patients, unless they land gigs with Weight Watchers or Jenny Craig. But the program might take an ever so small bite out of the existing healthcare costs facing us today, and the participants’ loved ones might get to hold onto them (figuratively?) for a little longer.

Got an Idea? CMS Offers $1 Billion in Health Care Innovation Challenge

November 28th, 2011 by Cheryl Miller

The CMS continues to reward innovation in healthcare; the latest initiative, the New Health Care Innovation Challenge, plans to award up to $1 billion in grant money to organizations that come up with creative ways to deliver healthcare, improve care and lower costs. The agency will take notice of projects that can be up and running within six months and that can hire, train and deploy workers rapidly. Funded by the PPACA, it’s a push for both creative healthcare solutions and increased healthcare job opportunities in as short amount of time as possible, contrary to the Innovation Advisors initiative launched in October, which seeks healthcare solutions over a year long, labor intensive period. All segments of the healthcare industry are encouraged to apply for the Innovation Challenge; December 19th is the cut off date for LOIs.

A quick, innovative, effective solution is also needed to alter the latest statistics on diabetes furnished by the IDF on World Diabetes Day (November 14th): studies show that one adult in 10 will have diabetes by 2030. Far too many are already afflicted with the preventable disease, including 78,000 children suffering with type 1; this despite the fact that the greatest number of diabetics fall within 40 to 59 years of age. The IDF is hoping that continued international awareness of this problem will help; and the agency is in the midst of a five-year campaign to promote diabetes education and prevention programs. Ironically, the CMS cited one health system that worked with community partners to decrease the risk of diabetes with nutrition programs as inspiration for its Healthcare Challenge initiative. Food for thought.

Another area of concern is the number of seniors receiving the wrong medication during their home healthcare visits. The Journal of General Medicine recently published a study stating that nearly 40 percent of patients 65 and over are prescribed potentially inappropriate medications (PIMs) at rates three times higher that patients who visit a medical office. Some of the blame can be placed on our fragmented healthcare system, researchers said: home health-based patients see multiple physicians who don’t communicate with each other, resulting in the wrong medication. Perhaps most troubling about this study is that the majority of these patients are taking 11 medications on average, and nearly half of them are taking at least one PIM, researchers say.

And lastly, one quick fix that should boost care access for patients: a new clinical affiliation between CVS Minute Clinics and Emory Healthcare. The stand alone clinics are open seven days a week in select areas throughout metropolitan Atlanta and have nurse practitioners on hand to administer wellness and preventive services and tend to common family illnesses. Patients who need care not provided at the clinics will be referred to Emory Healthcare. Both CVS and Emory hope to streamline the process with the use of EMR systems. These stories and more in this week’s issue of Healthcare Business Weekly Update.

Meet Health Coach Babs Hogan: Sees Coaching as Invitation for Change

November 10th, 2011 by Jessica Papay

This month’s inside look at a health coach, the choices he or she has made on the road to success, and the challenges ahead.

Excerpted from the November 2011 HealthCoach Huddle.

Babs Hogan, certified wellcoach and health and fitness specialist certified through the American College of Sports Medicine.

HIN: What was your first job out of college and how did you get into health coaching?

Babs Hogan: I coached swimming in Los Angeles, Calif. After graduating from Texas A&M University, I headed west until I hit sand. Health coaching at the time wasn’t invented yet.

Have you received any health coaching certifications? If so, please list these certifications.

I am certified through Wellcoaches, Inc.

Has there been a defining moment in your career? Perhaps when you knew you were on the right road?

When I started reading articles by Margaret Moore, the CEO of Wellcoaches Corporation, in the American College of Sports Medicine’s publications, I realized that I had been missing something important in my career as a personal trainer. At first, I thought that I was too rigid to become a wellcoach since I was always the one “in charge,” as a fitness trainer. After 22 years of making decisions for clients, I was concerned about making the transition. It took a few months of reading to consider registering for Ms. Moore’s well-established wellcoaching program. After the first day of class she asked, “What is your level of confidence that you will become a wellcoach?” I replied, “About 20 percent.” In a few weeks, I turned around.

In brief, describe your organization?

As a wellcoach, my focus is on parents. I coach families too, but I mostly work with parents by helping them adapt healthy behaviors. As they take control of their health, the children benefit too. It’s a trickle-down pattern of change.

What are two or three important concepts or rules that you follow in health coaching?

I try to heighten awareness of existing behaviors, assist clients in realizing how much control they have regarding their health and I identify a client’s personal strengths and continuously shine light on them.

What is the single-most successful thing that your company is doing now?

Focusing on preventing childhood obesity. I am presenting community seminars on reaching goals. I use Heidi Grant Halvorson’s book, Succeed: How We Can Reach Our Goals, as a guide. Last month, I started a book club in Arlington, Texas. I am also currently writing a book on childhood obesity and blogging about related issues. You can learn at my Web site. I am also presenting webinars on behavior change.

Do you see a trend or path that you have to lock onto for 2012?

Yes, I started a channel on YouTube called BabsWellcoach and most of my viewers are interested in the Les Mills Group Exercise videos. There are many great stories to be told and the Les Mills viewers are clearly tuned in. I will continue to create more videos about how people reach their health goals.

What is the most satisfying thing about being a health coach?

Helping people realize that wherever they stand right now is a great place to start. Wellcoaching discusses possibilities based on what you CAN do, not what you cannot. The mindset is always moving forward and not looking back. Once people realize that the power to change is in their hands and that they can move forward right NOW, amazing things begin to happen. The secret? Take small steps, gain confidence along the way, heighten awareness of the choices that are presented, and rely on your own strengths.

Where did you grow up?

I was born and raised in College Station, Texas.

What college did you attend? Is there a moment from that time that stands out?

I attended Texas A&M University. The honor of “College All-American,” which I received after 10 years and hundreds of miles of swimming, reinforced the old adage that hard work pays off.

Are you married? Do you have children?

I am married and have one grown son.

What is your favorite hobby and how did it develop in your life?

I like gardening. In my forties, I started paying attention to flowers. My next farming adventure will include growing herbs since my husband loves to cook.

Is there a book you recently read or movie you saw that you would recommend?

I’d recommend Heidi Grant Halvorson’s “Succeed” book that I mentioned earlier. This book should be on everyone’s coffee table.

Any additional comments?

Health coaching/wellness coaching/fitness coaching is not about forcing change. Change happens by choice. The process of coaching is an invitation for change carefully aligned with proper guidance and a gentle nudge along the way.

New Wellness Coach Profile: Meet Jessy Hamawi

November 4th, 2011 by Jessica Papay

Here we take an inside look at a wellness coach, the choices made on the road to success, and the challenges ahead.

Jessy Hamawi, wellness coach, nutrition consultant, and certified personal trainer.

HIN: What was your first job out of college and how did you get into wellness coaching?

Jessy Hamawi: I went to Bradley University hoping to go to medical school right after. It wasn’t until my senior year that I realized I had a passion for nutrition and fitness. I started working as a personal trainer and fitness instructor at major health clubs in Peoria, Ill. Currently, I am the club manager and nutritionist on site at Club Fitness. Being in the health field has definitely made me aware of and conscious about one’s health. There are many diseases that can be prevented and even controlled if we take better care of our bodies. There is an alarming rise in obesity, hypertension, diabetes, heart disease, and other controllable diseases. I believe that if you eat healthy by cutting out the unhealthy fats, excessive sugar and salt from your diet, and make exercise part of your daily life, you can make a difference in your overall health and prevent diseases.

Have you received any health or wellness coaching certifications? If so, please list these certifications.

I am a certified personal trainer as well as a kick-boxing instructor. It wasn’t until I almost graduated with my nutrition bachelor’s that I decided the importance of combining my love of exercise and healthy eating. I am currently a grad student concentrating on human and sports nutrition. Coaching comes naturally with the support and guidance of a personal trainer in order to make positive changes and bring balance to your life.

Has there been a defining moment in your career? Perhaps when you knew you were on the right road?

Every time I talk to my clients, whether it is during a consultation for weight loss or fitness training, I know that I am on the right path.

In brief, describe your organization.

Club Fitness is a multi-personal training facility where our certified trainers provide customized workout plans. Our personal trainers choreograph and oversee the entire workout routine to ensure proper form and goal achievement. We also teach the proper way to fuel the body, whether for weight loss or an athletic event. The members learn the proper combination of complex carbohydrates and lean protein to speed up the metabolism.

What are two or three important concepts or rules that you follow in wellness coaching?

Listening and helping my clients in achieving their nutrition and fitness goals and desires.

What is the single-most successful thing that your company is doing now?

Our club is successful at its multi-personal training approach. Also, we have a great weight loss program called “25 to 3,” in which our members are encouraged to lose 25 pounds by following a healthy well-balanced meal plan along with three personal training sessions per week.

Do you see a trend or path that you have to lock onto for 2012?

Focusing on health and decreasing or preventing chronic diseases such as diabetes, hypertension or other cardiovascular diseases, through combining exercise and nutrition.

What is the most satisfying thing about being a wellness coach?

Educating others about what it takes to achieve a healthier lifestyle, the importance of fitness and healthy eating. It’s not just about what a person looks like and what they need to do to be a certain way, but about what I can do to help others feel better about themselves. I want to help everyone in any way that I can. In regards to training, I’m most proud of reaching my goal to become a more fit and healthy person. About three years ago, I was not happy with how I looked and felt. I decided to start dedicating my time to taking better care of myself, and within a year, I had made drastic changes to my physique. Since then, I’ve had a positive and rewarding journey.

Where did you grow up?

I was born and raised in Beirut, Lebanon. I attended high school in Lawrence, Mass. and college in Peoria, Ill.

What college did you attend?

I obtained my Bachelor of Science from Bradley University and my master’s from Eastern University.

Are you married? Do you have children?

I am not married and do not have children.

What is your favorite hobby and how did it develop in your life?

I have a few hobbies, one being hiking. Besides it being an amazing outdoor exercise, I enjoy the scenery. I also love cooking. My favorite part is substituting ingredients to make the recipe healthier.

Is there a book you recently read or movie you saw that you would recommend?

One of my favorite documentaries is “Dear Zachary: A Letter to a Son About his Father.” This movie has left such an impact on me.

Any additional comments?

There is a beginning point for everyone. All it takes is for that switch to flip to begin your journey. Take it one day at a time and do not beat yourself up if you have the occasional “slip-up.” It’s not about having fitness consuming your entire life, but it’s about enhancing it. Realize that self-love improves not only your life, but also the lives of others around you.

Meet Wellness Coach Michelle Greenman: Ascribes to 7 Principles of Wellness

October 13th, 2011 by Jessica Papay

Here we take an inside look at a wellness coach, the choices made on the road to success, and the challenges ahead.

Michelle Greenman, certified health and wellness coach.

HIN: What was your first job out of college and how did you get into health coaching?

Michelle Greenman: My first job out of college was working at a private school teaching English as a second language (ESL). I had been teaching and tutoring before graduating and now was ready to move on. My husband and I moved to Lillooet, British Columbia from Toronto, Ontario and after two years of teaching and working with bands, I wanted to take on more of what I felt was my calling. My mom sent me the information for coach training, but I was in a car accident and couldn’t go to the training. I spent three months away from work and reading health books. After recovering about 40 percent, I decided to go and do the health and wellness coach training in South Dakota.

Have you received any health coaching certifications? If so, please list these certifications.

I am certified as a Christian health and wellness coach from Black Hills Health and Education Center in South Dakota. It is a lifestyle center that handles illness, drug and surgery free. Although I do consider myself a Christian, the certification means that we did not study hypnotism and neuro linguistic programming (NLP) like other coach programs teach. Instead we learned and I practice the art of hydrotherapy, herbal medicine and natural drug free healing.

Has there been a defining moment in your career? Perhaps when you knew you were on the right road?

At the training, through the help of classmates and teachers, I was able to make huge strides in recovery. Leaving there I was pretty close to pre-accident status. This was my own miracle, because the doctor suspected I might suffer from chronic back pain for the rest of my life; a scary prognosis for anyone. By using what I had learned, I was able to lose weight and recover from the accident injuries. I couldn’t wait to share all of what I had learned with others, and that’s when I started writing my first book, “Lose Weight Gain Health.”

In brief, describe your organization.

I am the sole proprietor of Michelle Greenman — Natural Health Educator and Wellness Coach. We teach classes, facilitate workshops and do individual and group coaching. We utilize proven comprehensive health principles and goal-oriented development to reach an international audience as an expert and activist for holistic natural healing and wellness. Our aspiration is that each client will recognize, prioritize and achieve their health potential and to enable each to experience wellness.

What are two or three important concepts or rules that you follow in health coaching?

We are committed to the audience of one, dedicated to providing each client with honesty and confidentiality. We exhibit genuine respect for values, caring for experiences and honor for personal truths.

What is the single-most successful thing that your company is doing now?

We teach people and write newspaper articles on RENEWAL; seven accessible, comprehensible, principles to wellness. These seven principles are the foundation of health for body, mind and soul. We believe each part must grow in unison to achieve wellness. RENEWAL stands for Rest, Environment, Nutrition, Exercise, Water, Alternatives and Limits. I also produce personalized health plans for clients based on these seven ideals.

Do you see a trend or path that you have to lock onto for 2011?

We are working to set up monthly coaching by subscription; delivering beneficial information and coaching questions to subscribers. However, we are almost finished with 2011, and looking forward to 2012, we want to have corporate coaching contracts.

What is the most satisfying thing about being a health coach?

Results! Seeing people get better and reach their health goals. Giving them hope that they can reach their goals, then seeing or hearing them do it. For instance, getting the notes back that say, “I have lost 30 pounds since we finished.”

Where did you grow up?

I was born and raised in downtown Toronto.

What college did you attend? Is there a moment from that time that stands out?

I graduated from the University of Toronto. At the end of my second year, I had a dream and woke up thinking I am not going to be a psychologist, but a teacher. Teaching would allow me to positively mold impressionable minds like some of my favorite teachers did.

I lived in Taiwan for a year, teaching before returning to Toronto. I changed majors and got married the end of my third year. Changing my major was definitely for the best, and getting the experience teaching and traveling definitely served me very well.

As a side story, the winter holidays of my first year at the university I traveled to the U. A. E. to visit my aunt who was working as a nurse there. Together we vacationed in Istanbul for a week. That experience as well as attending the university, told me that anything was possible to achieve. My plan after returning from Taiwan was to graduate and go back to the Middle East to teach. Getting married changed that, but coaching to me is a way of achieving the career and life I want.

Are you married? Do you have children?

I just celebrated my five-year anniversary with no children and no plans for children either.

What is your favorite hobby and how did it develop in your life?

My favorite hobby is to study the Bible. I love to search its pages and build studies to teach and publish. I have always had a connection to God. I have learned much about the best, holistic practices to regain health from the Bible. It does say “Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth.”

Is there a book you recently read or movie you saw that you would recommend?

I will always recommend the Bible. It is an anchor of a book that has worn out many hammers. It is profound, angering, loving and hope filled all at the same time. Movies that have impacted me profoundly are “The Day My God Died” (difficult to watch), “Earthlings” (very difficult to watch), “Stuff” (makes you want to change), and “Food Inc.” (always gets me a bit upset).

Any additional comments?

This is a career that does all I ever wanted and I love it very much. No matter how much work there is, it’s great to help others. I encourage people to check out my Web site and contact me for any questions or help. Plus I am on Twitter and Facebook.

My vision is to change the world by empowering the individual with holistic natural health activism, education and coaching and encouraging each to achieve wellness.

Four Transitions for Back-To-School

September 12th, 2011 by Cheryl Miller

It’s back to school time, and the healthcare industry is undergoing its fair share of transitions.

  • NCQA is launching a new accreditation program for ACOs this fall. The organization worked with consumer advocates, purchasers and other healthcare and managed care experts to develop seven standards by which it will evaluate ACOs. Early bird adopters of the accreditation effort can get reduced rates on survey fees, online education tools and promotion. Order the NCQA ACO standards.
  • The one-year report card on Cigna’s ACO approach with Medical Clinic of North Texas (MCNT) is in; and both healthcare systems are reporting excellent grades in four key areas: reducing avoidable emergency room visits, following evidence-based medicine, lowering medical costs and better controlling diabetes. Since the accountable care program began, MCNT has received the highest level of recognition from NCQA for meeting national quality standards for physician group medical homes. Cigna helped by sharing patient-specific data that identifies individuals who could benefit most from additional outreach and follow-up care.
  • Medical students, rather than teachers, are getting apples this year: Apple iPads. Many universities, including Yale Medical School, profiled here, are downloading curriculum onto the tablets in an effort to be more “green,” save money, and protect patient confidentiality. Computer security has been a particular concern for the Yale School of Medicine, and the iPad is compliant with security and privacy laws and does not carry the same risk of information loss that a laptop might, Yale officials say.
  • And finally, a lesson that can’t be taught enough: smoking just a few cigarettes can kill. A new report from the CDC shows that smokers are smoking less: the percent of daily smokers who smoke nine or fewer cigarettes per day rose to nearly 22 percent in 2010, up from an estimated 16 percent in 2005. But smokers need not be heavy or long-term smokers to be affected with a smoking-related disease, or suffer a heart attack or asthma attack, CDC officials say. And states with the toughest anti-smoking campaigns, like like Maine, New York and Washington, have the fewest smokers. Which just goes to show that even the most resistant students can be taught to change their ways.
  • Meet Health Coach Amy Hendel: ‘HealthGal’ Sets Sights on Lifestyle Modification

    September 8th, 2011 by Jessica Papay

    This month’s inside look at a health coach, the choices he or she has made on the road to success, and the challenges ahead.

    Excerpted from the September 2011 HealthCoach Huddle.

    Amy Hendel, R-PA, CEO and health coach for HealthGal.

    HIN: What was your first job out of college and how did you get into health coaching?

    Amy Hendel: I went to college thinking that I would apply to medical school. My dad actually convinced me to look at the physician assistant (PA) degree, which would allow me to pursue a health career without the having to commit to a very extended education and the kind of financial debt I would be paying off for at least a decade. After three years as a PA in internal medicine helping people try to manage multiple diseases associated with poor lifestyle choices, I decided I would rather get involved in helping to prevent disease or helping patients to dig their way out of chronic disease by using lifestyle modification techniques. Back when I started there were no ‘coaches’ — just health professionals from a variety of health backgrounds trying to modify people’s habits, one habit at a time.

    Has there been a defining moment in your career? Perhaps when you knew you were on the right road.

    In my third year as a PA, I was dragging my newborn quite early every morning to a babysitter near the hospital where I was working, so I could breastfeed her before and after my early AM duties in the operating room. My duties included performing routine pre-surgery history and physicals on patients with all kinds of complicated illnesses like diabetes, high blood pressure, heart disease, and I felt like I was watching a procession of ‘train wrecks’ pass before me. I was challenged as a mother and professional, trying to juggle the needs of my newborn and feeling escalating frustration with the typical patient who seemed to want pills to fix everything. One day I walked upstairs to the hospital administrator and gave notice to him that day. I also impulsively told him that I planned on setting up a lifestyle modification program and hoped he would tell doctors at the hospital to refer patients to me who were willing to work on modifying lifestyle habits contributing to their multiple health issues.

    In brief, describe your organization.

    The HealthGal is a name I began using about 10 years ago, after expanding my health coaching practice to include media projects. I started contributing weekly health segments to KCBS after a chance on-air guest appearance, which led to a one-year position there. I have been a contributing guest health expert on local and national news and talk shows — TV and radio — and I’ve been a host of a PBS health talk show, as well as a Westwood One radio show. I blog for several health Web sites and my most recent streaming video show is Food Rescue at www.healthination.com. I do a fair amount of consulting work, particularly on health campaigns, but still maintain a private practice in California and New York.

    What are two or three important concepts or rules that you follow in health coaching?

    As a coach I’m always truthful and empathic, and I always ask ‘the hard questions.’ Obesity is a disease, so you never ‘cure it.’ You simply put it into remission.

    What is the single-most successful thing that your company is doing now?

    Though I continue to coach individuals, I feel that my Tweets at HealthGal1103 and my blogs at www.healthcentral.com/obesity and www.healthcorps.net are reaching so many people who are struggling with obesity and health issues related to obesity. Getting outreach to parents who struggle with obesity themselves and so easily hand off these same issues to their kids, is hugely accomplished through my Internet efforts.

    Do you see a trend or path that you have to lock onto for 2011?

    Though I am a huge exercise fanatic and it is always a component of my health coaching, 2011 and 2012 will showcase a trend of accepting that we largely ‘are what we eat and we do need to label foods as either necessary foods or treat foods. Ninety percent of the time we need to be eating good or necessary foods.

    What is the most satisfying thing about being a health coach?

    When you can take a person who sees their weight as an insurmountable burden or someone who has been yo-yo dieting for years and show them the way and make them realize that they can manage their lifestyle, one habit at at a time — you, as a coach, feel like a true healer.

    Where did you grow up?

    I grew up in Brooklyn as the daughter of a school teacher and a homemaker. Money was always tight but I was raised to believe that education and a profession was the key to success. The women in my family all struggled with weight issues — my mom was obese and by age 14 I was 50 pounds overweight.

    What college did you attend? Is there a moment from that time that stands out?

    I attended Brooklyn College and fell in love with organic chemistry…I know, what a crazy subject to love! I remember thinking that science explains pretty much everything. One of my professors was really into nutrition and spending time in his lab actually exposed me to rudimentary nutrition lessons.

    Are you married? Do you have children?

    I am married to a physician and we have a daughter who just finished her master’s degree in architecture. My son is a junior at MIT. They are both athletes — my daughter was a ranked junior tennis player in California and played for NYU and my son is a long distance runner. I suppose that I am most proud of the fact that both of them are active, healthy and understand the importance of living a healthy life.

    What is your favorite hobby and how did it develop in your life?

    My favorite hobbies are playing tennis and I’ve recently taken up gardening.

    Is there a book you recently read or movie you saw that you would recommend?

    I loved the book “Room,” probably because the young woman in the story was an extraordinary protagonist, surviving and raising a child under the most horrific circumstances. I also just saw “Sarah’s Key” and thought it told an important story from the Holocaust that had not received significant exposure.

    Less is More When it Comes to Healthcare

    August 19th, 2011 by Cheryl Miller

    Less is more, at least when it comes to certain medical procedures.

    That was the conclusion of a recent study by the American Heart Association (AHA) and reported here in a recent issue of Healthcare Business Weekly Update. Researchers compared the use of drug-eluting stents (DES) in 2004-06 to 2007, when their use decreased by nearly 25 percent. Using data from the Evaluation of Drug-Eluting Stents and Ischemic Events registry, the study found that limiting the use of DES did not increase the risk of death or heart attack, and only slightly raised the need for repeat angioplasty procedures. In fact, because the stents were reserved for use on higher risk patients, healthcare costs were reduced by an average of $410 per patient. When multiplied by the estimated 1 million angioplasty procedures performed annually, the United States is able to save nearly 400 million a year.

    A recent story in Newsweek corroborates this research, and suggests that the use of DES weren’t the only medical procedures being overused. The article goes on to state that some common tests and procedures aren’t just expensive, but can do more harm than good.

    “There are many areas of medicine where not testing, not imaging, and not treating actually result in better health outcomes,” says Dr. Rita Redberg, professor of medicine at the University of California, San Francisco, and editor of the Archives of Internal Medicine.

    The problem is that “in otherwise healthy people,” screenings can lead to false positives, and cascading tests and procedures for possible problems that might have been harmless, or gone away on their own, the article says.

    From PSA tests for prostate cancer (which more than 20 million U.S. men undergo every year) to surgery for chronic back pain to simple antiobiotics for sinus infection, a remarkable number and variety of tests and treatments are now proving either harmful or only as helpful as a placebo.

    The article doesn’t dismiss the benefits of progressive medicine; instead, it lists the procedures that have saved lives and eased suffering for millions:

    Screening tests like mammograms…can lead to early treatment of breast cancer, especially for women with hereditary risk or a strong family history of the disease. For cancer patients who report back pain, MRIs can prove invaluable for spotting tumors that have metastasized to the bones, allowing doctors to intervene before it’s too late. The years between 1980 and 2004 saw a 50 percent decline in the death rate from coronary heart disease thanks to better treatments and drugs that reduce cholesterol and blood pressure. At least 7,300 lives are saved every year thanks to colonoscopies.

    But the flip side is that procedures are being overprescribed, like colonoscopies for the elderly, which can often harm them, and CT scans for the injured. A study published by John Hopkins noted the rise in MRIs and CT use in emergency departments over a 10 year period, from 1998 to 2007. The Hopkins team found that patients with injury-related conditions were three times more likely to get a CT or MRI scan in 2007 than they were in 1998. But the team also found that diagnosis of life-threatening conditions, such as a cervical spine fracture or liver laceration, rose only slightly.

    Part of the problem is compensation: according to the Newsweek article, Medicare pays physicians more than $100 million a year for screening colonoscopies; still other procedures, like angioplasty, bypass surgery and stenting are not improving cardiac patients’ lives; but instead costing Medicare more than $1.6 billion a year.

    The solution? The study published by the AHA didn’t directly identify which patients are the best candidates for DES, although other studies are currently underway using similar patient registries to address it. And research shows that low risk heart patients can benefit more from noninvasive treatments like drugs (beta blockers, cholesterol-lowering statins, and aspirin), exercise, and a healthy diet.

    With the push for reducing healthcare costs while improving care, it’s an issue that will most probably continue to be explored.

    Adults’ Top 10 Health Concerns for Kids

    August 17th, 2011 by Jessica Papay

    Adults rate drug abuse and childhood obesity as the top health concerns for kids in their communities, according to the fifth annual survey of the top 10 health concerns for kids conducted by the University of Michigan C.S. Mott Children’s Hospital National Poll on Children’s Health.

    In May 2011, the poll asked adults to rate 23 different health concerns for children living in their communities. The top 10 overall health concerns for U.S. children in 2011 and the percentage of adults who rate each item as a “big problem” are the following:

    1. Childhood obesity: 33 percent
    2. Drug abuse: 33 percent
    3. Smoking and tobacco use: 25 percent
    4. Teen pregnancy: 24 percent
    5. Bullying: 24 percent
    6. Internet safety: 23 percent
    7. Stress: 22 percent
    8. Alcohol abuse: 20 percent
    9. Driving accidents: 20 percent
    10. Sexting: 20 percent

    The poll also found that adults’ perceptions of top health problems for children in their own communities differ by race/ethnicity. The poll found that for both blacks and Hispanics, drug abuse was their top health concern, at 44 and 49 percent, respectively. However, drug abuse for white populations came in second at 28 percent, while childhood obesity came in first at 30 percent. Meanwhile, 44 percent of both blacks and Hispanics chose childhood obesity as their concern. When ranking smoking and tobacco use, 36 percent of blacks and 22 percent of whites both ranked this issue at number three, and 35 percent of Hispanics ranked it at number eight.

    According to Matthew Davis, MD, director of the poll and associate professor in the Child Health Evaluation and Research Unit at the U-M Medical School, “The perception of drug abuse as a big problem matches recent national data showing increasing use of marijuana and other drugs by U.S. teens. Meanwhile, although obesity remains atop the list of child health concerns for the fourth straight year, the level of public concern has declined over the last few years in our poll. This may be a warning to public health officials, because it indicates how the public is hearing national messages that previous increases in children’s obesity rates have recently leveled off.”

    Rate of Stroke Increasing Among Women During, Soon After Pregnancy

    August 8th, 2011 by Cheryl Miller

    An alarming new statistic has been released by the American Heart Association: the rate of women having strokes while pregnant and immediately afterwards has increased by more than 50 percent over the past dozen years. Risk factors like high blood pressure and obesity are the culprits. This finding maps to our recent story from the Robert Wood Johnson Foundation and the Trust for America’s Health revealing that almost a third of people in 12 states were obese in 2010.

    In other news in today’s Healthcare Business Weekly Update, prescription drug spending has slowed by almost 2 percent in 2010, according to new data released by CMS and reported in Health Affairs. Increases in generic dispensing rates is just one of the reasons for the slowdown.

    In a move designed to improve quality and reduce healthcare costs, Blue Shield of California and SJHS are launching an ACO. The healthcare entities will work together to share clinical and case management information and coordinate comprehensive healthcare services.

    And, midway through our Patient Registries Survey we find that three-fourths of our respondents see diabetes patients as the principal targets of registries. Want to weigh in on your organization’s use of registries? You have a few more days to complete the survey online, and you’ll receive a free executive summary of the survey results once they are compiled, providing key benchmarks and metrics for using registries to improve reimbursement and patient outcomes.