Six Connecticut nursing homes have been fined by the state Department of Public Health (DPH) for violations that resulted in injuries to residents. Bloomfield Center for Nursing and Rehabilitation was fined $3,000 for four incidents, spanning from 2015 to this year. On Oct. 8, 2016, a registered nurse found a resident unresponsive with no pulse. According to DPH, the RN did not do a full assessment or begin CPR.
The rate of infants dying suddenly and unexpectedly has dropped in recent years, but data show that racial disparities persist. Babies born to American Indian and Alaska Natives and African American families suffer much higher rates of sudden unexpected infant deaths (SUID) than other races and ethnicities, data from the Centers for Disease Control and Prevention (CDC) show. Between 2011 and 2014, 194.1 American Indian and Alaska Native infants and 170.2 African American infants per 100,000 live births died from SUID nationwide. Those rates are significantly higher compared with 83.8 for whites, 51.1 for Hispanics and 32.1 for Asian or Pacific Islander babies per 100,000 live births, during the same time period. SUID encompasses sudden infant death syndrome, commonly known as SIDS, as well accidental suffocation and strangulation in bed, and other unspecified causes of death in children up to a year old.
Many consumers who obtain insurance through Connecticut’s health care exchange don’t understand the plans they buy—and can struggle to access care as a result, according to a new report. Insurance plans typically use complicated language that is difficult to understand, according to the Health Disparities Institute, UConn Health. As a result, some patients have trouble accessing care, experience delays in care, encounter administrative hassles and face other hurdles, the study found. The institute conducted a statewide poll last year among 516 adults who enrolled in qualified health plans through Access Health CT (AHCT), the state health insurance exchange created under the Affordable Care Act. Many struggled to understand basic insurance terms like “premium,” “deductible” and “co-pay.”
More needs to be done to educate all health insurance consumers, regardless of where they buy their policies, said Lisa Freeman, executive director of the nonprofit Connecticut Center for Patient Safety.
Six nursing homes have been fined for violations, including two incidents where residents died. The Reservoir in West Hartford was fined $3,000 after a resident died and investigators found staff did not administer CPR for the required period of time, according to the state Department of Public Health (DPH). The resident, who was at the facility for short-term rehabilitation, had difficulty breathing on Feb. 6, 2016. A licensed practical nurse (LPN) began performing CPR compressions but soon after, a registered nurse told the LPN to stop the compressions, according to DPH.
A genetic test that helps doctors determine how best to treat breast cancer—and whether chemotherapy is likely to help—is significantly more likely to be administered to white women than blacks or Hispanics, a Yale study has found. The test, called Oncotype Dx (ODx), uses gene expression to gauge how early-stage breast cancer is affecting patients’ gene activity. It uses the information to determine how likely cancer recurrence would be, and physicians and their patients can use that knowledge to decide how to proceed with treatment. Yale researchers retrospectively analyzed a group of more than 8,000 Connecticut women who were diagnosed with hormone receptor positive breast cancer between 2011 and 2013, and found “significant racial and ethnic disparities in use of this new gene test,” said study leader Dr. Cary Gross, a member of Yale Cancer Center and professor of medicine and epidemiology at Yale School of Medicine. “It reinforces that, at the same time we are investing in developing new treatments and new testing strategies and we’re promoting them with great excitement, we really need to double-down our efforts to eliminate disparity,” Gross said.
Federally Qualified Community Health Centers (FQHCs) in Connecticut have expanded services, upped their staffing and renovated their facilities mostly due to increased revenue streams from the Affordable Care Act (ACA). Connecticut and the 30 other states that opted for the ACA Medicaid expansion program have benefitted from billions of dollars in additional core grant funding, with Connecticut receiving $150.7 million from 2011 to 2016, according to a January report by the Congressional Research Service. Health centers in Connecticut used some of that funding to hire professionals to enroll thousands of residents in health insurance—residents who were previously uninsured and used the centers for their health care. Now the centers are serving about 70,000 more insured patients, mostly covered by Husky Health plans. The cost of treating uninsured patients has declined by about $10 million since 2012, according to Deb Polun, director of government affairs and media relations at the Community Health Center Association of Connecticut.
State health officials have fined three Connecticut nursing homes for various incidents, including one in which a resident died last year. Apple Rehab Farmington Valley in Plainville was fined $2,140 for three violations that occurred in 2016. In one case, a resident died Oct. 23 after choking during dinner. The resident, who had dementia, was found by a licensed practical nurse (LPN) choking in bed.
State health officials have fined a Willington independent living facility $1,500 after a resident left the facility last fall and was found dead in a nearby pond several days later. In addition to the fine, High Chase LLC agreed in a consent order with the state Department of Public Health (DPH) to implement new policies and procedures for staff to follow when a resident goes missing. The facility’s licensee denied the DPH’s allegations, but signed the order without any formal challenge of the allegations. Officials at High Chase did not return calls seeking comment this week. The fine and consent order stem from an incident discovered during a December 2016 inspection.
The state Department of Public Health (DPH) has cited and fined four Connecticut nursing homes for various lapses of care. Bridgeport Manor was fined $1,940 for two instances earlier this year. In a Jan. 14 incident, a nurse aide found a resident slumped in a wheelchair with the wheelchair safety belt around the neck. According to the citation, the resident’s head and neck were on the seat of the wheelchair, the wheelchair’s seatbelt was choking the resident and the resident’s lips were turning blue.
Low-income women in Connecticut who have just given birth and know they don’t want to get pregnant again anytime soon are now offered a long-acting birth control option postpartum. Medical providers say the policy by the U.S. Department of Health and Human Services will reduce the number of unplanned pregnancies, as well as lead to better maternal health outcomes by ensuring pregnancies are spaced a healthy length of time apart. Connecticut’s HUSKY program is one of 26 state Medicaid programs nationwide that reimburses hospitals for administering long-acting reversible contraception (LARC)—namely, intrauterine devices (IUDs) and subdermal implants—to Medicaid patients. HUSKY started reimbursing for the devices last year. “It’s a great thing,” said Dr. Elizabeth Purcell, an obstetrician and gynecologist practicing in Hartford.