I-Team In-Depth

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Mental Health Is Main Cause Of Hospitalizations in CT, New Data Show

Yale-New Haven was among the hospitals reporting a large increase in patient hospitalizations for mental health disorders.

Mental disorders surpassed respiratory problems and all other ailments as the leading cause of hospitalization in Connecticut in 2012 for children ages 5 to 14, teenagers and younger adults, according to a new state health department report. The report shows that the number of days that patients with behavioral health problems were hospitalized surged 5.3 percent between 2011 and 2013, to nearly 260,000 patient days. Other categories of hospitalizations, including cardiac and cancer care, declined during that time. (more…) Continue Reading →

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High-Prescribing Nurse Surrenders Drug Licenses

A Derby nurse practitioner whose prolific prescribing of potent narcotics was the subject of a February story by C-HIT has surrendered her state and federal licenses to prescribe controlled substances and is the subject of an “open investigation” by the state health department, officials said Monday. Heather Alfonso, an advanced practice registered nurse (APRN) at the Comprehensive Pain & Headache Treatment Centers, LLC, in Derby, surrendered her controlled substance registration after a recent probe by the Drug Control Division of the Department of Consumer Protection, a spokeswoman for the department confirmed. (more…) Continue Reading →

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Connecticut Nurse Among Highest Prescribers In U.S.

pills and RX

A Derby nurse practitioner was among the top 10 prescribers nationally of the most potent controlled substances in Medicare’s drug program in 2012 – an anomaly in a state where Medicare records show nurse practitioners rarely prescribe such drugs, which have a high potential for abuse. Heather Alfonso, an advanced practice registered nurse (APRN) at the Comprehensive Pain & Headache Treatment Centers, LLC, wrote out 8,705 prescriptions for opioids and other Schedule II drugs in 2012 – the most prolific prescriber among all Connecticut practitioners, including pain specialists and other physicians, according to Medicare data compiled by ProPublica. (more…) Continue Reading →

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Report Raises ‘Significant Concern’ With Use Of Restraints, Seclusion In Schools

A report in a student file

A 4-year-old boy identified with a developmental delay was physically restrained by school staff after he “threw (puzzle) pieces on the floor and across the room” while playing with a puzzle on a classroom rug. An elementary school student was put into seclusion after “swinging her coat at staff.”

These are among hundreds of incidents -- deemed “emergencies” by school personnel -- that warranted restraining and isolating pre-school and elementary school students in Connecticut last year. A new report by the state Office of the Child Advocate (OCA) raises “significant concern” regarding the frequency with which young children with autism and other disabilities are restrained or secluded; lapses in documentation or actual compliance with state laws; and the prevalence of “unidentified and unmet educational needs for children subject to forceful or isolative measures.”

(more…) Continue Reading →

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Diabetes Takes Disproportionate Toll On Hispanics And Blacks

Diabetes graphic

Connecticut’s diabetes rate ranks lower than the national average, but Hispanics and African-Americans are more than twice as likely to have the disease compared with their white neighbors and are at greater risk of dying from diabetes-related causes. (more…) Continue Reading →

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Hospital Reports Of Surgical, Medication Errors Climb

Adverse events

Connecticut hospitals reported record numbers of patients killed or seriously injured by hospital errors in 2013, with large increases in the numbers of falls, medication mistakes and perforations during surgical procedures, a new state report shows. The report, covering 2013, marks the first time that the number of so-called “adverse events” in hospitals and other health care facilities has topped 500 – double the number in 2012, when 244 such incidents were reported. Much of the increase was due to an expansion of reporting on pressure ulcers, which added a new category with 233 “unstageable” ulcers that were not counted before. Even without that category, however, reports of adverse events climbed 20 percent over 2012. (more…) Continue Reading →

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Breastfeeding Rates On The Rise, As Mother-Baby Support Systems Expand

Amy Devoe breastfeeds Zoe, five months.

Candid online posts describing the challenges of breastfeeding fill the Facebook page of Breastfeeding USA’s Connecticut chapter. The daily stream of anecdotes, questions and comments alternate in tone from exasperated to celebratory. “Small victory for today. I actually breastfed in the open with my husband and day care provider in the same room (with a nursing cover, of course), but I haven't done that yet, so I feel good about it. “

“Any tips to get better pumping results? Continue Reading →

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Operating Profits Drop At State Hospitals: New Report

Windham Hospital, Willimantic

Connecticut’s acute-care hospitals saw gains from their operations tumble 35 percent in the last fiscal year, with seven of 29 hospitals reporting operating losses, according to a new state report. While hospitals still ended the year with $597 million in profits overall, the report by the state Office of Health Care Access (OHCA) raises concerns that non-operating revenue, such as income from investments, was masking the decline in operating revenue. (more…) Continue Reading →

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Half Of State Hospitals Exceed Infection Rates, New Data Show

Hosp op room

State health inspectors visiting Stamford Hospital in late 2012 turned up several infection-control violations, including the improper drying and storage of endoscopes, instruments used to look inside the body. An inspection of Hartford Hospital in 2012 found an operating room with “dust and darkened debris” on top of pumps attached to IV poles, a container of syringes “overflowing” a protective cover, and brownish stains on the floor and underside of the operating table. These kinds of lapses, while not directly tied to patient infections, have contributed to Connecticut’s poor ratings on some federal measures of hospital-acquired infections. (more…) Continue Reading →

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Medicare Costs For Breast Cancer Screenings Soar, But Benefits Remain Unclear

Dr. David Gruen, director of Women's Imaging at Stamford Hospital, reviews a 3-D image.

Medicare-funded breast cancer screenings jumped 44 percent from $666 million to $962 million from 2001 to 2009, yet those added costs did not improve early detection rates among the 65 and older Medicare population, according to a Yale School of Medicine study published recently in the Journal of the National Cancer Institute. (more…) Continue Reading →

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