BAC Records

State Second-Lowest Nationally In Reporting Drunk Driving Data

Connecticut had one of the highest rates in the nation of motor vehicle fatalities in which drivers were alcohol impaired in 2013, the most recent year for which data is available – 41 percent, compared to the national average of 31 percent, according to federal estimates. But the state also had one of the lowest rates nationally of reporting drunk-driving data in fatal accidents – a lapse that hampers efforts to gauge the impaired-driving problem and to develop and evaluate programs to address it, experts say. Connecticut reported blood-alcohol concentration (BAC) results for just 45 percent of fatally injured drivers -- far lower than the national average of 71 percent, according to data collected by the National Highway Traffic Safety Administration (NHTSA). Only Mississippi reported a lower rate of such testing. Thirty-four states reported testing rates of more than 70 percent.

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Severe headaches caused Bridget Araldi to give up soccer.

For Young Migraine Sufferers, Treatment Can Be Hard To Find

Bridget Araldi’s headaches started after a concussion on the soccer field, and they became so debilitating that the Wilton girl missed 70 days of her sophomore year at high school. She spent much of that time lying in her darkened bedroom, her head covered with cold cloths. A succession of doctors Araldi’s mother took her to did not offer any relief—an experience that is not unusual, according to a new study. The study shows that most children do not get proper treatment for migraines. Many doctors who specialize in headaches say this is because children’s pain is too often dismissed.

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Surgeries on wrong body parts increased from 13 to 15 in 2014.

Fewer Errors Reported By Hospitals, But Concerns Remain

Connecticut hospitals reported fewer numbers of patients killed or seriously injured by falls or perforations during surgery or suffering from severe pressure ulcers in 2014 than in 2013, but the incidence of such “adverse events” still remains higher than in 2012, a new state report shows. The report by the Department of Public Health (DPH) shows that the total number of hospital adverse events, or errors, dropped by 12 percent -- from 534 in 2013, to 471 last year. Deaths or serious injuries from falls declined from 90 to 78; perforations during surgical procedures fell from 79 to 70; and life-threatening medication errors fell from six to one. The number of patients with serious pressure ulcers dropped from 277 to 245. Rates of all four of those incidents had climbed in 2013, in part because of an expansion of required reporting on pressure sores to include “unstageable” ulcers.

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Women interviewed said they wanted to feel a connection to their PCP.

Are OB-GYN Well Visits Short-Changing Women?

During their childbearing years, many women view their obstetrician-gynecologists as primary care physicians, seeing them for preventive health care as well as for reproductive-related issues. Several studies, including one published in 2014 in the Journal of the American Medical Association (JAMA), indicate that women may be shortchanging themselves by consulting only an OB-GYN for preventive health care visits. The national study of 63 million preventive health visits by non-pregnant women found that those “of reproductive age who see OB-GYNs only for preventive care may not be receiving the full spectrum of recommended screening and counseling.”

A number of Connecticut OB-GYNs and other women’s health care specialists said, however, that they are aware of the unique role they play, and that they make a point of addressing patients’ broader needs, especially when meeting a new patient. These needs vary, of course, depending on a woman’s lifestyle, risk factors and age. “If you’re young, in your 20s, don’t smoke and are healthy, you’re very low risk,” said Dr. Susan Richman, a Branford OB-GYN.   “What [those patients may] have is very treatable, and I’m comfortable treating them.”

The JAMA study of “well-woman” visits from 2007 to 2010 showed that while OB-GYNs generally screened for cervical and breast cancers, chlamydia and osteoporosis, general practitioners more often screened for colorectal cancer, cholesterol counts and diabetes.

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C-HIT health care survey

State Residents Not Using Free Preventive Care, Worried About Costs, Survey Finds

Kathy Navaroli, 50, of Windsor, hadn’t seen a primary care doctor in years when she decided to go for a physical this summer. She didn’t ask about preventive care screenings, such as a mammogram or Pap test, in part because she worried they might involve an insurance co-pay or deductible. Her household income is below $30,000 a year. “I got a physical, they did some blood work, and that was it,” she said. Kerrishian McCants, 31, of Hartford, a mother of four, has a family history of diabetes and high blood pressure, but has not discussed those possible risks with her doctor.

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Yale researchers found that mammography declined 7.4% overall.

Yale: Cancer-Screening Guidelines May Play Role In Decline In Screening Rates

Declines in several key cancer-screening procedures among the elderly can be linked to shifts in screening guidelines issued by major public health organizations, according to recently released findings by Yale researchers. James Yu, associate professor of therapeutic radiology at the Yale School of Medicine, and Sean Maroongroge, a third-year medical student, gleaned data from Medicare billing records from 2000 to 2012, analyzing more than 230 million screenings for prostate, breast, and colorectal cancers. Yu, a member of the Yale COPPER Center (Cancer Outcomes, Public Policy, and Effectiveness Research Center), and Maroongroge, also tracked evidence-based screening guidelines issued by five prominent organizations: the U.S. Preventive Services Task Force (USPSTF), the American Cancer Society (ACS), the American College of Obstetricians and Gynecologists (ACOG), the American College of Gastroenterology (ACG), and the American Urological Association (AUA). They found that the rates for mammography, which is the primary means of screening for breast cancer, declined 7.4 percent overall during the period studied; prostate screening rates rose 16 percent during the first seven years studied then declined to 7 percent less than the 2000 rate by 2012. Colorectal cancer screening rates also dropped overall.

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dietary supplements

Tainted Dietary Supplements Frequently Hit The Market

Every week for the past 7½ years, the U.S. Food and Drug Administration has identified an average of two dietary supplements being sold to consumers that were “tainted” and “potentially hazardous,” a C-HIT analysis of data reveals. The supplements contained prescription drug ingredients, controlled substances or untested pharmaceutical ingredients, which is prohibited by federal law and “can pose considerable dangers to consumers,” including stroke, liver damage, kidney failure and death, according to the FDA. C-HIT’s analysis of FDA data reveals 615 dietary supplements that were identified as tainted since Jan. 1, 2008. In the first half of this year alone, 59 tainted dietary supplements were posted on the FDA’s site.

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Most dialysis centers in CT fared the same or better on quality measures than the national averages.

State’s Dialysis Centers Rate High, With Some Exceptions, New Data Show

Five dialysis facilities in Connecticut received low quality-of-care scores under a new Medicare rating system, including one center cited for a high death rate, while 11 facilities received the highest rating possible, federal data show. Connecticut has 45 dialysis facilities in the Medicare program, all but four of them for-profit. Of the 41 for-profit centers, the majority are owned by two chains – DaVita, which has 24, and Fresenius Medical Care, with 13. Medicare began rating dialysis facilities earlier this year on a scale of one to five stars, based on nine measures of quality of care. The measures include mortality and hospitalization rates of patients, as well as rates of hypercalcemia, catherization of more than 90 days, and the percentage of dialysis patients who had enough wastes removed from their blood during dialysis.

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Seven hospitals face Medicare reductions of more than 1 percent.

More Than 90 Percent Of CT Hospitals Face Readmissions Penalties

All but one of Connecticut’s acute-care hospitals will lose Medicare reimbursement in 2015-16 as a penalty for high readmissions of discharged patients, new federal data show. The penalties against 28 hospitals mean Connecticut has one of the highest percentages nationally – more than 90 percent -- of hospitals facing Medicare reductions. Only the Hebrew Home and Hospital of West Hartford escaped penalties; the Connecticut Children’s Medical Center is exempted from the federal program. None of the state’s hospitals faces the maximum 3 percent reduction to Medicare reimbursement, but seven face reductions of more than 1 percent. They are: Milford Hospital (1.70 percent); Middlesex, in Middletown (1.38); Johnson Memorial, in Stafford Springs (1.27); Charlotte Hungerford, in Torrington (1.19); St.

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Miguelina Matista, right, benefited from early childhood programs for her daughter, Nicaury, and son, Noel. Now she is volunteering to let other Danbury parents know about free programs offered through social services agencies.

Early Childhood Health Targeted As Path To Better Education

Experts are focusing more money and attention on the health of young children in Connecticut in an effort to prepare them to be successful in school later on. The efforts include developmental screenings at child care centers, home visits and information hotlines for parents, better collaboration with pediatricians and more support for preschool staff members dealing with emotional and behavioral issues. The idea is that if a child's basic health needs aren't met, he or she won't be able to keep up with academic and social expectations in school. "There's been a huge interest in addressing early childhood development with the understanding that's where we get the most bang for the buck," said Lisa Honigfeld, the vice president for health initiatives at The Child Health and Development Institute of Connecticut. In the last 10 years, there has been "an explosion" of federal funding for early childhood initiatives to get children on track early and prevent spending on remediation down the road, Honigfeld said.

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