Yale: Medicaid Expansion Tied To Early Breast Cancer Detection

In states where Medicaid was expanded under the Affordable Care Act (ACA), women are more likely to receive breast cancer diagnoses at an early stage, compared with women in other states, new research shows. Among women younger than 50, the average rate of diagnosis at advanced stages lowered from 23% to 21% between 2012-13 (before most states expanded Medicaid) and 2015-16 (after expansion), according to a Yale Cancer Center study published today in JAMA Surgery.  In states where Medicaid wasn’t expanded, the average rate of advanced-stage diagnoses stayed constant at 26% during those years. “It’s a small percentage change [in expansion states] but it was statistically significant,” said Dr. Tristen Park, senior author of the study and a breast cancer surgeon at the Yale Cancer Center and Smilow Cancer Hospital, especially since the drop was evident over just a few years. “It’s quite exciting.

Deaths In Nursing Homes Show Steady Decline

The pace of coronavirus deaths in nursing homes has slowed to its lowest level since mid-April, but cases rose to 8,322 up from 7,875 the week prior. Nursing home deaths represent 60% of all COVID-related deaths, figures released Friday by the state Department of Public Health (DPH) show. For the week, 208 nursing home residents died, compared to 263 the week prior. In all, 2,398 Connecticut residents have died in nursing homes, up from 2,190. Of the state’s 213 nursing homes, 167 (78%) have at least one confirmed case of COVID-19, up from 165 a week ago.

Ombudsman’s Facebook Chats Are Lifeline For Families Worried About Loved Ones In Nursing Homes

Families with loved ones in nursing homes–unable to visit while getting frustratingly sparse information about them–have found a champion in Mairead Painter. Painter, the state’s long term care ombudsman, who works for the state Department of Aging and Disability Services, launched live chat sessions on Facebook that quickly evolved into a real-time information pipeline for families. “I was trying to think about how we can reach people. Normally, residents and family members are sometimes the last people to get information,” said Painter, whose office is independent of the state Department of Public Health.  “I wasn’t sure anybody would join [the chats].

Nursing Home COVID Deaths, Cases Continue To Rise

Coronavirus cases continue to rise in nursing homes, increasing to 7,875 from 6,947 in a week, while deaths also rose to 2,190 from 1,927 during the same span, according to figures released Friday by the state Department of Public Health (DPH). Nursing home deaths represent 60% of all COVID-related deaths, figures released show.  For the week, 263 nursing home residents died compared to 300 the week before. Of the state’s 213 nursing homes, 165 (77%) have at least one confirmed case of COVID-19, up from 163 a week ago. Riverside Health and Rehab Center in East Hartford reported the most COVID-19 deaths with 57, followed by Kimberly Hall North in Windsor and Abbott Terrace Health Center of Waterbury, with 43 each; and Shady Knoll Health Center in Seymour, with 35, according to DPH. The nursing home with the highest number of residents with COVID-19 is Arden House in Hamden, with 170, followed by Litchfield Woods in Torrington, with 127; and Riverside Health and Rehab Center in East Hartford and St.

Nursing Homes Cited For Infection-Control Violations

Nursing homes inspected for infection-control practices during the pandemic revealed deficiencies, including failure to separate COVID-positive residents from residents who do not have the virus, improper use or no use of personal protective equipment (PPE), failure to practice good hygiene and handwashing and the improper sanitation of equipment. One facility was cited for allowing an assistant director of nursing, who tested positive for COVID, to work for five days. Plans of correction were submitted by each home. None of the facilities were fined. The unannounced, in-person inspections resulted in enhanced staff training and additional deliveries of personal protective equipment (PPE), according to the Department of Public Health (DPH).

Nursing Homes Deaths Rise; 5 Facilities Cited By DPH

The number of COVID-19 cases in nursing homes increased to 6,947 from 6,008  in a week, and nursing home deaths now represent 59.8% of all COVID-related deaths, according to the latest figures released by the state Department of Public Health (DPH) Thursday night. Also, DPH released the first inspection reports done at nursing homes during the pandemic and cited five for infection-control violations and poor practices for use of personal protective equipment (PPE), among other violations. COVID-19 deaths in nursing homes rose to 1,927 from 1,627 in one week.  Of the state’s 215 nursing homes, 163 (76%) have at least one confirmed case of COVID-19, up from 160 a week ago. Riverside Health and Rehab Center in East Hartford reported the most COVID-19 deaths with 54, followed by Kimberly Hall North in Windsor, with 43; Abbott Terrace Health Center of Waterbury, with 41; and Shady Knoll Health Center in Seymour, with 35. The nursing home with the highest number of residents with COVID-19 is Litchfield Woods in Torrington, with 127, followed by Silver Springs Care Center in Meriden with 116, Abbott Terrace Health Center, Waterbury, with 115; Riverside Health and Rehab Center in East Hartford with 111, according to the DPH data.

Nursing Homes Fined After Resident’s Death, Injuries, Medication Error

The state has fined six nursing homes for violations that jeopardized residents’ safety, including an incident in which resident with Alzheimer’s was found dead outside a facility in Wallingford. The facilities were fined by the state Department of Public Health (DPH) for violations that occurred between September 2019 and February 2020. Skyview Rehab and Nursing of Wallingford was fined $10,000 after a resident with Alzheimer’s disease left the facility in January and was found dead about 50 feet from the facility, DPH said. Staff noticed the resident was missing at 7:30 a.m. on Jan. 26, and the resident was found at 8:46 a.m., DPH reported.

Coping With Pandemic: Managing Fear

Fear of becoming infected with COVID-19 is reasonable – especially now with plans announced to start reopening Connecticut. There are things you can do to take precautions and be proactive and plan for your own safety. ConnHealthITeam · Coping With Pandemic: Manage Your Fear
C-HIT’s Colleen Shaddox talks with Rajita Sinha, Foundations Fund Professor in the Department of Psychiatry at Yale University and the founding director of the Yale Stress Center, about how to take control and manage fear during the pandemic.  

 

 

 

Nursing Home Cases, Deaths Continue To Rise

The number of COVID-19 cases in nursing homes increased to 6,008 from 4,814 in one week, and nursing home deaths now represent 58% of all COVID-related deaths, according to the latest figures released by the state Department of Public Health (DPH) Thursday night. COVID-19 deaths in nursing homes rose to 1,627 from 1,249 in one week.  The 1,627 deaths represent 58% of the state’s 2,797 COVID-19 deaths. Of the state’s 215 nursing homes, 160 have at least one confirmed case of COVID-19, up from 150 a week ago. Riverside Health and Rehab Center in East Hartford reported the most COVID-19 deaths with 47, followed by Kimberly Hall North in Windsor, with 40; Abbott Terrace Health Center of Waterbury, with 38; and Saint John Paul II Center in Danbury, with 30. The nursing home with the highest number of residents with COVID-19 is Litchfield Woods in Torrington, with 126, followed by Abbott Terrace Health Center, with 121; Branford Hills Health Care Center and Parkway Pavilion Health and Rehabilitation Center in Enfield, each with 93; Bride Brook Health & Rehabilitation Center, Niantic, with 96; and the Golden Hill Rehab Pavilion in Milford with 82, according to the DPH data.

Coping With Pandemic: Resurgence Of Guilt

Placing loved ones in a nursing home is often fraught with emotions, and a common one is guilt.  Many are feeling a resurgence of guilt now, knowing that they are at higher risk during this pandemic. Coronavirus has swept through 150 of the state’s nursing homes and, as of April 29, 1,249 residents have died — representing about 55% of all COVID-19 deaths.  As of last Thursday, there were 4,814 cases in nursing facilities. ConnHealthITeam · Coping With Pandemic: Guilt
Dr. Kirsten Wilkins, an associate professor of psychiatry at the Yale School of Medicine, talks with C-HIT’s Colleen Shaddox about strategies you can use to help your elderly relatives – and yourself – cope during the pandemic.