Posts Tagged: patients

California vs. Trump bout shaping up

Pro- and anti-Trump demonstrators clash at a May 27 rally in San Diego. (Photo: Chad Zuber)

by CHUCK MCFADDEN posted 12.12.2016

Any hope that California would soon settle into some sort of accommodation with a Trump Administration is fading rapidly. During the past two weeks, this happened: President-elect Donald Trump named Oklahoma Attorney General Scott Pruitt as his choice to lead the U.S. Environmental Protection Agency, the federal enforcer of rules governing clean air, clean water, toxics cleanup and other chores. The choice of Pruitt, an energy industry supporter who is skeptical of the impacts of climate change and has sued the EPA over the years, sparked outrage from environmentalists across the country, especially in California.

Expand scope of care for nurse practitioners

A nurse with her young patient, and the patient's father. (Photo: Monkey Business Images, via Shutterstock)

by CARMEN MORALES-BOARD posted 06.27.2016

OPINION: California is one of just 12 states that still excludes qualified nurse practitioners from taking a leading role in helping patients prevent and manage chronic disease like obesity, diabetes and hypertension. I believe this outdated model has deadly consequences for people in our community, where our specialized care for diabetes suffers for lack of qualified health care providers.

An effort to give ER doctors unfettered power 

The entrance to a hospital emergency room. (Photo: Johnson Photography, via Shutterstock)

by MILTON LORIG posted 06.16.2016

OPINION: Our California Legislature is considering a bill — AB 1300 by Assemblymember Sebastian Ridley-Thomas, D-Los Angeles — that would allow emergency room (ER) physicians to release psychiatric patients brought into their ER’s on a psychiatric detention, known as a “5150”, without any input from a psychiatrist. Currently, when a patient in psychiatric crisis is brought to an ER on a “5150”, the hospital discharges the patient to a psychiatric facility where that patient receives a comprehensive psychiatric evaluation.

Helping ER physicians help the mentally ill

Photo illustration: Stephen Finn

by C. Duane Dauner posted 06.09.2016

OPINION: California is long overdue to take steps, large and small, to address its homeless crisis. No other state has a problem of this magnitude; a problem that disproportionately affects the mentally ill. According to the office of Senate President pro Tem Kevin de Leon, D-Los Angeles, California accounts for 22 percent of the nation’s homeless total.

A state review of a dental program that serves low-income Californians shows that significantly fewer dentists are accepting those patients, despite a surge in demand. According to the California Department of Health Care Services report, released July 1, the number of dentists accepting Medi-Cal patients fell by 14.5 percent between 2008 and 2013. That’s a loss of 1,354 providers for the Denti-Cal program, which is the dental portion of Medi-Cal.

Doctors win in dispute with nurses

A physician and a nurse tend to a patient. (Photo: Tyloer Olson, Shutterstock)

by DOROTHY MILLS-GREGG posted 07.10.2015

Here’s the diagnosis: It was the doctors versus the nurses, and the doctors won – for now. An effort to allow nurse practitioners limited authority to treat patients without the supervision of a doctor was blocked in the Assembly amid opposition from physicians, who said the plan would hinder high-quality medical care.

Pressure to boost Medi-Cal dental reimbursements

A youngster on a visit to the dentist. (Photo: Wavebreakmedia, via Shuttetstock.)

by DANIEL WEINTRAUB posted 06.15.2015

Jim Wood tells a story about teeth that makes him smile. Wood — a dentist and a state assemblyman from Sonoma County — remembers the time a patient of his who was an elementary school teacher told him about a student suffering from serious dental problems. The little girl’s family was poor and they lived in a rural area. They couldn’t find a dentist to treat her. The family lived too far for them to travel to Wood’s office in Cloverdale. But Wood was able to find a dentist closer to their home to treat the girl.

Close to 1.2 million adults in California live with serious mental illnesses. Each one of these cases is an individual—a parent or sibling or child—and no two people battling the same condition respond to the same treatment alike. Treating mental conditions—and in fact, treating all illnesses—has to be based on the fact that every person is unique and each patient requires therapies that suit him or her best.

Health data breaches sow confusion, frustration

An illustration depicting a person accessing data on a terminal. (Tim Foster, Capitol Weekly)

by CHARLES ORNSTEIN posted 04.14.2015

ProPublica: As the privacy officer for The Advisory Board Co., Rebecca Fayed knows a thing or two about privacy and what can happen when it’s violated. But when Fayed received a letter telling her that she, like nearly 80 million others, was the victim of a hacking attack on health insurer Anthem Inc., she couldn’t figure out why. Anthem wasn’t her insurance provider.

In 2015, California’s push to expand health care coverage continues at a rapid pace. Consider this statistic: 12 million of our residents are enrolled in Medi-Cal – nearly one in three Californians. This greater demand is creating new challenges for California’s hospitals, both inside and outside of their walls.