Wednesday, May 30, 2007

WEEK OF JUNE 6TH

DUE WEEK OF JUNE 6TH


1) What have you learned about how rural is defined thus far?

It is given relative to the number of persons per land mass or distribution density.
The government definition states that "rural" is divided into "places of less than 2,500" people and "not-in-places." The "not-in-places" category comprises "rural" outside incorporated and census designated places and the rural portions of extended cities.

2) What have you learned about the public health system of NC?

A wide range of NC public health programs and services on both state and local levels work together to protect and improve the health of the people who live and work in NC state agencies

3) What have you learned about the county you will research?

“…Greene County, NC. Located in beautiful eastern North Carolina in the middle of the coastal plain, Greene County is bordered by Goldsboro, Greenville, Kinston and Wilson making major shopping malls and rich cultural activities only a 15-25 minute drive. The county is also at the heart of the planned Global Transpark, the most innovative technology and transportation project ever…” (Greene County)

4) Why is working as a team important to your career in HIM?

The IOM Healthcare goals i.e. Safety, Quality, effectiveness, efficiency… can be accomplished 1st by proper maintenance of medical records and reimbursement system.
This can be effective in the HIM department by staff members working as a team towards the same goals named above.

5) What have you learned through this first exercise that will help you in your role of HIM?

Continuing Education will reinforce my progress in the HIM profession. Striving for excellence and achieving the necessary experience also prepares one to be a better HIM professional.


6) How was this exercise related to the role of HIM as a part of an interdisciplinary team (if you were an actual member of the Health Department)?

The Healthcare system will not be effective / efficient without proper maintenance of the Medical Records. Proper maintenance of the medical records enables physicians to give quality health care. In addition to this, HIM professionals take responsibility of ensuring that the Health Care Providers are compliant with State, local and accreditation agencies.

Sunday, May 27, 2007

GENERAL ASSEMBLY OF NORTH CAROLINA

HOUSE BILL 353

Committee Substitute Favorable

A BILL TO BE ENTITLED

AN ACT TO PROVIDE ACCESS TO INFORMATION FOR PUBLIC HEALTH PURPOSES IN A MANNER THAT IS CONSISTENT WITH THE HEALTH INFORMATION PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) MEDICAL PRIVACY RULE.

"§ 130A‑15. Access to information.

(a) Health care providers and persons in charge of health care facilities or laboratories shall, upon request and proper identification, permit the State Health Director to examine, review, and obtain a copy of records containing privileged medical information or information protected under the Health Information Portability and Accountability Act (HIPAA) medical privacy rule, 45 C.F.R. Parts 160 and 164, that the State Health Director deems are necessary to prevent, control, or investigate a disease or health hazard that may present a clear danger to the public health.

(b) Confidential or protected health information received by the State Health Director pursuant to this section shall be confidential and shall not be released, except when the release is made pursuant to any other provision of law, to another federal, state, or local public health agency for the purpose of preventing or controlling a disease or public health hazard, or to a court or law enforcement official or law enforcement officer for the purpose of enforcing the provisions of this Chapter or for the purpose of investigating a disease or public health hazard.

(c) A person who permits examination, review, or copying of records, or who provides copies of the records pursuant to subsection (a) of this section is immune from any civil or criminal liability that might otherwise be incurred or imposed."

SECTION 2. G.S. 130A‑5(2) reads as rewritten:

"(2) To investigate the causes of epidemics and of infectious, communicable and other diseases affecting the public health in order to control and prevent these diseases; to provide, under the rules of the Commission, for the prevention, detection, reporting and control of communicable, infectious or any other diseases or health hazards considered harmful to the public health;

SECTION 3. This act is effective when it becomes law.

GENERAL ASSEMBLY OF NORTH CAROLINA

May 10, 2007

A BILL TO BE ENTITLED

AN ACT TO APPROPRIATE FUNDS TO THE Department of Health and Human Services, Division of Public Health, FOR EFFORTS TO raise awareness about HEALTH DISPARITIES AMONG NORTH CAROLINIANS OF DIFFERENT RACIAL

SECTION 1. This act shall be known as the Hall‑Allen‑Hunter‑Holloman‑Lucas‑Martin Health Disparities Reduction Act of 2007.

SECTION 2. Of the funds appropriated in the Current Operations and Capital Improvement Appropriations Act of 2007 to the Department of Health and Human Services, Division of Public Health, for the Community‑Focused Elimination of Health Disparities Initiative, the sum of five hundred thousand dollars ($500,000) in each fiscal year shall be used for concerted efforts to address health disparities among African-American and other minority populations in North Carolina by:

(1) Instituting a pilot program for nurse practitioners to travel throughout the State to provide routine health care at community centers, high schools, and churches.

(2) Providing enhanced education and outreach to minority populations on the prevention, diagnosis, and treatment of heart disease, breast cancer, diabetes, obesity, and HIV infection.

(3) Addressing cultural and communication barriers to quality care by improving interpersonal processes between clinicians and patients.

SECTION 3. This act becomes effective July 1, 2007.

NC Public Health - General Assembly of NC - House Bill

Mental Health Equitable Coverage

March 22, 2007

A BILL TO BE ENTITLED

AN ACT TO REQUIRE equity IN HEALTH INSURANCE COVERAGE FOR MENTAL ILLNESS

§ 58‑51‑55. No discrimination against the mentally ill and chemically dependent.dependent individuals.

(b) Coverage of Physical Illness. – No insurance company licensed in this State under this Chapter shall, solely because an individual to be insured has or had a mental illness or chemical dependency:

(1) Refuse to issue or deliver to that individual any policy that affords benefits or coverages for any medical treatment or service for physical illness or injury;

(2) Have a higher premium rate or charge for physical illness or injury coverages or benefits for that individual; or

(3) Reduce physical illness or injury coverages or benefits for that individual.

§ 58‑3‑220. Mental illness benefits coverage.

(a) Mental Health Equity Requirement. – An insurer shall provide in each group health benefit plan benefits for the necessary care and treatment of mental illness that are no less favorable than benefits for physical illness generally. Benefits for treatment of mental illness shall be subject to the same limits as benefits for physical illness generally. For purposes of this subsection, 'limits' includes durational limits, deductibles, coinsurance factors, co‑payments, maximum out‑of‑pocket limits, annual and lifetime dollar limits, and any other dollar limits or fees for covered services.

(b) Weighted Average. – If a health benefit plan contains annual limits, lifetime limits, co‑payments, deductibles, or coinsurance only on selected physical illness and injury benefits, and these benefits do not represent substantially all of the physical illness and injury benefits under the health benefit plan, then the insurer may impose limits on the mental health benefits based on a weighted average of the respective annual, lifetime, co‑payment, deductible, or coinsurance limits on the selected physical illness and injury benefits. The weighted average shall be calculated in accordance with rules adopted by the Commissioner.

§ 58‑65‑90. No discrimination against the mentally ill and chemically dependent.dependent individuals.

(b) Coverage of Physical Illness. – No service corporation governed by this Chapter shall, solely because an individual to be insured has or had a mental illness or chemical dependency:

(1) Refuse to issue or deliver to that individual any individual or group subscriber contract in this State that affords benefits or coverage for medical treatment or service for physical illness or injury;

(2) Have a higher premium rate or charge for physical illness or injury coverages or benefits for that individual; or

(3) Reduce physical illness or injury coverages or benefits for that individual.

"§ 58‑67‑75. No discrimination against the mentally ill and chemically dependent.dependent individuals.

b) Coverage of Physical Illness. – No health maintenance organization governed by this Chapter shall, solely because an individual has or had a mental illness or chemical dependency:

(1) Refuse to enroll that individual in any health care plan covering physical illness or injury;

(2) Have a higher premium rate or charge for physical illness or injury coverages or benefits for that individual; or

(3) Reduce physical illness or injury coverages or benefits for that individual.

SECTION 6. This act becomes effective January 1, 2008, and applies to health benefit plans that are delivered, issued for delivery, or renewed on and after that date. For purposes of this act, renewal of a health benefit policy, contract, or plan is presumed to occur on each anniversary of the date on which coverage was first effective on the person or persons covered by the health benefit plan.

IRHE SUMMER 2007

This is a class about the Rural Health Care USA.

Globalization of Health Care is an idea under scrutiny. Before HC is globalized we have to remember Charity begins at home. The rural health care must be revolutinized.

Saturday, May 26, 2007

STAFF NURSE (Office of State Personnel)

Role of Staff Nurse (Office of State Personnel)

THIS POSITION WILL COVER THE MEDICAL COMPONENT FOR INITIAL EVALUATIONS BY PROVIDING
NURSING ASSESSMENTS,
REVIEW OF MEDICAL RECORDS,
OBTAINING MEDICAL HISTORY/CONCERNS FROM FAMILY AND/OR CONSULTING WITH OTHERS IN THE
MEDICAL PROFESSION. VISION AND HEARING SCREENING AND ANTHROPOMETRIC
ASSESSMENTS ARE COMPLETED AS WELL AS DEVELOPMENT SCREENING.
THE STAFF NURSE ACTS AS A LIAISON BETWEEN THE MEDICAL COMMUNITY & THE CDSA STAFF
AND IS INSTRUMENTAL IN COMPILING AND INTERPRETING MEDICAL INFORMATION
TO FAMILIES IN TERMS OF IMPACT ON THE CHILD'S DEVELOPMENT. OTHER DUTIES
MAY INCLUDE SERVICE COORDINATION (CASE MANAGEMENT) AND COMMUNITY OUT-
REACH AND COLLABORATION WITH OTHER AGENCIES. TRAVEL IS REQUIRED TO
SERVE CHILDREN IN THEIR NATURAL ENVIRONMENTS AND TO PROVIDE NURSING
COVERAGE IN THE SHELBY CDSA'S BRANCH OFFICES.

SOCIAL/CLIN RESEARCH SPEC (Office of State Personnel)

SOCIAL/CLIN RESEARCH SPEC
Working Title: ASTHMA EPIDEMIOLOGIST

SERVES AS THE EPIDEMIOLOGIST FOR THE ASTHMA PROGRAM & RESPONSIBLE FOR
IDENTIFYING, MONITORING, DESCRIBING & COMMUNICATING THE BURDEN OF
ASTHMA IN NC. PLAN & DESIGN THE DATA COLLECTION MECHANISM TO SUPPORT
ASTHMA SURVEILLANCE & RESPONSIBLE FOR PERFORMING COMPLEX STATISTICAL
ANALYSES ON DATA FROM A WIDE VARIETY OF SOURCES INCLUDING BUT NOT
LIMITED TO THE BRFSS; THE NATIONAL ASTHMA SURVEY; MEDICAID; MEDICARE,
MORBIDITY, MORTALITY AND HOSPITALIZATION DATA; AND OTHER SOURCES. LEAD
DISSEMINATION OF THE ASTHMA BURDEN DOCUMENT AND DEVELOP UPDATES EVERY
THREE YEARS; IDENTIFY ONGOING DATA GAPS AND POTENTIAL NEW DATA SOURCES
INCLUDING WORK RELATED ASTHMA DATA & THE NC DETECT SYSTEM; LEAD PROGRAM
EVALUATION; FORMULATE NEW PARTNERSHIPS; & DEVELOP ONGOING SURVEILLANCE
INFORMATION & PUBLISH THIS UPDATED DATA THROUGH THE ASTHMA EPI-UPDATE.
PARTICIPATE ON THE EPIDEMIOLOGY/EVALUATION TEAM WITHIN THE DIVISION OF
PUBLIC HEALTH & WORK DIRECTLY WITH THE STATE CENTER FOR HEALTH
STATISTICS. REQUIRES STRONG WRITING, VERBAL AND COMMUNICATION SKILLS &
SEEKS CANDIDATE WITH PROVEN WRITING/PUBLISHING/PRESENTATION SKILLS.

The Role of HIM (NC Public Health System)

The Health Information Managers can work in the following offices in the Department of Health and Human Resources:

(1) The Health Information Systems Office: Maintaining Health Care Records
(2) Office in charge of maintaining the Vital Records
(3) State center for health statitistics
Role:
Birth Defects Monitoring Program
Central Cancer Registry
Health and Spatial Analysis
Statistical Services

(4) Admnistrative, Local and Community Support (ALCS)

Public Health Nursing (POSTED BY VICTOR MOTURI)

This was adopted from the NC Public Health website:

Public Health Nursing:

Is the practice of promoting and protecting the health of populations using knowledge from nursing, social and public health sciences (APHA, Public Health Nursing Section, 1996.)

The Principles that guide the Registered Nurses in NC define their main roles.
The following principles were adopted from the NC public health website:

(1) The client or “unit of care” is the population.
(2) The primary obligation is to achieve the greatest good for the greatest number of people or the population as a whole.
(3) The processes used by public health nurses including working with the client(s) as an equal partner.
(4) Primary prevention is the priority in selecting appropriate activities.
(5) The focus is on selecting strategies that create healthy environmental, social and economic conditions in which populations may thrive.
(6) There is an obligation to actively identify and reach out to all who might benefit from a specific activity or service.
(7) Optimal use of available resources to assure the best overall improvement in the health of the populations is a key element of the practice.
(8) Collaboration with a variety of other professions, populations, organizations and other stakeholder groups is the most effective way to promote and protect the health of the people.

NC Public Health System Mission

MISSION OF THE PUBLIC HEALTH SYSTEM IN NC

A wide range of NC public health programs and services on both state and local levels work together to protect and improve the health of the people who live and work in NC state agencies.

Rural Health 2007

Define Rural Health:

The Federal Government Definition:

Territory, population and housing units not classified as urban constitute.

In the 100% data products, "rural" is divided into "places of less than 2,500" people and "not-in-places. " The "not-in-places" category comprises "rural" outside incorporated and census designated places and the rural portions of extended cities.

In the sample data products, rural population and housing units are subdivided into "rural farm" and "rural non-farm."

"Rural farm" comprises all rural household, and housing units on farms.

"Rural non-farm" comprises the remaining rural.

Brittony (IRHE 3100 student) defined rural health as a small town probably with limited facilities and resources. My definition referred to its poor infrastructure like the country roads and the long distance shopping centers. Neither of this was close to the definition Dr. Greer gave as defined by the government relative to the number of persons per land mass or distribution density.