Maryland
Maryland Hospital Touts Success of Community Paramedicine Program
The College of Maryland Medical Middle’s cellular built-in well being neighborhood paramedicine (MIH-CP) program, which sends specifically educated paramedics to the properties of chosen sufferers after hospital discharge, noticed will increase in first-fill prescription charges and drugs adherence, in accordance with a examine.
A cellular built-in well being neighborhood paramedicine (MIH-CP) program launched in Baltimore by the College of Maryland Medical Middle helped enhance treatment adherence for sufferers with congestive coronary heart failure (CHF) and persistent obstructive pulmonary illness (COPD), in accordance with a brand new examine.
As reported in a latest challenge of Exploratory Analysis in Social and Scientific Pharmacy, an MIH-CP program, which sends specifically educated paramedics to the properties of chosen persistent care sufferers following discharge from a hospital, elevated first-fill prescription charges by virtually 20% for CHF sufferers and 25% for COPD sufferers within the first 30 days. As well as, this system boosted treatment adherence by 8% to 14% over 60 days.
The outcomes present promise for an modern program that is designed to enhance persistent care administration at house, cut back opposed well being occasions and reduce on 911 calls by so-called “frequent flyers,” or sufferers who typically want emergency healthcare companies and rack up giant healthcare payments.
[See also: Innovative Partnerships Power Mobile Integrated Health Programs.]
The Maryland program was coordinated by means of the well being system’s Epic digital well being document platform in a partnership with digital well being firm DrFirst, and targeted on pharmacist-led interventions.
“These outcomes are notably thrilling as a result of sufferers with persistent well being situations are at higher threat of poor outcomes in the event that they don’t take their drugs as prescribed,” Colin Banas, MD, MHA, chief medical officer for DrFirst and one of many examine’s authors, stated in a press launch. “Pharmacist-led packages like this have a protracted historical past of enhancing treatment use. As value-based care and risk-based contracts develop in prominence, healthcare organizations are turning to modern methods to handle take care of high-risk sufferers, in order that they have higher well being outcomes and keep out of the hospital as a lot as doable.”
The well being system recognized high-risk sufferers with CHF or COPD as they had been discharged from the hospital and assigned them to the MIH-CP program for follow-up care. That care consists of house visits by a group of neighborhood paramedics and a pharmacy technician and a digital care hyperlink to pharmacists, neighborhood well being employees and a doctor or nurse practitioner.
Some 83 sufferers took half within the six-month examine, with 43 assigned to the MIH-CP program and 40 to conventional follow-up care.
The examine’s authors word that sufferers with CHF or COPD run a excessive threat of hospital readmission resulting from acute exacerbation, resulting in excessive healthcare prices and penalties from the Facilities for Medicare & Medicaid Providers for preventable rehospitalizations. A part of the issue is that many of those sufferers don’t comply with docs’ orders on treatment administration.
“Efforts to combine inpatient and outpatient treatment regimens stay essential for the prevention of treatment non-adherence throughout transitions of care and assist to determine treatment non-adherence at timepoints,” the examine concluded. “Transition of care packages similar to MIH-CP, which incorporate pharmacists as a part of the group, help the identification and backbone of essential medication-related issues and drugs non-adherence. Most of these packages can present much-needed care and help for a largely underserved neighborhood.”
Well being methods throughout the nation are experimenting with MIH and CP program in numerous kinds and focusing on completely different affected person populations. Some create a program by means of their very own EMS companies, whereas others accomplice with native EMS suppliers and different neighborhood well being packages.
House visits run the gamut as effectively, with care suppliers providing persistent care administration companies, addressing social determinants of well being, even simply chatting for some time with somebody who could be home-bound and lonely.
Eric Wicklund is the Innovation and Know-how Editor for HealthLeaders.
Maryland
Correcting a ‘historical wrong’, why lawmakers are exonerating Maryland’s accused witches of the
Be the first to know
Get browser notifications for breaking news, live events, and exclusive reporting.
Maryland
Public defender, advocates push for Maryland to end automatic charging of youths as adults – Maryland Matters
Jabriera Handy was just 16 when she left the house one day after arguing with her grandmother about pictures hanging on the wall. When her 69-year-old grandmother suffered a fatal heart attack several hours later, Jabiera was charged with second-degree murder and first- and second-degree assault in the death.
Despite her age, the charges automatically made her an adult in the eyes of Maryland law. She was charged as an adult and said she spent 11 months in the Baltimore detention center, including at least 30 days in solitary confinement, before accepting a plea deal for involuntary manslaughter and being transferred into a juvenile system program for six to eight months.
But the stress of that time still lives with Handy, now 33, who said she still has anxiety when in large crowds because of it.
“When you are in adult prison, you are treated as an adult,” said Handy, now the mother of an 11-year-old daughter. “What we want is for every child to start in juvenile court … to give them a chance at receiving valuable services to become productive. Let’s vote to end the prosecution of youth as adults.”
Legislation to end the practice of charging youths as adults is a priority of the Office of the Public Defender, which is scheduled to outline its legislative agenda Thursday during a rally at Lawyers’ Mall in Annapolis.
It’s also among 18 recommendation scheduled to be released in a report this month by the Maryland Equitable Justice Collaborative, which Public Defender Natasha Dartigue and Attorney General Anthony Brown (D) serve as co-chairs.
According to the public defender’s office, Maryland ranked second behind Alabama in automatically sending teenagers aged 14 to 17 to adult court. The office notes that in 2022, about 12% of teenagers tried as adults were convicted.
“All 871 teens automatically charged as adults faced lengthy and expensive processes to decide if their cases would stay in adult court, with average wait times 103 days longer than those in the juvenile system,” according to the public defender. “This is inefficient and results in backlogs and wasted resources of Maryland’s courts, Department of Juvenile Services, public defenders, and prosecutors.”
The office says that ending the practice of automatically charging children as adults could free up an estimated $20 million for juvenile services to invest in community resources.
“If we are ever going to evolve into a system that is just and fair, we have to start with the basic premise of treating children as children,” Dartigue said Monday, after the collaborative’s youth justice work group event on the campus of the Cheltenham Youth Detention Center in Prince George’s County. “The practice of charging children as adults goes contrary to science, goes contrary to the data, goes contrary to the basic premise that they are children.”
But the advocates are making their pitch less than a year after lawmakers passed a juvenile justice reform bill that tightened juvenile justice, and made children as young as 10 subject to Department of Juvenile Services jurisdiction, amid fears of youth crime. Zakiya Sankara-Jabar, director of education policy and activism with the Wayfinder Foundation, remains frustrated at the passed of House Bill 814, which was signed into law in May.
“I hope they [legislators] have more courage this year than they did last year,” said Sankara-Jabar, a Montgomery County resident whose teenage son was in DJS custody for about two months after being charged with armed robbery while with other youths for allegedly attacking a pizza delivery person.
“I think we should be focusing on prevention,” she said. “Just shouldn’t be charging kids as adults [when] they’re not.”
Other priorities
The public defender’s office has three other priorities on its legislative agenda: reforming the state’s parole system to include medical and geriatric parole, funding indigent defense and making traffic stops safer.
Sen. Charles Sydnor III and Del. N. Scott Phillips, both Baltimore County Democrats, will sponsor the traffic stops legislation, which is likely to be opposed by the Maryland Sheriffs’ Association, among others.
Sydnor’s SB 292 proposes to downgrade a number of current primary violations, which allow police to pull a person over, to secondary status, which cannot be the sole reason an officer stops a driver for a nonsafety-related traffic stop. As of Wednesday evening, a House version had not been posted online.
Companion bills have been filed on medical and geriatric parole by Sen. Shelly Hettleman (D-Baltimore County) and Del. J. Sandy Bartlett (D-Anne Arundel), a bill supporters have been trying to pass since 2022. This year, SB 181 and HB 190 would apply to an incarcerated individual who is 60 years old, has served as least 15 years and is not registered as a sex offender.
For medical parole, a medical professional would have to determine if the incarcerated individual is “chronically debilitated or incapacitated” or has “a disease or condition with an end-of-life trajectory.” Certain conditions would include dementia or a severe or permanent medical or cognitive disability that prevents the person “from completing more than one activity or daily living.”
A hearing on Hettleman’s bill is set for Jan. 28 before the Judicial Proceedings Committee. As of Wednesday, no hearing had been scheduled for Bartlett’s version of the bill before the Judiciary Committee.
During a visit last week to the General Assembly, Brown said he supports the proposal for medical and geriatric parole.
The final priority for the public defender’s office deals funding for legal defense for indigents, to make sure someone who cannot afford to hire an attorney can still get one.
“We know that if we want to build stronger families and communities, we must first dismantle the barriers that keep our people trapped in cycles of disproportionate incarceration,” Chrissy M. Thornton, president and CEO of Associated Black Charities, said in a statement Monday. “You cannot claim to care about equity and justice while underfunding the very agencies that defend the most vulnerable among us.”
Maryland
‘Messes up my life': How a typo led to a Maryland woman being declared dead
A Maryland woman trying to renew her driver’s license was turned away because she’d been declared dead, driving her into the painstaking process of bringing herself back to life.
Nicole Paulino of Gaithersburg was shocked by what popped up in the Maryland Motor Vehicle Administration’s system in November.
“It then appears that I am deceased,” she said. “I got a little frightened, I’m not gonna lie, and surprised, because I am alive. I’m here.”
The MVA told Paulino they couldn’t renew her license, she said.
She also got a letter from the IRS saying “deceased taxpayer.”
Health insurance was canceled for Paulino and her three kids. Medical bills are piling up, and she can’t get the inhaler she needs for her asthma.
“This really, really messes up my life,” Paulino said.
“It has affected me a lot,” she said, tearfully.
News4 reached out to various Maryland government agencies to figure out how this could have happened.
Then Paulino got a call from Social Security, she said. They told her the mistake was due to a typo.
According to the representative, a funeral home tried to report someone else dead but got a digit wrong in the Social Security number, submitting Paulino’s number instead.
“It’s affected my health, my mental health and …” she trailed off, crying.
The Social Security Administration sent News4 a statement saying its records are highly accurate and of the more than 3 million death reports they receive each year, less than one-third of one percent are subsequently corrected.
Meaning about 10,000 reports are wrong each year.
“This happens almost on a daily basis,” attorney Joseph McClelland told the News4 I-Team in 2022.
He’s built a business out of bringing people back from the dead.
“The impact is the worst impact you can have on your credit report,” he said.
A Prince George’s County family felt that impact two years ago when 13-year-old Elise Allen was declared dead.
“It sounds crazy, me on the phone arguing with somebody trying to explain to them that my daughter is not dead,” Melissa Allen told News4 in 2023.
Darby Nye of Arlington, Virginia, was declared dead in 2021, alive in 2022, then dead again in 2023. It impacted his insurance and pension.
Paulino said that after News4 got involved, she finally got a letter from the Social Security Administration Wednesday saying she’s officially been brought back to life.
“I tried doing it myself and I didn’t get anything resolved,” she said. “If it wasn’t for NBC news that offered to help me, I would have never gotten this problem resolved.”
Social Security says anyone mistakenly declared dead should contact them as soon as possible so they can take immediate action. You’ll have to provide at least one form of current identification.
And make sure you get that letter confirming you’re alive in order to fix all the other issues the mistake caused.
News4 sends breaking news stories by email. Go here to sign up to get breaking news alerts in your inbox.
-
Technology1 week ago
Meta is highlighting a splintering global approach to online speech
-
Science5 days ago
Metro will offer free rides in L.A. through Sunday due to fires
-
Technology1 week ago
Las Vegas police release ChatGPT logs from the suspect in the Cybertruck explosion
-
Movie Reviews1 week ago
‘How to Make Millions Before Grandma Dies’ Review: Thai Oscar Entry Is a Disarmingly Sentimental Tear-Jerker
-
Health1 week ago
Michael J. Fox honored with Presidential Medal of Freedom for Parkinson’s research efforts
-
Movie Reviews1 week ago
Movie Review: Millennials try to buy-in or opt-out of the “American Meltdown”
-
News1 week ago
Photos: Pacific Palisades Wildfire Engulfs Homes in an L.A. Neighborhood
-
Business1 week ago
Meta Drops Rules Protecting LGBTQ Community as Part of Content Moderation Overhaul