Hello to nurses and other fellow health care workers. Hello to fall and all the wonders that it brings, Hello to continuing revisions in proper CPR guidelines and Hello to the fallout from the Health Care Reform Bill. There are so many changes in the healthcare field, some good and some not so good. The American Heart Association has recently come out with some changes for those administering CPR and I will briefly sum up those new guidelines. Last month, I looked at how the economy is affecting nurses, both recent grads and long-term nurses. I received some feedback from that article which I will reprint for you. It is wonderful to get responses and I encourage readers to comment or to send in your own article for the newsletter. It is so interesting to hear how others feel about current events and situations. Finally, this month, I am taking a look at health insurance scams which are inevitable fallout from the new healthcare reform.
Below is the response from a hardworking nurse in Alabama. Thank you Mr. Kervin!!
Dear Ms. Rowell, I appreciate and enjoy your Newsletter. I wanted to send you my findings from the past couple of years per Nursing Recruitment and our Economy. Here in the Montgomery, Alabama Area we now have 5 schools of Nursing. I visited 1 of the 5 over a year ago, an Associate Program, which had 750 Pre-Nursing Students. I am finding that more than 50% of the college age females her that I encounter are Nursing Majors. Nursing jobs are down nationwide. I have heard of new graduates in MN waitressing because they could not find a job. A Headhunter out of Atlanta told me that many female Nurses that did not work or who only worked part time had to take full time Nursing jobs in the Hospital secondary to their spouse losing his job. Hospitals are being run like businesses now more and more every day. In fact, hospitals are now employing Auto Manufacturing Management Practices via hiring former Automaker Executives as Consultants. The ‘Assembly Line’ feeling our patients feel is only going to worsen. I sincerely feel we Nurses need to come together and stick together now more than ever before. These times are a changing. By Mr. Boady B. Kervin, RN-BSN
Hoping to hear from our nurses! Send in an article for reprint in our newsletter or just comment on something you’ve read. Or if there is a topic you would like to hear more about, send in that idea.
The American Heart Association
The American Heart Association (AHA) has issued some revised guidelines for cardiopulmonary resuscitation (CPR) for both lay and professional rescuers. The recommended sequence of CPR steps is changing from airway-breathing-compressions to compressions-airway-breathing. This change will apply to adults, children and infants but excludes newborns. The former approach which began with tilting a victims head back to open the airway, pinching the nose and breathing into the mouth was causing significant delays in starting chest compressions which are essential for keeping oxygen-rich blood circulating throughout the body.
In fact, for adults with out of the hospital cardiac arrest, bystanders are instructed to focus on chest compression only CPR. Recent studies find that out of hospital cardiac arrest patients have a better chance of surviving than those who receive standard CPR.
Scams: The Side Effect of Health Reform
Health insurance scams are on the rise as criminals quickly take advantage of consumers' confusion about how the new health care law changes their insurance coverage. Earlier this year, the Health and Human Services (HHS) Secretary Kathleen Sebelius warned state insurance commissioners about new schemes to sell bogus insurance policies. Just last week, HHS gave grants to states to strengthen the ongoing efforts to protect consumers from fraudulent insurance practices.
Sally Hurme, who handles fraud issues at AARP said seniors are especially vulnerable to these new scams. "We're making a concerted effort to get the word out to our 40 million members," she said. But seniors are not the only target. People who buy insurance out of pocket-unemployed and underinsured individuals, as well as individuals who do not get dependent coverage through their work are also vulnerable said Lou Saccocio. Lou Saccocio is the head of the National Health Care Anti-Fraud Association whose members include insurers, law enforcement and regulatory agencies. Saccocio says that the most common scams involve selling fake health plans, fraudulent medical discount plans and Medicare rebate checks scams.
Most of the schemes are poorly constructed, using the pretext of health reform. James Quiggle, the spokesman for the non-profit group Coalition against Insurance Fraud is worried that as more of the provisions mandated by the new law are phased in over the next few years, the number of scams could rapidly multiply. For instance, it is important to note that there is no enrollment period in the individual market and the law also gives uninsured individuals until 2014 to buy coverage before having to pay a penalty. In September, the AARP launched a major campaign called "Fight Health Care Fraud" to help educate seniors. Experts are stressing the need for consumers to educate themselves about the new law.
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