RIP Vicki Palmieri, First Known Martyr to PBC HealthCare District :: Discontinuity of Care was a contributing factor in Vicki's death. I took her to the clinic first in midsummer of 2013, because she was homeless, living at a bus stop, and had developed a terrible cough. The district took months to approve her for services, and even when she was finally approved, she found it difficult to get approval for the tests that doctors at Delray Beach Medical Center wanted to do. Under an agreement that was in force at the time, DBMC was not supposed to withhold care from any referred Brumback patient, but it was withheld anyways. More delays. By the time she was finally diagnosed, the picture was grim. Late stage metastasized lung cancer was spreading through her body. Crazy things. The district wanted Vickie to prove she was homeless. They gave her forms for a police officer to fill out confirming her homeless status. The cops wouldn't touch it. Finally a social worker at Boca Helping Hands completed the paperwork. One silver lining to a terminal diagnosis is instant qualification for Medicaid and a small SSI check, and Vicki was able to rent a little garage apartment, and finally start treatment. At least she was able to spend the last days of her life with some minimal comforts, so we were thankful for that. Vicki died in September of 2015. I promised Vicki I would tell her story.
VIA The New York Times :: (Excerpt) :: "Each scenario, attorneys say, involves a misinterpretation of the privacy rules created under the Health Insurance Portability and Accountability Act. “It’s become an all-purpose excuse for things people don’t want to talk about,” said Carol Levine, director of the United Hospital Fund’s Families and Health Care Project, which has published a Hipaa guide for family caregivers.
Intended to keep personal health information private, the law does not prohibit health care providers from sharing information with family, friends or caregivers unless the patient specifically objects. Even if he or she is not present or is incapacitated, providers may use “professional judgment” to disclose pertinent information to a relative or friend if it’s “in the best interests of the individual.”
Hipaa applies only to health care providers, health insurers, clearinghouses that manage and store health data, and their business associates. Yet when I last wrote about this topic, a California reader commented that she’d heard a minister explain that the names of ailing parishioners could no longer appear in the church bulletin because of Hipaa.
Wrong. Neither a church nor a distraught spouse is a “covered entity” under the law."
http://www.nytimes.com/2015/07/21/health/hipaas-use-as-code-of-silence-often-misinterprets-the-law.html
Intended to keep personal health information private, the law does not prohibit health care providers from sharing information with family, friends or caregivers unless the patient specifically objects. Even if he or she is not present or is incapacitated, providers may use “professional judgment” to disclose pertinent information to a relative or friend if it’s “in the best interests of the individual.”
Hipaa applies only to health care providers, health insurers, clearinghouses that manage and store health data, and their business associates. Yet when I last wrote about this topic, a California reader commented that she’d heard a minister explain that the names of ailing parishioners could no longer appear in the church bulletin because of Hipaa.
Wrong. Neither a church nor a distraught spouse is a “covered entity” under the law."
http://www.nytimes.com/2015/07/21/health/hipaas-use-as-code-of-silence-often-misinterprets-the-law.html
Sunday Health is updated Weekly -- Usually on Sunday!!
SUNDAY HEALTH -- DOMINGOS DE SALUD COMPILED FROM HEALTHCARE.GOV
Health Tip: Beginning Yoga
10/24/2016 01:00 PM EDT Make sure it's safe Health Tip: Six Dangerous Driving Habits 10/24/2016 01:00 PM EDT Things teens should avoid Docs: Infants Should Share Parents' Room to Help Prevent SIDS 10/24/2016 01:00 PM EDT Sleeping nearby -- but not in same bed -- advised for first year, pediatricians' group says Brain Changes Seen in Kids After One Season of Football 10/24/2016 01:00 PM EDT Not yet clear if those changes are lasting or meaningful Many Teens Light Up to Lose Weight, Study Suggests 10/24/2016 01:00 PM EDT Researchers offer new ways to discourage smoking among adolescents Smoking Still Takes Big Toll in U.S. Cancer Deaths 10/24/2016 01:00 PM EDT Habit is linked to close to one-third of fatal cancers in people 35 and older, study finds Many Take Opioids Reluctantly for Back Pain: Survey 10/24/2016 01:00 PM EDT Patients worried about the potentially addictive painkillers; say they only provide limited relief United States Ranks in Top 10 for Empathy 10/23/2016 01:00 PM EDT But, study author says social media, parenting practices and bullying may one day lower America's compassion score Health Tip: Use Football Safety Equipment Correctly 10/25/2016 01:00 PM EDT Tips to ensure proper fit Health Tip: Enjoy an Active Autumn 10/25/2016 01:00 PM EDT Suggestions to keep moving Medical Marijuana Not a Lure for Kids: Study 10/25/2016 01:00 PM EDT Found no change in pot use among children, but that wasn't the case for people older than 25 Doctors Should Promote Breast-Feeding to Patients: Panel 10/25/2016 01:00 PM EDT Education, practical help urged by U.S. Preventive Services Task Force Childhood PTSD May Leave Imprint on Brain 10/25/2016 01:00 PM EDT MRI detects variations in neural connections of earthquake survivors, Chinese researchers say Surfing Through Selfies Tied to Low Self-Esteem? 10/25/2016 01:00 PM EDT Online survey also found those who checked out posted photos of others a lot had lower life satisfaction More Airline Injuries to Tots on Laps 10/25/2016 01:00 PM EDT Reported mishaps include falls and burns from spilled hot drinks, study finds Women Reaching Equality in Dubious Habit: Drinking 10/24/2016 01:00 PM EDT Females also closing the gender gap on health problems from alcohol consumption Review Says Calcium Supplements Won't Harm the Heart 10/24/2016 01:00 PM EDT Other physicians urge caution, however, and say these findings aren't conclusive Polio Nearly Vanquished: CDC 10/24/2016 01:00 PM EDT But small pockets of world still have cases of crippling disease, officials add On-the-Job Rudeness Spreads Easily 10/26/2016 01:00 PM EDT Bad behavior and disrespect can take a toll on companies' bottom line, researchers say Parent-Led Autism Therapy Shows Lasting Benefits 10/26/2016 01:00 PM EDT Early intervention reduced symptom severity years later, study finds FDA Warns of Dangers From Testosterone Supplements 10/26/2016 01:00 PM EDT Many American men take them, but heart and psychological issues can occur, agency says Weight-Loss Surgery Pays Off for Severely Obese Teens 10/26/2016 01:00 PM EDT Boosts kids' health and self-esteem, and appears to be cost-effective over time, study finds Health Tip: Pay Attention on Halloween 10/26/2016 01:00 PM EDT Safety tips for walking trick-or-treaters Health Tip: Prepare Your Home for a Flood 10/26/2016 01:00 PM EDT Things to do before flood waters arrive Less Labor Pain, Lower Postpartum Depression Risk? 10/26/2016 01:00 PM EDT Reduced inflammation one possible reason for the association, researcher say Americans Fed Up With Soaring Drug Prices: <i>HealthDay/Harris Poll</i> 10/27/2016 01:00 PM EDT Large majorities now favor price caps, Medicare's right to negotiate costs Colon Cancer's Location May Determine Patient Survival 10/27/2016 01:00 PM EDT Study found 'right-sided' tumors had worse prognoses, with implications for screening and treatment Dental Cleanings May Help Keep Lungs Clean, Too 10/27/2016 01:00 PM EDT Twice annual visits reduce bacteria that can cause pneumonia, researcher says Kids With Gay or Lesbian Parents Do Just Fine: Study 10/27/2016 01:00 PM EDT Study finds no differences between children of gay, lesbian or heterosexual couples Nurses' 'Scrubs' Pick Up Bad Hospital Germs 10/27/2016 01:00 PM EDT Superbug MRSA, other disease-causing bacteria detected on uniforms in ICU HIV May Hide in Tissues, Even After Treatment 10/26/2016 01:00 PM EDT Study suggests this hidden virus might spur other conditions in patients Oxygen Therapy Little Help for Those With Milder COPD 10/26/2016 01:00 PM EDT Study could change clinical practice, researchers say New Tool Gauges Likely Survival After Gunshot to the Head 10/26/2016 01:00 PM EDT One possible factor: how well a patient's pupils respond to light, study suggests New Guidelines Urge Diabetics to Move More 10/26/2016 01:00 PM EDT They should do light physical activity every 30 minutes, not every 90 minutes Can Teens' Heart Rate, Blood Pressure Show Ties to Mental Ills? 10/26/2016 01:00 PM EDT Indicators of schizophrenia, obsessive-compulsive disorder, anxiety might be spotted in physical at 18 Health Tip: Sleeping When You're Pregnant 10/28/2016 01:00 PM EDT Suggestions to help fight insomnia Report: More Americans Getting Health Care Under Obamacare 10/28/2016 01:00 PM EDT News comes as double-digit price hikes for health plans on the horizon Weight-Loss Surgery May Lower Risk of Pregnancy Complications 10/28/2016 01:00 PM EDT Women who had procedure less likely to have large babies, need C-sections than obese women, review finds Join the Teal Pumpkin Project on Halloween 10/28/2016 01:00 PM EDT Painted pumpkins let trick-or-treaters with food allergies know safe treats are available Skin Patch May Help With Peanut Allergy 10/28/2016 01:00 PM EDT Delivering small amounts of peanut protein boosted tolerance for about half of young patients in study Deadly Measles Complication May Be More Common Than Believed 10/28/2016 01:00 PM EDT One more reason to get your child vaccinated against the disease, infection experts say Experimental Medicine Might Rescue People With Drug-Resistant HIV 10/28/2016 01:00 PM EDT 'This is potentially a lifesaving therapy,' researcher says Health Tip: Dress Kids in Safe Costumes 10/28/2016 01:00 PM EDT Tips for a happier Halloween Study Questions Use of Migraine Meds in Kids, Teens 10/27/2016 01:00 PM EDT Researchers found sugar pill worked as well as commonly prescribed drugs VIA Consumerreports.org :: "According to a study last year by the National Bureau of Economic Research, 63 percent of the 50,000 employees at a Fortune 100 company selected a health plan that was not the most cost-effective option. Other studies have shown that most people pick a plan that’s more expensive than they need.
Why are so many people electing insurance plans that aren’t the best fit? Because it’s downright confusing, so much so that a 2015 study commissioned by the insurance company Aflac found that more people would rather scrub their toilets than research insurance plans. Despite recent announcements from major insurers including Aetna and UnitedHealthcare that they won’t be participating in some ACA exchanges in 2017, consumers in large markets can still have as many as 50 plans to choose from. There are hundreds of Medicare prescription drug plans and Medicare Advantage plans, and even employers may offer two or more choices. Making the right health insurance choice has never been more important because consumers are shouldering more of the rising cost of health services. (For example, average annual deductibles for people buying individual coverage through their employer have risen 255 percent in the past decade, according to the Kaiser Family Foundation.) Autumn is the period for open enrollment, when most American adults have to choose their health insurance plan for 2017. Deadlines are Dec. 15 for ACA coverage that begins Jan. 1 and Dec. 7 for Medicare. Most employers have their open enrollment period in November." |
Los tres principales errores que comenten los conductores adolescentes
10/21/2016 01:00 PM EDT Según los expertos, los padres no enfatizan la seguridad lo suficiente Incluso para los hombres con un riesgo alto, una vida saludable podría ayudar a prevenir el cáncer de colon 10/21/2016 01:00 PM EDT Se podrían salvar muchas vidas si las personas evitaran beber alcohol y fumar, si comieran mejor y se mantuvieran activas, reportan unos investigadores Los niños de hasta 14 años solo necesitan dos inyecciones de la vacuna contra el VPH, según los CDC 10/21/2016 01:00 PM EDT Pero las directrices revisadas de la agencia siguen recomendando 3 inyecciones para los jóvenes de 15 a 26 años Algunas cerámicas mexicanas pueden conducir a intoxicación con plomo 10/21/2016 01:00 PM EDT La enfermedad de una mujer canadiense resalta el peligro del glaseado con niveles altos de plomo, señalan unos médicos Incluso los estudiantes de sexto curso cometen abusos cibernéticos en las relaciones románticas, según un estudio 10/21/2016 01:00 PM EDT Los que tienen antecedentes de acoso y los que pensaban que la violencia contras las chicas era normal fueron los más probables perpetradores Las 'pastillas falsas' podrían ayudar a aliviar el dolor de espalda 10/21/2016 01:00 PM EDT Los pacientes sabían que estaban tomando un placebo, pero sintieron alivio de cualquier forma, encuentra un estudio Las mordeduras de serpientes son un peligro creciente para los niños de EE. UU. 10/21/2016 01:00 PM EDT Una cuarta parte de los ataques del país ocurren en Florida y Texas, según un estudio Pruebas del Zika para todas las mujeres embarazadas que hayan estado en un condado de Florida, plantean los CDC 10/21/2016 01:00 PM EDT La última recomendación cubre más de dos áreas de Miami-Dade donde se está produciendo una trasmisión a nivel local Tenga cuidado con lo que comparte en internet sobre sus hijos 10/24/2016 01:00 PM EDT Una nueva revisión ofrece consejos a los padres sobre cómo tener más cuidado al publicar cosas que podrían afectar a sus hijos Uno de cada tres deportistas jóvenes con una conmoción vuelve a jugar el mismo día 10/24/2016 01:00 PM EDT Pero la recomendación médica es dejar de jugar tras una lesión en la cabeza Hay más niños y adolescentes que van a emergencias con dolores de cabeza 10/24/2016 01:00 PM EDT Un estudio halla que las admisiones al hospital por un dolor de cabeza también están en aumento; las razones no están claras El sábado 22 de octubre es el día nacional de devolución de medicamentos 10/24/2016 01:00 PM EDT El evento patrocinado por la DEA ofrece lugares para deshacerse de forma segura de los medicamentos no usados ¿Es el impacto del café un asunto genético? 10/24/2016 01:00 PM EDT Un estudio busca explicar por qué algunos pueden disfrutar de una taza justo antes de irse a la cama y luego dormir, y otros no Muchos adultos no son conscientes de que usar los cigarrillos electrónicos puede resultar nocivo para los niños 10/24/2016 01:00 PM EDT El uso en interiores promueve una exposición dañina a la nicotina, advierten unos investigadores Consejos para que Halloween siga siendo seguro y divertido 10/24/2016 01:00 PM EDT Los concursos de morder manzanas y salir a buscar dulces pueden exponer a los niños a peligros potenciales, advierten los expertos en salud Estados Unidos está entre los 10 primeros países con respecto a la empatía 10/24/2016 01:00 PM EDT Pero el autor del estudio afirma que los medios sociales, las prácticas de crianza y el acoso podrían algún día bajar la puntuación de compasión en EE. UU. Muchos adolescentes fuman para perder peso, sugiere un estudio 10/25/2016 01:00 PM EDT Los investigadores ofrecen nuevos modos para disuadir a los adolescentes de que fumen Se observan cambios en los cerebros de los niños tras una temporada de fútbol americano 10/25/2016 01:00 PM EDT Todavía no está claro si esos cambios son duraderos o significativos Muchas personas toman opiáceos a regañadientes para el dolor lumbar, según una encuesta 10/25/2016 01:00 PM EDT A los pacientes les preocupan los analgésicos potencialmente adictivos, y dicen que solo ofrecen un alivio limitado Fumar sigue provocando una parte importante de las muertes por cáncer en EE. UU. 10/25/2016 01:00 PM EDT El hábito se vincula con cerca de un tercio de los cánceres letales en las personas de a partir de 35 años de edad, encuentra un estudio Unos músculos más fuertes podrían fortalecer la memoria 10/25/2016 01:00 PM EDT Unos adultos mayores observaron cambios duraderos al levantar pesas dos veces por semana durante seis meses, informan los investigadores Según unos médicos, los bebés deberían compartir habitación con los padres para ayudar a la prevención del SMSL 10/25/2016 01:00 PM EDT Se aconseja que duerman cerca, pero no en la misma cama, durante el primer año, según un grupo de pediatras El embarazo podría aumentar el riesgo de ACV en las mujeres más jóvenes, según un estudio 10/25/2016 01:00 PM EDT Pero el riesgo absoluto es muy bajo; los investigadores no están seguros de los motivos Las mujeres están logrando la igualdad en un hábito dudoso: la bebida 10/26/2016 01:00 PM EDT Las mujeres también están cerrando la brecha respecto a los problemas de salud por el consumo de alcohol El TEPT en la niñez podría dejar una huella en el cerebro 10/26/2016 01:00 PM EDT La IRM detecta variaciones en las conexiones neurales de los supervivientes a terremotos, señalan investigadores chinos Un estudio con ratones da ideas del daño que el Zika puede causar en el cerebro de los adultos 10/26/2016 01:00 PM EDT Unas células madres, fundamentales para el aprendizaje y la memoria, podrían ser vulnerables al virus Un estudio vincula los desastres con la demencia 10/26/2016 01:00 PM EDT Perder el hogar se vinculó con un mayor declive mental entre los supervivientes mayores a un tsunami Los niños pequeños que van en el regazo sufren más lesiones en los aviones 10/26/2016 01:00 PM EDT Los accidentes reportados incluyen caídas y quemaduras con bebidas calientes, encuentra un estudio Tres de cada cuatro adolescentes creen que los cigarrillos electrónicos son más seguros que el tabaco, según una encuesta 10/26/2016 01:00 PM EDT Pero los dispositivos administran la misma cantidad de nicotina, o más, que los cigarrillos, señalan expertos en tabaquismo El tratamiento del autismo dirigido por los padres muestra beneficios duraderos 10/27/2016 01:00 PM EDT Una intervención temprana redujo la gravedad de los síntomas años más tarde, según un estudio Unas nuevas directrices animan a los diabéticos a que se muevan más 10/27/2016 01:00 PM EDT Deben hacer actividad física ligera cada 30 minutos, no cada 90 minutos ¿Puede haber un vínculo entre la frecuencia cardiaca y la presión arterial de los adolescentes con las enfermedades mentales? 10/27/2016 01:00 PM EDT Quizá se puedan detectar indicadores de la esquizofrenia, el trastorno obsesivo-compulsivo y la ansiedad durante un examen físico a los 18 años Un estudio desacredita el mito del 'paciente cero' en la crisis de SIDA de EE. UU. 10/27/2016 01:00 PM EDT Un análisis genético de muestras de sangre de 40 años de antigüedad muestra que muchos norteamericanos ya estaban infectados a finales de la década de los 70 Menos de la mitad de los pacientes mayores de fracturas de cadera se recuperan del todo, según un estudio 10/27/2016 01:00 PM EDT Expertos geriátricos citan la necesidad de unas expectativas realistas para los pacientes lesionados y sus familias La FDA advierte que los complementos de testosterona son peligrosos 10/27/2016 01:00 PM EDT Muchos hombres estadounidenses los toman, pero pueden ocurrir problemas cardiacos y psicológicos, señala la agencia La cirugía para perder peso ofrece dividendos a los adolescentes gravemente obesos 10/27/2016 01:00 PM EDT Mejora la salud y la autoestima de los jóvenes, y parece ser rentable con el tiempo, encuentra un estudio healthfinder.gov Today's Headlines 10/28/2016 |
Palm Tran Bus Schedules Walk In or Make an Appointment English Kreole Spanish Spoken
Primary Care Clinic Delray Beach 225 South Congress Ave Delray Beach, FL 33445 (Click on Address for Map) Phone: (561) 279-2665 (All Day & After Hours) Hours: 8 a.m. to 5 p.m. Weekdays 8 a.m. to 7 p.m. Wednesday 9 a.m. to 1 p.m. Saturday Primary Care Clinic West Palm Beach 1150 45th Street West Palm Beach, FL 33407 (Click on Address for Map) Phone: (561) 842-7383 (All Day & After Hours) Hours: 8 a.m. to 5 p.m. Weekdays 8 a.m. to 7 p.m. Tuesday 9 a.m. to 1 p.m. Saturday |
Primary Care Clinic Belle Glade 38754 State Road 80 Belle Glade FL 33430 (Click on Address for Map) Phone: (561) 986-6156 (All Day & After Hours) Hours: 8 a.m. to 5 p.m. Weekdays 9 a.m. to 1 p.m. Saturday |
-= CURRENT SLIDING FEE SCALE AT CL BRUMBACK PRIMARY CARE CLINICS =-
BY THE HEALTH CARE DISTRICTS OWN ARITHMETIC a majority of Clinic patients are 'members' of an HCD Capitation program that pays for Unlimited primary care visits at the rate of $36 per enrollee per month (this is a REMARKABLE achievement, even given the Clinics VERY LIMITED SCOPE OF SERVICES). This was recently reduced from $40 a month, presumably based on efficiencies cited by the Health Care District and management of the Brumback Clinics, and should represent a starting price point for public taxpayer partners. Rather than reduce compensation to the primary clinics, the Health Care District SHOULD have expanded the scope of services in the clinics. It's widely accepted that comprehensive and regular primary care has a positive impact on Public Health, so every incremental expansion of scope of services should translate to gains in the campaign for the so-called Triple-Aim of Better Care, Lower Costs, and Better (Health) Outcomes.
WHAT'S WRONG WITH THIS PICTURE? :: The building above (Delray Brumback Clinic) was purpose designed as a Health facility, with 34 examination rooms. Dr Brumback might be sorely disappointed to find that in 2016, only a very small percentage of these examination rooms are being utilized for the purpose intended. With a budget of over $11 million, for all the clinics, Delray Clinic has LESS than one FTE (Full Time Equivalent) MD currently on staff.