Davenport, IA - In thanking U.S. Rep. Dave Loebsack (D-IA) for touring ManorCare Health Services - Utica Ridge today, Davenport's local skilled nursing facility (SNF) care community demonstrated why facilities like this across Iowa are vital to Iowa seniors, the Davenport-area's local economy and workforce, and a key piece of the policy puzzle in terms of helping to improve care quality and reduce healthcare costs.

"Our patients and staff appreciate the time Congressman Loebsack took to visit our facility, and to see first-hand how nursing homes like ours are evolving to meet the needs of a more diverse patient population," stated Kim Hufsey, administrator at ManorCare Health Services - Utica Ridge. "We welcome the opportunity to meet with lawmakers so that they can more fully understand why nursing homes of the 21st Century, like ours, are vital to helping more seniors return home more quickly, and why it has never been more important for our lawmakers to preserve, protect and defend the Medicare funding our patients depend upon for quality care."

Hufsey pointed to a new study finding Iowa nursing homes and the patients under their care face a $30 million cumulative reduction in Medicare funding in 2013-14 as a result of several different federal budgetary actions and regulatory payment changes made by Congress and the Centers for Medicare and Medicaid Services (CMS) since 2009. Nationally, nursing homes and their patients face nearly $4 billion in reductions in 2013-14, and a $65 billion reduction over 10 years, according to the independent health policy advisory firm, Avalere Health.

"It was great to meet with all of the patients, employees and administrators at ManorCare Utica Ridge and see all the wonderful work that is being done there.  Facilities like these are important pillars in our community, providing jobs as well as important services to local residents," said Congressman Dave Loebsack.  "Having been raised in part by my grandmother, I know first-hand how critical Medicare is to our seniors, which is why I will always fight to preserve and protect it.  I also know how essential it is to help our seniors return home quickly to their families.  It is places like ManorCare that can serve as an example toother healthcare providers when it comes to providing the quality, affordable care that our seniors need."

ManorCare Health Services - Utica Ridge treats primarily post-acute care patients in need of short-term rehabilitation or therapy care before returning home to independent living. Participants in today's tour stressed the increasingly important role of nursing homes in the nation's evolving healthcare system, particularly among high-acuity, short-stay patients.

"Unfortunately, our current post-acute care system relies on a siloed payment structure that does not achieve efficiency in spending, or do enough to help us sustain our quality improvement initiatives," Hufsey continued.  "We encourage lawmakers to advance policies that improve patient care and foster stability in a healthsector already under stress due to recent Medicare funding cuts and regulatory payment changes ? changes which directly impact our vulnerable nursing home patients, our fragile front-line care workforce, and economically-stressed facilities across Iowa."

"It will be essential for our Washington leaders to help sustain Medicare funding levels in a manner that ensures the ongoing stability of our facility," added Hufsey.  "We look forward to working with Congressman Loebsack to ensure his elderly constituents always have access to the quality long term and post-acute care they deserve, and can continue to return homeafter successful rehabilitation as soon as possible."

The Avalere study projects the 2013-14 budgetary impact on Iowa based on the following major government actions since 2009: Affordable Care Act (ACA) productivity adjustment ($10.8 million cut in 2013); Case-Mix Adjustment in FY 2010 CMS Rule ($11.2 million regulatory reduction in 2013); Forecast Error Adjustment in FY 2011 CMS Rule ($2 million regulatoryreduction in 2013); Sequestration provision of Budget Control Act ($6.6 million cut on January 1, 2013); Bad Debt provision in March 2012 Middle Class Tax Relief and Job Creation Act ($3.1 million cut 2012-14 beginning October 1, 2012). Additional information and methodology notes available at www.aqnhc.org

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Newly published research from the University of Rochester Medical Center shows that the PSA test has life-saving benefits to men of all ages. Without routine PSA testing, the number of men diagnosed with an incurable form of advanced prostate cancer, also referred to as metastatic prostate cancer, would triple.

Many prostate cancer experts believe widespread availability and usage of the PSA test contributed to a prostate cancer death rate reduction by nearly half. Dr. David Samadi, a leading robotic prostatectomy surgeon from The Mount Sinai Medical Center in New York City, points out the precision with which this data supports that claim.

"Today, roughly 8,000 men are diagnosed with advanced prostate cancer. To triple that number would, in fact, double the number of men who succumb to the disease each year," he explains.

ZERO has partnered with Dr. Samadi, Vice Chairman, Department of Urology and Chief of Robotics and Minimally Invasive Surgery at The Mount Sinai Medical Center in New York City, to help educate and answer questions from our readers. Look for more content from him in future issues of ZEROHour!

Click Here to Read More from Dr. Samadi on PSA Testing


Prostate Cancer Among African American Men Reaches Epidemic Proportions

The U.S. Senate recently passed a resolution acknowledging that awareness and prevention of prostate cancer is as critical as it's ever been for African American men. The resolution, which was introduced by Sen. John Kerry (D-Mass.), urges federal agencies to address what they're now calling an "epidemic" by supporting education, awareness outreach and research specifically focused on how prostate cancer affects black men.

African American men have the highest rate of prostate cancer in the world, with one in five men getting the disease during his lifetime. Want to know more about your risk? Read ZERO's fact sheet Ten Things African American Men Should Know About Prostate Cancer.

Click Here to Read the Full Story

Congressman Dave Loebsack (D-IA) will visit a local Davenport skilled nursing facility (SNF) this Wednesday to meet with patients, residents, family members and staff to discuss how and why nursing home care is vital to local seniors' rehabilitative care, important to the local jobs base, and an essential part of the equation to help bring about efficiencies in federal health care spending.

Representatives from the Iowa SNF community will detail how facilities across the state are evolving to meet the growing needs of an increasingly diverse, rehabilitation-oriented patient population and how Medicare and Medicaid payment policies are impacting post-acute and long term care for the state's elderly and disabled.

WHO:                           Congressman Dave Loebsack (D-IA)

Kim Hufsey, Facility Administrator

 

WHERE:                         ManorCare Health Services -Utica Ridge

3800 Commerce Blvd.

Davenport, IA 52807

563-344-2000

 

WHEN:                          Wednesday, August 8, 2012

10:15 - 11:00 a.m.

DAVENPORT, Iowa -- Aug. 7, 2012 -- Genesis Health System and development partner Build To Suit, Bettendorf, have broken ground for a 10,500-square foot building that will house the Genesis Center for Physical Therapy and Sports Rehabilitation at Eastern Avenue and 53rd Street.

Treatment options new to the region will include underwater and anti-gravity treadmills to expedite recovery after surgery or injury.

"This facility will have features unlike any now available in the region for recovery from injury or surgery,'' said Doug Boleyn, outpatient rehabilitation services director, Genesis Health System. "We will also have an emphasis on recovery of athletes or anyone who has suffered an injury while participating in sports.''

The underwater treadmill allows individuals to maximize their recovery potential by returning to functional training, such as walking, running and swimming much earlier in their recovery process and, with significantly less pain. Having the ability to adjust water temperature will allow for muscle relaxation and reduction of joint stiffness with warm temperatures and swelling control with cooler temperatures.

The underwater treadmill will be equipped with video analysis. Swimmers will be able to swim against resistance and runners will be able to train while having mechanics videotaped to decrease the possibility of future injuries and maximize performance.

An anti-gravity treadmill, developed by NASA, uses air pressure in a chamber to gently lift the user and is used primarily for rehabilitation of lower extremity injuries and athletic training.

The facility will have higher ceiling height, a pitching mound, golf net, running lanes and a lounge called the Chill Zone for cool down after workouts. The features will allow athletes greater opportunity for a quicker return to competitive athletics. Sports-specific training will be available.

The Genesis Rehabilitation staff will continue to provide one-on-one individualized care for both acute and chronic pain. Services include treatment for muscle, bone and joint pain, return to work training, pre- and post-operative recovery, balance/dizziness dysfunctions and TMJ/headache pain. A certified hand specialist will continue to restore maximal upper extremity function regardless of the degree of the injury.

Paul Boffeli, vice president and project manager for Built To Suit, said he believes the Genesis facility could stimulate additional development in the area.

"There is a lot of opportunity for additional development on 53rd Street and Eastern Avenue. So far, commercial development has been limited, but we think this project may open the area to other projects,'' Boffeli said.

The building is scheduled to be completed by Jan. 1.

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If you were offered more health coverage for less money, would you take it?

That's the question before Iowa policymakers right now. They have the choice to expand the Medicaid program starting in 2014, extending health coverage to nearly 200,000 more Iowans - or they can refuse.

If they do expand coverage to some of our state's most vulnerable citizens, they could save the state $72 million over the next eight years.  What's more - the federal government has even agreed to pay 100 percent of the costs to expand the program for the first two years, and no less than 90 percent after that!

Yet Governor Terry Branstad has said he'd rather not.

Tell Gov. Branstad and legislative leaders (Sen. Gronstal, Rep. Paulsen, Rep. Upmeyer) you want the Medicaid expansion to help more hard-working, low-income Iowans gain access to care - including potentially life-saving cancer prevention and early detection screenings.

Expanding the program is a win-win for the state - saving lives and dollars.

Take action today to let policymakers know this is a common-sense solution and a step in the right direction in the fight against cancer.

While the start of the school year finds many reminiscing about lazy summer days of play and relaxation, four young local artists spent a week of their vacation exploring the unique healing powers of horses.  As part of the Murals course at Rivermont Collegiate Summer Camp 2012, four students created a truly impressive 5' x 7' mural on canvas drop cloth to be displayed in the arena/pole barn at Juan Diez Rancheros in Davenport.

Before beginning, students spoke with Juan Diez Rancheros about their mission and explored the purpose of their mural.  Juan Diez Rancheros is a non-profit program offering free horse therapy for children who have been abused or emotionally traumatized, with the use of rescued horses.  The program is unlike any other horse therapy offered in the Quad Cities, with testimonials describing children who have become more conversational, trusting, expressive, and patient after interacting with the horses.

Rivermont Mural Presentation at Juan Diez Rancheros.JPG

Rivermont students Dwira Nandini (5th grade), Asha Alla (5th grade), Adam Chamberlain (6th grade), and Maryam Rasheed (6th grade) chose to paint a young girl interacting with a horse with the Centennial Bridge in the background.  This was an ambitious project - work was completed in only about two days!  Dwira, Asha, Adam, and Maryam chose the bridge to represent the Quad Cities and symbolize "bridging the gap" - connecting the child's heart with the horse's heart.  They chose to paint silhouettes so that any child could picture themself as the subject of the mural.  The group brainstormed for the ideal words to encircle the image, with each student ultimately selecting one of the four - caring, hope, friendship, and healing.  Maryam explained the soft, cool colors were chosen to express a mood of friendship and bonding.  Her favorite aspects of the project included painting the figures - the girl and the horse having "a moment" - and learning how horses can connect to children and help them overcome trauma.

Students delivered the mural to Juan Diez Rancheros on Friday, August 3rd and it has been described as an "incredible display of inspiration."  Tremendous thanks go out to the leaders of the Murals course, Dominic Velando and Laura Klavitter, without which this project could not have been completed.

For more information on Juan Diez Rancheros, visit http://juandiezrancheros.org

For more information on Rivermont Collegiate, visit http://www.rvmt.org

Harkin to Discuss Romney's Impact on Middle Class Iowans

DES MOINES - Tomorrow, Senator Tom Harkin will hold a conference call to discuss concerns about the impact Mitt Romney's economic and tax policies would have on the security of Iowa's middle class families.

The contrast between President Obama and Mitt Romney could not be starker.  Romney's opposition to the Wind Production Tax Credit and his plan to cut $5 trillion in taxes for the wealthiest would lead to economic uncertainty, job losses and increased taxes on 490,000 Iowa families.

President Obama believes the only way to create an economy built to last is to build it from the middle out, not the top down. He is fighting for middle class security by supporting manufacturing, protecting the wind PTC and preventing a tax hike on middle class families by asking the wealthiest to pay their fair share.

Tuesday, August 7

1:00 PM CDT

WHAT: Senator Tom Harkin will hold a conference call on the difference between Mitt Romney's economic policies, and President Obama's commitment to middle class security.
'These Kids Sometimes Suffer Lifelong Damage,'
Says Ex-Wife of College Football Coach

Every college football fan has asked, "What was the coach thinking?" at some point or other. That's OK,  says Kathy (Currey) Kronick, author of Mrs. Coach: Life in Major College Football (www.mrscoach14yrs.com), sometimes I wish they would bottle their "BOOs."

As college teams and their fans prepare for the kickoff of another contentious season, Kronick offers insights from her unique perspective as a longtime "Mrs. Coach."

"I have been in stadiums where I've thought to myself, 'This must be what it was like in ancient Rome,' " says Kronick, whose book recounts her years married to Coach Dave Currey. "Some fans get so caught up in the heat of the moment that they forget these players are just kids who may be dealing with injuries or personal problems."

There are many factors that feed into a coach's decision regarding players, plays and clock management, she says. Last-minute decisions may be influenced by events and observations that go back to Pop Warner, or even earlier.

"A football coach's work is never done," she says. "When they're not on the field, in the weight room or at meetings, a head coach's mind is still on football. It was frustrating for me to know all that was behind a decision when fans started booing."

She says fans should remember the following realities in college football:

• Student athletes: It's very difficult to earn a slot on a major college team's roster from high school, and only 2.4 percent of these young players ever make it to the next level. "These are kids just out of high school who have devoted their lives to the game. Most will not become millionaires, or even go pro, so I wish fans would give them a break," Kronick says. "They are also full-time students, too, with all the added pressures of academia."

• Injuries: Some of the most egregious booing comes from fans who think a player isn't tough enough when injured. "The charge is 'lack of heart' when an important player is out of a game due to a 'borderline' injury, which cannot be diagnosed by a doctor or seen in an x-ray," she says. "Many of these student-athletes incur injuries that may affect them if they try to go pro. Even if they don't continue in football, they may carry the limp of the game for the rest of their lives. No athlete should ever be forced to play with an injury."

• Coach knows best: It's the coach's job to obsess over every detail that will help the team win. They do that 24/7, 11 months of the year. (They're off the month of  July, when they attempt to make up for all the family time they've missed, but even then, they're still thinking about the team, Kronick says.) "Their lives revolve around winning - and not making mistakes. A bad call is only so labeled if a play doesn't work," she says. "Couch-surfing coaches and Monday-morning quarterbacks should be aware of that before criticizing."

Coaches always say that if fans buy tickets, they have the right to boo, Kronick says.

"But coaches' wives say, 'Please don't boo around us.' "

About Kathy (Currey) Kronick

Kathy (Currey) Kronick was married to Dave Currey from 1974 to 1989. He was an assistant coach at Stanford University when they met and married, and later moved on to Long Beach State (Calif.), the University of Cincinnati and UCLA. They divorced in 1996. Kronick, who has a bachelor's in education of the deaf and a master's in counseling, is the mother of two children and is happily remarried.

Local Podiatrist Dr. Mark Lucas on Running Down Common Foot Problems
JULY 26, 2012 BETTENDORF, IA - Maria Bribriesco, candidate for Iowa House of Representatives (District 94) and Bettendorf resident, has announced the third in a five-part
Health & Wellness series ""Taming Your 'Achy Breaky' Foot - The Foot Doc is In" with podiatrist Dr. Mark Lucas, D.P.M.. This presentation will be at the Bettendorf Public Library
August 14, 2012 at 6:30 PM.  Dr. Lucas will deliver a short presentation followed by a Q&A. This event is free to the public. "We don't often think of our feet until they're hurting."
Maria said recently. "When you have aching feet, it can have a negative effect on other areas of your body. This presentation will point out ways to prevent foot problems before they start."
Dr. Mark Lucas, a graduate of the Scholl College of Podiatric Medicine, is a board-certified physician and a member of the American Council of Certified Podiatric Physicians & Surgeons.
Mark is currently a practing physician with Genesis Health Systems, a member of the Cornbelt Running Club, and the recipient of the 2010 Road Runners Club of America Excellence in
Journalism Award.
About Maria Bribriesco
Maria Bribriesco, a long-time resident of Bettendorf and graduate from the University of Iowa College of Law, is candidate from the Iowa House of Representatives, District 94. After 27 years
working for the U.S. Army at the Rock Island Arsenal, Maria retired as a Supervisory Attorney-Adviser in July 2011.  Maria is married to local attorney William J. Bribriesco and is the proud
mother of attorneys Anthony and Andrew Bribriesco and Dr. Alejandro Bribriesco.
By Senator Tom Harkin

Beginning August 5th, communities across the country and in Iowa will celebrate National Health Center Week.  This week is meant to raise awareness of the crucial role that Community Health Centers - or CHCs - play in providing health care to millions of Americans.  These clinics serve everyone, regardless of ability to pay, and have become a lifeline to Iowans who may have lost a job or are suffering in this economic downturn.

This year's theme is: "Celebrating America's Health Centers: Powering Healthier Communities," which is intended to showcase the multitude of ways these health centers are strengthening communities.

And helping local communities is exactly what these centers do.  CHCs serve some of the nation's most vulnerable - individuals who even if insured would nonetheless remain isolated from traditional forms of medical care because of where they live, who they are, the language they speak, and their higher levels of complex health care needs.

Last year alone, more than 170,000 Iowans chose CHCs for their healthcare, accessing medical, dental, and behavioral health services.  Today, Iowa's health centers provide care to nearly 123,000 Iowans living in poverty, which is more than one-third of the state's total population living in poverty.

Similarly, individuals and families in Iowa who do not have health insurance have also continued to grow, with many of them seeking care at CHCs.  In 2010, Iowa's health centers served more than 66,000 uninsured patients, which is one-quarter of the state's total uninsured population.  Taken together, uninsured, Medicaid, and Medicare patients make up more than three-quarters of CHC patients in Iowa.

As chair of the Senate's health committee and the Appropriations subcommittee that funds health care initiatives, I have made the expansion of the Community Health Center network a major priority.  I have worked to secure a $300 million increase in funding for CHCs this year and also to ensure provisions are included in the new health reform law, the Affordable Care Act, aimed at strengthening CHCs.  These efforts will increase the nurse practitioner, hygienist, and health care workforce and has already funded 286 new sites.  In Iowa alone, the construction and renovation funding I worked to include in the American Recovery and Reinvestment Act and the Affordable Care Act have brought nearly $30 million of investment to communities across Iowa since 2009.

We are already seeing the benefits of federal CHC policy in Iowa.

In June, the Sioux Community Health Center received a designation as a federal health center, which means the Center will begin to receive an annual operating grant of $595,833 from the U. S. Department of Health and Human Services.

This week, a clinic will expand on the east side of Des Moines, having been constructed with a $2.6 million grant from the American Recovery and Reinvestment Act.

Council Bluffs recently opened a new facility with $5 million from the Affordable Care Act, and my office continues to work with the town of Clinton to find a good site to construct a clinic there with $9 million, also from the Affordable Care Act.

Across our state, community health centers are improving care, even as they strive to serve more people.  With help from the Recovery Act, they are transitioning to electronic health records that will better coordinate care, even while they work with the State of Iowa to welcome IowaCares patients into their clinics.

I am very proud of Iowa's health centers and I encourage all Iowans to find out what our health centers are doing in your area.  To find the nearest center, please visit: www.ianepca.com.  For more information about National Health Center Week, visit http://www.healthcenterweek.org/join.html.  If you have any questions, please feel free to contact any of my offices in Iowa or Washington, D.C. or visit my website at harkin.senate.gov.

A PDF version of the article is available by clicking here

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