Council will Help State Implement Federal Health Care Reforms

CHICAGO - July 30, 2010. Governor Pat Quinn today signed an executive order to create the Illinois Health Care Reform Implementation Council. The council will help the state implement the health care reforms contained in the federal Affordable Care Act (ACA).

"Making sure that everyone in Illinois has access to quality, affordable health care is one of my highest priorities," said Governor Quinn. "This council will help my administration effectively implement the new federal law and make sure that every person's right to decent health care is protected."

Implementation of the federal ACA will improve the health of residents throughout Illinois by increasing access to health care, reducing treatment disparities, controlling costs, and improving the affordability, quality and effectiveness of health care.

The council will make recommendations to assist the state to: establish a health insurance exchange and other consumer protection reforms; reform Medicaid; assure high quality care; identify federal grants and other non-governmental funding sources; and foster the widespread adoption of electronic medical records.

The council will submit its first report to Governor Quinn by Dec. 31, 2010, followed by periodic reports on the implementation of its recommendations.

Members of the council will include directors of the Illinois Departments of: Healthcare and Family Services, Insurance, Public Health, Aging, Human Services, Department of Central Management Services, Labor, Financial and Professional Regulation, the Governor's Office of Health Information Technology and the Governor's Office of Management and Budget. Members may be represented by a designee.

A designee from the Office of Governor will serve as the council's chair and the directors of the Department of Insurance and the Department of Healthcare and Family Services will serve as vice-chairs. The council will receive administrative support from the agencies appointed to it.

The council will hold meetings across the state to inform the public about the opportunities and responsibilities under the ACA, soliciting recommendations for the implementation and reporting on those recommendations.

A copy of the Executive Order is attached.

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Laws will Improve Safety in Nursing Homes, Increase Staffing

and Quality Standards, and Fight Fraud and Abuse

CHICAGO - July 29, 2010. Governor Pat Quinn today signed historic legislation that transforms Illinois' system of care for frail older adults and persons with disabilities. The new law is the product of months of research and deliberation initiated by the Nursing Home Safety Task Force that Governor Quinn appointed in October. The task force was charged with ensuring all Illinois nursing home residents are safe and receive the treatment appropriate for their condition.

"Today begins a new era of nursing home care in Illinois," said Governor Quinn. "Older adults who require 24-hour care deserve a safe, high-quality home, and persons with mental illness must have the care and treatment they need to live full and productive lives in their communities. This law protects Illinois' most vulnerable adults."

Senate Bill 326, sponsored by Sen. Heather Steans (D-Chicago) and Rep. Barbara Flynn Currie (D-Chicago), resulted from strong collaboration between state agencies, members of the Illinois General Assembly, advocates, home and community based service providers, residents and the nursing home profession, led by Governor Quinn's Nursing Home Safety Task Force.

The new law remakes the system of admission to nursing homes, ensuring that only those in need of 24-hour skilled care are admitted. The law also strengthens the screening process to prevent residents with violent criminal histories from being placed with vulnerable, older adults.

The law sets higher nursing home quality and staffing requirements, raises penalties for violations, and increases inspections and monitoring. The new law also requires nursing homes to help all residents achieve their highest level of functioning and prepare to transition to more independent, community-based living.

Governor Quinn also signed Senate Bill 2863, sponsored by Sen. Jacqueline Collins (D-Chicago) and Rep. Harry Osterman (D-Chicago), which will reduce fraud and abuse in nursing homes. An initiative of the Office of the Attorney General, the law requires prompt reporting of fraud, abuse and neglect in nursing homes, broadens the definition of criminal neglect, and requires greater disclosure by nursing home owners.

"We have to do everything we can to protect vulnerable nursing home residents and make sure they are safe," said Illinois Attorney General Lisa Madigan. "These bills significantly strengthen the process for protecting nursing home residents from those who may pose a threat. And they provide us with critical tools needed to target nursing home fraud."

Governor Quinn formed the Nursing Home Safety Task Force in October 2009, to respond to concerns for the safety of nursing home residents by thoroughly examining current regulatory policies and coordination among state agencies, and identifying necessary changes in legislation, regulation and policy. The task force held public meetings, heard testimony from more than 50 advocates, academic experts, nursing home residents and their families, and gathered hundreds of public comments through an interactive Web site, www.nursinghomesafety.illinois.gov.

The task force released its final report in February that included 38 recommendations, which served as a blueprint for this reform legislation. State agencies, nursing homes and advocates continue to collaborate to develop new nursing home rates and assessments, as called for in the legislation.

Both laws go into effect immediately.

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Mercury Poses Significant Environmental, Public Health Risks

CHICAGO - July 26, 2010. Governor Pat Quinn today signed into law three bills that will further reduce the amounts of mercury in the environment that can be harmful to residents, especially young children. Illinois already leads the nation in reducing the public's exposure to mercury.

"Mercury exposure poses a threat to our waterways and environment, and to the public's health," said Governor Quinn. "These bills expand our efforts to significantly reduce the amounts of mercury in our environment by eliminating non-essential uses."

Senate Bill 3346, sponsored by Sen. Heather Steans (D-Chicago) and Rep. Karen May (D-Highwood), requires thermostat manufacturers to maintain a statewide program to collect, transport and manage mercury-switch thermostats for recycling when they are taken out of service. Senate Bill 3347, also sponsored by Sen. Steans and Rep. May, phases out the sale and use of lead and mercury wheel balancing weights in Illinois on Jan. 1, 2012.

House Bill 6201, sponsored by Rep. May and Sen. Terry Link (D-Waukegan), extends the sunset date to for the automakers' current state program that collects and recycles mercury light switches from end-of-life vehicles before they are processed as scrap metal to Jan. 1, 2017.

Mercury can escape into the environment when improperly disposed or burned. If a mercury-containing device breaks and the spill is not cleaned up properly, the mercury forms into an odorless vapor, potentially reaching dangerous levels in indoor air. Methylmercury, an organic form of mercury, can accumulate up the food chain in lakes, streams and rivers, which results in high concentrations in the tissues of older and larger fish.

People are most frequently exposed to mercury through the consumption of contaminated fish or by inhaling vapors from spilled mercury or leaking equipment. Mercury poses a significant health risk, especially to young children and fetuses. Prolonged, low-level exposure may cause learning disabilities by impairing children's ability to think and read. Adults who have been exposed to high levels of mercury may experience trembling hands and numbness or tingling in their lips, tongues, fingers and toes.

Acute mercury poisoning, especially through ingestion, can damage the brain, liver, kidneys and even cause death. Mercury can harm wildlife that eats contaminated fish, particularly bald eagles, loons and other fish-eating birds and mammals.

All three laws go into effect immediately.

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To combat rising healthcare costs, the County offers a valuable resource for its residents

ROCK ISLAND COUNTY, ILLINOIS, July 14, 2010? Launched in April 2009, the Coast2Coast Rx free discount card program has saved Rock Island County residents more than $491,154.38, for an overall average savings of almost 50% off of their prescription medications!

Edward W. Rahn, President of Financial Marketing Concepts, Inc. of Ponte Vedra Beach, Florida, the issuer of the Coast2Coast Rx free discount card, says "We are pleased to work with the County to help individuals, their families, and pets, combat the rising cost of healthcare." Rahn added "We appreciate all that the County and local pharmacies are doing to help those in need."

More than 60,000 medications are eligible for a discount under the Coast2Coast Rx program, which is offered at no cost to the county or its residents, and is available to everyone regardless of age, income, or medical history.  The cards are available at most major pharmacies, many independents, on the website (www.coast2coastrx.com/rockislandil), at local libraries and at county offices.

RICO Board Chairman James E. Bohnsack, says that the Coast2Coast Rx card program has been welcomed by area pharmacies and residents.  "Our citizens deserve the opportunity to save on prescription costs.  We are pleased to offer this program."

MILWAUKEE, WI - "Breakfast is the most important meal of the day." 

Mothers have used that statement to coax children into eating breakfast for years.  As it turns out, Mom was right, and according to TOPS Club, Inc. (Take Off Pounds Sensibly), the nonprofit weight-loss support organization, there's research to back her up.  Getting a good mix of protein, whole grains, fiber, and fruit every morning can help boost metabolism, increase energy for both the body and the brain, and help curb cravings for sweets and other foods high in fat.  Research has shown that skipping meals, and especially skipping breakfast, also can make individuals more likely to eat more at the next meal or to eat high-calorie snacks before the next meal.

"Breakfast gets your metabolism going in the morning so you actually burn more calories during the day," says Joan Pleuss, R.D., C.D.E., M.S., C.D., Senior Research Dietitian in the General Clinical Research Center at the Medical College of Wisconsin and nutritional expert for TOPS.  "However, that doesn't mean that you should use that as an excuse to overeat later in the day.  Actually, the reverse may happen, as eating breakfast can decrease the likelihood that you will be as hungry later on."

The National Weight Control Registry (NWCR) was founded more than 20 years ago to document the habits of people who were age 18 and older and who had lost at least 30 pounds of excess weight that they had kept off for at least a year.  One habit the researchers found was that 78% of the people in the Registry ate breakfast every day and that only 4% never ate breakfast.

In the NWCR, the typical breakfast was cereal and fruit.  Another study found that those individuals who ate a ready-to-eat cereal for breakfast had a higher fiber content in their total diet than those individuals who didn't eat a ready-to-eat cereal.  Other studies have reported that people who eat a ready-to-eat cereal for breakfast tend to be leaner than people who don't eat breakfast or eat other types of food for breakfast.

"The best breakfasts are rich in fiber and protein," notes Pleuss.  "Not only do they digest slowly, which means a longer time between hunger pains, a fiber-rich diet can help lower the risk of diabetes, heart disease, stroke, and colon cancer."

Putting this advice to practical use doesn't have to mean going to the store and spending a small fortune on specialty foods.  Instead, a few well-planned changes, like switching to a whole-grain, wheat bread from white, can make all the difference. 

"If waffles are a morning favorite, plan to purchase whole-wheat waffles in place of the more generic, processed varieties," recommends Pleuss.  "Pairing the waffles with some low-fat fruit yogurt is a great way to start the day healthy and curb the urge to binge before lunch."

If lack of time is the reason you skip breakfast, try getting items ready the night before.  Pour out the cereal and cut up the fruit.  Place the oatmeal in the bowl so you only need to add the milk or water in the morning.  Microwave it while you are getting dressed.  Also have available foods that you can grab and go, like whole fruit, bagels, high-fiber breakfast bars, trail mix comprised of nuts and dried fruit, dry cereal, low-fat or fat-free yogurt, and 100% juice. 

You can also make the following recipes in advance, perhaps on the weekend, for convenient and healthy breakfasts all week long.

Applesauce Oatmeal Muffins

1 1/2 cups all-purpose flour
1 cup uncooked old-fashioned oatmeal
1/2 cup brown sugar
1 1/4 t. baking powder
1 t. baking soda
1 t. ground cinnamon
1/2 t. ground nutmeg
1 large egg
1/2 cup nonfat plain yogurt
3/4 cup unsweetened applesauce
1/2 cup chopped pitted dates
1/2 cup skim milk

In large mixing bowl, stir together dry ingredients. In medium bowl, whisk together remaining ingredients. Pour liquid ingredients over dry ingredients. Stir until just blended; do not overmix. Spoon batter into muffin pans coated with nonstick spray or lined with paper bake cups. Bake at 350º F about 20 minutes or until lightly browned. Cool five minutes in the pans before turning out and cooling on wire racks. Makes 18 muffins.

Nutrient value per serving, based on a 1,500-calorie diet:
One serving = one muffin.


Exchanges - 1 starch, 1/2 fruit
Calories - 99
Calories from Fat - 9
Total Fat - 1g (2%)
Saturated Fat - 0
Cholesterol - 12 mg (4%)
Sodium - 118 mg (5%)
Total Carbohydrate - 21g (9%)
Dietary Fiber - 1g (5%)
Sugars - 9g
Protein - 3g



Granola

1 2/3 cup oat bran
1 cup quick or old-fashioned rolled oats
1/3 cup instant nonfat dry milk powder
1/4 cup honey
1/4 cup sunflower seeds
2 T. vegetable oil
2 T. water
1 t. grated orange peel
1/2 t. vanilla
3/4 cup dried banana chips
1/2 cup raisins

Combine all ingredients except last two. Mix well. Spread into a 13" x 9" pan and bake at 350° F for 20 to 25 minutes until golden brown. Stir after 10 minutes; then stir in banana chips and raisins. Cool completely. Store mixture in an airtight container for up to one week. Makes 10 servings.

Nutrient value per serving, based on a 1,500-calorie diet:
One serving = 1/2 cup granola.


Exchanges - 1 starch, 1 fruit, 1 1/2 fat
Calories - 198
Calories from Fat - 72
Total Fat - 8g (16%)
Saturated Fat - 3g (20%)
Cholesterol - 0
Sodium - 15 mg (1%)
Total Carbohydrate - 34g (15%)
Dietary Fiber - 4g (20%)
Sugars - 14g
Protein - 6g

TOPS Club Inc. (Take Off Pounds Sensibly), the original, nonprofit weight-loss support and wellness education organization, was established more than 62 years ago to champion weight-loss support and success.  Founded and headquartered in Milwaukee, Wisconsin, TOPS promotes successful, affordable weight management with a philosophy that combines healthy eating, regular exercise, wellness information, and support from others at weekly chapter meetings. TOPS has about 170,000 members in nearly 10,000 chapters throughout the United States and Canada.

Visitors are welcome to attend their first TOPS meeting free of charge. To find a local chapter, view www.tops.org or call (800) 932-8677.

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Hammond-Henry Hospital set to break ground on the "Designed to be Patient Kind" Addition

Geneseo, IL - A milestone event will take place next Wednesday for Hammond-Henry Hospital in Geneseo, IL. At 5:00 p.m. on July 7, 2010 a groundbreaking ceremony will be held to commemorate the beginning of construction on the 73,000 s.f. addition project located at 600 N. College Avenue in Geneseo, IL. Press is invited to attend.

The project will include a new 38-bed long term care addition, a new kitchen/dining addition, and a two-story building that has a physical and occupational therapy suite on the upper level and support services on the lower level. It will also include a state-of-the-art hybrid operating room with all the functions of a standard operating room, as well as, a peripheral vascular lab. In total, this project will consist of three different additions to the existing hospital, as well as, the demolition of a 1901 building in the middle of the present hospital and a 1954 building along the east side.

"This project has been two years in the making. It is our goal to tie the facility together into a modern, user-friendly building which will meet the needs of our patients, visitors, and staff well into the future," stated Brad Solberg, CEO of Hammond-Henry Hospital.

Hammond-Henry Hospital was established in 1901, utilizing approximately 82 acute and long-term beds and serves nearly 20,000 residents in the Geneseo, IL area. For more information on Hammond-Henry Hospital, please visit their website at www.hammondhenry.com.

Russell Construction, located in Davenport, IA, is serving as the Design/Builder and General Contractor on this new addition project. Shive-Hattery, located in Moline, IL will serve as the Architect. The Patient Kind Addition is the third project that Russell Construction has completed for Hammond-Henry Hospital since 2004. Previously, Russell constructed a 34,000 s.f. addition and renovation to their existing hospital in Geneseo, IL and a 3,500 s.f. medical office building in Colona, IL. For more information on Russell Construction, please visit their website at www.russellco.com.

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Senator Tom Harkin to Tax Prosthetic Limbs and Other Vital Medical Devices, Refuses to Exempt Veterans

WASHINGTON, D.C. – As the nation prepares to celebrate Independence Day with parades and barbecues, America's veterans face a new tax on prosthetic limbs and other vital medical devices.

The health care overhaul passed by Congress and signed into law by President Obama earlier this year contains a new tax on medical devices such as prosthetic limbs, pacemakers, and wheelchairs.  This tax, which its proponents claim will raise $20 billion over the next ten years, contains no exemption for the nation's 22 million veterans.  In fact, Senate Democrats specifically refused to exempt veterans from the tax.

On March 24 2010, Senate Democrats rejected an amendment offered by Senator Orrin Hatch (R-Utah) to the healthcare bill.  This amendment (SA 3644) would have prevented the medical device tax from hitting veterans covered by the Veterans Healthcare Program or TRICARE for Life.  This amendment was rejected by a vote of 44-54.   Sen. Tom Harkin voted in favor of retaining the tax for veterans.

The medical device tax was one of over twenty new or higher taxes in President Barack Obama's healthcare overhaul.  This permanent new tax is being collected now.

"On March 24, Senator Harkin had the opportunity to exempt our veterans from Obamacare's new tax on medical devices such as prosthetic limbs.  But he voted against the measure.  Harkin chose to side with the tax-and-spend crowd in Washington over our wounded warriors," said Grover Norquist, president of Americans for Tax Reform.  "This is one of the many reasons Harry Reid and the Democrats did not want Americans to read the 2,500 page health care bill before it was passed."

In addition to those who served in Afghanistan and Iraq, the Department of Veterans Affairs reports the following number of veterans from America's wars:

World War II:                         2,079,000

Korean War:                           2,507,000

Vietnam War:                        7,569,000

Desert Shield/Storm:           2,254,000

Americans for Tax Reform is a non-partisan coalition of taxpayers and taxpayer groups who oppose all tax increases.  For more information or to arrange an interview please contact John Kartch at (202) 785-0266 or by email at jkartch@atr.org.

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Spending time outdoors is good for you, from the Harvard Health Letter

BOSTON?Summer is here. The outdoors beckons. Heed that call and you'll reap physical and mental health benefits, reports the July 2010 issue of the Harvard Health Letter. Here are five good reasons to get outdoors:

Your vitamin D levels rise. Sunlight hitting the skin begins a process that leads to the creation and activation of vitamin D. Studies suggest that this vitamin helps fight certain conditions, from osteoporosis and cancer to depression and heart attacks. Limited sun exposure (don't overdo it), supplemented with vitamin D pills if necessary, is a good regimen.

You'll get more exercise. If you make getting outside a goal, that should mean less time in front of the television and computer and more time walking and doing other things that put the body in motion.

You'll be happier. Light tends to elevate people's mood, and there's usually more light available outside than in. Physical activity has been shown to help people relax and cheer up, so if being outside replaces inactive pursuits with active ones, it might also mean more smiles.

Your concentration will improve. Children with ADHD seem to focus better after being outdoors. It might be a stretch to say that applies to adults, but if you have trouble concentrating, outdoor activity may help.

You may heal faster. In one study, people recovering from spinal surgery experienced less pain and stress and took fewer pain medications when they were exposed to natural light. An older study showed that the view out the window (trees vs. a brick wall) helped recovery in the hospital.

Read the full-length article: "A prescription for better health?go alfresco"

Also in this issue:

  • Aspirin and cancer prevention

  • Peripheral neuropathy treatment

  • Niacin for boosting "good" HDL cholesterol

  • Safety of using ibuprofen p.m. as a sleep aid

  • Omega 3s and nutrition

The Harvard Health Letter is available from Harvard Health Publications (www.health.harvard.edu), the publishing division of Harvard Medical School, for $29 per year. Subscribe at www.health.harvard.edu/health or by calling 877-649-9457 (toll-free).

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ROCK ISLAND, Ill. - A Rock Island Hy-Vee dietitian was one of six Illinois dietitians to earn Recognized Young Dietitian of the Year by the Illinois Dietetic Association.

Chrissy Mitzel, of Davenport, Iowa, was nominated by the Mississippi Valley Dietetic Association, the local Quad Cities area dietetic group, because of her active dedication and participation in the group since she moved to the area, said Vicky Bean, MVDA nominating committee chairwoman.

"Chrissy has helped present education programs to MVDA areas and willingly serves on committees," Bean said.

The award is given to select Illinois Dietetic Association members who are younger than 35 years old. Members who participate in specific dietetic groups, demonstrate concern for the promotion of health and nutrition and demonstrate leadership in careers or association activities are eligible for the award.

Mitzel said she was extremely honored for winning the award. "I'm so young and it's such a big recognition," she said. "I was excited."

Mitzel credited her two-year career at Rock Island Hy-Vee for winning the award. "My job is very exciting and I have many opportunities," she said. "I have a lot of variety and it gives me to opportunity to touch so many people in the community."

Her position at Hy-Vee is Mitzel's first job since she graduated from school and became a registered dietitian.

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Men throughout Illinois encouraged to get a prostate cancer screening during Men's Health Week: June 14-20, 2010

CHICAGO - June, 20, 2010, Governor Pat Quinn today joined Dr. Damon T. Arnold, Illinois Department of Public Health Director and a prostate cancer survivor, and Access Community Health Network to encourage men throughout the state to recognize the importance living a healthy lifestyle, which includes preventative health screenings, such as prostate exams.

"Father's Day is the perfect time to urge the men in your life to take their health seriously," said Governor Quinn. "Men often ignore health problems until it's too late. With regular medical check-ups and screenings, many preventable health problems can be detected early and treated."

At an event held at Access Grand Boulevard Health and Specialty Center in Chicago, Governor Quinn urged men to get screened for prostate cancer. Medical professionals were onsite to administer prostate cancer screenings to men in attendance.

Prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer. Prostate cancer accounts for about 11 percent of cancer-related deaths in men. Prostate cancer is the most common cancer, other than skin cancers, in American men. One in six men will develop prostate cancer over their lifetime.

"As a prostate cancer survivor myself, I know the importance of early detection through routine screening.  I'm healthy and cancer free today because of prostate cancer screenings," said Dr. Arnold. "I urge every man to overcome their fears of prostate cancer exams and go get screened."

The Illinois State Cancer Registry estimates approximately 9,030 new cases of prostate cancer will be diagnosed in Illinois during 2010 and an estimated 1,330 Illinois men will die from it. Across the United States, approximately 218,000 new cases of prostate cancer are expected this year.

Access Community Health Network (ACCESS) is the largest private primary health care provider serving the underserved in the Chicagoland area. ACCESS operates more than 50 community health center locations in underserved, low-income neighborhoods throughout Chicago and Chicago's suburbs.

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