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(c) 2010-2026 Jon L Gelman, All Rights Reserved.

Thursday, October 3, 2013

Many Nursing Homes Operate Without Adequate Sprinkler Systems

Today's post was shared by The New Old Age and comes from newoldage.blogs.nytimes.com


A body was removed from the Greenwood Health Center in Hartford, Conn., after a fire in 2003.
A body was removed from the Greenwood Health Center in Hartford, Conn., after a fire in 2003.

Associated PressA body was removed from the Greenwood Health Center in Hartford, Conn., after a fire in 2003.

Now and then, you learn something about caring for the elderly that stops you in your tracks.

Like this: Until last month, federal regulations did not require all nursing homes to have automatic sprinkler systems.

It’s a bit staggering, isn’t it? Automatic sprinklers, the most effective protection against fires, have been mandated in any new nursing home certified by Medicare and Medicaid, or in new construction added to an existing facility, since 2000. But for older nursing homes, there was no such regulation until August 2008 — and the industry, complaining about high costs, was given five years to comply.

That deadline passed last month, but more than 1,100 older nursing homes still do not have sprinklers or have only “partial” systems, federal records show.

Most of these places have some sprinklers — perhaps only in laundries and kitchens, perhaps in residents’ rooms but not hallways. What “partial” means in this context is unclear, a Medicare spokeswoman told me. But about 125 homes have no sprinklers, including 18 in Illinois, 16 in Texas and 13 in North Carolina. (You can see the list, though it may contain some reporting inaccuracies and may not reflect very recent changes.)

A fire in a nursing home is a horrifying...
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Report Finds 8 Million California Residents Lived in Poverty in 2011

Today's post was shared by votersinjuredatwork and comes from www.californiahealthline.org


There were about 8 million California residents living in poverty in 2011, according to a new report that factored in health care and other costs, the Riverside Press-Enterprise reports.
The figure is significantly higher than federal estimates of nearly 6 million state residents living in poverty that year.

Federal poverty estimates for California and other states use a formula from 1964 that defines poverty as income less than three times the cost of a "minimum diet," which would have been $22,811 for a family of four in 2011.
However, some observers have called this method outdated because food is a smaller part of most families' budgets than it was 50 years ago.

The study was conducted by researchers at the Public Policy Institute of California and the Stanford Center on Poverty and Inequality.
Unlike federal figures, the study's poverty estimates include:
  • Government benefits;
  • Housing prices;
  • Health care costs; and
  • Other expenditures (Olson, Riverside Press-Enterprise, 9/30).
According to the report, the poverty rate in California was about 22% in 2011, the highest in the U.S. and significantly higher than the official rate of 16% (Holland, Los Angeles Times, 9/30).
When the study factored in cost of living:
  • Poverty rates increased in places with high housing costs and other expenses, such as Orange County and the San Francisco Bay Area; and
  • Poverty rates decreased in areas where housing is less expensive, such as some Northern California and...
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New Orleans' 2014 budget projections show sharp increase in workers’ compensation costs

Today's post is share from  thelensnola.org/

The cost of administering the city of New Orleans workers’ compensation program is projected to increase sharply next year — nearly six times for some employees, according to 2014 budget projections shared with The Lens.

On Thursday, Courtney Bagneris, the city’s interim risk manager, is expected to give the City Council budget committee a preliminary report on an audit of the program, said Lauren Hotard, a spokeswoman for Councilwoman Stacy Head. That should include some explanation for the increase, she said.

$16 million

Budgeted for workers’ comp claims in 2013

$24 million

Expected claims in 2013

City Budget Director Cary Grant told the budget committee in August that the city was experiencing a “large uptick” in workers’ compensation claims this year. The city budgeted $16 million for such expenses this year; he said he expected claims to exceed $24 million.

While significant, that’s nowhere near the sixfold increase projected in next year’s budget, from about $300 to $1,700 per employee. Grant did not address the 2014 projections in his presentation.
Such an increase would cost the city about $2.5 million more in next year’s budget of about $500 million.

Head revealed 
the 2014 price jump during an Aug. 30 Lens live chat on the city’s 2014 budget, writing that the Council Fiscal Office had just informed councilmembers of the increase for their staff’s personnel costs. “We don’t...
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Exercise 'can be as good as pills'

Medication can be replaced by exercise reports the the BBC. Today's post is shared from bbc.org.

Exercise can be as good a medicine as pills for people with conditions such as heart disease, a study has found.

The work in the British Medical Journal (BMJ) looked at hundreds of trials involving nearly 340,000 patients to assess the merits of exercise and drugs in preventing death.

Physical activity rivalled some heart drugs and outperformed stroke medicine.

The findings suggest exercise should be added to prescriptions, say the researchers. 
Man preparing to jog

Experts stressed that patients should not ditch their drugs for exercise - rather, they should use both in tandem.

Too few adults currently get enough exercise. Only a third of people in England do the recommended 2.5 hours or more of moderate-intensity activity, such as cycling or fast walking, every week.

In contrast, prescription drug rates continue to rise.

There were an average of 17.7 prescriptions for every person in England in 2010, compared with 11.2 in 2000.

For the study, scientists based at the London School of Economics, Harvard Pilgrim Health Care Institute at Harvard Medical School and Stanford University School of Medicine trawled medical literature to find any research that compared exercise with pills as a therapy.

They identified 305 trials to include in their analysis. These trials looked at managing conditions such as existing heart disease, stroke rehabilitation, heart failure and pre-diabetes.

When they studied the data as a whole, they found exercise and drugs were comparable in terms of death rates.

But there were...


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Asthma related to cleaning agents: a clinical insight

 Cleaning workers are exposed to many substances ans irritants.Today post is from bmj.org.

In recent years, there has been a growing concern about the potential role of exposure to cleaning products in the initiation and aggravation of asthma. 

Epidemiological surveys have consistently documented increased prevalence3–5 and incidence6–8 rates of asthma in workers exposed to cleaning materials and/or disinfectants, especially in domestic cleaners3,4 and healthcare workers.

 In addition, some studies have reported an increased risk of work-related asthma symptoms in exposed workers.

However, there is still limited knowledge on the specific exposures and pathophysiological mechanisms involved in cleaning-related asthma.

Cleaning materials typically contain a wide variety of ingredients, some of which are respiratory irritants, such as chlorine-releasing agents and ammonia, while others are potential airway sensitizers.
 Asthma in cleaners has been mostly associated with the irritant effects of cleaning products, which may exacerbate asthma and, at high exposure levels, cause acute irritant-induced asthma (or ‘reactive airways dysfunction syndrome’)

Nevertheless, occasional case reports have ascribed occupational asthma (OA) due to specific airway hypersensitivty to components of detergents or disinfectants.2 Overall the determinants of cleaning-related asthma symptoms remain largely uncertain since most...
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Wednesday, October 2, 2013

Lead Exposure: OSHA Cites USA Brass Company Inc. of Bozeman, Mont., for overexposing workers to lead

The U.S. Department of Labor's Occupational Safety and Health Administration has cited USA Brass Company Inc. in Bozeman for 10 serious violations, with $45,500 in proposed penalties, after a May inspection conducted under the agency's national emphasis program for lead found workers overexposed to the metal. The company buys and provides brass for individual reloaders and commercial ammunition manufacturers.

Staff from OSHA's Billings Area Office found serious violations, including failure to conduct initial determinations of worker overexposure to lead; implement engineering and work practice controls to reduce lead exposure; provide workers with adequate respiratory protection and personal protective clothing; prohibit food and beverages from areas with excessive accumulations of lead; and train workers on lead hazards.

"The toxic effects of occupational exposure to lead have been well-known for a long time, but this employer did not have basic safeguards to protect workers against this hazard," said Jeff Funke, the agency's area director in Billings. "Employees exposed to lead must be evaluated to assess exposure levels accurately and, if necessary, implement engineering controls to train and ensure the use of personal protective clothing and equipment, including respirators."

Other serious violations include failing to implement respiratory protection, hearing conservation and hazard communication programs; have adequate housekeeping procedures; perform required medical examinations; and post required signs in hazardous areas. A serious violation occurs when there is substantial probability that death or serious physical harm could result from a hazard about which the employer knew or should have known.
USA Brass was also cited for one other-than-serious violation for not certifying forklift operators' training and evaluations. An other-than-serious violation is one that has a direct relationship to job safety and health, but probably would not cause death or serious physical harm.

The company has 15 business days from receipt of the citations and proposed penalties to comply, request an informal conference with OSHA's area director, or contest the findings before the independent Occupational Safety and Health Review Commission.

Tuesday, October 1, 2013

Electronic Filing: The Ideal System for Workers' Compensation

Judicial systems throughout the country have been working diligently to obtain the the "best" electronic filing and docketing systems for workers' compensation systems. The Federal Court program, certainly by the devopment of PACER, and the local District Courts and Appellate Circuits, though their Electronic Court Filing  (ECF) systems, have established a systems that are stellar. Working on budgets, funded by no or minimal filing fees, and a huge volume of matters, with specialized interests, the state workers' compensation programs have had a more difficult start and a rougher road to operationalize electronic filing programs and docketing systems. Florida has produced a system that works, provides transparency and success. Today's post, authored by Judge David Langham, Deputy Chief Judge of Compensation Claims for the Florida Office of Judges of Compensation Claims and Division of Administrative Hearings, describes the delicate balance to achieve this result, by balancing the cost of the system and the productivity results.

Pennsylvania launched an integrated electronic management system last week. The Workers' Compensation Automation and Integration System, or WCAIS is described as the first system of its kind. It integrates data-sharing among three Pennsylvania state agencies, the Bureau of Workers' Compensation with the Workers' Compensation Appeal Board and the Workers' Compensation Office of Adjudication."We do not have such an integrated...
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