Officials praise health care sign-ups

Officials praise health care sign-ups

Officials praise health care sign-ups

More than 4,000 enrolled in counties

July 13, 2014

By ARTHUR CLEVELAND , Leader Herald

More than 4,000 individuals in Hamilton, Fulton and Montgomery counties enrolled in the health care sign-ups.

Nearly 1 million New Yorkers enrolled in the marketplace in total during the first-year open enrollment period.

According to a news release from New York State of Health, a study of the first-year open enrollment period shows more than 80 percent of enrollees reported being uninsured at the time of application. Enrollment occurred in every county in the state and across all eligible health plans, and across a mix of age groups.

Across the three counties, 4,157 people have enrolled, according to the report.

In an email, Mike Ostrander, Nathan Littauer Hospital’s chief financial officer, said the hospital was pleased with the amount of enrollments. New York State of Health website navigators employed by Littauer enrolled roughly 1,200 individuals in the program.

“Nathan Littauer Hospital is pleased with the response we have had to the marketplace. We feel that 1,200 applications processed is a good starting-off point,” Ostrander said in the email. “We have offered multiple channels for people to enroll in quality, affordable coverage through this new marketplace. People now have options.

This marketplace is part of the Affordable Care Act, informally known as Obamacare.

Cheryl McGrattan, vice-president of marketing at Nathan Littauer, said this was uncharted territory.

“This is the first time our country has done something like this in 230 years,” McGrattan said.

From Oct. 1, 2013, through April 15, 960,762 New Yorkers enrolled in a health care plan through NY State of Health.

“Year one of the marketplace has been a tremendous success with more than 960,000 New Yorkers enrolling in quality, low-cost health insurance,” said Donna Frescatore, executive director of NY State of Health, in a news release. “The year-one results show strong activity throughout the state and across many important measures, such as age, prior insurance status, affordability and health plan options. We’re looking forward to building upon this success during the next open enrollment period, which begins for individuals and families on November 15, 2014, for coverage starting on January 1, 2015.”

The report, filed between Oct. 1 and April 15, shows 370,000 enrollments in qualified health plans. According to Healthcare.gov, a qualified health plan is an insurance plan that is certified by the Health Insurance Marketplace set up by the Affordable Care Act, provides essential health benefits and follows established limits on cost-sharing, like deductibles, copayments and out-of-pocket maximum amounts. Roughly 65,000 individuals enrolled in a Child Health Plus plan, and 525,000 enrolled in Medicaid.

In Fulton County, 2,101 people enrolled in the marketplace. Of that number, 1,067 enrolled in Medicaid, 208 in Child Health Plus plans and 826 into all qualified health plans.

McGrattan said during the enrollment period there was no way the hospital could have predicted the amount of people that would enroll.

Fulton County Supervising Public Health Nurse Dale Woods said while her department does not keep track of health insurance enrollments, her department does refer clients to navigators who can help enroll them in insurance programs.

Woods did say she felt the numbers sounded reasonable for their population.

Montgomery County saw 1,836 enrollments, with 1,016 enrolling in medicaid, 161 in Child Health Plus plans and 659 in qualified health plans.

Kim Conboy, Montgomery County Public Health director, said that prior to the requirements of the Affordable Care Act, approximately more than 5,000 individuals in Montgomery County were uninsured.

Fact Box

Local enrollment

The following is the number of enrollees in the New York State of Health health care marketplace:

Fulton County: All programs – 2,101; Medicaid – 1,067; Child Health Plus – 208; all other qualified health plans – 826; total – 2,101

Montgomery County: All programs – 1,836; Medicaid – 1,016; Child Health Plus – 161; all other qualified health plans – 659

Hamilton County: All programs – 220; Medicaid – 87; Child Health Plus – 21; all other qualified health plans – 112

 

Tick Season conjures concern

Growing Concern

Deer-tick population increases in local counties

July 7, 2014

By ARTHUR CLEVELAND , Leader Herald

 

 

The deer-tick population has gone up in the region, increasing the prevalence of Lyme disease, local health officials say.

Kim Conboy, Montgomery County Public Health director, said Lyme disease has been spreading across the state.

“Montgomery County is along the leading edge of where there is a noted increase in deer-tick infection,” Conboy said in an email. “Lyme disease has been spreading north and west from the Hudson Valley.”

In some cases, a deer-tick bite can lead to Lyme disease.

According to the state Department of Health, in 2010, Montgomery County had 23 cases of Lyme disease, while Fulton County had three. In 2012, Montgomery County had 20 reported cases, while Fulton County had nine.

Cheryl McGrattan, a spokeswoman for Nathan Littauer Hospital in Gloversville, said she has seen an increase in cases of people coming to the hospital with tick bites.

“Primarily, what our primary care centers are seeing are people who want help with tick removal, or they have taken the tick out but haven’t gotten all parts of it, or want to be checked for Lyme [disease],” McGrattan said.

She said doctors are reporting more tick activity this year over last year.

Nathan Littauer Hospital is a TickEncounter Prevention Partner, working with the University of Rhode Island to help prevent the spread of tick-transmitted disease.

Dr. Tom Mather, a public health entomologist with the University of Rhode Island, studies ticks.

“In general, there are, throughout the Northeast, more ticks in more places, in particular more deer ticks,” Mather said.

Mather blames the spread on an increase in the whitetail deer populations.

Deer and mice carry the ticks.

“They serve not to spread disease, but as the blood meal of the adult stage of the ticks,” Mather said.

Deer ticks can be found in shady, moist ground litter, and above the ground clinging to tall grass, brush, and shrubs.

Dr. Mark Will, a veterinarian with Glove Cities Veterinary Hospital, said he has seen the number of dogs with ticks increase over the last decade.

“Every year has been worse than the year before, and this has not changed,” Will said.

Will said pet owners should check their pets for ticks regularly.

The state Department of Health says if you find a tick attached to your skin, remove the tick with tweezers and watch for the symptoms of Lyme disease.

In 60 percent to 80 percent of cases, the first symptom of Lyme disease is a rash at or near the site of the bite in a “bulls-eye” circular patch or solid red patch that grows larger.

Around the time the rash appears, other symptoms, such as joint pain, chills, fever and fatigue, can occur. As Lyme disease progresses, severe fatigue, a stiff neck, tingling or numbness in the arms and legs, or facial paralysis can occur, according to the Health Department.

West Nile virus

West Nile virus also is a concern in New York state.

The virus is a mosquito-borne infection that can cause serious illness.

The presence of West Nile virus was confirmed recently in a mosquito pool in Rockland County. There were traces of West Nile virus in Fulton and Oneida counties in 2013, according to the state Department of Health. In Saratoga and Albany counties, there were cases of people testing positive for the disease.

According to the state Department of Health, no cases of West Nile were reported in Fulton or Montgomery counties between 2010 and 2012.

West Nile is primarily transmitted through the bite of an infected mosquito.

Many people who contract West Nile virus do not experience any type of illness, according to the state DOH. An estimated 20 percent of people who become infected will develop mild symptoms including fever, headache and body aches, and possibly a skin rash or swollen lymph glands.

PHOTO:

Veterinarian Dr. Mark Will applies an anti-tick medication to his dog, Charlie, while veterinary technician Tammy Hagadorn helps
The Leader-Herald/Arthur Cleveland

dog tick

Greener lighting saves Littauer and environment

Energy-saving lights installed at Littauer

June 22, 2014

Leader Herald

GLOVERSVILLE – Thanks to an incentive by National Grid, all the lights in Nathan Littauer Hospital & Nursing Home’s parking lots were changed from high pressure sodium to LED, a news release said.

According to the release, the move will save Littauer close to 330,000 kilowatt hours and nearly $70,000 per year. The lights also will save more 175,000 pounds of carbon dioxide gas and greenhouse emissions.

“Nathan Littauer Hospital & Nursing Home goes above and beyond just saving energy,” said energy consultant Debra Sickles of Wolberg Electric Supply Company in the release. “I wish other hospitals were doing a fraction of what Littauer is already doing.”

The NLH Engineering Department and its director, David Bruhns, work with electric suppliers, such as Wolberg Electric, Warren Electric, Constellation New Energy and National Grid, with the goal of using electricity wisely, the release said.

Littauer’s other green initiatives include indoor lighting fixture upgrades from 64 to 34 watts; solar-powered, hands-free faucets; LED replacements of fluorescent bulbs and fixtures in corridors and stairwells; and repurposing materials and existing buildings.

“Green initiatives are not just one project; it’s a mindset,” Bruhns said in the release.
Fixtures on all Littauer campuses have been changed over

PHOTO: Electricians with Fulton County Electric install LED lighting in the Nathan Littauer Hospital parking lot.
Photo submitted

lighting.

 

 

 

Early allergy season a doozy

Bless you! Allergy season is a doozy

Friday, June 20, 2014

By Leah Trouwborst

 

CAPITAL REGION — After a long winter, the Capital Region emerged from flu season only to walk right into the waiting arms of a very aggressive allergy season.

“I’m kind of overbooked,” says Dr. M. Asghar Pasha of the Division of Allergy and Immunology at Albany Medical Center. He blames the long winter for raising pollen levels. “Everything blossomed all together instead of blossoming gradually — one pollen on top of another — so the patient is hit with a large amount of pollen at one time.”

Trees usually release pollen well before June, but cold temperatures delayed the budding process this year. Add to that the grass pollen which June always brings, and you’ve described the double whammy now hitting the Capital Region. (Ragweed, the third major type of pollen, won’t peak until August.)

Along with nonseasonal allergens like mold and animal dander, tree and grass pollen have triggered unusually severe allergy attacks in the Capital Region. According to Pasha, Albany Medical Center has seen “a significant influx of patients calling and complaining about [allergy] symptoms, saying their medications aren’t working, et cetera.”

Even though 2012 and 2013 saw quite a few complaints about bad allergies, Pasha considers 2014 to be even worse. “If you had to put a number on it, 20 percent to 30 percent more patients reported symptoms of allergies [than last year]. If I look at my schedule, I can tell you that,” he says.

Dr. Suzanne Palmieri, a primary care physician at Ellis Medical Group, points to wet weather as another contributing factor behind this severe allergy season. Not only was it a rainy spring, but beforehand “we had a lot of snowfall late in the winter. That provides a lot of water for the trees, and that increases pollen count.”

Adding a third factor behind pollen levels, Dr. David Shulan of Certified Allergy and Asthma Consultants brings up a simple science fact, one that people forget affects pollen levels: the law of gravity. “We’re in a valley, and that concentrates the pollen,” he explains. Reforestation has armed the mountains with even more pollen to send wafting down on lower ground.

Both Shulan and Dr. Lawrence Horowitz, chief of pediatrics at Nathan Littauer Hospital in Gloversville, express less concern over the current allergy season than over a larger trend in the Capital Region. “Over the last 30 years, there’s definitely been an increase in pollen levels,” Horowitz says. Shulan agrees that he’s seen “a general increase of [allergy] patients over a 24-year period.”

But why? Shulan suspects rising levels of carbon dioxide in the atmosphere have increased pollination. But Horowitz believes that the cause of the trend is twofold, both the climate and the human body’s ability to tolerate the climate. “As we get healthier, we may be having more of an allergy problem,” says Horowitz. “It’s a trade-off.”

One Capital Region resident is putting up a fight against pollen. Patrice Jordan, who lives in Schenectady and works as a substitute teacher in Niskayuna, enlisted some help. “Yesterday my kids came over and washed my car for me. It was all covered with that yellow gunk,” she says. According to Shulan, very few are actually allergic to the pine pollen that resembles yellow gunk, even though we associate it with sneezing.

But Jordan’s allergies qualify as severe. She says childhood doctors, adhering to now-outdated wisdom, kept her from taking ballet classes in fear of an allergic reaction. Now, nearing her 60th birthday, she credits a cutting-edge prescription medication for allowing her to spend hours at a time in her garden. “It costs $600 per treatment” but “it’s made a tremendous difference,” she says.

Straightening up from her flower bed, she says “my allergies still go nuts” when the flowers bloom in her yard. Extending her left arm, she shows me where a patchy rash has bloomed. Nevertheless, she’s decided over the years that being outside is worth the tradeoff. Anyone looking at her garden would be likely to agree; amid the other yards, Jordan’s gives the impression of an oasis in a desert.

For those still working out a strategy to combat their allergies, a few simple changes can help outsmart pollen. Installing a window air conditioner “can cut the pollen and mold in the [home] by 90 percent,” according to Shulman. If you’re tempted to substitute a window fan for an air-conditioner, keep Palmieri’s warning in mind: “Those window fans tend to pull the pollen into the house.”

Finally, if summertime to you means open windows, wait until after 11 a.m. to crack them open. Plants release most of their pollen in the early-morning hours.

Littauer applauds measure proposed by Sen. Schumer

Measure targets physician shortage
June 6, 2014
By ARTHUR CLEVELAND , The Leader Herald

U.S. Sen. Charles Schumer, D-N.Y., says the number of primary care physicians is falling across the region, and he is proposing a measure to increase the numbers.

In a news release this week, Schumer announced the Resident Physician Shortage Reduction Act, which he said would increase the number of Medicare-supported physician training residency slots by 15,000 over the next several years.
Schumer said there has been a steady decline in the number of doctors in rural areas, with New York only meeting 40 percent of its primary care needs. He said 65 percent of rural communities reported they do not have enough doctors to serve their community.

Currently, Medicare provides funding for hospitals to host a specific number of residents at a given time through Graduate Medical Education funding. Schumer’s legislation would allow Medicare to fund an additional 3,000 slots each year for five years, and priority would be given to hospitals serving areas that face a shortage of physicians.
Under Schumer’s plan, hospitals in states that emphasize training in community health centers, community-based settings or hospital outpatient departments would receive preference when applying for additional support to host physician residents.
“We have tremendous doctors providing top-notch care all across upstate New York, but we no longer have as many primary care physicians as we need,” said Schumer.

“Unfortunately, in upstate New York, our hospitals and community health centers are losing these primary care physicians left and right, as many are beginning to age out of the profession, and they are unable to hire replacements at the same pace, as new doctors frequently choose to go into more lucrative specialty fields or gravitate to more urban areas,” Schumer said.
According to Schumer, in a 2010 survey by the Center for Health Workforce Studies at the University at Albany, the average primary care physicians per 100,000 people in New York was 75. In 2013, it dropped to 63.
Fulton County’s numbers dropped from 90 in 2010 to 82 in 2013, and Montgomery County’s fell from 80 to 69.
Nathan Littauer Hospital in Gloversville and St. Mary’s Healthcare in Amsterdam both say they have no major shortage of physicians.

“At Littauer, we are currently not experiencing the same level of difficulty recruiting physicians as many other upstate hospitals are during this shortage,” according to a statement from Littauer. “All our physician staffing needs are filled with the exception of one or two in the emergency room. However, we applaud Sen. Schumer for addressing this problem happening throughout upstate.”

Jerri Cortese, spokeswoman for St. Mary’s Healthcare, said, “We have experienced some of the same issues for recruiting into the area.”
However, Cortese said, St. Mary’s has a sufficient number of physicians and midlevel providers.

Fact Box
Dropping
Below are the number of primary care physicians per 100,000 people in area counties in 2010 and 2013, according to U.S. Sen. Charles Schumer’s office.
Fulton, from 90 in 2010 to 82 in 2013.
Montgomery, from 80 to 69.
Rensselaer, from 82 to 69.
Saratoga, from 74 to 65.
Schenectady, from 91 to 64.

Knox Jr. High students create gifts for Littauer’s youngest patients

GLOVERSVILLE – Eighth grade students from Knox Junior High School in Johnstown donated owl hand puppets to Nathan Littauer Hospital & Nursing Home as a gift for pediatric and young emergency room patients.

Close to 60 puppets were created by Linda Rusnica’s Life Studies class while working on their sewing unit. Rusnica presented the puppets to the Littauer Pediatric Unit and to the Littauer Auxiliary. According to Rusnica, the students were thrilled to contribute their time and effort, and it only took them four days.

Susan McNeil, Director of Volunteer Services at Nathan Littauer Hospital & Nursing Home thanked Rusnica and added “I look forward to working with more in the future with Knox students, and we will share these gifts with other departments.”