Littauer featured in “State of Health”

Littauer featured in “State of Health”

State Of Health

New budget well-received by area officials, though some uncertainty remains

April 13, 2014
By BRIAN McELHINEY , The Leader Herald

Most years, when the New York state budget is announced, Nathan Littauer Hospital expects to lose funding. That didn’t happen this year.

“This budget’s different in that there’s usually all this negative, and there isn’t,” Nathan Littauer Hospital CEO Laurence Kelly said.

The state’s 2014-15 budget will reinvest $8 billion from a federal Medicaid waiver announced in February for projects to improve the health care system, according to a release from the state Senate. There also were no cuts in hospital reimbursement for Medicaid patients, Kelly said.

Article Photos

Senior technologist Elishiba Frasier, left, performs a Dexa-Scan to test for bone density on patient Kaytie Compani at Nathan Littauer Hospital in Gloversville on Thursday. Photo by Bill Trojan/The Leader-Herald

“That just means that we can do everything that we usually do and not have to scramble to try to be forced to reduce expenses when we didn’t want to,” Kelly said. “We’re looking to do that all the time anyway, to provide more services. … Most years we’re getting a 1 percent, 2 percent cut, 3 percent cut.”

The budget also includes funding for a number of health care programs, including $4.1 million to the Elderly Pharmaceutical Insurance Coverage program and other senior services; a $1.2 billion capital investment over seven years for restructuring health care facilities; and $163 million for early intervention programs, according to the Senate release. According to the release, along with funding for other health initiatives, including cancer services programs and the Nutritional Information for Women, Infants and Children program, the budget also includes the Safe Patient Handling Act, which requires hospitals to establish a program to prevent injuries to staff and patients during patient transport.

However, at the moment it’s still too early to tell how most of these investments will affect local services, according to local officials.

Fact Box

Budget numbers

Some highlights from the New York state budget pertaining to health care and senior services:

$8 billion in funds from the federal Medicaid waiver for transformative projects to improve the health care system.

$1.2 billion capital investment over seven years for the restructuring of health care facilities.

$95 million to create a statewide electronic medical record system.

$4.1 million in increased funding to the New York’s Elderly Pharmaceutical Insurance Coverage program. Additionally, eligibility has been expanded, from $35,000 to $75,000 for singles, and from $50,000 to $100,000 for married seniors.

$5 million for the Community Services for the Elderly Program.

$25.3 million for cancer services programs.

$26.3 million for Nutritional Information for Women, Infants and Children.

$2.3 million for the Prenatal Care program.

$4.5 million for maternal and child health.

$550,000 for women’s health services.

$533,300 for the Adelphi Breast Cancer Support program.

$1.8 million for the Prenatal and Postpartum Home Visitation program.

$34,700 for the Safe Motherhood Initiative.

$10.6 million for adolescent pregnancy prevention.

$1.8 million in increased funding for Rape Crisis Centers.

$5 million in additional funding for the Spinal Cord Injury Research Board.

$2.5 million in additional funding for the Doctors Across New York program.

$2.45 million for addiction services, prevention and treatment.

$500,000 for Lyme and tick-borne disease initiatives.

$163 million for early intervention programs.

Kelly said the state will need to come up with criteria for distributing the $1.2 billion for health care facilities as grants.

“We don’t really know what they’re looking for yet,” he said. “Restructuring, on a global term, that kind of means what’s been happening for a long time now. There’s less of a need for people to be admitted to a hospital, and in place of that we take care of them as an outpatient, or they just come for a treatment, they come for a test or they come for therapy, or you go to their home versus them coming to a hospital.”

Littauer already has a head start on the Safe Patient Handling Act. The hospital formed a safe patient handling committee about three years ago, and has invested “thousands and thousands of dollars” on lift systems to move overweight and obese patients, Kelly said. Some rooms in the hospital are equipped with stationary lifts, while other lifts are portable.

“We all know that there are more people that weigh more than they did in the past,” Kelly said. “It’s so much more of a risk for our staff when you’re trying to move somebody who’s 400, 500 pounds, so we have to have this stuff to do it safely.”

Representatives from New York Oncology-Hematology, which has an office in Amsterdam, were not sure how much of the $25.3 million set aside for cancer services in the budget would be coming directly to them.

“We are pleased that this year’s state budget includes funding for cancer services,” Edwin T. Graham, Northeast regional senior vice president of the U.S. Oncology Network, said in an emailed statement. “It signals New York’s continued commitment to expanding access to vital screenings for early detection as well as continued cancer research.”

“Typically the state will use some of that money to expand access for people not eligible [for cancer care],” said Sarah Bilofsky, NYOH’s marketing director. “Obviously, any money set aside for research benefits everybody as well.”

According to Bilofsky, in late January NYOH announced a $3 million investment of its own money for the Amsterdam office to upgrade its radiation line.

The budget also includes $26.3 million for the WIC program. However, Fulton County WIC Director Stella Zanella did not have information about the funding and would not comment.

“I really haven’t heard anything about that,” she said.

Dave Jordan, executive director of the Montgomery County Office for Aging, said he was pleased with the funding allocated to EPIC and other senior services, in particular the $5 million alloted for the Community Services for the Elderly program.

“That’s a catch-all state program,” Jordan said. “That’s used for things like outreach.”

He estimated that his office would receive anywhere from $10,000 to $20,000.

“I think often senior issues don’t get on the front page, so they don’t get enough coverage, especially the EPIC program, where people don’t realize how much of someone’s income goes [to medication],” Jordan said.

The Office for Aging in Fulton County did not return phone calls seeking comment on the EPIC and senior services funding. St. Mary’s Healthcare also did not return phone calls seeking comment.

Nathan Littauer in the news: Plan ahead to reduce stress

Published in the Daily Gazette April 5, 2014

Q & A: Plan ahead to reduce stress, health educator says

Photo of
Community health educator Wendy Chirieleison says one way to reduce stress is to stay away from computer screens. (Courtesy Healthlink Littauer)

Relax — that’s one word of advice that community health educator Wendy Chirieleison can offer to reduce stress.

Chirieleison will offer other advice to free people from personal pressure cookers on Tuesday, April 15, as she presents “50 Ways to Reduce Stress.” Two one-hour lectures, sponsored by HealthLink Littauer — Nathan Littauer’s Hospital’s wellness education and resource center — will be held at the Fulton County YWCA at 11:30 a.m. and 6:30 p.m. The YWCA is at 213 Harrison St. Extension, Johnstown.

People interested in attending either of the lectures are asked to call HealthLink at 736-1120.

Q: Can you tell that people in our community are under assorted stresses these days?

A: I think you can see people are looking tired, looking a little bit frantic when they’re working and carrying out daily activities. People can be a little short-tempered at times . . . I think it’s a combination of family, not having enough time, high demands at work, not getting enough sleep, not getting enough exercise, not eating well, not getting the fruits and vegetables and water that we need to maintain a healthy balance.

Q: How can people dampen their daily stresses?

A: Here are some of the ways to help minimize or prevent stress — one would be improving time management, making a schedule and sticking to it. Getting ready ahead of time, prepping things ahead of time and leaving yourself enough time to arrive early. So leave a little earlier for appointments. When you don’t plan for enough time, people start rushing — especially in the car, when you may not have planned to be behind a slow-moving vehicle. Your blood pressure goes up, you need to get to your appointment on time and you didn’t factor in this travel time.

Q: How can people reduce their stress in their workplaces?

A: Technology has placed an expectation on workers they will be available 24-7. If you’re working on a project, and your team has a question, they may feel they can text you or email you with questions when you’re home trying to have a relaxing evening with your family. Turn off, unplug your devices so you can connect with your family and have a clear division of work time and personal time.

Q: How about some other ways to minimize stress at the office?

A: Being organized is one great way to minimize stress at work. That means everything from organizing your work space to your schedule and really giving yourself either 30 minutes or 60 minutes to de-stress from what you were doing at work, have a healthy lunch, get in some exercise. I think people would really feel better if they did that. They would feel a lot more energized.

Q: How can people on the job beat stress when so many of us have extra duties these days?

A: It’s OK to say no. If you are being asked by the PTA to run an event but your plate is full, know that it’s OK to respectfully decline helping out . . . you can ask your supervisor to put that project on hold until you can have finished some of the other things you’re working on. It would give you some time to finish working before starting something new.

I think supervisors also have to be mindful of realistic expectations, take into consideration how much time employees are spending working on projects and be a little bit more flexible with the demands they’re placing on their workers and their staffs.

Q: How does healthy eating figure into stress?

A: Unhealthy eating connects to stress because our bodies need nutrients in order to help us cope with the stress that we experience all day. So healthy eating would make sure you’ve gotten the proper servings of proteins, whole grains, fruits and vegetables and avoid things that add to stress such as caffeine, excess sugar and alcohol.

Q: How does exercise help chase stress?

A: Exercise creates endorphins that make us feel happy, so that kind of balances our stress as well. If people were getting 30 minutes of activity every day, even if they divided that 30 minutes into two 15-minute increments or three 10-minute increments, they’d feel more energized and much less stressed.

Q: How much sleep do we need to relieve stress?

A: You need at least seven to eight hours of sleep every night. That really helps maintain balance. If people have trouble sleeping at night, they might try putting their devices away early because the light from the screens really triggers the brain and doesn’t allow the brain to relax. You might think reading a tablet a half hour before you go to bed is helpful, but really, it isn’t. TV is another thing you would want to avoid in bed.

Q: How does positive thinking figure into the de-stress equation?

A: Sometimes we tend to be more negative in thinking about ourselves and what we have done. Replace those thoughts with something more positive. So if you made a mistake or, for example, you’re on a diet and you eat something you shouldn’t have eaten and didn’t want to eat. Tell yourself “Tomorrow starts another day . . . I’m not going to beat me up over this one mistake.” Recognize all the good efforts you have made.

Reach Gazette reporter Jeff Wilkin at 395-3124 or at wilkin@dailygazette.com.

A special Valentine’s Day message to our patients

nursesToday our staff hand delivered a valentine to each and every patient who was spending Valentine’s Day with us. It was our way to let Nathan Littauer patients know that 1000 staff join together every day to deliver high-quality care. Watch our message here:

http://www.youtube.com/watch?v=88E01kit4Mo&feature=share&list=UUoX1kFkT69bIWq9XQzyJRGQ&index=2

 

Nathan Littauer Featured in International Publication

Nathan Littauer Hospital and the special relationship we have created with Dr. Jian Shen was recently featured in the prestigious Orthopedic Weekly Magazine. The entire article can be found here: 12 2013 BY Trust Wins Star For Rural Hospital

So far, Nathan Littauer is seeing a slower flu season in 2013-2014

NYS DOH released its most recent flu data. the red line is this year 2014
NYS DOH released its most recent flu data. the red line is this year 2014

NYS DOH released its most recent flu data. the red line is this year 2014

Nathan Littauer is  seeing a less active flu season this year than in past years, according to Littauer’s Infection Control Specialist, Theresa Klausner, NP.  The hospital has not restricted its visitation policy due to flu activity as other local hospitals have recently announced.  “So far Nathan Littauer has seen a fairly slow start to the flu season.” stated Cheryl McGrattan, hospital spokesperson, adding, “We are continually monitoring the flu data and we will change our visitation policy if needed. We always have the best interest of our patients in mind.”   The hospital’s visiting hours are: 11am to 8pm.