Delays in Seasonal Flu Vaccine Distribution

We recognize that this is major inconvenience for all providers who have plans in place for administering seasonal flu vaccine.  However, please remember that the pandemic H1N1 virus is currently circulating in our communities and it is important to vaccinate as many people as possible as soon as possible with H1N1 vaccine to mitigate the impact of the H1N1 virus.   In New England, we usually don’t experience sustained transmission of seasonal flu virus strains until late fall or early winter, so there is still time to administer seasonal flu vaccine through the fall and winter.   While every flu season, and especially this one, reminds that here is very little that is predictable about influenza, CDC and other federal decision making bodies must make decisions based on the best data available at the moment.

We are all in this together, and together we will do the best job possible to protect the residents of the Commonwealth against both seasonal and H1N1 influenza.

Please see attached DPH memo based on the most recent CDC information.

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New Issues of Update, Private Eye Available

Current issues of our members-only publications are available on our our Newsletter archive.

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NY Times: Sen. Baucus Releases Senate Health Care Proposal

US Senator Max Baucus, Chairman of the Senate Finance Committee, announced the release his committee’s version of a health care reform proposal, reported on here in the New York Times. The story also was reported here on Boston.com and here on CNN.

The articles include a link to the language of the proposal itself. Stay tuned for more.

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Lynn Item: Home Health Firm Bridges Cultures

The Lynn Item ran a front-page feature story (Sept. 15) on Glenn Bacheller who is the owner of MultiCultural Home Care, Inc. of Lynn.

The article highlights how Bacheller came into the home health industry in Massachusetts after being president of Baskin Robbins and Chief Marketing Officer at Dunkin’ Donuts, among other positions, and living across the country. Click here to read the online version of the Lynn Item article and below is a clip from the story.

With Baby Boomers well into their 60s but showing little sign of slowing down, Bacheller is strategically positioned to meet that generation’s eventual health care needs. “I’ve got a company that helps people by letting them stay in their homes longer, which is where most people want to be if they’re old or sick,” he said. “Assisted-living facilities and nursing homes are options only when when they become absolutely necessary.”

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DPH Emergency Regulations for Vaccine Administration

The Massachusetts Department of Public Health has promulgated and is implementing emergency regulations effective September 14, 2009 authorizing the Commissioner of Public Health to designate certain health care professionals, nursing and medical students to administer seasonal influenza and H1N1 vacine.  These regulatory amendments are part of the DPH’s planning and preparation for pandemic influenza A H1N1 this fall. Click on the following links to review the documents.

DPH Memo

Guidelines for Designated Vaccinators

Written Order Allowing Health Care Professionals and Students to Vaccinate

Attachment A: Ammendment to the Regulation 105 CMR 700.003 (H) These are DPH Regulations that ammend MGL 94 C which is the Controlled Substances Act

Falls Prevention Awareness Day Event to be Held Sept. 22

The Home Care Alliance, as part of the Massachusetts Falls Prevention Coalition, is co-hosting the third annual Falls Prevention Awareness Day in the Great Hall of the Massachusetts State House from 10:00 am to 12:00 pm on September 22.

Several state elected officials and elders advocates will speak and many more will attend. Click here to see a flyer for the event. For more information on state efforts to prevent accidental falls among the elderly, click here.

The event also coincides with a public hearing in front of the Joint Committee on Elder Affairs, which will be held the next day (Sept. 23) at 10:00 am in hearing room B-1 of the State House. The Alliance is looking for members who are interested in testifying on behalf of Senate Bills 317 and 318, which deal with a number of initiatives from education to the intensifying of services that will help reduce falls.

If any are interested in submitting written or verbal testimony in support of Falls Prevention legislation, please contact James Fuccione at the Alliance.

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NECN: Congressman Barney Frank Holds Another Town Hall on Health Care Reform

Congressman Barney Frank hosted his second town hall forum on the nation’s health care reform efforts on Saturday, September 12 at Mass Bay Community College.

Click here to view the New England Cable News story on what was a much more tame meeting than Frank’s first town hall.

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Hampshire Daily Gazette: Home Health Care Saves Money, Serves People Well

The Daily Hampshire Gazette (Northampton, MA) published a letter to the editor written and submitted by Jeanne Ryan who is the Executive Director of the VNA & Hospice of Cooley Dickenson.

The letter, which was published on July 28, urges advocacy on behalf of home health given the proposed cuts to Medicare reimbursement. The Gazette website requires a subscription so a link is not available, but the letter is posted below.

To the Editor:

Home health has become an increasingly important part of our health care system. The kinds of highly skilled and often technically complex services that our nation’s home health agencies provide have enabled millions of our most frail and vulnerable seniors and disabled citizens to avoid hospitals and nursing homes. By preventing such institutional care, home health services save Medicare millions of dollars each year. More importantly, they enable individuals to stay just where they want to be – in the comfort and security of their own homes.

I am writing to urge our local citizens to oppose further cuts in Medicare home health payments. The Administration’s FY 2010 budget includes a proposal to cut Medicare home health payments by $13.16 billion over five years. This would come on top of additional administrative cuts in payment rates of$7.59 billion promulgated by the Centers for Medicare and Medicaid Services (CMS) over the period from 2008 through 2011.If these new cuts are implemented, nearly two-thirds of America’s home health agencies will have negative results and Medicare patients in large sections of the country will be at risk of losing home health services.

The Medicare home health benefit has already taken a larger hit in spending cuts over the past ten years than any other Medicare benefit. In fact, home health as a share of Medicare spending has dropped from 8.7 percent in 1997 to 3.6 percent today, and is projected to decline to 3 percent of Medicare spending by 2016.

Further deep cuts in home health spending will also place the home care delivery system at significant risk. This is particularly true at a time when the cost of providing highly skilled care in the home is increasing. I urge you to join the VNA & Hospice of Cooley Dickinson in opposing any further cuts to homecare Medicare reimbursement by call or writing Senators John Kerry and Edward Kennedy.

Sincerely,
Jeanne M. Ryan, MA, OTR, CHCE, COS-C
Executive Director
VNA & Hospice of Cooley Dickinson

If you’re interested in sending a message to your federal legislators, please click here, fill out your contact info and hit “send,” which will send off a pre-written email. You can view the email by simply scrolling down on the link above.

You can also join our petition drive by clicking here.

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Boston Herald Op-Ed: The CORI Problem

The Boston Herald published an Op-Ed titled “CORI’s Been Corrupted” written by Dr. Bruce Bender of Home Instead Senior Care, based in Northborough, MA.

The way CORI is administered has changed over the years and Dr. Bender argues that it has put vulnerable people at risk.  See Dr. Bender’s Op-Ed below.

Without these changes to the way Massachusetts applies the CORI law, the state is putting some of its most vulnerable citizens at risk.

Although the CORI law has not changed, the way it is administered has. Over the past decade, the board and various state agencies have imposed changes that put vulnerable people at risk.

Organizations that rely on the Criminal Offender Records Information (CORI) reports they get on volunteers or job candidates are getting something they didn’t expect: A false sense of security.

The CORI law, creating the Criminal History Systems Board (CHSB), passed in 1972 and was intended to improve an unreliable system for obtaining public information and to provide access to those deemed to need it. Schools, youth organizations and specified employers working with vulnerable populations could get timely and accurate information about a volunteer or job candidate.

Although the CORI law has not changed, the way it is administered has. Over the past decade, the board and various state agencies have imposed changes that put vulnerable people at risk. We do not get “all the information available” as required by the law.

Our company provides in-home senior care. We get a CORI, six references, proof of car insurance, etc. In 2006 the police arrested an employee at a client’s home for stealing and using the client’s credit cards. The CORI report stated there was no criminal record for the caregiver. After the arrest, the police told us she had been dismissed from two previous jobs for theft. The record was under a different name, one she had not provided us. This is not unique.

But the CHSB only checks first name, last name and date of birth – not known aliases, maiden names or Social Security number. If an individual got married last month and we submitted her current name, the CORI report would check only under her current name. If there is more than one person with the same name and date of birth, the CHSB checks only one.

The Patrick administration has eviscerated CORI by executive order. Employers are now told they cannot initiate a CORI check until the applicant is considered otherwise acceptable and they cannot use the CORI check as the sole criterion for rejection. Proposed legislation would make it illegal for employers to violate these edicts with penalties of up to one year in jail as well as fines as high as $50,000 if the offense is related to an adult record.

This is all being done in the guise of helping ex-convicts get jobs. There is no evidence that CORI keeps convicts from doing so. The recidivism rate in Massachusetts is no higher than anywhere else. Two-thirds of convicts will be rearrested within three years (with an average of 17 arrests over their careers, according to the Justice Department). Yet employers cannot use this information while hiring employees to take care of seniors?

Every fall, reporting delays of several weeks occur. Today we have a dozen people who need jobs that we cannot fill because we cannot get the legally required report.

To protect Massachusetts’ rapidly expanding population of seniors living in their homes, the state must comply with CORI:

  • We need complete criminal records of caregivers including arrests and dismissals.
  • Reports should be available within two working days. People can’t wait six weeks to get a job.
  • Do not restrict access to publicly available information through other channels.
  • Develop and maintain a current and accurate CORI database.
  • The newly implemented regulations and proposed legislation must be altered to comply with the clear purpose of the CORI law and the obvious necessity for it.

Without these changes to the way Massachusetts applies the CORI law, the state is putting some of its most vulnerable citizens at risk.

One positive piece of news related to CORI was reported in the Alliance’s Update newsletter. Processing delays took a step in the right direction recently when the Criminal History Systems Board (CHSB) reported that, as of September 1, processing times are down to one or two business days. A poll of Alliance members confirms that CORI requests have been returned in that time. Agencies formerly reported delays of up to two or three weeks, but the Alliance learned during a conference call with Health and Human Services that CHSB reallocated staff and authorized overtime in order to deal with the processing backlog. As Dr. Bender points out in his Op-Ed, however, flaws in CORI remain.

The Alliance is continuing to advocate on and monitor the situation, but anyone can check on up-to-date CORI processing times, according to CHSB, by clicking here.

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Petition to Save Home Health

The Home Care Alliance is joining a national initiative to send a petition to Congress in order to stop proposed cuts to home health within the national health care reform debate.

You can help us speak up for the patients who rely on home health as well as the workers who administer the much-needed care by clicking here and printing our petition. Whether you are circulating the petition among coworkers, patients, family or friends, you can also print our petition cover sheet to provide more information.

Please see the cover sheet and pass the petition around. The National Association for Home Care & Hospice (NAHC) is hoping to have one million signatures by September 15 for their March on Washington, so we appreciate any and all signatures that we can gather by then. The petition drive will continue on after that date for anyone interested in carrying on the effort.

Please fax us back your petition with signatures BY SEPTEMBER 14 at 617-426-0509, if you want the signatures to count for the NAHC March on Washington. If you’re interested in getting more signatures after that, please let us know. One copy will be sent to NAHC and the a second copy will be sent to your congressional representative.

If you have any questions, contact the Alliance at 617-482-8830.

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