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INSTITUTE OF MEDICINE OF CHICAGO

  • 23 Aug 2023 9:16 AM | Deborah Hodges (Administrator)

    Illinois’ two Democratic senators joined nine colleagues last week urging the Department of Housing and Urban Development to take further steps to address lead poisoning in federally assisted housing.[Health News Illinois]

    The 11 senators, including Sens. Dick Durbin and Tammy Duckworth, said in a letter sent last week to department Secretary Marcia Fudge that they wanted an update on its implementation of a demonstration program to assess better ways to handle its housing choice vouchers.

    Current statute requires that children in the voucher program develop lead poisoning before a risk assessment is conducted, which the senators said leads to many children — specifically low-income and minority populations — being exposed to lead.

    “We have previously alerted HUD of our great concern and the urgency of addressing childhood lead poisoning in both federally assisted and private market housing, especially because the health and safety of so many vulnerable children are at stake,” the senators said.

    Lawmakers noted the National Housing Law Project estimates 90,000 children in the housing choice voucher program have lead poisoning, and an additional 340,000 children living in federally assisted housing are at risk.

    The agency did not return a request for comment.

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  • 22 Aug 2023 5:15 PM | Deborah Hodges (Administrator)

    Illinois will launch a $20 million initiative to address food deserts across the state, per a law signed Friday by Gov. JB Pritzker. [Health News Illinois]

    The initiative will provide wraparound support to local governments and independent grocers opening grocery stores in food deserts. Supports include technical assistance, feasibility studies on operational costs, and access to capital funding for acquiring land, facilities or equipment. 

    Twenty percent of funding may be used for grants for independently owned, cooperative and for-profit grocery stores to make energy-efficient equipment upgrades. 

    Additionally, the Department of Commerce and Economic Opportunity will commission a study to explore reasons for food deserts, geographic trends and potential policy solutions.

    Pritzker said during a bill signing in Venice that the law is the latest “holistic approach” to help Illinois families.

    “When our residents struggle to keep a roof over their head, can’t put food on the table or have to choose between paying for basic medical care and keeping the lights on — that’s a failure of the system,” he said.

    More than 3 million Illinoisans live in a food desert, according to the Pritzker administration. 

    The U.S. Department of Agriculture defines deserts as areas that meet certain criteria, such as a local poverty rate of at least 20 percent and a set distance that a group of individuals lives from the nearest grocery store.

    Lawmakers on Friday said the initiative is a key step to addressing one of the major social determinants of health facing Illinoisans. Rep. Mary Beth Canty, D-Arlington Heights, noted those without access to healthy foods often have higher rates of heart disease and diabetes, as well as increased frequency of anxiety and depression. 

    “These problems hamper economic growth, so when communities anywhere struggle with food access, we all pay the price," she said. "By making serious investments in small businesses, we will combat these debilitating problems while helping businesses across the state flourish.” 

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  • 21 Aug 2023 1:54 PM | Deborah Hodges (Administrator)

    At age 30, Jeanine Valrie-Logan was having a miscarriage.

    The room was sterile, cold. Guarded only by a curtain to maintain a semblance of privacy and a thin hospital gown, she sat waiting for the procedure that would remove the remaining pregnancy tissue. [Chicago Tribune]

    As she stood to sit atop the bed that would wheel her to the operating room, the physician asked her, “Do you want me to give you an IUD, so you don’t have any more unplanned pregnancies?”

    The question stopped her in her tracks, and the fear and loneliness she’d been feeling suddenly replaced with profound anger.

    “Who said this was an unwanted pregnancy?” she recalled thinking at the time. “I remember grabbing the nurse and being like, ‘Please do not let him put an IUD in.’”

    Upon waking from the operation, she was told by a supervising nurse that throughout her sleep, she continuously repeated the phrase “Don’t let him take my uterus. Don’t let him take my uterus.”

    The urgent pleas for control over one’s body have been echoed by Black women across Chicago and the country over the course of the nation’s history. Following the death this spring of U.S. Olympic champion sprinter Tori Bowie from complications related to childbirth, a national conversation has been sparked once again over America’s Black maternal mortality rate, the Black community’s mistrust of the medical field and the disproportionate effect on Black women.

    In Chicago, where recent hospital closings have rendered entire swathes of the city “birth deserts,” the issue is laid plain: Black maternal health-care conditions remain dismal despite years of criticism, Black health-care officials say.

    More>

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  • 18 Aug 2023 10:37 AM | Deborah Hodges (Administrator)

    The summertime rise in COVID cases and hospitalizations is making some Americans rethink if the pandemic is over, but it isn't persuading them to start wearing masks again or test for the virus, according to the latest Axios-Ipsos American Health Index. [Axios]

    The big picture: Economic and political turmoil, along with unease about developments like AI, have left many Americans numb to public health threats, though issues like the opioid crisis and shortage of cancer drugs are still registering.

    • Gun violence, which ranked as the top threat to public health when we asked the question in May, has dropped to No. 3 behind opioids and obesity, with noticeably fewer Democrats listing it as their top concern.

    What they found: On COVID, 50% somewhat or strongly agree the pandemic is over, compared to 62% in May.

    • The percentage of people who wear a mask some or all of the time has dropped by half over the past six months, to 15%.
    • 69% say contracting COVID poses small or no risk to their health and well-being.
    • 95% say they've taken one or fewer COVID tests at home in the past week.

    What they're saying: "The concern about rising COVID cases is mixed, but what's more clear is that there's really no behavioral change," said Mallory Newall, vice president at Ipsos. "Moreover, the perceived level of risk of contracting COVID remains low — on par with getting a tick or mosquito bite."

    The public's awareness of other health issues is comparatively low. Fewer than half say they're somewhat or very familiar with record-high drug overdose deaths, the ongoing shortages of some cancer drugs or the Food and Drug Administration's approval of over-the-counter birth control. Still, they said they cared about those issues when asked about them.

    • In sizing up what most concerns them, the perceived threat of gun violence appears to be more acutely tied to specific events like widely covered mass shootings while opioid misuse or obesity is more of a constant worry.
    • "It's still definitely a top-tier concern, but lacks the consistent focus we see with opioids," Newall said.
    • Where a person lives is a big factor: Substantially more people in rural areas rank opioids and fentanyl as a top concern than those in urban and suburban areas, who are likelier to rank firearms high on their list.

    More>

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  • 17 Aug 2023 10:02 AM | Deborah Hodges (Administrator)

    A representative from the Department of Healthcare and Family Services said Wednesday that outreach efforts continue on new rules for a program that offers Medicaid-like coverage for certain undocumented individuals. [Health News Illinois]

    Ben Winick, HFS chief of staff, told members of the Joint Committee on Administrative Rules that they have spent the past month meeting with and receiving feedback from a variety of stakeholders.

    Along with providers like Sinai Chicago, Winick said meetings have been held with groups like the Illinois Coalition for Immigrant Refugee Rights, Healthy Community Foundation and Shriver Center on Poverty Law.

    The rules, unveiled earlier this summer, include a pause on new enrollees between the age of 42 and 64 and ​​copays for hospital services not eligible for a federal match.

    Winick told lawmakers they are “very close to finalizing” a customer notice for individuals enrolled in the program as well as a provider notice to better clarify the copay process, specifically to aid individuals where English may not be a first language.

    Additionally, Winick said a virtual public hearing is scheduled for Sept. 5 to discuss permanent rule changes for the program. 

    Rep. Eva-Dina Delgado, D-Chicago, said she anticipates continued interest in future rules related to the program.

    "This will be a topic of conversation that's going to be continuing here before JCAR,” she said.

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  • 16 Aug 2023 6:05 PM | Deborah Hodges (Administrator)

    Seven Illinois groups receive $1.4 million to increase health screenings for children | Several Illinois groups will receive nearly $1.4 million in federal funds to increase screenings and follow-up services for children 5 and under. [Health News Illinois]
     
    The seven health centers will each receive $200,000 from the U.S. Department of Health and Human Services’ Health Resources and Services Administration.
     
    The funds are part of $30 million awarded by the agency to 151 centers across 39 states and Puerto Rico.
     
    “Health centers provide many kinds of support, including screening of young children and connecting them to appropriate services,” HHS Secretary Xavier Becerra said in a statement. "We urge Congress to fund health centers in a sustainable way, so more Americans benefit from this support."
     
    See the full list of recipients here.


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  • 15 Aug 2023 8:14 AM | Deborah Hodges (Administrator)

    Acrocyanosis, venous pooling of blood in the legs that causes them to turn blue, may be yet another symptom of long COVID, according to a case report published in The Lancet.

    The case report features a 33-year-old man who for 6 months experienced blue legs after 10 minutes of standing, accompanied by a heavy, itching sensation. The legs returned to a normal color after 2 minutes of lying down.

    The man had never experienced blue legs until his long-COVID diagnosis and subsequent diagnosis of postural orthostatic tachycardia syndrome (POTS), a condition that causes an abnormal increase in heart rate on standing. When lying down, the man's pulse was 68 beats per minute, but upon standing for 8 minutes, his pulse increased to a maximum of 127 beats per minute.

    The authors of the report said there have been documented cases of acrocyanosis among children experiencing post-viral illness, but few cases have yet to be connected to long COVID.

    "Patients experiencing this may not be aware that it can be a symptom of Long Covid and dysautonomia and may feel concerned about what they are seeing. Similarly, clinicians may not be aware of the link between acrocyanosis and Long Covid," senior author Manoj Sivan, MD, said in a University of Leeds press release.

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  • 14 Aug 2023 10:23 AM | Deborah Hodges (Administrator)

    The attorney general will soon have greater oversight of healthcare transactions, specifically mergers and acquisitions that include healthcare facilities, under a law signed Friday by Gov. JB Pritzker. [Health News Illinois]

    The plan, effective next January, will require facilities to notify the attorney general within 30 days of a proposed merger or acquisition. It would also create a state program for premerger notification of healthcare facility mergers.

    The office can then determine whether a proposed transaction warrants an investigation and, when necessary, a challenge for anticompetitive conduct.

    Attorney General Kwame Raoul, who advocated for the proposal, has said that while his office works with the federal government to review large-scale transactions, a state-level review will fill gaps that allow mergers to occur without review.

    Pritzker also signed into law a plan that mandates healthcare workers to undergo one hour of cultural competency training as part of their licensure cycle. Professionals will need to complete statutorily mandated training every other year, rather than annually, and the law reduces mandated hours of training from three to one. The law will also require every professional to take Alzheimer’s training during their first renewal cycle.

    The Illinois Healthcare Cultural Competency Coalition praised the plan, saying it will give providers the “tools and information they need to effectively and affirmingly serve communities of color, people with disabilities, people of diverse faiths, undocumented individuals, LGBTQ+ people, people living with HIV, intersex people, and other communities that have been marginalized in the healthcare system.”

    Another new law signed Friday will implement recommendations made earlier this year in the children’s behavioral health blueprint. That includes the establishment of a centralized intake portal to provide families guidance and referrals to state and community-based programs for which they are eligible, the creation of a navigator assistance program and statutory language to pave the way for annual mental health screenings to all K-12 students.

    “The need for timely and appropriate care cannot be overstated — families and children need access to services now,” said sponsor Sen. Sara Feigenholtz, D-Chicago. “Soon, parents and providers will be able to rely on this legislation as a roadmap to finally get children the care they need.”

    Other new laws will:

    ·    Allow licensed healthcare professionals — not just physicians — to make disability determinations for an employee receiving duty disability.

    ·    Require insurance or managed care plans to offer, for an additional premium, coverage for hearing instruments if prescribed by a hearing care professional.

    ·    Modify the timeline for which nursing program graduates can sit for an exam post-graduation without additional education and training. It also requires registered professional nursing schools to be evaluated for effectiveness over a three-year average.

    ·    Require insurance coverage for an annual mental health and prevention wellness visit with cost sharing.

    ·    Allow the Tinley Park–Park District to renovate the former Tinley Park Mental Health Center into a recreation site.

    ·    Create a task force to look at emergency medical technician training, recruitment and retention.

    ·    Ensure all preventive care mandates will remain in place.

    ·    Classify electronic health records and other information included in them, like demographic information, as “private information” and not subject to the Freedom of Information Act for HIPAA-covered private entities.

    ·    Create a task force to look at ways to make Illinois a “healing-centered or trauma-informed” state, including improved alignment of existing efforts and strategic planning for long-term transformation.

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  • 11 Aug 2023 7:20 AM | Deborah Hodges (Administrator)

    Researchers said the increase in maternity deserts and poor access to care is in part due to obstetric  wards.  A whopping 5.6 million birthing people are finding themselves without access to maternity care as the prevalence of maternity deserts continues to grow, according to reports from the March of Dimes. 

    These care access issues are compounded by the social determinants of health that also impact maternal health outcomes, the report authors said.

    Illinois Report - download here.

    Summary of the USA  Report- click here.

    Report Shows 4% Drop in Birthing Hospitals with Nearly 6 Million Women Living in Areas with No or Limited Access to Care

    The March of Dimes report comes as the healthcare industry grapples with a fraught maternal health problem.

    Separate studies have found that the US has the worst maternal health outcomes and worst maternal health equity out of the developed world. On top of that, the Supreme Court’s reversal of Roe v. Wade has called into question overall access to all kinds of reproductive healthcare, not just abortion.

    Now, March of Dimes is outlining the state of birthing and maternity care access, particularly by shining a light on maternity care deserts.

    “A person’s ability to have a healthy pregnancy and healthy birth should not be dictated by where they live and their ability to access consistent, quality care but these reports shows that, today, these factors make it dangerous to be pregnant and give birth for millions of women in the United States,” Dr. Elizabeth Cherot, March of Dimes president and chief executive officer, stated publicly.

    More>

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  • 10 Aug 2023 5:24 PM | Deborah Hodges (Administrator)

    Structural inequities and higher burden of social determinants of health are more than home-based care nurses can mitigate, researchers said.

    Even with home-based care interventions, social determinants of health and structural barriers get in the way of good maternal health outcomes, a new Health Affairs study has found.  [Patient Engagement HIT]

    The report, received under embargo, showed that a home-based nursing care program had a negligible impact on the health outcomes of pregnant, Medicaid-eligible people. That’s likely because structural barriers and other social determinants of health are likely more than nurses can mitigate.

    These findings call into question the efficacy of home-based nursing care among pregnant populations and how such programs can be reshaped in the future.

    The researchers zeroed in on the Nurse-Family Partnership (NFP) program, which offers home visits from a registered nurse to Medicaid-eligible pregnant people throughout their pregnancy and up to 24 months after delivery. NFP operates in 40 states and, as of 2020, has served more than 50,000 families. It also received additional funding as part of the American Rescue Plan Act of 2021.

    As part of their home visits, NFP nurses use different patient-provider communication strategies to uncover targeted needs and to tailor healthcare and social services solutions. In addition, NFP nurses conduct mental health screenings, monitor pregnancy, and provide guidance on healthy behaviors related to exercise and nutrition.

    More>

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