An HHS Office of Inspector General report found that the seven-month closure of the emergency department at the Indian Health Service's Rosebud Hospital in South Dakota could be attributed not just to a staffing crisis and equipment needs but also to a whiplash-inducing turnover of 27 CEOs in nine years. The inspector general's office has recommended steps to take to prevent as well as respond to future closures.
Cost pressure and consolidation are leading some hospital systems to embrace increased specialization. In Chicago, services such as obstetrics and cardiology are being centralized in high-traffic hospitals, and patients can expect to travel farther from home for some care.
Individuals with mild cognitive impairment or Alzheimer's disease who received daily intranasal insulin through the Kurve ViaNase device, but not those whose intranasal insulin was delivered via the Impel NeuroPharma device, scored six points lower on the Alzheimer's Disease Assessment Scale-Cognitive Subscale after 18 months, indicating delayed Alzheimer's progression by one to two years, compared with those who were given placebo, according to a study presented at the Alzheimer's Association annual meeting. Researchers also found improved beta-amyloid 42/40 and beta-amyloid 42/tau ratios among those treated with the Kurve ViaNase.
Social workers must be aware of the signs of a gambling disorder and the resources available as legalized gambling expands. Additional education is key because, "If you're not trained, you could easily miss it," says licensed clinical social worker Jody Bechtold.
Older adults are more sensitive to the effects of extreme heat, so they should take certain precautions. Social workers Rachel Dewees and Nina Abney offer five tips to stay cool, such as drinking a lot of water, finding a cooling center, and only working outside early in the day, if at all.
Social workers are increasingly working at public libraries, where people can get help without feeling stigmatized, says Leah Esguerra of the San Francisco Public Library. Such programs have drawn interest from the Public Library Association, which launched a task force that includes social workers to study how to best address the social service needs of library patrons.
Thousands of people in four Mississippi counties will lose access to mental health care when the Gulf Coast Mental Health Center runs out of funding next month. Mississippi is already the subject of a lawsuit that asserts its mental health services are inadequate.
An analysis of data for 523,526 people with end-stage kidney disease found an increase in patients choosing home dialysis from 2005 to 2013, regardless of race or ethnicity. The study was published in the Clinical Journal of the American Society of Nephrology.
Researchers found that people with HIV who also had hepatitis C were not at a greater risk for non-AIDS-related cancers or cardiovascular disease. The findings, based on data for 16,818 people, were reported in the journal Clinical Infectious Diseases.
The Harvard Business School's Institute for Strategy and Competitiveness teamed up with the American College of Surgeons to develop a value-based measurement program for hospitals and surgical practices. The program, called Transforming Healthcare Resources to Increase Value and Efficiency, will be tested at 10 to 15 hospitals.