As always to keep you informed.... Elizabeth H. Thiers, OTR/L FECTS [EMAIL PROTECTED] -----Original Message----- From: Children with Special Health Care Needs Listserv digest [mailto:[EMAIL PROTECTED] Sent: Monday, March 15, 2004 12:00 AM To: cshcn-l digest recipients Subject: cshcn-l digest: March 14, 2004
CSHCN-L Digest for Sunday, March 14, 2004. 1. Florida Governor Signs Bill To Move Children From Waiting List to KidCare, Implement Eligibility Restrictions 2. Cultural Competence in Health Care 3. Children say they are not involved enough in their treatment ---------------------------------------------------------------------- Subject: Florida Governor Signs Bill To Move Children From Waiting List to KidCare, Implement Eligibility Restrictions From: "John G. Reiss" <[EMAIL PROTECTED]> Date: Sun, 14 Mar 2004 17:18:01 -0500 X-Message-Number: 1 >From Kaiser Florida Governor Signs Bill To Move Children From Waiting List to KidCare, Implement Eligibility Restrictions Access this story and related links online: http://cme.kff.org/Key=2234.Sv.J.D.MdyZlP Florida Gov. Jeb Bush (R) on Thursday signed into law a bill (CD SB 2000) that allocates more than $25.2 million in state and federal funds to eliminate a waiting list for Florida KidCare, an umbrella organization that includes three health plans for children in low-income families, and imposes more restrictions on the program's eligibility requirements, ... Under the legislation, the state will review applications for 90,280 children who were on the program's waiting list as of Jan. 30 and give out acceptance letters to eligible children by April 1. Officials estimate about 19,000 children on the list are not eligible for KidCare for a variety of reasons, including qualifing for Medicaid The law also states that families with access to private health insurance through their employers are ineligible for KidCare, unless the cost of private insurance coverage for a dependent exceeds 5% of the family's income. Because of those and other changes to eligibility, as many as 20,000 children could lose KidCare coverage. The legislation establishes two monthlong enrollment periods in January and September, and the governor will have the authority to "disenroll" children in the program on a "last-in, first-out basis" if the program has a budget deficit. The law also would prohibit children of documented immigrants on the waiting list as of Jan. 30 from participating in KidCare; documented immigrants who were already receiving coverage as of Jan. 30 would be allowed to say in the program ... Bush said that KidCare "has never been intended to serve as cheaper insurance," adding, "We will have to protect the integrity of its intent". However, state Sen. Ron Klein (D) said, "With the stroke of a pen, the governor has now codified Republican legislation jettisoning more than 20,000 children form the wait-list for KidCare, and blocking working parents from purchasing critical health care for their children" ---------------------------------------------------------------------- Subject: Cultural Competence in Health Care From: "John G. Reiss" <[EMAIL PROTECTED]> Date: Sun, 14 Mar 2004 17:18:18 -0500 X-Message-Number: 2 >From Kaiser (while this report focuses on the adult and aged population, I thought it to be of interest - JGR Access this story and related links online: http://cme.kff.org/Key=2234.Sv.M.D.MryVF1 "Cultural Competence in Health Care: Is It Important for People With Chronic Conditions?" Center on an Aging Society: The brief, the fifth in a series on chronic conditions, states that health providers and systems are increasing their commitment to cultural competence, or providers' ability to deliver health services that meet patients' social, cultural, and linguistic needs. The brief adds that greater attention to that issue could help improve access to and quality of care, as well as health outcomes for certain populations. http://ihcrp.georgetown.edu/agingsociety/pubhtml/cultural/cultural.html ---------------------------------------------------------------------- Subject: Children say they are not involved enough in their treatment From: "John G. Reiss" <[EMAIL PROTECTED]> Date: Sun, 14 Mar 2004 17:21:36 -0500 X-Message-Number: 3 bmj.com Odigwe 328 (7440): 600 >From BMJ (British Medical Journal See: http://bmj.bmjjournals.com/cgi/content/full/328/7440/600-b?ecoll&eaf BMJ 2004;328:600 (13 March), News Children say they are not involved enough in their treatment Chibuzo Odigwe Children and teenagers are unhappy with the lack of communication they get when they are treated in the NHS and think that they are not sufficiently involved with the decision making process, a new report says. The report, which was published by the Commission for Health Improvement last week, says that many children and teenagers felt they had the right to participate in decisions about their treatment rather than being passive recipients of care. It was compiled from 59 separate reports from voluntary bodies and statutory organisations and is the largest ever compilation of feedback from children and teenagers about health care. All the information, comprising 700 individual pieces of feedback, is being put on a database, to which health professionals will have access. The report gives many examples of how young people viewed their treatment. They gave descriptions such as "Nobody explained anything about going home" and "The GP did not ask-[he] just sent a referral." Some of the young people's comments on their level of involvement were: "[There was] not enough time to have things properly explained," "[The doctor] only explained it to my dad," "I know more than my mum, I know nearly everything," and "[I] did not really understand, nobody explained what is going to happen to you to make you better." The responses also showed that they felt that the hospital environment could be better, with comments such as, "Better decoration would make it feel more like home." The responses, which were from children and teenagers up to the age of 19, were collected in different ways appropriate for each age group, including questionnaires, oral interviews, and interactive group sessions. However, to qualify for entry into the database responses had to come directly from the children, not from parents or other carers. The Commission for Health Improvement thought that it was important that young people's voices were heard. Liz Fradd, director of nursing at the commission,who was responsible for the report, said: "Responding to what children say they want in health care is more than [giving in to] pester power-it's good patient care. Children clearly want to be involved, informed, and consulted when they have to use healthcare services." To access the full report go to Children's Voices www.chi.nhs.uk/childrens_voices/index.shtml --- END OF DIGEST *** You are currently subscribed to cshcn-l as: [EMAIL PROTECTED] To unsubscribe send a blank email to [EMAIL PROTECTED] *** Subscribe to this list at http://mchenet.ichp.edu/scripts/lyris.pl?enter=cshcn-l *** For more about CSHCN, go the the Institute for Leaders in CSHCN Programs web site at: http://cshcnleaders.ichp.edu/ *** This mailing list is a service of the Division of Policy and Program Affairs at the Institute for Child Health Policy (www.ichp.edu). _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] ===============================================
