Public Health News Roundup: July 3
Employer Mandate to Provide Health Insurance for Workers Delayed One Year
The U.S. Department of the Treasury announced yesterday that implementation of the rule under the Affordable Care Act requiring employers with more than fifty workers to provide health insurance or pay penalties beginning January 1, 2014, will be delayed by one year. Read more on access to health care.
Pharmacist-guided Home Hypertension Monitoring Shows Significant Results
Home blood pressure monitoring augmented by partnering with a pharmacist can lead to greater improvements in hypertension than the traditional treatments, according to a new study in the Journal of the American Medical Association. People in the study intervention group received a home blood pressure monitor, training and lifestyle advice. The monitor automatically sent updates to the pharmacists, who could adjust treatment accordingly. About 72 percent of the study participants who underwent the new care combination had their hypertension under control after six months, compared to 45 percent for the participants who underwent the usual care. This control also persisted months after the interventions. “The reason that only about half of people with [high] blood pressure have it under control is that usual care isn't working. We combined two interventions that we thought would be very powerful together—home monitoring and pharmacist managements—and this is one system that we've shown works very well for blood pressure control," said senior investigator Karen Margolis, MD, from the HealthPartners Institute for Education and Research in Minneapolis. About 30 percent of U.S. adults suffer from high blood pressure. Read more on heart health.
HHS Issues Final Plan on Improving Patient Care Utilizing Health IT
The Department of Health and Human Services (HHS) has issued its final “Health IT Patient Safety Action and Surveillance Plan” to utilize health information technology (IT) to better protect patients and improve the quality of care. “When implemented and used properly, health IT is an important tool in finding and avoiding medical errors and protecting patients,” said National Coordinator for Health IT Farzad Mostashari, MD. “This Plan will help us make sure that these new technologies are used to make health care safer.” The Office of National Coordinator for Health IT plan outlines the responsibilities of both HHS and the private sector. It includes making it easier to report health IT-related incidents and hazards using certified electronic health record technology; encouraging reports to Patient Safety Organizations and updating standardized reporting forms; encouraging the use of standardized reporting forms in hospital incident reporting systems; and training on how to use the forms to identify safe and unsafe health IT practices. Read more on technology.