Digital finger printer scanners help prevent medical insurance fraud ?

Floyd Memorial installs fingerprint scanners

http://www.courier-journal.com/story/news/local/indiana/2014/09/26/floyd-memorial-installs-fingerprint-scanners/16211187/

While this is the “glazed over” story about why our local hospital has implemented this digital finger print reader attached to their medical record system.  This week I was in the hospital for some out pt lab tests and got to talking to the lab tech about this system. It would seem that the larger motivation for the hospital to implement this system… is their experience of multiple people showing up requesting services … many using the same set of medical insurance cards/coverage. Think insurance fraud.  In case you haven’t heard.. all sorts of database hacks have happened in large hospital systems, health insurance companies, Federal Office of Personnel Management and how many others that have yet to be uncovered happening or admitted that it has happened.

Maybe this data hacks can help explain:

http://www.nola.com/crime/baton-rouge/index.ssf/2015/05/counterfeit_prescription_drug.html

http://www.justice.gov/usao-ct/pr/indictment-charges-9-individuals-obtaining-oxycodone-fraudulent-prescription-scheme

should we be using such a system with the various state PMP’s or if ignoring such a system to prevent diversion… have a different meaning ?

Floyd Memorial Hospital hopes a tiny, glowing blue box could help improve patient care and prevent medical identity theft.

The box is part of the hospital’s new partnership with technology company CrossChx, which uses unique points of patients’ fingerprints to generate a code linking them to their medical information.

“I think it’s more secure,” said Tammy Utz, whose fingerprint flashed on a computer monitor recently when she registered for pre-operative testing. She’s never worried much about her own medical identity being stolen, but knows “there’s been a lot of identity theft issues.”

In 2013, just over 1.8 million American adults were victims of medical identity theft — when a fraudster uses someone else’s personal information to access medical benefits — at a total estimated out-of-pocket cost of more than $12 billion in related expenses, according to a report from the Ponemon Institute.

“People don’t realize (medical identity theft) is prevalent,” hospital spokeswoman Angie Rose said. “We’re trying to prevent that from happening.”

Floyd Memorial also hopes the CrossChx system will cut down on its approximately 100 monthly duplicate patient records, usually created when a patient registers under a middle name or nickname — say “Mike” instead of “Michael.”

With the associated administrative and other expenses estimated at $50 per pair, according to a 2012 American Medical Informatics Association article, “Duplicate Patient Records – Implication for Missed Laboratory Results,” duplicate records can be costly for hospitals.

But they could also be costly for patients.

If Michael’s record shows he has an allergy but Mike’s doesn’t, an unaware healthcare provider could give him a dangerous medication, Manager of Patient Access Services Laurie Scarff said. “If we don’t put it together that that’s the same person, we might not be aware of that allergy.”

Floyd Memorial uses patients’ social security numbers and date of birth to find and combine duplicate records at registration, Scarff said. But CrossChx will help ensure they’re not created in the first place, since “your finger is your finger” — regardless of the name used.

The first time they check in, patients are asked to scan their right index finger five times so the system can lock in their assigned code. On later visits, they can register with one scan. The fingerprints themselves are not stored, Rose said.

Floyd Memorial “encourages, but doesn’t require” patients to use the system, Scarff said. She said that in the first week, more than 98 percent of patients asked agreed to do so.

Reporter Baylee Pulliam can be reached at (812) 298-5601 or on Twitter at @BayleePulliam.

Tennessee bureaucrats not concerned about 11,500 deaths from alcohol/tobacco use/abuse ?

Overdose deaths reach ‘epidemic proportions’ in Tennessee

State: 1,263 Tennesseans died from opioid overdoses in 2014

http://www.timesfreepress.com/news/local/story/2015/sep/28/state-1263-tennesseans-died-opioid-overdoses-2014/327649/

Tennessee has 6.50 million residents out of the 320 million in the entire country… there are abt 550,000 deaths from use/abuse alcohol & tobacco.. using national percentages .. that would suggest that annually TENNESSEE would have abt 11,500 residents die from those two drugs. So the NINE TIMES DEATHS from the use/abuse of alcohol & tobacco … those lives are less important than those who died from untreated mental health issue of addictive personality ?

NASHVILLE — Statistics from the Tennessee Department of Health revealed that 1,263 Tennesseans died in 2014 from opioid overdoses despite measures designed to stop the addiction.

In 2014, the state saw 97 more deaths caused by opioid overdoses than in 2013, The Tennessean reported. According to the report, more people died from opioid overdose in 2014 than from car accidents or by gunshots.

David Reagan, the health department’s chief medical officer, said the highest frequency of overdose deaths are found in men and women ages 45 to 55.

The newspaper reports opioids are found in prescription painkillers such as Hydrocodone and Oxycodone, which are easily attainable illegally. Hydrocodone, according to the report, can cost between $5 to $7 per pill while one pill of Oxycodone ranges from $30 to $40.

Pills tile

Dr. Omar Hamada of Maury Regional Medical Center says two to three people come into the emergency room each week with an overdose that requires medical intervention.

Reagan said most people who become addicted to opioids don’t do it with the intention of becoming addicted.

“They never intended for that one incident to end up in dependency and addiction,” Reagan said. “This wasn’t their idea.”

To combat the high death rates, several legislative measures designed to stem addiction have been passed. In 2012, the state began new oversight over pain management clinics and started to expand the information tracked by its controlled substance database, the paper reports.

Starting in July, Tennessee will require chief medical officers of pain clinics to be pain specialists.

State Sen. Ken Yager, who sponsored the 2012 legislation, wants to see some funding for addiction in the state’s next budget.

“It is an epidemic of biblical proportions that we need to fight on every front,” Yager said.

 

Guest Post, by chronic pain pt Emily Ullrich

After surviving years of marginalization as a chronic pain patient, I decided that self-advocacy was no longer a choice. I live in a state which has some of (if not THE) strictest pain medicine laws that exist. When I was unethically put on a “Non Narcotic Treatment” status by my pain clinic, it became glaringly clear how these new laws were going to directly affect me. I reached out to any and everyone I could, trying to figure out why (despite having had to be hospitalized for “Malignant Hypertension Due to Pain”) I could not get pain care. My own primary care physician told me if I wanted to get “the pain care I needed,” I would “need to move to another state. You will NOT get it here,” he said emphatically. Punctuating that statement with the suicide of one of our pain doctors as an example of the distress that Kentucky doctors are facing when it comes to pain medicine. Even if you don’t live in Kentucky, don’t be fooled…they’re coming for your state, too.

I found Sheila Purcell, Founder of Kentucky Pain Care Action Network, who told me the realities for pain patients in Kentucky, and I was at a loss. I began advocating. Eventually, after much trial and error, I found a terrific pain doctor…in another state. I now have to have my husband drive me four hours each way, once a month. If it meant being treated by a knowledgeable, compassionate doctor, who treated me with respect, I decided it was worth it. I began talking to him about the dire conditions in my state, and how many people I heard from as a pain advocate on a daily basis.

My pain doctor LISTENED. As he starts his new chain of clinics, and after getting to know me better, and reading some of my articles, he asked me to be on his board, as a Patient Advocate. In the process, I began pushing him to open a clinic in Kentucky. After hearing me beg for months, he went ahead and got licensed in Kentucky (as well as six other states). As an effort to influence his decision to come to Kentucky, I started a petition https://www.change.org/p/kentucky-board-of-medical-licensure-kentucky-general-assembly-kentucky-state-senate-kentucky-state-house-kentucky-governor-bring-elite-medical-pain-management-clinic-to-kentucky-pain-care-for-kentucky-s-suffering?recruiter=14188163&utm_source=share_petition&utm_medium=copylink

In addition, as an advocate with Kentucky Pain Care Action Network, I have also started a petition to amend our legislation, which is denying legitimate pain patients the basic human right to proper pain care. https://www.change.org/p/gregory-stumbo-jack-conway-kentucky-state-house-kentucky-medical-association-demand-adequate-pain-care-as-a-human-right-for-kentuckians/u/13551000

Thanks to Steve Ariens, I’ve been able to share this information with his readers, who may not live in Kentucky, but who need to support these movements either way, because the laws change by other state’s example, and we are all in this together. Also, you may need a compassionate, knowledgeable pain doctor in your state, and my doctor just might be coming your way…if you show that you are interested. We pain patients need to show the government and doctors that we will not just sit down and shut up. That we WILL be heard. Please join me in taking the first steps to doing so.

why I post/blog about what I do

stevephoneI recently was having a phone conversation with a friend and reader of my blog. The question came up … which actually came via another reader of my blog. That the “direction” of my blog has change over the years.  My blog started its FOURTH YEAR this past June, and my readership/page views continue to grow, so there seems to be a growing interest in what I put on the blog.

Originally, the blog was to focus on how our healthcare system is harming and killing us. With all too much of the harm that our healthcare system does to pts, settled with confidentially/non disclosure agreements… Much of it is buried in corporate archives, probably never seeing the light of day.

Few pts ever heard about the 100,000 pts that die of hospital/nursing home acquired infections. Certain groups use the number that 44 K die of drug overdoses, but when you dig down into the weeds… abt half of those deaths are from OTC medications and only about 16 K deaths are from Rx opiates and as a society, we don’t track .. how many – out of those 16 K deaths — are suicides.. not a TRUE accidental overdose… of that mentally ill person that was seeking out that “higher … high”…

So… my blog has expanded to point out and discuss… how people are being abused, harmed, killed by those in authority over them in some fashion. Doesn’t matter if the abuse is coming from legislators, judicial system, healthcare system or others that have some sort of ability/authority over others and use that to impose their will – legally/illegally – on others

I try to avoid posting about elected officials, but those agencies within the bureaucracy is – as far as I am concerned – fair game… as is corporate America. If a pt sends me audio/video about being denied care by a individual healthcare professional… I will post it..  If you think that you are protected by your state’s two party recording law, those laws were written referencing “private conversation” and was focused on recording telephone conversations.  IMO, it is a extreme push to believe that the conversation at the pharmacy Rx dept counter is “private”.. thus these laws are most likely not applicable nor enforceable.

I can’t remember deleting a comment from people who take an opposing stance on what I have posted… my blog doesn’t even require someone making a comment to give a name and email. Unlike me, there are a lot of people who don’t have the conviction of their beliefs to put their name/email on their comments.

I am sure that the number of comments would drop if I turned on the name/email requirement to make a comment, but then my regular readers would not get to see/read just what some people really think about what is going on in our healthcare system… and how they defend their actions and the reasons for their actions.

I welcome anyone who wishes to submit a guest post from both healthcare professionals and pts…

Florida BOP next meeting concerning controlled meds and denial of care

untitled

September 30, 2015
Advocates in Florida,
The next Controlled Substances Standards Committee Meeting will take place on October 5, 2015 at 2pm at the Tampa Marriott Westshore, 1001 N. Westshore Blvd., Tampa, Florida 33607. See the agenda and other details on the Florida Board of Pharmacy’s website.
We hope you’ll attend this meeting to stay abreast of how Florida is addressing the challenges of access for people with legitimate medical problems who need to fill their medications for pain management.
For background, you can read the written testimony that the American Academy of Pain Management provided at the June Controlled Substances Standards Committee Meeting in Orlando.
We’d love to know if you are able to make it to this meeting in Tampa. In the meantime, we’re here to answer any questions you may have.
Sincerely,
Amy Goldstein, Director, State Pain Policy Advocacy Network, American Academy of Pain Management
Katie Duensing, Researcher and Policy Analyst, American Academy of Pain Management

Our mailing address is:
975 Morning Star Drive, Suite A
Sonora, CA 95370
209 533-9744

Is this why #Walgreens stopped telling everyone to “be well” ?

https://youtu.be/PlOhrxwn64Y

CDC wants to tell your doctor how to treat – or not treat – your chronic pain.

Take Our Survey About the CDC Opioid Guidelines

http://www.painnewsnetwork.org/stories/2015/9/29/pain-patients-take-our-survey-about-cdc-opioid-guidelines

By Pat Anson, Editor

As we’ve been reporting over the last several days, chronic pain patients had little role or voice in the development of opioid prescribing guidelines recently announced by the Centers for Disease Control and Prevention (CDC).

The guidelines for primary care physicians are aimed at reducing rates of addiction and overdose, but they are likely to lead to further restrictions on the prescribing of opioid pain medication for both acute and chronic pain.

The CDC recommends “non-pharmacological therapy” and other types of pain relievers as preferred treatments for chronic non-cancer pain. Smaller doses and quantities of opioids are recommended for patients who continue using the drugs.  A complete list of the guidelines can be found here.

While the CDC is no longer accepting public comment on the guidelines, your opinion matters to us and it’s not too late to let your feelings be known.

Pain News Network and the Power of Pain Foundation are joining forces to conduct a survey of pain patients to see what they think of the CDC’s guidelines.

To take our quick survey, click here.

“As pain patients, we already have major roadblocks in our health care system to get access to proper and timely treatment. I predict these new CDC guidelines will have a devastating impact on our pain care,” says Barby Ingle, founder and president of the Power of Pain Foundation. “Many more people will suffer from arbitrary guidelines set by a panel of people who are not in the everyday trenches with pain patients. These guidelines force the same care for all. We are not all the same.

“Taking our survey about the CDC’s opioid prescribing guidelines gives patients a voice in this process. Raise your voice and be heard, something that was not done when the guidelines were drafted. Share your story, share your experiences and share what it’s like to live in the pain community as the expert of your pain.”

Some of the questions we’re asking include whether you think opioids are overprescribed;  what effect the guidelines will have on rates of addiction and overdoses;  whether pain patients should be required to take urine drug tests; and if the guidelines discriminate against pain sufferers.

In addition to taking the survey, Ingle says it’s time for pain sufferers to step up and be better advocates for themselves.

“We must participate in studies and surveys on this topic, and write letters to those trying to dictate our lives and what appropriate care should be,” she says. “The only way to ensure access to proper and timely care is to keep the relationship between the patient and their providers.”

The CDC is planning to release the prescribing guidelines in January.  Although voluntary, some experts predict the guidelines could quickly be adopted by state health departments and licensing boards, making them “standards of practice” for physicians.

But CVS customers will be able to get Naloxone within 24 hours

naloxone narcan 1.jpg

Possible heroin overdose inside Lancaster city CVS

http://lancasteronline.com/news/local/possible-heroin-overdose-inside-lancaster-city-cvs/article_5d123e56-66b8-11e5-83f7-6b1f3e774a74.html

Has anyone noticed that it has been all over the various news media that CVS was going to have Naloxone in stores for pts.. Maybe I mis-read all of those press releases or maybe they just INFERRED that Naloxone would be IN STOCK in their stores.  The statement in this new article states that Naloxone would be available TO ORDER.. next day availability.  Apparently, they don’t want to put themselves into the position of one of their Pharmacists refusing to provide Naloxone to a pt like it is described in this article, because the person is unconscious and unless the Pharmacist wants to “frisk” the pt for $50 to pay for the Naloxone… taking it out of stock and administering it to such a pt would be considered theft on the part of the Pharmacist.  Which could cause the Pharmacist to be FIRED. OR, a Pharmacist that believes/feels that addicts deserve whatever outcome they get themselves into… All of these possible “feel good” press releases could be undone with one such incident.

A 20-year-old man likely overdosed on heroin Friday inside the bathroom of a CVS drug store in Lancaster city, police said. 

He was revived by the heroin antidote naloxone, though it did not come from the pharmacy even though CVS announced last week that all of its Pennsylvania drug stores would be carrying the life-saving drug.

He was revived by emergency responders who now carry the drug for heroin and other opiate overdoses.

A CVS spokesman said today that naloxone, sold under the brand name Narcan, would not be kept in stock. “But CVS customers will be able to get it within 24 hours,” said the spokesman, Michael DeAngelis. 

CVS announced last week that its stores in Pennsylvania and 13 other states would carry naloxone and would make it available to customers without a doctor’s prescription.

However, DeAngelis said today, the drug probably would not be in high enough demand to keep it on the shelves.

“It’s an emergency product and people that are interested in it will be able to get it in a day,” said DeAngelis. “Part of the protocol that we put in place calls for the pharmacists to receive training on how to administer the drug and to be able to educate the customer.” 

He said the cost would be around $50 without insurance, much lower than auto injector kits of naloxone that can cost more than $700 at some pharmacies.

 According to reports from store personnel and Lancaster City Police, a young man entered the CVS store at 32 W. Lemon St. on Friday and then went into a bathroom and locked the door.  

Emergency personnel were called at around 7:30 p.m.

The man was treated at the scene and then transported to the LGH emergency room. He reportedly survived.

DeAngelis said the type of incident that occurred at the Lancaster CVS was unfortunate but very rare for one of their stores. CVS/pharmacy, the retail division of CVS Health, is America’s leading retail pharmacy with over 7,800 locations.

Protect & serve – destroying the dash cam video ?

Another causality of the “war on drugs” and chronic disease issues ?

A Personal Message From Ken McKimSo, good news and bad news on the home-front (don’t worry, my wife Corina is doing okay). As always, we will pick ourselves up and move forward.My Patreon Page:https://www.patreon.com/dontpunishpain?ty=hMy GoFundMe Page:https://www.gofundme.com/dontpunishpain

Posted by Don’t Punish Pain on Tuesday, September 29, 2015