health

Ft. Knox Army Post

Ireland Army Community Hospital at Fort Knox says it will begin limiting new surgery cases starting next month.

The hospital says the change is due to operating room staffing changes and the impact on maintaining safe, quality care. Cesarean sections and all currently scheduled surgeries will continue, but no new surgeries will be scheduled after June 1.

The hospital is scheduled to become an outpatient clinic and will end inpatient and emergency services by Dec. 15. The hospital said that could happen sooner if staffing becomes an issue.

The hospital said in a news release that service members and TRICARE beneficiaries will continue to have inpatient and surgical care needs met by central Kentucky community health partners.

Screenshot from website

The Cabinet for Health and Family Services is bringing 91 field workers from around the state, to Frankfort, to help deal with the backlog of applications in Benefind, the new umbrella portal for Kentucky’s welfare programs.

Since the February rollout of Benefind, people trying to get benefits have had to deal with long wait times at local Department for Community Based Services offices and over the phone. The system also erroneously sent out notices to some people that their benefits had been canceled.

Brandon Carlson, the project manager for the initiative, said the group had already processed over 9,000 cases this week.

“By focusing our efforts here on those cases, we were able to free up our workers at all the local DCBS offices to address the lobby traffic and the high volume of calls and the new applications,” he said.

The cabinet estimates it now has a backlog of 16,000 cases, down from 30,000 at the beginning of the week.

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A recent report by Kaiser Family Foundation says Kentucky has one of the most successful implementations of the Affordable Care Act in the U.S.

The report cites the “single, integrated eligibility system [Kentucky] built for Kynect and Medicaid” as one of the most pivotal components to its success.

The foundation also concludes that the state’s leadership and collaboration, outreach and marketing efforts, and diverse network of enrollment assistance were also contributing factors to its success.

In a statement from Saving KY Healthcare, former Gov. Steve Beshear — a principal with the nonprofit — said Kynect and Medicaid expansion had a big impact.

“The successful rollout was largely due to thorough coordination by officials throughout the state, and a comprehensive effort to ensure that all aspects of Kynect and the expansion were ready to launch on day one,” he said.

Joseph Lord, WFPL

E-cigarettes and smoking hookah have gained popularity among middle and high school students in the U.S., according to the Centers for Disease Control and Prevention.

The number of middle and high school students using e-cigarettes tripled from 2013 to 2014.

Among high school students, 13.4 percent were found to be using e-cigarettes in 2014 compared with 4.5 percent in 2013. The number of middle school students using e-cigarettes also tripled from 1.1 percent in 2013 to 3.9 percent in 2014.

Vince Willmore, vice president for communication at the Campaign for Tobacco Free Kids, said marketing of e-cigarettes has played a big role in young people using the product.

“They’re available in flavors that appeal to kids like cotton candy and gummy bear, so it’s not surprising that kids are using more of these products because they’re being marketed in the very same way that regular cigarettes have been marketed to kids,” he said.

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Officials from the Centers for Disease Control and Prevention said earlier this week that the Zika virus is “scarier than we initially thought” and that states need to be ready for potentially widespread infections.

And the agency confirmed for the first time on Wednesday that the virus causes birth defects.

The organization said the mosquito carrying the virus may be present in about 30 states. It was previously thought to be found in a dozen U.S. states.

Last month, Kentucky officials — led by Gov. Matt Bevin — held a news conference meant to reassure the public that Zika was not a threat in the commonwealth, and that they had been preparing for potential cases. There have been three confirmed cases in Kentucky. Two were people in Louisville, and each person had recently traveled to an area affected by the virus.

Here’s what state officials said then:

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Kentucky adults still have a hard time affording health care, according to a Kentucky Health Issues Poll.

In 2015, one in five Kentucky adults either didn’t get care or delayed care due to cost, according to the report. That’s down from 2014 and 2009, when 22 percent and 32 percent, respectively, went without needed care due to cost.

Susan Zepeda, president of Foundation for a Healthy Kentucky, said having insurance coverage is a great start, but it doesn’t always get the whole job done.

“Although more and more Kentuckians are able to get the care they need in a timely manner, they’re is still work to be done,” she said. “There are still people who are delaying care or finding that they’re unable to handle the medical bills after they receive care.”

J. Tyler Franklin, WFPL

As Gov. Matt Bevin’s administration and a private consulting firm work to fix Benefind, the troubled one-stop portal for health and social services in Kentucky, the blame game over who’s responsible for its problematic rollout continues.

At a hearing of the state Senate’s Health and Welfare Committee on Monday, a top Bevin administration official blamed the federal government and previous Gov. Steve Beshear for the problems plaguing the system. The online portal, which launched Feb. 29, has been marred with long wait times, lost services and erroneous notices of canceled benefits.

Vickie Yates Brown Glisson, secretary of the Cabinet for Health and Family Services, told lawmakers that federal officials tested Benefind before it was released and gave the green light to launch.

“If there’s a problem, someone should take it up with the federal government. They said ‘you need to move forward,’” she testified to the committee.

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Even though it’s late in the season, the number of flu cases is on the rise in Kentucky.  State health experts are still encouraging vaccination.

For the ninth week in a row, the flu activity level is widespread, meaning that at least half of the state’s regions are reporting an increase in cases of the flu.  The traditional flu season lasts from October through May.  Increased flu activity began later this season than usual in Kentucky.  Due to the late peak in the season, both in Kentucky and nationally, increased flu activity is anticipated to continue well into May.

Teresa Casey, a registered nurse at the Barren River District Health Department in Bowling Green, says people should think of others when they consider getting the vaccine.

"You may not decide to get the flu vaccine because you never get sick, but think about the people you are around, and if you did get the flu, who you would pass that on to," stated Casey.

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A new report shows nearly three-quarters of American adults report having at least one unhealthy behavior, such as smoking. But when it comes to multiple unhealthy behaviors associated with chronic disease, nearly 17 percent of Kentucky adults have three or more risk factors.

The report, America’s Health Rankings Spotlight: Impact of Unhealthy Behaviors, examines the prevalence of multiple unhealthy behaviors and inequities within groups. It was compiled by United Health Foundation.

The behaviors included smoking, physical inactivity, excessive drinking, obesity and insufficient sleep.

Ana Fuentevilla, chief medical officer for United Health Care Community and State Program, said those five unhealthy behaviors, especially together, worsen the general population’s health.

“Just by working on one and eliminating that unhealthy behavior, you can really improve the health of that individual,” she said.

J. Tyler Franklin

Thousands of Kentuckians have erroneously received letters notifying them that they would no longer receive state benefits like Medicaid or food stamps.

Meanwhile, access to the new state system that handles those programs has been restricted and service spotty in many instances, leading to long wait times, frustration and a loss of benefits for countless Kentuckians.

At a news conference Thursday, Gov. Matt Bevin and members of his administration acknowledged myriad problems with Benefind, which operates as the umbrella portal for Kentuckians to apply for nearly all entitlement services.

The administration also acknowledged it knew of problems with the system before its Feb. 29 launch. Many of those problems are detailed in a “defect guide” sent to state employees days before the system’s rollout and obtained by WFPL News.

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The Kentucky Department for Public Health has confirmed the state’s third case of Zika virus.

The latest case of Zika has been diagnosed in a pregnant woman from Louisville who traveled to region of Central American affected by Zika.

The health department reports that the woman has recovered from the illness.

Scientific evidence is suggesting a link between the Zika virus and babies born with birth defects.

Kentucky health officials are advising anyone  traveling to areas affected by the virus to consult with their doctor. It’s important to avoid bites from mosquitos because they can carry the Zika virus.

The virus has not been found to be circulating in the mosquito population in Kentucky.

J. Tyler Franklin, WFPL

The dean of the University of Louisville’s School of Public Health & Information Sciences is joining other university deans in urging the federal government to rethink its approach to fighting cancer.

The federal Cancer Moonshot Task Force was launched earlier this year with $1 billion to develop new ways to detect and treat cancer. But in a letter sent earlier this week to task force leader Vice President Joe Biden, U of L Dean Craig Blakely and 71 other deans said they were concerned the approach misses the mark.

“We urge you to pay careful attention to the balance between treatment and prevention-related investments,” the letter said.

Blakely said he supports the federal government investing in cancer research, but the initiative is missing a meaningful contribution to prevention.

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A new report shows Medicaid expansion in Kentucky would continue to save the state money were it to remain in its current form.

The Robert Wood Johnson Foundation released the report Tuesday. It examines the financial effects of Medicaid expansion in 11 states and the District of Columbia.

Overall, the report found state spending in Medicaid expansion states grew by half as much as spending in non-expansion states between 2014 and 2015.

“There are a lot of examples of people whose care can be funded under Medicaid expansion,” said Kathy Hempstead, director of coverage for RWJF. “That’s sort of an easy way for states to save money on people they were providing services to anyway.”

In fiscal year 2014, Kentucky saved $2.4 million on coverage for medically needy enrollees, which accounts for six months of savings, according to the report. In the next fiscal year, the state is expected to save $14 million.

Second Confirmed Case Of Zika Virus In Kentucky

Mar 22, 2016
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A western Kentucky man has tested positive for Zika virus, according to the Kentucky Department of Public Health.

The man became infected with the virus after traveling in a Caribbean country, according to DPH. The agency did not identify the country. The Centers for Disease Control and Prevention reported the test results to DPH Monday.

The agency said the man has fully recovered from the illness.

Zika, an infectious viral illness, is primarily spread through the bite of a mosquito that carries the virus. Zika is not known to be circulating in the mosquito population in Kentucky – or any other part of the United States.

The virus is linked to the birth defect microcephaly, a congenital condition associated with incomplete brain development and abnormal smallness of the head. It has also been associated with Guillain-Barre syndrome, which can cause paralysis in individuals who have been infected.

Earlier this month, a Louisville man who had recently been traveling in a Central American country tested positive for the virus. DPH said they expected him to fully recover.

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The health care industry in Kentucky continued to add jobs in 2015, according to newly revised data from the federal Bureau of Labor Statistics.

The Kentucky Center for Economic Policy analyzed the data and found 10,500 more people work in the health care industry in January 2016 than in the same month two years prior. Jobs in health care were up nearly 5 percent over 2014, while the overall economy in Kentucky saw 3.1 percent job growth in that period.

Jason Bailey, executive director of KCEP, said employment in health care and social assistance sectors picked up after the implementation of the Medicaid expansion, which former Gov. Steve Beshear did under the Affordable Care Act.

“So many more people have health care coverage and are going to the doctor, and that’s very likely having a strong influence on the job growth that we’re seeing,” he said.

More than 500,000 Kentuckians have gotten health coverage via expanded Medicaid and the state’s insurance exchange, Kynect, since the program began. The rate of uninsured in Kentucky has dropped from 20.4 percent before Kynect to 7.5 percent today, according to the Gallup-Healthways Well-Being Index.

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