The Lund Report

Flares Still Brewing Over Integration of Dental Care

The Lund Report
The decision about when and how to integrate dental care into the coordinated care movement is likely to face the legislative assembly

January 30, 2013 -- Mike Shirtcliff insists he’s not trying to derail the transformation process and says that he supports the integration of dental care into coordinated care organizations, better known as CCOs. He just wants to make certain patient care isn’t sidelined by the process. Currently, 650,000 people on Medicaid receive physical and mental health services from the 15 CCOs throughout Oregon.

Gov. Kitzhaber Steps into Debate over Medical Liability Reform

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When the Oregon Medical Association’s board of trustees met last Saturday, a passionate debate ensued over the governor’s medical liability proposal

January 31, 2013 -- A heated debate over medical liability reform pitted physicians against each other and came extremely close to the tipping point when the Oregon Medical Association’s board of trustees met last Saturday. Legislators, defense attorneys and malpractice insurers even joined the fray.

Dr. Ira Byock Urges Portland Audience to Talk About End-of-Life Care

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While opposed to Death With Dignity, Dr. Ira Byock also says conservatives have accused him of favoring euthanasia

January 30, 2013 -- Dr. Ira Byock, a professor of medicine at Dartmouth College and writer on end-of-life and palliative care issues, talked to a packed house at the Oregon Humanities Center in downtown Portland about an unlikely topic for Friday night entertainment: death.

What Interoperable EHRs Might Have Done to Improve the Patient Care Experience

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The author insists that patient-centered patient care cannot be realized without Interoperable EHRs shared by all the stakeholders and providers

OPINION – January 30, 2013 -- You will recall in my article last December, about my healthcare experience outside of Oregon, that both the ear doctor and the neurosurgeon professed to have electronic health records (EHRs).

The ear doctor advised that he was using the aircraft control type headset to dictate into my medical record, by pushing the button in his ear.

Oregon Midwives Face New Regulation

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Meanwhile, they continue to push for broader Oregon Health Plan coverage

January 30, 2013 -- Practitioners of one of medicine’s oldest professions could face new regulation in Oregon after this coming legislative session. And implementation of the Affordable Care Act could bring even more changes – though that remains far from clear. What is certain is that many midwives across the state are worried.

The issues are twofold:

“Ideal Clinic” Slated to Open in Salem

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Happy Doc Neighbors’ Clinic will offer patients a different healthcare experience

January 30, 2013 -- Hour-long appointments, pictures of patients and the things they love on the walls, super-hero and regal fabric exam gowns, the doctor gives you a gift if she’s ever late and pays you a fee if she misses an appointment, and as much laughter as possible. These are some of the things a new “ideal clinic” in Salem, Happy Doc Neighbors’ Clinic, intends to offer its patients.

High Blood Pressure May Go Unscreened in ZoomCare Visits

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A 43-year-old ZoomCare patient’s high blood pressure went undetected until she surfaced at a safety-net clinic after the for-profit clinic skipped the basic check

January 28, 2013 -- Abigail Lawrence doesn’t have health insurance, a side effect of her career in community theater. The 43-year-old seldom seeks any medical care as a result, and had trouble recalling a doctor’s visit in the past 10 years.

Hospital Provider Tax Takes Center Stage

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Rep. Val Hoyle is convening a group of bipartisan legislators to move the tax forward

January 24, 2013 -- Legislators are gearing up to renew the hospital provider tax that supports the Oregon Health Plan and is expected to generate about $600 million over the next two years.

Prescriptions for Lethal Medications Under Death With Dignity Act Have Increased Slightly

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Just Over Half of Patients Who Receive Prescriptions Under the Act Actually End Up Ingesting the Medication

January 24, 2013 – The number of prescriptions for lethal medications – allowable for terminally ill patients under the Death With Dignity Act – and the number of deaths attributable to lethal overdose from the medications was up only slightly in 2012 versus 2011, but have climbed steadily since the law was implemented in 1998, according to a report released by the Oregon Public Health Division last week.


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