The state's notoriously shaky medical facilities and resources plunged into dire condition post-Katrina and Rita, raising serious issues about Louisiana's ability to care for its citizens ' especially individuals and families lacking the financial resources to purchase medication and insurance. The charity hospital system was upended by Katrina's decimation of New Orleans' flagship Charity Hospital; countless medical records were lost in the floods; post-traumatic stress disorder plagues thousands of Louisiana citizens; suicide rates have gone up alarmingly; and hospitals face a severe personnel shortage.
And like much of the rebuilding process, the private sector isn't waiting around for a magic elixir. A consortium of private groups is helping pour approximately $2 million over the next year into the Public Affairs Research Council to fund a comprehensive health care study and research position. Their work's already begun, with a lead gift of $200,000 from the Franciscan Missionaries enabling PAR to tap David Hood, former secretary of the Louisiana Department of Health and Hospitals, as the organization's senior health care policy analyst.
The first briefing from the long-term study was recently issued, and school associations, business lobbyists and industry groups are backing PAR's recommendations. Yet others seem hell-bent on ignoring the effort. The Legislature has yet to take an interest in the undertaking, says PAR President Jim Brandt, whose nonprofit agency monitors state government.
"We have had no response from lawmakers, which is unfortunate," Brandt says. "They aren't interested in talking about this. We thought we would have heard something by now."
Gov. Kathleen Blanco and other state officials hosted the Governor's Healthcare Summit two years ago to garner ideas, one of which was the formation of the Governor's Healthcare Forum. As a result, regional hearings have been held all over the state ' but tangible results are hard to find.
Meanwhile, PAR's initial findings reveal a dysfunctional structure ripe for reform. On a national level, Louisiana is a high-spending state, but in its study, PAR could not locate a single health care area where the money was being used efficiently. And more times than not, sacrifices were made on the backs of patients.
"Louisiana's health care system is organized to deliver inefficient institutional care at the expense of primary and preventive care," Brandt says. "Spending priorities in the health budget are focused on institutions and providers, rather than patients." The study concludes that Louisiana lacks the infrastructure to provide patients ' especially the uninsured population ' with basic health care services. To reverse that trend, PAR recommends the following immediate actions:
â?¢ Transfer certain emergency room visits to a doctor's office or clinic, saving around $300 per case. If one-half of all non-emergency ER visits were diverted in this fashion, the state would save $40 million annually.
â?¢ Establish an initial investment of $50 million in state or federal grant money to help develop new health centers and clinics around the state, specifically in the hurricane-ravaged areas.
â?¢ To assist with the extraordinary expenses related to treating Medicaid patients, the state should bankroll $36 million over three years to phase in a major Medicaid fee increase for primary care physicians and other doctors. The bottom-line result could be more people seeing more doctors.
â?¢ Restore medical care to rural parishes and other underserved areas by providing incentives for primary care physicians to practice in those locations. This would require an initial investment of $25 million in state or federal grant money.
â?¢ Relax practice requirements for non-physician clinicians or mid-level practitioners to enable them to practice independently in some cases.
â?¢ Provide no-interest loans to physicians in the Greater New Orleans region to assist them in re-establishing their medical practices.
They're lofty goals with a hefty price tag, but they've caught the attention of the Louisiana Association of Business and Industry, one of the state's most influential lobbying organizations. In particular, CEO Dan Juneau notes that the state's archaic Charity Hospital delivery system model was experiencing a steep decline in patients in the years leading up to the storms. At the same time, private hospitals were seeing a large influx of uninsured patients streaming into their emergency rooms for basic care.
"Our illogical system of government-focused healthcare has given strong indications of an impending disaster for a long time," Juneau says. "PAR makes a strong case that the time to act is now ' and the reforms needed are very apparent."
A recommendation to double the enrollment in school-based health centers also earned praise from the Louisiana Assembly on School-Based Health Care. The group recently urged the state to consider PAR's $10 million recommendation to develop more school-based health centers. "The PAR Report gets it exactly right in terms of school-based health," says Angie Ruiz, LASBHC president. "School-based health is a cost effective way to deliver quality health care to youth. They're a captured audience at a school, so they are more likely to actually get the physical or come in for the immunizations they need."
PAR's ongoing capital campaign will also fund other health care briefings in the coming year, addressing issues such as providing for the uninsured; long-term care for the elderly and disabled; and state Medicaid spending. The Baton Rouge Area Foundation, Community Foundation of Shreveport-Bossier, Ella West Freeman Foundation, Keller Family Foundation and the RosaMary Foundation have all contributed to PAR's campaign.
Another eight to 10 briefings are planned, with the second one arriving later this month. Brandt can't predict beyond that, as the effort is dependent on outside funding. But the results have already proven more beneficial than waiting on the results of another government forum.
"That's probably why we have been able to make an impact and bring something to the discussion immediately," he says.
Despite sweeping changes enacted by Gov. Bobby Jindal's administration, the health insurance program for state workers and public school employees will have to use $88 million from its reserve fund to cover its costs this year.
The LPSB races are sure to get heated between now and Nov. 4, and with only 9 available seats, this year's field of 20 candidates will surely be wanting to set themselves apart from the crowd early; they'll get their chance next week, starting Tuesday with the kick-off of a three-day series of candidate forums.
Lawmakers say they've received complaints that waits have spiked, with people being forced to wait in line for more than an hour — and sometimes three hours — to handle routine tasks.
The campaign announced that Rep. Stuart Bishop of District 43 and Nancy Landry, District 31, have thrown their support behind the Naval Academy graduate and entrepreneur in his bid to unseat current Hunter Beasley in District 8.
A Lafayette man with an alleged taste for child porn was busted Thursday evening during a cyber crime sting launched by the Attorney General’s Office.
U.S. Rep. Vance McAllister says his chief of staff is on temporary leave after being booked with drunken driving.
It was a rare moment in Congress this week as Republicans briefly put aside partisanship in support of President Barack Obama's request to train and arm Syrian rebels, and while a number of Democrats opposed the measure, Louisiana's Democratic Sen. Mary Landrieu found herself on the same side of the issue as her Republican challenger Rep. Bill Cassidy.
Home Depot breach bigger than Target; Alibaba IPO could be big; Rivers' last project and more national and international news for Friday, September 19, 2014.
Friday's Blogs from the Bog!
City-Parish President Joey Durel is asking the council to sign off on a resolution approving a pair of deals that would lead to razing the seedy Lesspay Motel at Four Corners to build a new police substation as well as transforming nearly a block Downtown where the old federal courthouse building now molders into a mixed-use development.
In 2013, the IRS — already the least popular governmental agency in the country — became the target of intense investigations after it was revealed that they had specifically and improperly scrutinized applications for tax-exempt status from organizations associated with the nascent Tea Party movement.
Improving the running game was "a point of emphasis" during the offseason and the results have manifested themselves in the form of substantially greater production.
Louisiana's health department said Wednesday that its evaluation of the state's Medicaid privatization was on target, despite criticism from the legislative auditor that it lacked key data and contained inconsistencies.
The feds converge on your office, seizing records on several employees as part of a pay-for-plea investigation. WWYD? If you’re Mike Harson, you give yourself a $12k raise.
It’s football season and after back-to-back winless weekends for the Saints and the Cajuns many citizens are finding it difficult to be civil much less happy. Well, chew on this.
Considering his repeated stays in the local penal system, David Narcisse Jr. should have known that having a semiautomatic shotgun, even one given to him by a friend, wasn’t the brightest of ideas.
A state district judge on Tuesday threw out a last-minute retirement hike lawmakers gave to the state police superintendent, ending a political firestorm over a pension boost passed without public scrutiny on the last day of the legislative session.
The House has passed a bill to increase oversight of veterans' hospitals under construction, following a report that some medical centers take three years longer to complete than estimated and cost an extra $366 million per project.
An obvious follow-up question for any Republican politician who accuses Democrats of being science deniers is one about science, to which Jindal bobbed and weaved like a welterweight champ.
The Lafayette City-Parish Council is expected to decide tonight (Tuesday) whether to go along with a proposal City-Parish President Joey Durel made in February’s State of the Parish Address and consolidate taxes for mosquito control and the parish health units into a broader tax program that would also cover animal control.
U.S. District Judge Richard Haik has dismissed Greg Davis’ lawsuit against the LPSB, yet in his ruling, the federal judge doesn’t bite his tongue in pointing out the "threat" being posed by certain board members.
Of all the political offices being contested throughout Lafayette Parish, the race for Broussard’s top police post has literally become one of the most heated.
A state district judge is deciding whether to issue an injunction against the enforcement of a last-minute retirement hike that lawmakers gave to the state police superintendent.
A new website is up for Louisiana's state government employees and retirees to choose their health insurance plans for next year, a choice they must make by October.
That fact that New Orleans led both games in the final 10 seconds of regulation, and lost each by a field goal or less, is of little solace.