Results for Think Out Loud (Other Results)
Segmentarticle - June 18, 2014
When he's asked to explain how coordinated care organizations (CCOs) work, Oregon Governor John Kitzhaber has a favorite hypothetical example he likes to bring up. The example goes like this: There's a 92-year-old woman with well-managed congestive heart failure who lives in an un-air-conditioned apartment. A heat wave would be enough of a strain on her system to send her to the emergency room, which would cost a lot of money. Under the new CCO system, Kitzhaber argues, a community health worker would be checking in on this hypothetical nonagenarian and would prevent the expensive emergency room visit by providing her with an air-conditioner. Kitzhaber mentioned this example just last month when we interviewed him at the City Club of Portland and a few weeks later when he spoke to the New York Times. He also used it in a 2011 speech on health care reform and when he was on the campaign trail in 2010. This story left us wondering: Who exactly pays for the air-conditioner? Who decides it's medically necessary? And what about the doctors at the emergency room who never see this patient — how do they get paid under this new system focused on preventative care?
Segmentarticle - April 24, 2013
The August issue of Consumer Reports has ranked Salem Hospital as the safest hospital in Oregon. The hospital was given a composite score of 63 out of 100 in six categories that measured everything from radiation use to mortality rates. The hospital shined particularly when it came to infection-prevention across departments. Dr. John Santas, the director of the Consumer Reports Health Ratings Center, told us Oregon hospitals on average did better than hospitals nationally. Hospitals across the country had an average score of 49. But he also says hospitals in Oregon and around the country have a lot of work to do when it comes to communicating with patients about new medicaitons and discharge policies. He attributes Oregon's above-average score in part to the state's laws requiring hospitals to be transparent about infection rates and other data.
Segmentarticle - July 18, 2012
Time is running out for lawmakers to accomplish everything on their legislative to-do lists. Budget decisions along with health care changes are still among the live issues as the session enters the home stretch. Changes to the public employee retirement system (PERS) is one issue that seemed to be at the top of the list even before the session began. Lawmakers came in with lots of ideas about how to change the system. Now, it looks like many of those ideas are not coming to fruition, but it's not over until the final gavel falls. The City Club of Portland isn't waiting around. The civic organization just came out with a report (pdf) with a number of recommendations for PERS reform, which will most likely have to wait until the next session. Another bill that has moved forward recently would streamline certain kinds of construction projects. Opponents of liquified natural gas (LNG) raised concerns about the bill, which the governor is expected to sign next week. Senator Alan Bates (D-Medford) tried to insert a last-minute amendment that would have made it impossible for LNG projects to benefit from the bill. The amendment was defeated, but Bates says he's considering bringing it up in the next session.
Segmentarticle - June 9, 2011
President Obama has made an overhaul of the healthcare system a central part of his domestic agenda. It has certainly became the topic of choice for town hall forums, and talk shows (like this one!) throughout the summer. But for all the talk, the President has so far been stymied much the way Bill Clinton was before him. Now Congress is back from its August recess, so the President is taking the opportunity to make an unusual address to a joint session of Congress to try to push legislation forward. Speculation abounds about whether he'll be able to pull it off. But at the very least, it's another chance for him to communicate to the majority of the Amercian people what they would gain by an overhaul of the system.
Segmentarticle - Sept. 10, 2009
Segmentarticle - Jan. 27, 2014
Segmentarticle - Dec. 27, 2013
Segmentarticle - Oct. 25, 2013