Commun ty Matters Farmington Presbyterian Manor
HIPAA 101 A simple question doesn’t always have a simple answer. “Why did my friend go to the hospital?” seems to be a simple question, but the answer is blocked by a federal law. While most think of the law as the protector of medical records, privacy isn’t even in its name.
We call it HIPAA (pronounced HIP-pah), but the Health Insurance Portability and Accountability Act of 1996 also has been known as the Kassebaum-Kennedy Act or Kennedy-Kassebaum Act. Sen. Nancy Landon Kassebaum, R-Kan., was a leading sponsor of the bill, along with Sen. Edward Kennedy, D-Mass. The official explanation is: “An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.” The main intent was that the health industry would save money by computerizing paper records. That led to concerns over privacy, which led to new privacy regulations. HIPPA, continued on page 2
January 2015
King for a Day
Roman Day takes the crown in exercise contest You’ve heard that a body in motion tends to stay in motion. Roman Day is living proof of that. At the age of 95, Roman outlasted everyone else in Beverly Stephens’ exercise class to earn the title King of Cardio. He high-stepped for more than 4 minutes and could have kept going.
Roman Day
“I wasn’t really surprised,” Roman said of his win. “The crown fit me real good.” Roman says fitness has always been important to him, especially walking. When Beverly came to Farmington Presbyterian Manor last spring as wellness coordinator through RehabCare, she wanted to offer exercise programs that included every element of fitness: flexibility, balance, strength, and cardiovascular. She tries to relate what they’re doing to everyday situations, like having good stability in the shower or lifting a gallon of milk comfortably. “My goal for them is that their exercise program maintains or improves their quality of life, because that’s paramount,” Beverly said. But any workout routine can become, well, routine. So Beverly has tried to introduce new elements at a pace her students are comfortable with. She began with flexibility, then some strength training, and finally added the cardio portion. Beverly thought if she made it into a game, it wouldn’t be as intimidating. The King or Queen of Cardio contest was born. Participants could hold a chair or sit during exercises. They started at 30-second intervals, then worked their way up to a minute. “At first they were a little reluctant,” Beverly said. “But there was a level of trust. With everything we do, I tell them, if you need to sit down don’t hesitate.” The 14 participants exercised for a month before the contest. Stephens said she had no idea Roman was 95, and the oldest in the class, until after he’d won. Why has he always stayed so active? Roman’s answer is simple: “It makes you live longer.”
HIPPA, continued from page 1
Protected Health Information
Sign up to receive our newsletter by email. Visit FarmingtonPresbyterianManor.org
Protected Health Information, called PHI, is any information about a person’s health status, any health services provided to the person and any payment specifics about those services. Details of your medical record may not be shared without your consent. That’s one reason there are so many forms to sign at the doctor’s office; they must have your consent to process your visit for billing, insurance purposes, etc.
and enter your email address in the blue box on the right. It’s That is also why it is so difficult to obtain information about friends in that easy!
the hospital. It is subject to strict HIPAA regulations. Violations result in expensive fines, and health care workers are required to receive training on how to keep all medical information safe.
Community Matters is published monthly for residents and friends of Farmington Manor by Presbyterian Manors of Mid-America Inc., a not-for-profit 501(c)(3) organization. Learn more at PresbyterianManors.org Jane Hull, executive director Holly Bauman, marketing director To submit or suggest articles for this publication, contact hbauman@pmma.org Telephone: 573-756-6768 Fax: 573-756-6014 Address: 500 Cayce, Farmington, MO 63640-2910 Our mission: We provide quality senior services guided by Christian values. FarmingtonPresbyterianManor.org
2
Some key privacy points: • When your health information is shared, only the minimum necessary should be disclosed. • Health information is to be used only for health purposes. Without your consent, it can’t be used to help banks decide whether to give you a loan or by potential employers to decide whether to give you a job. • If someone wants to share your health information, you have to give your formal consent. • You can ask for copies of all this information and make appropriate changes to it.You also can ask for a history of any unusual disclosures. • Your health care provider and insurance company must explain how they’ll use and disclose health information. (Information from WebMD.)
Retirement community regulations Retirement communities that provide state-licensed services, such as assisted living and health care, must abide by the strict privacy regulations. Presbyterian Manors of Mid-America employees receive training and updates regularly. Vendors also are trained to ensure resident privacy is maintained. PMMA employees know they are not to chat about residents in the hallways – or anywhere – because that violates their privacy protections. The privacy laws are why health care staff can’t talk to other residents about the people in their care. It’s not that they are being unhelpful or that they don’t care about your feelings. They are required to keep the information confidential. Another key component of the privacy rules that affect health care residents is that the “information” may not be linked to an individual. In the rules, “information” includes photos of faces. That’s why we ask residents to sign consent forms when we take pictures for our newsletters, web sites and other marketing purposes. Family concerns Information from AARP explains that health care staff can discuss conditions and treatments with family members, but you must give written permission for your loved ones to see your official medical records. Older adults may have their adult children sign a letter or form designating them as a personal representative. This will give the health care providers the coverage they require to avoid HIPAA violations, according to AARP.
PMMA’s focus turns to the future in the 1990s This month, we continue to look back at our history as Presbyterian Manors of Mid-America celebrates 65 years of the art of life. In 1990, Presbyterian Manors of Mid-America moved into a new corporate office building in northeast Wichita, and Manor of the Plains in Dodge City opened.
was donated by American States Insurance Company. Construction began in December 1992. Jane O’Bryan was named the first administrator.
That year, the “Tradition of Caring” capital campaign also kicked off with a goal of $6.4 million. The first leg of the campaign was conducted in Emporia, where $600,000 was raised. Each campus had its own campaign to raise funds toward the $6.4 million goal. The campaigns raised funds to meet current Good Samaritan Program needs and provide a future endowment for Good Samaritan needs, assist in covering debt service and provide capital improvements at PMMA campuses.
Also in 1992, four Presbyterian Manor campuses—Wichita, Newton, Salina and Lawrence—received recognitions from the Kansas Association of Homes for the Aging. Wichita Presbyterian Manor won the Excellence in Service and the Recognition awards. The service award recognized Wichita’s ethics committee, which led to the campus working to become “restraint free” before the movement became popular around the country. Lawrence and Salina also received recognition awards, which signify high marks in the Department of Health and Environment’s annual survey of Kansas nursing facilities. Newton received the Innovation of the Year Award for the Apple-A-Day preschool, which opened in January 1992.
Local volunteers in Fort Scott, Kansas, led efforts to raise funds for a new retirement complex. The “Time to Secure the Future” campaign set out to raise $500,000 in base contributions toward the construction of a 40-unit residential complex in Fort Scott. The land
In July 1993, Dr. Mary Carman
A rendering of PMMA’s Fort Scott campus before construction began in 1992.
A 1992 groundbreaking ceremony for Fort Scott Presbyterian Village.
became chairperson of the PMMA board of trustees. Carman, who served on the advisory council at Newton in the 1980s, was a professional psychologist on staff at Prairie View. She was instrumental in the creation of one of the first special care units for residents with Alzheimer’s disease and other forms of dementia at the Newton Presbyterian Manor campus.
Farmington Presbyterian Manor calls for Art is Ageless® entries
Farmington Presbyterian Manor has issued a call for entries for the Art is Ageless® juried exhibit to be held Feb. 18 to 20, 2015. Entries of artistic works will be accepted from any area artist who is 65 years of age or older. Entries must be delivered to Farmington Presbyterian Manor, 500 Cayce St. The reception will be at 2 p.m. Feb. 20.
The Art is Ageless® Program encourages Farmington Presbyterian Manor residents and other
area seniors to express their creativity through its annual competition, as well as art classes, musical and dramatic events, and educational opportunities. Entry forms are available at Farmington Presbyterian Manor or by contacting Marketing Director Holly Bauman at 573-756-6768 or hbauman@pmma.org or visiting ArtIsAgeless. org. Entries must be delivered to Farmington Presbyterian Manor on or before the deadline for entries, which is Feb. 16, 2015. 3
Soul Food: The fourth aspect the ‘Fatherhood of God’ (cont.) By Ray Chappell, Farmington Presbyterian Manor chaplain
Scripture seems clearly to indicate that the Second Person has been a Son in relation to the First Person Ray Chappell from all eternity past. As such he is the “only begotten Son” (John 3:16) whom God “gave” as a Son to the world when the Son became incarnate. Scripture seems to indicate that he was given as a Son
– not given in order to become a Son. Isaiah 9:6 states, “For unto us a child is born, unto us a son is given.” This is especially brought out in Colossians 1:15 where Christ is declared to be “the image of the invisible God, the firstborn of every creature.” If Christ was the firstborn of every creature, that is, a Son before any other creature was created, then, it is clear that he was a Son from all eternity past.
The relationship of Father and Son, therefore, relates to the deity and unity of the Holy Trinity from all eternity, in contrast to the Incarnation in which the Father was related to the humanity of Christ which began in time. In using the terms “Father” and “Son” to describe the First and Second Persons, the terms are elevated to their highest level, indicating oneness of life, oneness of character SOUL, continued below
Farmington Presbyterian Manor 500 Cayce Farmington, MO 63640-2910 Return Service Requested
SOUL, continued from above
and attributes, and yet a relationship in which the Father can give and send the Son even though this involves ultimately the obedience of the Son dying on the cross. The obedience of Christ is based upon his “Sonship,” not on any inequality with God the Father in the unity of the Trinity.
4
While the relationship between the First and Second Persons of the Trinity is actually that of a father to a son and a son to a father (2 Cor. 1:3, Gal. 4:4; Heb. 1:2), the fact
of this relationship is an illustration of vital truth which accommodates itself to the mode of thought of a finite mind. The truth that the Father is the Father of our Lord Jesus Christ, though mentioned infrequently in the Old Testament (Psalms 2:7; Isa. 7:14; 9:6-7), is one of the most general teachings of the New Testament as shown below:
Luke. 9:35).
The Son of God is said to have been begotten of the Father (Psalms 2:7; John 1:14, 18; 1 John 4:9).
The Son acknowledges the Father by being subject to him (John 8:29, 49).
The Father acknowledged the Lord Jesus Christ to be his Son (Matt. 3:17; 17:5;
The Father is acknowledged by the Son (Matt. 11:27; 26:63-64; Luke 22:29; John 8:16-29, 33-34; 17:1) The fact that God the Father is the Father of the Lord Jesus Christ is acknowledged by men (Matt 16:16; Mark 15:39; John 1:34, 49; Acts 3:13).
Even the demons recognize this relationship between the Father and the Son (Matt. 8:29).