September + October 2013
www.kcourhealthmatters.com
Facts and Fiction About the Flu
Choosing a Healthcare Plan Finding One to Fit Your Needs
Don’t Delay – Detecting Prostate Cancer Vegan Diet Gaining in Popularity
N> LEogW o
> Designt > Forma
Affordable Care Act (in a Nutshell)
With October 1st quickly approaching, the Patient Protection and Affordable Care Act (ACA) has many people have taking a sudden interest in learning about the law. The law is 2,409 pages long and contains so much more than insurance reform. There are changes in health care delivery, how we address chronic disease, and how we beef up our primary care workforce are included in the law. There are ten ‘titles’ in the law, each dedicated to a different part of our health care system. The following is an overview of the new health care law. Title I is “Quality Afforable Health Care for All Americans.” This is the most important and widely discussed part, as it deals with three important changes in health insurance. First, you cannot be turned down for coverage because you have an illness. Second, everyone is required to have coverage. Third, people who have difficulty affording coverage will get assistance paying for it. Title II “Role of Public Programs.” This section deals with, public programs specifically Medicaid and the Indian Health Services. Part of this provision is the development of medical care homes, which basically moves us from a paternalistic model of medicine to a team based
approach, and the move to home based care for the chronically ill.
Title VII is “Improving Access to Innovative Therapy.”
Title III is “Improving Quality and Efficiency of Health Care.”
This section is directs the US Food and Drug Administration to improving access to generic drugs.
This is an important section for health care providers which details changes in Medicare. It moves us from a fee-for-service system toward payments based on quality of delivery. This starts with Medicare and what Medicare does is usually followed by private insurance. Eventually, this will go a long way toward controlling costs.
Title VIII is “Community Living Assistance Services and Support.” Basically this is a bill that instituted a federally run long term care insurance program. The Department of Health and Human Services (HHS) has delayed this section until implementation issues can be ironed out.
Title IV is “Prevention of Chronic Disease and Improving Health.”
Title IX is “Revenue Provisions”
It addresses the prevention of chronic disease and disability. Chronic illness is very costly, and we need to do a better job of preventing disease or treating it very early before expensive complications arise. Many organizations like the Mayo Clinic and Kaiser Permanente were involved in this section of the law.
Title X is “Strengthening Quality Affordable Health Care for All Americans.”
Title V is “Health Care Workforce.” Better known as “The Jobs Bill,” this section recognizes that we don’t have enough health care workers to take care of everyone, especially in primary care. An important component is an increase in the Public Health Service Corp and creation of the Ready Reserve Corp for service in times of national emergency.
It spells out how we were going to pay for ACA.
It includes several pilot programs on changes in health care delivery to American Indians and Alaskan Natives. That is the ACA health care law in a nutshell. It is difficult to discern fact from fiction, especially in today’s political climate. Our Health Matters encourages readers to ‘Be Informed’. Ask questions and look for nonpartisan information of this important federal legislation.
Title VI is “Transparency and Program Integrity.” It is dedicated to reducing fraud and abuse in Medicare, Medicaid and private insurance. The law includes new requirements for the nursing home industry and the Elder Justice Act provides a framework to combat violence, neglect and financial exploitation of senior citizens.
For information on healthcare reform and the Affordable Care Act is available at: www.healthcare.gov www.cbo.org www.kff.org
PUBLISHER’S GREETING
New Look, Same Commitment
B
eginning this month, we’re asking our readers to take charge of their body, mind and spirit and be consistent with it. Taking responsibility may sound like a burden, but it’s really about freeing you, and OUR HEALTH MATTERS is here to help. Starting with this issue – which is chock full of information on how to be healthy, live safely and choose wisely, we hope to put you on a path to finding more joy in life. More importantly, we know that when we take responsibility, we see real progress in our lives, our families and the community in which we live. Speaking of progress, in your hands is the newly redesigned OUR HEALTH MATTERS. We’d like to introduce you to our: > New logo – reflecting our conversation with you continuously for eight years > New format and glossy paper throughout the magazine > Increased circulation and distribution Also, by now you are hearing about how starting October 1, millions of Americans will have the opportunity to enroll in health insurance through the Affordable Care Act (ACA) marketplace. Whether you choose a plan offered through the marketplace or stay with your current choice, your opportunity to be empowered is greater than ever before. The September/October issue offers guidance on choosing a health plan and early detection of prostate cancer. If you’re thinking of changing your diet, you might find the article on “Going Vegan” interesting. Lastly, I want to bring to your attention two important national health observances: Spinal Cord Injury in September and Disability Awareness in October. Look for us at the 4th Annual KCAbilityExpo (Saturday, September 28) at the Overland Park Convention Center. See their ad on page 1. We hope you like the changes we’ve made. Share your thoughts online at www.kcourhealthmatters.com, on Facebook.com or send a note to: Our Health Matters, 1734 63rd Street, Suite 509, Kansas City, MO 64110 As always, thank you for your continued support. Stay in touch with your health, every day in every way.
Ruth Ramsey, Publisher and CEO
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Our Health Matters » September + October 2013
PUBLISHER
Ruth Ramsey ruthramsey@ kcourhealthmatters.com EDITORIAL & STRATEGIC PLANNING
Donna Wood dwood@kcourhealthmatters.com EVENT COORDINATOR
Barbara Bartholomew bebe@kcourhealthmatters.com HAVING AN EVENT?
calendar@kcourhealthmatters.com GOT QUESTIONS?
info@kcourhealthmatters.com WANT TO ADVERTISE?
www.kcourhealthmatters.com CONTRIBUTING WRITERS
Janalea Hoffman, RMT, MA Garry Lumpkins James T. Meadows Timothy J. Pluard, MD Katherine Ricker, LMSW Brent Schondelmeyer
1734 E. 63rd Street Suite 509 Kansas City, MO 64110 816.361.6400 kcourhealthmatters.com
Celebrating Our First Ten Years Established in 2003, the REACH Foundation is a health philanthropy committed to the idea that all people should have access to the health services they need for themselves and their families. Since our start, REACH has invested $37 million to support health programs, policies and improvements in health care delivery within our six-county region. This year we mark a decade of progress toward quality, affordable health care. We extend our thanks to nonprofit leaders who share this vision.
Working together, improved health is within our reach. www.reachhealth.org
Contents
VOL. 8, ISSUE 5 DEPARTMENTS
6
COMMUNITY SPOTLIGHT
Lifelong Care for Veterans with Spinal Cord Injuries By Kathy Ricker, VA Medical Center
Veterans with spinal cord injuries have access to a comprehensive system of direct care and support.
9
MENTAL HEALTH
10 COVER STORY
Thinking of Choosing a Health Plan?
FEATURES
7 8 18
Make the big jump into the health insurance marketplace. With all the recent changes in health care and insurance, many people feel overwhelmed. This article will explain how to select a health plan that will best fit your personal financial and family situation.
UNDERSTANDING YOUR HEALTH
Early Detection of Prostate Cancer By Timothy J. Pluard, M.D. Saint Luke’s Cancer Institute
Our Health Matters » September + October 2013
By Janalea Hoffman, RMT, MA Rhythmic Medicine Center
Music is not just for one’s social enjoyment, it serves a higher purpose – promoting healing of the mind, body and spirit.
14
CAREER SPOTLIGHT
Want to be a Sonographer?
Take a look at a career that gives you a taste of technology and contact with patients.
16
OUR KIDS MATTER
Beating the odds means early detection. Here’s the latest information on screening, resources and support.
After School Matters to Us All
BE PREPARED
By Brent Schondelmeyer, LINC
Flu Season is Here
Think you’ve got the best idea for fighting the flu? Guess what: You don’t. We’ll bust some myths and help you feel better faster. HEALTH + NUTRITION
Want to Go Vegan? I Did. By Garry Lumpkins, Jr.
Garry shares his journey from eating meat to becoming a vegan. Get the tips you are hungry for, on choosing this alternative diet.
©2013 OUR HEALTH MATTERS is published bi-monthly (6 issues) by Ramsey & Associates Design, Inc. All rights reserved. Articles in the magazine do not constitute medical advice. Always consult your physician or health care provider before making medical decisions. We do not endorse the views expressed in the articles, advertisements and websites, nor are we responsible for products and services advertised.
4
Innovative Music Therapy in KC
Here’s a lesson plan for parents seeking options for their children, including the benefits, choices and costs.
21
BE PREPARED
Refrigerator Safety
There are some basic facts that everyone needs to know about keeping food safe when the power goes out.
HOMECOMING
THROUGH THE DECADES SECOND ANNUAL FUNDRAISER FOR
Enjoy an evening of fabulous food, fun and entertainment.
Ted R. McKnight
Tickets: $ 75 each Includes food, two beverages and free parking.
SATURDAY SEPTEMBER 21, 2013 7:00pm Arrowhead Stadium Tower Club Level
Former Chiefs’ Running Back
Event Honorary Chair
Sean Tyler
KPRS/Carter Broadcast Group
Event Emcee
This is a perfect opportunity for you to show your support and recognition of the 130 years Niles Home for Children has worked to restore hope to children that are victims of abuse, neglect, and abandonment.
To purchase tickets, see instructions at www.nileshomekc.org or call (816) 241-3448
Join Bank of Kansas City, Hallmark Cards, Inc., and The KC Neighborhood Tourist Development Fund in becoming a Sponsor of our Homecoming Event.
SPONSORSHIP LEVELS & BENEFITS SAM EASON BENEFACTOR — $15,000 • Recognition as a presenting sponsor printed in invitation, event as a presenting sponsor printed in invitation, event correspondence, signage, and media publicity • 20 Tickets • Invitation to meet and greet immediately prior to event • Full-page ad in program book • Link to company on Niles website FRANK AND EMMA’S FRIENDS — $10,000 • Recognition as event sponsor printed in invitation, event correspondence, signage, and media publicity • 20 Tickets • Invitation to meet and greet immediately before event • Full-page ad in program book • Link to company on Niles website NILES CENTURIONS — $5,000 • Recognition as event sponsor in program book, event correspondence, signage and media publicity • 10 Tickets • Invitation to meet and greet immediately before event • Half-page ad in program book
AMBASSADORS OF NILES — $3,000 • Recognition as event sponsor in program book, event correspondence, signage and media publicity • 10 Tickets • Half-page ad in program book FRIENDS OF NILES — $1,500 • Recognition as event sponsor in program book, event correspondence, signage and media publicity • 6 Tickets • Quarter-page ad in program book NILES SUPPORTERS — $1,000 • Logo or name printed in program book • 4 Tickets In order to make program printing deadline, please submit donations by September 13, 2013. For questions or more information, please contact Melissa: Email: mtaylor@nileshomekc.org Phone: 816-241-3448
Steve Roling
Retired CEO Health Care Foundation of Greater KC
We are honored to announce that during our event, Steve Roling will be recognized for his tireless work in the field of health care and his contributions to the health and well-being of children and families.
COMMUNITY SPOTLIGHT
Lifelong Care for Veterans with Spinal Cord Injuries Veterans encouraged to participate in peer support groups. By Kathy Ricker, L.M.S.W. VA Medical Center
T
he Kansas City VA Medical Center has a Spinal Cord Injury Clinic devoted to supporting, promoting and maintaining the health, independence, quality of life, and productivity of individuals with spinal cord injury and disorder (SCI&D) throughout their life. This is accomplished through the efficient delivery of rehabilitation; sustaining medical and/or surgical care; patient and/or family education; psychological, social, and vocational care; research; education; and professional training in the continuum of care for persons with SCI&D.
Do You Have the Passion... The Passion for Health Equity?
Veterans Health Administration’s SCI&D System of Care provides an integrated and coordinated lifelong continuum of services for eligible veterans with spinal cord injury (SCI). This system of care either provides or formally links with key components of care that address the needs of individuals with SCI, including, but not limited to: > emergency care > medical and/or surgical stabilization > rehabilitation > primary care > preventive care > specialty sustaining care > surgical care > outpatient care
The role of a volunteer Health Ambassador is to be a leader in designing and implementing health promotion activities within personal circles of influence. The Black Health Care Coalition provides free training and technical assistance to ensure Ambassadors have everything needed to be successful.
Learn more about becoming a Health Ambassador.
816.444.9600 - Ext.103
Areas of focus include diabetes, stroke, cardiovascular disease, hypertension, breast cancer, prostate cancer, childhood asthma, infant mortality and obesity.
Become a Health Ambassador Today! Ad sponsored by:
www.bhcckc.org
www.hcfgkc.org
6
Our Health Matters Âť September + October 2013
> home care > long-term care The SCI&D system of care consists of an integrated network based on a hub and spokes model. Comprehensive interdisciplinary specialty and primary care is located at designated SCI Centers (hubs). Locally accessible primary care is provided at other VA facilities (spokes) within specified referral areas. The Kansas City VA SCI clinic is one of the spokes in this system of care, with the SCI Center at Jefferson Barracks campus of the St. Louis VA serving as the hub for this area. These long-standing designated catchment areas are generally used for the transfer of veterans from a local VA or community hospital to the SCI Center for more acute, comprehensive care. The Kansas City VA SCI clinic is staffed by a full time physiatrist with specialized training in the care and treatment of persons with SCI&D as well as a registered nurse and a social worker providing case management services and primary care. As part of the continuum of care, veterans are encouraged to participate in monthly peer support group meetings. Participation in a variety of adaptive sports activities from wheelchair basketball to Zumba classes is encouraged. September is National Spinal Cord Injury Awareness Month. Kathryn Ricker, L.M.S.W., Coordinator, Spinal Cord Injury Program, Kansas City VA Medical Center, 816-922-2741. Visit www.KCAbilityexpo.org for additional resources.
UNDERSTANDING YO U R H E A LT H
Early Detection of Prostate Cancer
When detected and treated early, the chances of successful treatment are better. By Timothy J. Pluard, M.D. Saint Luke’s Cancer Institute Medical Director
P
rostate cancer remains an alarming health issue for men as it is the second leading cause of cancer mortality with more than 29,000 men expected to die of prostate cancer in 2013. However, this number continues to decline as a consequence of improvements in early detection, diagnosis and treatment. In its early stages prostate carcinoma (a malignant tumor) can cause few symptoms. However changes in urinary patterns, difficulty urinating or blood in the urine can all be signs of prostate cancer. These symptoms though are more commonly related to benign, noncancerous conditions. Screening for prostate cancer is done by a blood test, the PSA (prostate specific antigen) and digital rectal examination to directly feel the prostate gland. The purpose of screening is to detect cancer at an earlier stage through therapies such as surgery or radiation where a cure is more likely to be successful. Since 1994 the American Cancer Society and other groups have recommended annual PSA screening and digital rectal exam for all men over the age of 50. Recently these recommendations have changed. The US Preventative Task Force (USPTF) recently recommended against any routine PSA screening based upon two large studies which showed that there was no overall improvement in the survival of men who underwent screening.
Others state that the screening studies and even if detected may not need immediate are inconclusive and that the overall treatment. These patients can be carefully risk of death from prostate cancer has observed for any growth or changes. Other fallen by 25% since the PSA prostate cancers are more was introduced. aggressive and fast-growing More information on and should be treated at the prostate cancer screenSo what should men do? ing and treatment can time of diagnosis. We need to recognize that not be found at the Prostate Cancer Foundation — all men are at the same risk The bottom line www.prostatecancerof developing prostate cancer. At present no single recomfoundation.org. Men who have a mendation fits all men. Men family history of over the age of 50 should prostate cancer or discuss the risks and benefits of who are African PSA screening with their health American are at higher risk of developing care provider. The decision to screen should prostate cancer. Likewise, not all prostate be based upon the patient’s prostate cancer cancers are the same. Some are slow-growing risk, overall health and life expectancy.
Why the changes in screening? Firstly, not all abnormal PSA tests are due to cancer. In fact most are not. Secondly, some prostate cancers which are detected may be very slow growing and unlikely to ever cause problems. But treating these cancers can cause significant side effects and complications including urinary incontinence and impotence. The USPTF felt that these risks outweighed the benefits of PSA screening. www.kcourhealthmatters.com 7
BE P R E PA R E D
Flu Season is Here Time to dispel popular myths.
E
veryone’s looking for ways to smash the flu bug. In the United States, flu season begins in late August and runs through April. It is during this time that most people get sick. On average annually 5% to 20% of the population gets the flu, over 200,000 people are hospitalized from flu complications, and about 23,600 people die from flu-related causes. With the flu impacting so many people and so many myths floating around, exposing the most common ones can help you keep your body strong and free of the flu.
What is influenza (aka the flu)? The flu, more scientifically known as influenza, is a highly contagious respiratory infection caused by influenza viruses. The influenza virus usually enters the body
Jackson County Links Wellness
MYTH
MYTH You Can Catch the Flu from a Flu Shot
through mucus membranes in the mouth, nose, or eyes. It can cause mild to severe illness, and in some cases can result in death. Symptoms include fever, headache, fatigue, muscle and body aches, vomiting, dry cough, sore throat, runny nose and diarrhea.
Walk Presents
Contrary to popular belief, a flu shot is not a weakened form of the flu virus. Flu shots do contain components of the flu bug, but not enough to make you sick.
Wet Clothes and Cold Weather Increase Your Chances of Getting Sick MYTH
Several studies have shown that being outside in cold weather does not increase the likelihood of getting sick. Most experts say that people staying indoors to avoid cold weather is to blame, not the cold weather itself. MYTH
om Fountain Spirit of Freed reek nd and Brush C 46th & Clevela O. Kansas City, M n 8 a.m.-12 noo e: $10 iPad.) Registration Fe to win an mini try
cludes en (Registration in
ded reenings provi FREE health sc Center odgers Health by Samuel U. R l and se, Cholestero co lu G d o lo B r fo Blood Pressure
Take charge of your health... “Know Your Numbers” Truman Medical Center Mobile Market (Fresh fruit and vegetables available for purchase) For more information check out www.jacksoncountylinks.org
8
Our Health Matters » September + October 2013
You Can Sweat Out the Flu
A popular belief is that wearing extra clothing or covering yourself with heavy blankets can help “sweat” out the flu. Unfortunately, no amount of sweat will help you get over the flu faster.
Feed a Cold, Starve a Fever
You shouldn’t do the extreme in either case when treating an illness. Eating can help boost your immune system by providing nutrition and energy. The best advice is: If you’re hungry, eat; if you’re not hungry, don’t. Most importantly — stay hydrated by drinking plenty of fluids.
You Can’t Reduce the Flu’s Duration or Severity MYTH
Get-well-quick schemes don’t work. But taking antiviral medication does. It prevents the flu virus from reproducing, minimizes symptoms and shortens the flu’s duration. The medication is available by prescription and has to be taken within 48 hours of noticing symptoms. If you are interested in flu shots or more information, contact your local health department. Source: www.CDC.gov (Centers for Disease Control), Genetech www.flufacts.com
M E N TA L H E A LT H
Innovative Music Therapy in KC
Scientific studies show the value of music therapy on the body, mind and spirit.
M
usic is a powerful healing tool! Music has been used as a therapeutic medium for many years. People are regularly amazed at how powerful it can be. For example, the Music Therapy program at a local medical center consists of using native flutes in a deep key at the bedside. Most individuals in a hospital are there for healing their bodies so hospitals focus mostly By Janalea Hoffman, on the physical aspects. RMT, MA There is so much Music Therapist Rhythmic Medicine fear and anxiety with Center illness that is often not addressed. Music can be a gentle way to get in touch with these deep-seated emotions
and to bring them to the surface so they do not cause more stress on the body. Many people report how much better they feel after the music therapy intervention and after releasing tears. Patients can be taught how to play the native flute and how to use it for therapy. Cancer support groups, COPD groups, addiction groups have all used the native flute to help get through these issues. It is a very easy instrument to learn and unlike many traditional instruments, you do not need to read music to play. The native flute is a soulful instrument that can help take your mind off the mundane. Some people use it as a tool to clear the mind, so the player can reach a deeper, intuitive part of themselves. This can be done with meditation alone, however, many people are distracted by
their environment. The native flute can be a tool to tap into the earthy, soulful sound leading on an inward journey to healing. The arts benefit everyone in every age and in many ways. Drawings of flutes on cave walls date back 35,000 years! Even early people who had to focus on survival, used music. If you are in a healing crisis or focusing on preventive medicine, try incorporating music in your program. Remember, we are more than just a body. Music is a great way to help us explore the other aspects of ourselves. Janalea Hoffman, founder of Rhythmic Medicine, is a pioneer in the field of Music Therapy. She is a musician, national speaker and director of the Rhythmic Medicine Center. For more information on Music Therapy, contact Janalea Hoffman at jhmusic@rythmicmedicine.com
Are you ready to relearn, reinvent and reconnect?
Call Minds Matter, LLC, to learn more about customized rehabilitation therapy. Our trained and licensed therapists provide services in individuals’ homes, communities and workplaces. Minds Matter is a KanCare service provider.
913.789.9900 | mindsmatterllc.com
See Us At The Expo
www.kcourhealthmatters.com 9
Hea 10 Our Health Matters Âť September + October 2013
By James Meadows Contributing Writer
COVER STORY
Thinking of Choosing a
alth Plan? H
“
elp, I need a health plan!� You are not alone. With all the recent changes in health care and insurance, many people feel overwhelmed. This article will explain how
to select a health plan that will best fit your personal, financial and family situation.
YOUR FIRST STEP is to understand what health plans are available. Health plans today come in many flavors. The traditional HEALTH MAINTENANCE ORGANIZATION (HMO) is one of the more common types. Within the HMO network, you select a primary doctor who monitors your medical care. You pay a monthly premium for your HMO. The HMO provides comprehensive medical
care to you and your enrolled dependents through your primary doctor and referred doctors and caregivers within its network. HMOs usually cover preventive care at no additional charge. Beyond preventive care, most medical office visits will require small co-pay such as $25. Some advantages of an HMO are comprehensive health care, limited or no paperwork, and low or no out-of-pocket expenses. Disadvantages www.kcourhealthmatters.com 11
REVIEW YOUR MEDICAL HISTORY AND EXPENSES TO COMPARE PLANS.
include generally higher monthly premiums than all other options and the restriction to use only network providers. Another common health plan is the POINT-OF-SERVICE PLAN (POS). This is an additional option provided by some HMOs. With a POS plan, your primary doctor will refer you to other caregivers within the network or outside the network as needed. If your primary doctor’s referrals involve providers outside the network, the POS still pays most—if not all—the expenses. Regardless of your primary doctor’s decisions, you can still use providers outside the network, but your coverage will be more limited. A third option is the PREFERRED PROVIDER
ORGANIZATION (PPO), which is similar to an HMO. Many PPOs cover preventive care at no additional charge. One of the advantages of a PPO is the freedom to use caregivers outside the preferred network, but in those cases you will pay a larger share of the cost, and you may have to complete claim forms for each appointment. One of the newer but increasingly popular options is the HIGH-DEDUCTIBLE HEALTH PLAN (HDHP). As the name implies, HDHPs impose a higher deductible compared to other plans, but that is somewhat offset by the lower premium. These plans are linked with a tax-favored health saving account (HSA) funded by a designated portion of your
earnings tax-free. Some employers will contribute additional dollars to your HSA each year. When out-of-pocket medical expenses arise, you simply pay them using your HSA debit card. One of the advantages of the HDHP is you tend to weigh the financial consequences connected to every medical decision. Additionally, because providers understand this dynamic, you often have some negotiation power to reduce fees on a case-by-case basis or establish a payment schedule. In addition to the above options, the AFFORDABLE CARE ACT (ACA) will start enrolling people who are uninsured through health insurance exchanges on October 1. These exchanges are being created now, but coverage will not be available until January 1, 2014. AFTER GAINING AN UNDERSTANDING of the above health
plans, the second step is to perform a careful comparison of the plans by applying them to your personal financial and family circumstances. To do this, take a fresh look at your medical history and expenses. > How much did you spend on health care last year? > Is that amount an accurate picture of how much you usually spend? > Do you or does one of your dependents have a chronic medical condition requiring ongoing treatment or medication?
12 Our Health Matters » September + October 2013
> Do you anticipate any major medical procedures? > Based on your lifestyle and experience, how often do you anticipate emergency medical care? > As best you can envision it, what would your worst-case medical disaster look like? By answering these questions, you will gain a realistic sense of what your medical expenses could be and which plans might work best. Plugging this information into the various health plans will show how your budget and coverage would perform. For example, if you are responsible for several children with frequent medical needs, you might find paying an HMO’s higher premium puts more money back in your pocket because of the enhanced coverage of preventive care and
ADDITIONAL RESOURCES This article addresses the basics of selecting a health plan. Additional information is available through various online resources. Here are some to get you started: For excellent comprehensive online tools that help you review and choose health plan options: > www.healthcare.gov > www.enrollamerica.org > www.usa.gov/Citizen/ Working Headlines/ Health/HealthInsurance.shtml
DO YOU PREFER HIGHER PREMIUMS WITH LESS OUT-OF-POCKET FEES OR THE OPPOSITE? additional medical procedures. On the other hand, if you have no dependents and you are very healthy, you might determine the HDHP is cheaper because the premiums are lower and you use only preventive care. To round out the picture, consider some additional personal preference questions about budgeting and plan administration. Do you mind completing paperwork for reimbursements or do you prefer a seamless process? Do you have any savings that could be used for medical emergencies?
Do you prefer higher premiums with less out-of-pocket fees or the opposite? THE FINAL STEP is to enroll in your chosen health plan. Most employers offer open enrollment each fall for the following calendar year’s coverage. Enrollment or enrollment changes at other times are prohibited. However, certain exceptions apply. Newhires are typically allowed to enroll immediately or after a waiting period such as one to six months. Exceptions are often for any employee experiencing
a life-altering event such as marriage, divorce, or death of a dependent. You will need to check with your employer for the specifics about each of these cases. If you are self-employed, enlisting the services of an independent insurance broker may be your best option. Those individuals have the freedom to shop the open market to locate the health plan that will work best for your situation. Another alternative is to explore any group coverage options with trade or business associations connected to your occupation. IN SUMMARY, selecting a health plan means you must understand all your options, carefully compare the coverage, and choose the option that makes the most sense for your situation, both financially and administratively.
For a summary of the provisions of the ACA: > http://kff.org/healthreform/fact-sheet/ summary-of-newhealth-reform-law/ Glossary of health plan terms and acronyms: > www.opm.gov/ healthcare-insurance/ insurance-glossary/ For the self-employed: > http://www.forbes. com/sites/kerryhannon/2012/01/04/ the-best-ways-to-findhealth-insurance-ifyou-are-self-employedin-2012/ Dig deeper into research on health, health care, and related policy: > www.healthaffairs.org Got questions? > 1-800-318-2596 www.kcourhealthmatters.com 13
CAREER SPOTLIGHT
Want to be a Sonographer?
An ideal career in a highly technical area for individuals who like working with patients.
Y
our doctor wants you to have an Ultrasound exam, and now you wonder, what is it and who performs it? Well, meet the profession that conducts the exam your physician just requested. Ultrasonography, commonly called sonography, is a diagnostic medical procedure that uses high frequency sound waves (ultrasound) to produce visual images of organs, tissues, or blood flow inside the body. Sonography is increasingly being used in the detection and treatment of heart disease, heart attack, and vascular disease. It is also used to guide fine needle, tissue biopsy by taking a sample of cells from an organ for lab testing (for example, a test for cancer in breast tissue). Unlike X-rays, sonography is a radiation-free imaging method. The non-physician professionals who perform these procedures are known as What are the career opportunities? sonographers and vascular technologists With rapidly developing new technologies and increased use of diagnostic ultrasound (who are sonographers specializing in procedures, dynamic employment growth is projected to continue in the future. Sonographers imaging and tests of blood vessels). and vascular technologists work in clinics, hospitals, physician offices, public health facilities, Sonographers have extensive, direct laboratories, and other medical settings. Career advancement opportunities exist in patient contact that may include performing education, administration, research, and in commercial companies. some invasive procedures. They must be able to interact compassionately and What are the salaries for sonographers? effectively with people Salaries for sonographers are competitive with, or higher than other professionals who range from with similar levels of education. According to the 2013 Society of Diagnostic healthy to critically ill. CLINICAL LABORATORY Medical Sonography Salary and Benefit Survey Report, the median salary for Professional responsonographers is $78,520 annually. TESTING, LIKE SONOGRAsibilities include, but PHY PROVIDES INSIGHTS Training Requirements are not limited, to: THAT HELP PEOPLE Comprehensive Diagnostic Medical Sonography programs vary in length from > Obtaining and CHART A COURSE TO one to four years depending on the degree or certificate awarded. Prerequisites recording an accualso vary among programs from high school diploma or GED to specific rate patient history IMPROVE THEIR HEALTH. qualifications in an allied health profession. Two local institutions offer > Performing diagWilliam J. Becker, DO, MPH accredited training: St. Luke’s Hospital of Kansas City, Missouri offers an nostic procedures Clinical Pathology Medical Director 18-month Sonography Program, and the Kansas University Medical Center and obtaining Midwest Region - Quest Diagnostics offers a 21-month certificate program in Cardiac Sonography. diagnostic images Prospective students should select a reputable program that follows minimum > Presenting summaries of the curriculum and clinical education standards recognized by the American Registry for technical findings to the physician Diagnostic Medical Sonography. Training programs that provide limited opportunity for for medical diagnosis students to apply classroom instruction and technical skills in patient care settings are > Collaborating members of the health not recommended by the Registry. care team > Managerial or supervisory responsibilities
14 Our Health Matters » September + October 2013
Sources: www.ardms.org (American Registry for Diagnostic Medical Sonography)
With outstanding care, education and treatment, we’re helping kids control their asthma and not the other way around. See how we’re transforming lives every day at childrensmercy.org/stories.
Asthma
All Star
OUR KIDS MAT TER
After School Matters to Us All
There are a wide array of programs that benefit children and parents. By Brent Schondelmeyer Communications Director, LINC
Additional Resources
W
ith a new school year comes the inevitable question: What to do after school? This is a real challenge, and equally a real opportunity, for families of school-age children.
The Benefits Programs operated outside the regular school day can enrich children’s social, emotional and educational lives. They also give children a safe place to engage in structured activities in programs run by qualified directors. The programs offer activities – homework help, music, chess, reading, science and recreation – which are crowded out of the academically-focused school day but are
Bilingual and Bicultural Services:
nevertheless important to the development of the whole child. While the variety of program labels – out-of-school time, after-school, extended day – can be confusing, what the programs commonly offer are extended learning opportunities that are not limited by a traditional classroom structure. Most programs generally operate until 6 p.m., benefiting working adults whose children otherwise would be home alone.
nvision We e lthy, a vibra s a fe hea , an nt co dh m a
re individu wh e r c e s t o a l s a r th ou it y r i ve e u n r es . m th e ve
• Youth Development • Community Support • Behavioral Health • Cultural Arts
> The Family Conservancy » www.thefamilyconservancy.org > Child Care Aware® of Kansas » (877) 678-2548 > Child Care Aware® of Missouri » (866) 892-3228
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16 Our Health Matters » September + October 2013
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Because the program is offered at school, no additional transportation is needed.
The Choices While most public schools offer school-age child care programs, their extent and availability differ from school district to school district. The programs are generally offered either directly by the school district or through a partnership with the YMCA, Boys and Girls Club or other community-based organization. To learn what is available, contact the local school district. Alternatively, the Family Conservancy maintains a searchable on-line database of child care options (see Additional Resources).
The Costs Program costs also vary widely, depending on school needs, available resources and other considerations. Some school districts and after-school providers, seeking to maximize program participation, make their program affordable to families by absorbing some of the overall program costs. Other districts require their programs to break even, or offer them primarily to families that are willing to pay a premium. Pricing practices also differ. Some programs require prepayment while others charge based on program use. Depending on family income, state child care subsidies may be available to help families (or the program) with overall costs. In some cases, scholarships are available. What happens after school matters – to children, to families and our community.
Not today, of course. Today, little Maggie is 10 years old and full of potential. But if she doesn’t get nutritious food and safe play areas while she’s young, Maggie will struggle with obesity, Type 2 diabetes and depression, and she may never get to see the next generation of her family grow and thrive.
At Blue Cross and Blue Shield of Kansas City, we’re working hard to make sure kids like Maggie and local families get the knowledge and resources they need to live healthy, fulfilling lives. But we can’t do it alone; we need your help. Learn what you can do to fight childhood obesity in Kansas City. Download the Blue KC Childhood Obesity Report at:
BeWellKC.BlueKC.com
Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross and Blue Shield Association. SCOC10513
H E A LT H + NUTRITION
Want to Go Vegan? I Did. There are a number of alternative diets to consider when you really want to make a change.
W
hether you want to live a long and healthy life, avoid chronic diseases, or prepare to be a gold medal Olympian, the vegan diet can help you reach these goals and radically change your life. Carl Lewis, a four-time gold medal winner in the 1984 Olympics, said that the vegan diet helped him win. By Garry A study in the June Lumpkins, Jr. 2013 issue of the The Journal of American Medical Association reported that vegetarians live longer than
meat eaters—about 12 percent. The vegan diet has led to lower rates of death from heart disease, lower blood cholesterol levels and blood pressure, lower rates of hypertension, Type 2 diabetes, tacos or adding mushrooms and prostate and colon cancer. instead of ground beef for your What is veganism? Veganism STICKING TO next spaghetti. One of my is the strictest form of vegetarifavorite breakfast meals is a anism. More specifically, vegans A VEGAN DIET popular brand whole grain avoid foods that contain meat, MEANS PLANblueberry cereal with soy milk. dairy or eggs. NING AHEAD. Several recipes can be found I am a vegan and have some at forksoverknives.com and tips on how to start. You can engine2diet.com. Tips on how begin by “vegging up” many to ease into the vegan lifestyle can be found of the meals that you are eating now. Try on the meatlessmonday.com website. substituting black beans for ground beef in One of the potential health risks of a vegan diet is having a vitamin B12 deficiency. However, it is very easy to find vitamin B12 in non-animal-based sources. According to noted author and registered dietitian Julieanna Hever, nutritional yeast and fortified plant-based milks contain enough vitamin B12 daily intake or you can take a supplement. One of the biggest challenges to sticking to the vegan lifestyle is planning ahead. Take your own salad and dressing to meals and gatherings away from home and keep fruit and snacks in the car. After my mother died from pancreatic cancer, I went on a quest to find the best way The Midwest Foster Care and Adoption to prevent cancer and disease and found that Association’s mission is to provide foster and adoptive children a stable, loving and a diet rich in fruits and vegetables supported nurturing family environment. We provide the immune system. Over a three-year support and advocacy for families and the period, I cut down on animal consumption abused and neglected children in their care. until I finally could go a month without Our focus is and always will be on children. eating meat. I had a sense of well-being We will continue to support families who that I never had before; more energy, make a place in their hearts and homes for better digestion and no more seasonal a child who has experienced physical and allergies. The vegan diet changed my life! emotional trauma.
Every Child Deserves a Forever Family.
816.350.0215 www.mfcaa.org 18600 E. 37th Terrace Independence, MO 64057 2011
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18 Our Health Matters » September + October 2013
Learn more about MFCAA and how you can help.
Editor’s Note: Always consult with your medical provider when deciding to change your dietary plan.
H E A LT H + NUTRITION
Cool Cucumber Dip Serves 8; 2 tablespoons per serving Crushed toasted almonds provide crunch, and the just-right seasoning blend adds zing to this unusual dip. It’s convenient and stress-free for parties—you can make it up to four days in advance and serve it with colorful precut vegetables. > 1/4 cup plus 1 tablespoon sliced almonds > 3/4 cup fat-free sour cream > 1/4 medium cucumber, peeled, seeded, and coarsely chopped (about 1/2 cup) > 2 medium green onions, cut into 1/2-inch pieces > 2 teaspoons red wine vinegar > 1 teaspoon salt-free extra-spicy seasoning blend
In a food processor or blender, process the remaining almonds for 3 to 5 seconds, or until coarsely crushed (1/4-inch irregular pieces). Transfer to a medium serving bowl. Process the remaining ingredients until the desired consistency, 5 to 10 seconds if you prefer a chunky texture, 15 to 20 seconds for smooth. Stir into the crushed almonds. To serve, sprinkle with the reserved almonds.
In a medium skillet, dry-roast the almonds over medium-heat for 3 to 4 minutes, or until golden brown, stirring occasionally. Put 1 tablespoon almonds in a small bowl. Set aside to use as a garnish.
COOK’S TIP: For a decorative presentation, peel a medium cucumber in lengthwise strips about 1/2 inch wide and 1/2 inch apart, leaving 1/2-inch strips of peel intact. Cut the cucumber crosswise into 3/4-inch slices. Using a melon baller or the tip of a small spoon, partially hollow out the slices, making little cups with enough of one end intact to hold the filling in place.
This recipe is brought to you by the American Heart Association’s Go Red For Women movement. Recipe copyright ©2005 by the American Heart Association. Look for other delicious recipes in American Heart Association cookbooks, available from booksellers everywhere or online at americanheart.org/cookbooks.
Nutrition Analysis (per serving) Calories Total Fat Saturated Fat Trans Fat Polyunsaturated Fat Monounsaturated Fat Cholesterol Sodium Carbohydrates Fiber Sugars Protein Dietary Exchanges: 1/2 carbohydrate
47 2.0g 0.0g 0.0g 0.5g 1.0g 4mg 20mg 5g 1g 2g 2g
Wellness
is how we roll. But if you live in some areas of Kansas City’s urban core, a fresh tomato or an ear of corn can be hard to come by. That’s why Truman Medical Centers created two innovative ways to offer fresh produce at affordable prices: the Healthy Harvest Produce Market, which happens weekly spring through fall at TMC Hospital Hill, and the Healthy Harvest Mobile Market, a produce market on wheels, which makes scheduled stops in neighborhoods where healthy foods are less accessible. Visit trumed.org to learn more.
trumed.org
Eating fresh fruit and vegetables is critical to a healthy lifestyle.
Pictured: The Healthy Habits class at the Boys & Girls Clubs of Greater Kansas City visits the TMC Healthy Harvest Mobile Market.
L e a d i n g t h e w ay t o a h e a l t hy c o m m u n i t y. www.kcourhealthmatters.com 19
BE P R E PA R E D
Refrigerator Safety Food essentials during a power outage.
I
t’s possible that major storms may tear through the several regions of the United States this winter, and millions of people will go without electricity. A power outage can affect hundreds of households for days at a time. While we hope you’re not one of them, now is a good time to supply you with basic fridge safety protocol. Here is what you should know, in case your fridge and freezer suddenly lose their power. If the power is out for less than two hours, then the food in your refrigerator and freezer will be safe to consume. While the power is out, keep the refrigerator and freezer doors closed as much as possible to keep food cold for longer. If the power is out for longer than two hours, follow these guidelines:
20 Our Health Matters » September + October 2013
> Freezer section A freezer that is half full will hold food safely for up to 24 hours. A full freezer will hold food safely for 48 hours. Do not open the freezer door if you can avoid it. > Refrigerated section Pack milk, other dairy products, meat, fish, eggs, gravy, and perishable leftovers into a cooler surrounded by ice. Inexpensive Styrofoam coolers are fine for this purpose. > Use a food thermometer to check the temperature of your food right before you cook or eat it. Throw away any food that has a temperature of more than 40 degrees Fahrenheit.
> The magic number is two hours. After two hours, transfer the contents in your refrigerator to a cooler or a working refrigerator. To prevent getting sick, don’t touch spoiled food. If your refrigerator has been without power and above 40°F for more than two hours, is anything safe to keep? Yes, some condiments and foods are safe to keep, although meat and most dairy need to thrown out. For more helpful tips on what to keep and what to toss, visit: www.FoodSafety.gov. Source: www.FoodSafety.gov, www.kitchynn.com, U.S. Department of Agriculture
FOH Publication 12.0947
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