Day: January 8, 2020

 Respond to at least two of your colleagues* by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.

Introduction

The demand for healthcare and the shortage of providers to offer this care, especially in geographically and economically challenged populations, has put a strain on healthcare availability. The Creating Opportunities Now for Necessary and Effective Care Technologies for Health (CONNECT) Act of 2019 looks to promote access through increased use of telehealth. 

What It Means

Currently, telehealth is limited by geography, billing and reimbursement, and provider restrictions. The CONNECT bill HR 4932, proposes removal of some or all of these stipulations to expand access to care. Specifically, the bill targets Medicare restrictions and lack of coverage to improve access to the elderly and disabled (Wicklund, 2019). 

The Evidence

The evidence to support telehealth expansion has been proven. As discussed by Totten et al., (2016) numerous studies have shown an increase in positive outcomes regarding patient/provider communication, education, and the management of chronic health conditions. Passing of this bill could provide a multitude of benefits to involved parties. 

First and foremost, it would improve access to care for those limited by age, disability, geography, or finances. Improved access to care promotes health prevention and decreases more costly care due to complications associated with delay of treatment. The expansion of telehealth could also reduce the strain placed on providers by the shortage. The bill looks to permit telehealth use by more providers and remove some of the travel and point of origin restrictions. Greater use of telehealth would also encourage better insurance coverage and reimbursement (H.R. 4932, 2019).

Conclusion

With all the changes in healthcare and the concerns over cost and accessibility, the need for legislation to address these issues cannot be ignored. The promotion of telehealth and removal of current restrictions could solve many of these dilemmas. As healthcare providers, we can continue to conduct the research and provide the evidence needed to advocate for legislative change to improve healthcare. 

Respond to at least two of your colleagues* by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.

So much have been heard about Alzheimers disease and the burden it has on those living with the disease, as well as their families. Alzheimers disease is a chronic, progressive and neurodegenerative type of dementia that has serious effects on daily life. (Alzheimers Association, n.d.). Although aging is a risk factor, however, it is not a normal aspect of aging.  The effects of Alzheimers disease can be challenging for primary caregivers. Being the primary caregiver for my 85 year old father who before his death, suffered Alzheimers disease was overwhelming.

On March 12, 2019, Democratic Senator Amy Klobuchar from Minnesota introduced S.740, Alzheimers Caregiver Support Act. The bill if passed, will provide grants to train and support caregivers of those living with Alzheimers disease and dementias. The bill was read twice, and has been referred to the committee on health, education, labor and pensions (congress.gov, 2019). 

I strongly believe there is enough evidence in support of this bill. According to Brodaty and Donkin (2009), primary caregivers of people living with Alzheimers disease are referred to as the “invisible second patients”. The negative impacts of being a caregiver include psychological morbidity, social isolation, physical ill-health, and financial hardship.  Many families of patients suffering from Alzheimers disease are ignorant of the diseases prognosis. The slow but steady impending changes in memory and function it causes require extensive amounts of care, time and energy from the caregiver. This therefore, is a reason why this bill is important. The grant from the bill will be used to train, support and perhaps augment for the financial burden the family may experience. 

For those whose loved one is living with Alzheimers, disease, Streater (2016) advised that it is of great importance that you take specific actions early. This action includes becoming as educated and informed as possible about the disease so you always will know what to expect.