Med Board Fines Doc $5,000 Following Infant’s Death, Disciplines Four Others

The state Medical Examining Board Tuesday disciplined five doctors, including fining a Danbury obstetrician $5,000 for her lapses in care in connection with a baby girl’s death during delivery at Greenwich Hospital in June 2015. The board also reprimanded Dr. Marjan Hedayatzadeh and found that she failed to make an adequate assessment of the baby’s well-being and failed to order an ultrasound of the baby and her twin brother, a consent order that Hedayatzadeh agreed to with the board said. The order also said that Hedayatzadeh failed to accurately monitor the baby girl’s heart rate during three hours of labor and delivery, the consent order said. In signing the order, Hedayatzadeh did not contest the allegations or admit wrongdoing, the order said. The doctor has completed courses in fetal heart monitoring in the case of twin pregnancies and is now working under a protocol that requires an ultrasound in the case of all labor and deliveries, the order said.

State Fines RN For Fentanyl Abuse, Disciplines Four Others

The Board of Examiners for Nursing this week disciplined five nurses for cases involving alcohol or drug abuse, including one nurse who stole Fentanyl patches from nursing home patients. In a consent order with the board, Ashley Dizney of Southington, a registered nurse and an advanced practice registered nurse, agreed to pay a $1,000 fine and be placed on probation for four years for abusing Fentanyl to excess in January 2017. That month, she stole Fentanyl patches from patients in nursing homes in Torrington and Waterbury while working for Connecticut Mental Health Specialists of Farmington, the order said. From 2015 to 2017, Dizney also used alcohol and multiple controlled substances to excess, the order said. She chose not to contest the allegations against her.

Thousands Of Seniors, Disabled And Low-Income Residents Losing Care Coverage

Roughly 68,000 seniors and disabled residents will lose access to a Medicare financial assistance program January 1, when income eligibility requirements change under the newly enacted state budget. Currently, through the Medicare Savings Program, the state Department of Social Services (DSS) pays Medicare Part B premiums for low-income elderly and disabled adults earning less than 246 percent of the federal poverty level, or about $29,667. Part B covers things like doctor visits, lab tests and outpatient care. Those earning less than 234 percent of the poverty level, or about $28,220, can receive additional help covering co-pays, deductibles and prescriptions. In the new year, only those earning less than 100 percent of the poverty level—or $12,060—will qualify to receive all benefits under the program, and those receiving subsidies for premiums alone must earn less than 135 percent of the poverty level to be considered for eligibility.

Conversation With Your Doc May Be The Best—And Most Elusive—Medicine

When doctors and patients communicate well, research shows that patients are more likely to follow treatments, recover more quickly and are less likely to be the victims of medical errors. But with an average office visit of just 18 minutes and an increasingly complex variety of diagnostic and therapeutic options, good communication may be modern medicine’s final frontier. In this podcast, sponsored by ConnectiCare, Dr. Juan Estrada, medical director of Sanitas Medical Centers and Lisa Freeman, director of  the Conn. Center for Patient Safety, provide tips on how to communicate with your doctor. A recent patient survey by ConnectiCare found that patients generally rated communication with their doctors highly, but there were concerning gaps.

New State Hospital Inspection Reports Available On C-HIT

Various violations that jeopardized patient safety, including several before and after a newborn died, have taken place in Connecticut hospitals, according to the most recent hospital inspection reports from the Department of Public Health (DPH). The reports, which can be found in C-HIT’s Data Mine section, cover inspections that took place at hospitals between 2016 and first few months of 2017. Some of the violations resulted in injuries to patients, while others showed lapses in infection control standards and other protocols. The Hospital of Central Connecticut in New Britain was cited for several violations that preceded a newborn’s death in 2016. DPH found several errors were made during and after the baby’s birth.

Six Nursing Homes Fined Following Resident’s Abuse, Care Lapses

The state has fined six nursing homes for various violations that jeopardized patient safety, including one in which a resident was struck by a nurse and others that resulted in residents suffering broken bones. The Nathaniel Witherell in Greenwich was fined $1,940 for two instances, the state Department of Public Health (DPH) said. On March 24, a resident with Parkinson’s disease, dementia and other diagnoses suffered a broken collarbone and broken right hip after falling onto the floor in a bathroom. The resident required supervision for standing and transfers, but a nurse aide left the resident alone for privacy, according to DPH. The resident was treated at local hospital.

Health Insurance Open Enrollment Brings Higher Premiums, Less Time To Apply

Consumers can begin shopping for 2018 health insurance through Access Health CT (AHCT) Wednesday, but will see sizeable price increases and have far less time to enroll than in previous years. Officials at the state’s health insurance exchange are boosting marketing and outreach efforts at a time when many consumers may be confused, said Andrea Ravitz, AHCT’s director of marketing and sales. Despite efforts by President Donald Trump and Republicans in Congress to repeal the Affordable Care Act (ACA), which created AHCT, the legislation and the marketplace still stand. “The constant mixed messages are confusing people,” Ravitz said. “There are certain things that are affecting the federal platform that are not affecting Connecticut at all.

Care Coordinators Cut Costs, Improve Health Outcomes, But Are Underused

A few years ago, patient navigators at Project Access-New Haven set out to see if they could change the course of health care treatment for some Medicaid patients who frequently used emergency rooms.

They contacted emergency departments at Yale New Haven Hospital and its Saint Raphael campus and enrolled 100 patients in their study in 2013. Those selected had visited emergency rooms four to 18 times in the past year for chest pain, abdominal pain or chronic migraines, among other ailments. The navigators at Project Access coordinated health care for the patients. They scheduled appointments with primary care physicians, provided reminders, accompanied patients to physician visits and followed up to ensure compliance with the prescribed treatment. The preliminary results were eye-opening: “We saw an average cost reduction of $153 per member per month,” said Dr. Roberta Capp, assistant professor, Department of Emergency Medicine at the University of Colorado Denver, and lead investigator of the study.

State Disciplines Three Nurses, One Former Nurse

The Board of Examiners for Nursing disciplined three nurses and one former nurse last week for cases involving drug use, theft, deceit and mental illness. After a hearing last Wednesday, the board voted to revoke the registered nurse license of Ryan Buynicki of Agawam, Massachusetts, who, records show, stole Dilaudid in 2015 while working at Osborn Correctional Center in Somers. Buynicki also stole controlled substances from five patients in the prison infirmary in 2015 and falsified controlled substance records, according to the statement of charges against him by the state Department of Public Health. The board also found that his use of controlled substances was affecting his ability to practice a nurse, the statement said. The board issued a cease and desist order against Lisa Piatak of Shelton to stop practicing nursing without a license.

Surge In STDs Attributed To Unsafe Sex, Hookups

The number of people diagnosed with a sexually transmitted disease has increased in Connecticut as well as across the country, data from the Centers for Disease Control and Prevention (CDC) reports. Though experts note that some of the increase is due to better screening, they are concerned about an actual rise in cases and attribute that to more casual sex through hookup apps and an increase in unprotected sex. Nationwide, more than 2 million cases of chlamydia, gonorrhea and syphilis were reported in 2016, the highest number ever, with chlamydia making up the majority of cases. The annual Sexually Transmitted Disease Surveillance Report, released in late September, found that a total of 1,598,354 cases of chlamydia were reported in 2016, a 4.7 percent increase over 2015.  Gonorrhea cases increased by 18.5 percent to 468,514, and syphilis increased 17.6 percent to 27,814 cases. In Connecticut, 14,028 cases of chlamydia were reported, 759 more than in 2015, a 5.7 percent rise.