Illinois Public Media News
The Vermilion County Health Department is cutting four more programs that rely on state grants and 20 additional jobs with it. Department Administrator Steve Laker says the County's Board Of Health was forced into this move after the Vermilion County Board this week rejected a request for an additional loan of $400,000. The state now owes the health department $500,000 - an amount expected to grow to $700,000 by June.
As of May 21st, the department's staff will be nearly half what it was the first of this year, with 32 total job cuts. The four programs being eliminated are Family Case Management, Healthworks Illinois, Healthy Child Care, and the Case Coordination Unit. Laker says that unit's nursing home pre-screenings will be among those areas missed the most. "We're going to work with anybody we can so that hopefully these services get picked up by someone else locally and facilitate that transition, "said Laker. "But we don't have any assurance of that yet."
Laker says his goal now is holding onto the Women, Infants, and Children - or WIC program, and Family Planning, which are federal programs. WIC is exclusively federally funded, while Family Planning relies partially on county money. Laker says both have been running in Vermilion County for about 40 years. "So these are long-standing practices and well-accepted pratices," said Laker. "However, right now, these are times we've never experienced. So we're being squeezed, they're (Vermilion County) being squeezed, and unfortunately, what's on the potential chopping block is these services." Cutting those federal programs would reduce the health department to minimum certified status, reducing its staff by about two-thirds, to about 20 employees. Laker says he's considering other options, including mandatory furlough days for employees. If the department does have to cut WIC and Family Planning, he notes it would have an obligation to pay those staff members their accrued benefits, as well as their unemployment, which is funded by the county.
Vermilion County Board Chairman Jim McMahon vows that the county will maintain its health department, but it may become something residents don't recognize.
By late this year, the department could go without a number of state-grant funded programs, and cut more jobs in addition to the 12 it lost in January. Tuesday night. Vermilion County Board members approved extending a $300,000 loan that it gave to the health department last year. The action gives the health department until mid-July to pay it back. But the board voted down an additional loan of $400,000. McMahon says the department has to assume that it won't receive the $700,000 dollars that it's owed from the state by July. He says that means running a stripped down health department. "Our goal is to maintain a certified health department in addition to restaurant inspections and also a sanitation-sewer division," said McMahon. "Those would automatically stay. We would to whatever it takes to keep those. Any other program that isn't in that immediate program may have to be on hold the state of Illinois straightens out their act."
The Vermilion County Board's options for health program cuts and the additional loan also called for a property tax hike in Vermilion County of around 16-percent. The increase would have paid for not only the health department's shortfall, but additional county offices like the state's attorney and juvenile detention center. "If we hadn't taken the action to eliminate 12 jobs and three programs, the state would have owed us $1.2 million at the end of June," said Vermilion County Health Department Administrator Steve Laker. "Now we're projecting (a deficit of) only $700,000, only the state isn't reimbursing the county for state's attorney's salary, public defender's salary, juvenile detention staff, and probation services staff. And all that adds up to about another $1.2 million. The state owes the county about $1.9 million."
The Vermilion County Board of Health will put forth a new proposal for potential program cuts. It meets at 7 Wednesday night. The Board of Health proposals will be passed on to the Vermilion County Board, which will vote on them May 11th.
Legislation that would let teachers and other school staff assist students with diabetes won't see any support from school nurses in Danville.
The Care of Students with Diabetes Act has already passed the House, and Senate vote could come this week. A community activist from Chicago says insulin shots, counting carbohydrates, and other care is a simple process nowadays. Suzanne Elder says her diabetic daughter was handling those duties herself by the time she was 8. Elder says caring for a diabetic person has become much easier over the past 20 years. "Most kids don't use syringes anymore," says Elder. "Most kids use pens, most kids use pumps. So they even speak with a nomanclature that outs them as out of date and untrained. And yet, we still are not about undoing nurses or taking them out of school. We just want everybody trained in the basics."
Danville school nurse Judy Pendleton contends teachers, secretaries, and other school staff should not be handling duties like monitoring a child's carbohydrates in addition to their regular jobs. "That person would be responsible for doing a blood sugar," says Pendleton. "That person would be responsible for drawing up and adminstering insulin, and that person would also be taking orders from the parent. Having been through nursing school, sometimes, even at that you have to make snap decisions." The legislation saw overwhelming support in the House. Danville Republican Bill Black says the measure was drafted by House GOP Leader Tom Cross, who also has a diabetic daughter, and carefully researched the bill before proposing it. Black estimates that a few thousand children in Illinois schools attend one without a nurse, forcing the child to attend elsewhere or for the district to call 9-1-1 in the event of an emergency. He says the bill isn't intended to replace nurses - just to give districts another option.
The third annual Champaign County Moonwalk begins next Friday, April 16th. The event is meant to inspire county residents to walk a combined total of 238,700 miles -- the distance from Earth to the moon - in 8 weeks.
Jamie Kleiss , of the U of I Extension, organizes the Moonwalk and brought the event to Champaign County, after it was launched in Peoria. (Another Moonwalk is held annually in the Quad Cities). Kleiss, who says she had just enjoyed a walk during her lunch hour, says there are many benefits from simple regular walking:
"Better sleep, better mood, your digestion is better, the benefits are endless", says Kleiss. "It helps regulate blood sugar. So even for anybody who doesn't have any chronic diseases, it still can be great. And it's a lot of fun --- and it's nice to get outside."
Kleiss says regular walking can also lead to weight loss, but that depends on the person's fitness and current activity levels. Anyone interested in weight loss through walking should speak to their physician first.
So far, Kleiss says, 93 teams and 50 individuals have signed up for the Champaign County Moonwalk, for a total of 839 participants. She's hoping to double that number by next Friday, which would be in line with last year's participation.
There will be a Moonwalk launch party on April 15th at the Parkland College Planetarium.
Faculty at the University of Illinois will head up a team working to place more medical records on line, and keep them out of the wrong hands.
A $15 million grant from the US Department of Health and Human Services was awarded to 20 researchers from 12 universities, led by the U of I's Information Trust Institute. Computer Science Professor Carl Gunter is the lead investigator for a project called Strategic Healthcare Information Technology Advanced Research Projects on Security, or 'SHARPS.' Gunter says moving from a paper record system to one that's electronically based offers a series of challenges. He says threats to privacy can exist inside a hospital or in the process of transferring records between medical facilities, which requires patient consent.
Gunter says a third challenge exists for patients wanting to relay medical information electronically from their home... accessing those records as they would a bank account. "Allowing someone who may have health problems to get a blood pressure reading at home once a day," says Gunter. ''...and then their physician can track their position more closely, like outpatient care, where it uses individual monitoring devices to allow people to use networks to transfer their data back." Gunter says the federal grant will support collaborative efforts. His work will integrate cyber security research at sites like the U of I and New York University with medical facilities like Northwestern Memorial Hospital.
The grant will last four years. Three others totaling $45 million were awarded to other institutions in related areas.
The newly-combined Carle Foundation Hospital and former Carle Clinic may have a deal with local governments over property taxes.
Up to now, Carle Clinic Association had been an independent for-profit firm. But now that it's been bought out by the Carle Foundation, it's got not-for-profit status under the name Carle Physician Group. That means it's no longer liable for property taxes at its clinic buildings - and that could cost government entities in Champaign County at least $2.4 million a year.
When the merger was announced last November, Carle CEO Dr. James Leonard was quoted as saying Carle would make payments to those government in lieu of taxes. Thursday, he said they're getting close to an agreement.
"We're not done with the discussions yet," Leonard said. "In terms of of their needs, they're very concerned -- particularly with the recession we've been in -- about the resources going forward. It's been an active, positive discussion."
Leonard wouldn't say when a final agreement on tax payments would come out. Meanwhile, he says the Carle Foundation would continue to challenge the state's decision to strip it of its tax-exempt status for some hospital properties. The hospital has put money into an escrow account as the case is still being challenged in court.
The regulators have been satisfied, and today's the day that Carle Foundation Hospital and Carle Clinic Association become one entity.
The two firms had been related but not unified until now - but starting Thursday, the former Carle Clinic has turned from a for-profit company to a wing of the not-for-profit Carle Foundation. It'll now be known as Carle Physician Group.
Carle Foundation president Dr. James Leonard says the combination will make for more efficiency, streamlining a patient's care. "When a patient is moved from one venue to another, they're moving throughout a continuum of care that recognizes their needs, their care, their financing so that we're all thinking about this as a single episode," said Leonard.
Dr. Bruce Wellman headed Carle Clinic and is now the CEO of Carle Physician Group. He says some last-minute approvals meant that merging the two groups' paperwork was delayed until now. "Planning was okay (before the merger), (but) not doing any actual work in changing things, such as the computers, until we had all of the approvals because it would not be legal or appropriate to do that," Wellman said. "So we have timing issues of literally thousands and thousands of things that have to happen, and bills are an excellent example."
Carle says billing will be merged over the next few months. They're asking people who encounter any billing issues to be patient, and patients may be asked to verify their insurance.
It's been almost a year since the H1N1 flu strain appeared in the U-S --- but health officials are still urging the public to get vaccinated. The Illinois Department of Public Health has launched a new campaign urging people to get vaccinated, if they haven't done so already.
Julie Pryde of the Champaign-Urbana Public Health District says less than a third of county residents have been vaccinated for H1N1, or swine flu. She wants more people vaccinated to protect against a possible resurgence of the virus this spring or fall.
"If you do not have a shot for H1N1, you are not protected", says Pryde. "And we are expecting H1N1 to come back. Right now, it really heating up in the southeast and the south. And there are starting to be more and more cases, which indicates to us that it's going to sweep across the country somewhat like it did in the fall."
Pryde says that outside of some flu-like illnesses reported at hospital emergency rooms, there don't seem to be any signs of H1N1 in Champaign County right now. But the Illinois Department of Public Health says 18 new cases were reported around the state last week, including one death.
In contrast, Pryde says the seasonal flu strain seen this past winter seems to have run its course in Champaign County.
The Champaign-Urbana Public Health District is offering free H1N1 flu vaccinations, without an appointment. They're available weekdays from 8 to 4 at the agency's headquarters on West Kenyon Road in Champaign. Pryde reminds parents that children will need two shots, spaced a month apart.
A Cook County judge has lifted a temporary restraining order on a never-enforced Illinois law requiring that a girl's guardians be notified before she has an abortion, but that doesn't mean the law goes into effect right away.
Judge Daniel Riley on Monday also approved a stay, or grace period, to let appeals be worked through in the case.
The law requires doctors to notify the guardians of a girl 17 or younger 48 hours before the girl gets an abortion.
Earlier this month, Riley heard arguments from the Illinois attorney general's office and the American Civil Liberties Union on the 1995 Parental Notice of Abortion Act.
ACLU of Illinois Executive Director Colleen Connell says the group is exploring legal options, including filing an appeal.
With a major healthcare reform about to become law......many Illinoisans are left wondering what's in it for them. The Illinois Department of Insurance has put together a list of changes directly affecting people in the state.
Most provisions won't take effect until 2014, but residents could start seeing changes to their policies within the year. The state Department of Insurance expects health insurance rates to stabilize. The agency points out those seeking coverage won't be discriminated against because of a pre-existing illnesses.
The department's Director Michael McRaith says those changes will reduce trepidation on the part of Illinois consumers. "No longer will people be denied an application for insurance, be denied a claim that they filed with their insurance company, will be charged more because they've been sick or they might become sick in the future," McRaith said.
A major provision of the package is an insurance exchange system. McRaith says that will let Illinoisans shop around and pick from state approved policies. He adds that preventative services like mammograms will also be included. The changes will expand Illinois' Medicaid system, but there are no official cost estimates. One study found one third of Illinois residents have no health coverage.
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