Effort to Combat Stereotypical Views of Women Gains Support

When the University of Hartford’s Women for Change student organization unveiled their new calendar - geared toward promoting women’s self-esteem - last week, they announced that sales will benefit CTGirlcott, the new initiative led by Charter Oak Cultural Center and a collaboration of Hartford-area organizations. This year's calendar is the largest to date, featuring 45 women, including students, staff, faculty, alumnae, and community leaders. The annual calendars are designed to combat stereotypical images of women. To create the calendar, Women for Change asked women to write about what they are “free to..” be, do, think, live, etc, and submit a photo to accompany the write-up.  Mala Matacin, Ph.D., an associate professor of psychology, founded Women For Change three years ago, which has grown to more than 150 members. In previous years the calendars have sold hundreds and received national attention.

The theme dovetailed perfectly with Girlcott, a locally-inspired initiative of women willing to go makeup free for a portion of  March 2013 (Women’s History Month) and donate the money usually spent on cosmetics to organizations that benefit women and girls in Connecticut and around the world, raising awareness about the relationship between women and the makeup they wear, issues of body image, self-esteem, gender roles and more.

CTGirlcott is being organized by the Charter Oak Cultural Center, YWCA Hartford Region, Harriet Beecher Stowe Center, and The Women’s Education and Leadership Fund.  A website has been developed, featuring additional information and photographs.

Last week, organizers of CTGirlcott appeared on WFSB-TV Channel 3’s Better Connecticut program, where host Kara Sundlun was make-up free, in keeping with the theme of the initiative.  Organizers are seeking other prominent people – as well as women from all walks of life – to participate as a means of highlighting the importance of self-image among girls and women.

In the run-up to March, a series of panel discussions, movies, and other events are being held to raise awareness for the effort.

CT Leader in Jobs, Salaries in Community & Social Service Fields

If you’re interested in working in the community and social service fields, Connecticut is the place to be, according to the latest federal data.  Nationally, community and social service occupations had an annual mean wage of $43,830, which was just below the U.S. all-occupations mean wage of $45,230, according to data compiled by the U.S. Bureau of Labor Statistics, for the 2011 calendar year.   Out of the 17 occupations in the community and social service group, seven had a mean wage above the U. S. average and 10 had a mean wage below average. Connecticut, however, had among the highest levels in the nation. According to the federal agency, Connecticut had some of the highest annual average wages in the community and social services occupations, and a strong concentration of workers as well. The BLS reported recently that:

• Hartford-West Hartford-East Hartford had the highest employment of any metropolitan area in Connecticut (2,370).   The area had the 14th-highest location quotient (2.00) out of all U.S. metropolitan areas and an annual average wage of $61,980. (Location quotients are useful for analyzing occupational employment while controlling for the size of the state. They are useful for comparing the composition of jobs in an area relative to the average or for finding areas that have high concentrations of jobs in certain occupations.)
• Waterbury, the metropolitan area with the highest location quotient (2.41) in Connecticut, had one of the highest average annual wages ($64,270) and employment of 330 for community and social service occupations.
• With an employment of 430 community and social service workers and a high location quotient (1.54), Norwich-New London had an annual average wage of $58,130, the lowest wage for this group out of the metropolitan areas in Connecticut, but still well above average.The Eastern non-metropolitan area had the second-highest annual average wage ($68,880) out of all U.S. non-metropolitan areas, the fourth-highest location quotient (2.63) out of all non-metropolitan areas, and an employment of 150 for community and social service occupations.

The state of Connecticut also has two non-metropolitan areas, Eastern and Northwestern.

• The Eastern non-metropolitan area had the second-highest annual average wage ($68,880) out of all U.S. non-metropolitan areas, the fourth-highest location quotient (2.63) out of all non-metropolitan areas, and an employment of 150 for community and social service occupations.

• The Northwestern non-metropolitan area had the third-highest annual average wage ($65,510) out of all non-metropolitan areas, the 21st-highest location quotient (1.84), and an employment of 140.

Nationally, some of the highest-paying occupations in the community and social service group were educational, guidance, school, and vocational counselors ($56,540); health educators ($52,150); and probation officers and correctional treatment specialists ($52,110). Two of the lowest-paying occupations, social and human service assistants ($30,710) and religious workers, all other ($31,600), had the highest (359,860) and lowest (7,660) employment, respectively, in the occupational group.

Breaches of Personal Health Data Increase, CT in Middle of Pack

An excess of 20 million patient records have been stolen, hacked, lost, improperly disposed of and/or subjected to unauthorized access since the August 2009, according to Healthcare IT News.   The web-based publication compiled data supplied by Department of Health and Human Services (HHS) since the August 2009 Breach Notification Rule requiring HIPAA-covered entities provide notification after a data breach involving 500 or more individuals. A report by Redspin.com, using HHS data, indicates there were 385 reported breaches of protected health information in 2011, that 59% of breaches involved a business associate, 39% occurred on a laptop or portable device, and the five largest incidents resulted in slightly more than half of the data breached.

States with the highest number of patient records estimated to have been subject to data breach (exceeding 176 people per thousand population) include New Hampshire, Utah, Virginia.  The next group of states, with between 87 and 176 people per thousand, includes California, New York, Arizona, Florida, South Carolina, and Tennessee.

Connecticut is in the middle tier of states, with between 16 and 48 people per thousand population having had their healthcare data compromised.

Earlier this year, Attorney General Jepsen announced he is seeking more information from Hartford Hospital about why unencrypted personal information and protected health information of approximately 9,000 patients was stored on a laptop apparently stolen from a third-party vendor.

Back in 2010, a healthcare data breach in Connecticut that exposed medical information for more than 400,000 individuals resulted in action by former Attorney General Richard Blumenthal, reportedly  the first time that a state attorney general  used the new provisions of the HITECH Act of 2009 to sue a healthcare provider for HIPAA violations.  In that instance, an external hard drive containing unencrypted medical records went missing from Health Net of Connecticut. Another interesting aspect, it was reported,was that the  Attorney General sought not only monetary awards but also a court order forcing Health Net to encrypt all portable electronic devices.

In reviewing the causes of the data breaches of health care records nationwide, it is estimated that 50% were as a result of theft, 18% due to unauthorized access or disclosure, 12% due to loss, 9.5% due to a combination of factors, 6% due to hacking and 4.6% due to improper disposal.

The past few years have brought massive reported breaches, such as the 4.9 million records lost by TRICARE Management Activity (a Department of Defense health care program) when backup tapes disappeared, 1.9 million records lost when hard drives disappeared from HealthNet, and 1.7 electronic medical records stolen from the New York City Health and Hospitals Corporation's North Bronx Healthcare Network.

Robotics, Simulation Training Draws Medical Talent to Hartford

An unassuming building on Hudson Street in Hartford, in the midst of a construction zone and a short walk from Hartford Hospital, is what’s known as CESI - the Center for Education, Simulation and Innovation, located on the second floor of Hartford Hospital’s Education & Resource Center. Part of the hospital campus, it is among a select number of premier centers for comprehensive experiential learning and innovation nationwide, using simulation, robotics and other leading-edge training technologies – a hands-on magnet for  tomorrow’s technology that is increasingly becoming today’s reality in medicine.  Some suggest that CESI is– or soon will be – among the top five facilities in the country.  Already, CESI is a regional and national training destination. As the second largest surgical center in New England and the Northeast’s largest robotic surgery center, Hartford Hospital is widely viewed as a hub for medical training.

The vision of the rapidly growing facility is fundamental to the mission of Hartford Hospital, and parent-organization Hartford Healthcare:  to assist all providers in enhancing multidisciplinary team performance, the quality of patient care, and patient safety through a comprehensive range of educational programs using state-of-the-art simulation and cutting edge technologies. CESI features exact replicas of an operating room, intensive care unit, delivery room and trauma room. It has the same equipment as the hospital, including two robots and two robotic simulators designed especially for training purposes.

Seeing is believing, and a recent tour provided to representatives of Leadership Greater Hartford by CESI staff was a window into medical technology not often seen by those outside the field (or their patients).  If you believe that a picture is worth a thousand words, CESI does that one better, with a virtual tour available on-line, which allows individuals, organizations, and the general public a glimpse of the sophisticated technology available to teach surgeons and medical teams the robotic techniques now emerging.

During the two decades since its inception – with exponential growth in recent years – its predecessor facilities and CESI (so-named in 2010) has expanded from 900 square feet to 20,000 square, training thousands of medical personnel. Incredibly, the entire operation is run with a staff of six – from the medical and program directors down to the simulation technician. The dedication and pride is evident in every aspect of the facility’s operation, which has a schedule that is consistently busy – not only with surgeons, residents and nursing staff from Hartford Hospital, UConn and local acute care facilities, but from organizations local – such as the Connecticut Fire Academy – and worldwide, such as teams from France and Israel (during the past two weeks alone).

In fact, both the Navy and Army National Guard use the CESI facility for their training purposes. The Navy trains their independent duty coremen and physicians. The state-of-the-art facilities enable CESI staff to simulate not only medical emergencies, but the environment that teams such as those in a war zone would face in responding.  That level of training is invaluable,  and not readily available elsewhere.

CESI has been recognized as a Center of Excellence - one of only 20 centers designated nationwide. Nearly two dozen training courses are offered, ranging from labor & delivery to bio-terrorism, traumatic brain injury to advanced cardiac life support.  This summer, Governor Dannel P. Malloy announced that the state will provide a $10 million grant to support a 30,000 square foot expansion of CESI - part of the hospital’s larger $100 million capital improvement plan, designed to make the institution a leader in training the world’s healthcare professionals in the latest medical techniques.

CESI is comprised of three separate areas:

• Robotic and endovascular simulators
• Task trainers, ultrasound technology and Fundamentals of Laparoscopic Surgery (FLS)
• Five simulated clinical environments each with its own control room: Labor & Delivery, Resuscitation, ICU, Trauma/ED, and Operating Room.

Internally, Hartford Hospital’s Departments of Anesthesia, Critical Care, Emergency Medicine, Ob-Gyn and Surgery are all using the facility to orient their first year residents and fellows to their clinical practices. The residents are able to experience hands-on training without the added pressure of performing new tasks on real people. It builds their confidence and allows them to learn, practice and repeat procedures in a controlled, non-rushed and educational environment.

It is also an ideal setting to begin to establish a culture of patient safety and open communication among an interdisciplinary medical team, whether from Hartford Hospital or elsewhere. Participants are able to train in a setting similar to an actual work environment to create an atmosphere of realism - mirroring multiple types of acute crises and patient care scenarios. Through simulation, the team can learn the physiologic components of crisis management, equipment knowledge, technical skills, and the leadership and teamwork needed to successfully deliver exceptional health care.

As Connecticut steps up its international presence in bioscience research and personalized medicine, facilities such as CESI have the potential to complement that effort, broadening the state’s impact on health care and medicine for decades to come.

Local Author Among Growing Trend of Alzheimer's Books for Children

It seems the number of children’s books devoted to explaining Alzheimer’s Disease (AD) in a kid-friendly way is growing, not surprising since the number of people with Alzheimer’s continues to increase along with the number of older Americans. The New York Times recently reported that a trip to a local children’s book store stocked revealed at least half a dozen titles on the shelves.  A more formal study by three doctoral students at Washington University, analyzing the way storybooks describe the disease, found 33 of them published for 4- to 12-year-olds from 1988 to 2009.

Among the books is one authored by Linda Scacco, a West Hartford mother of three, clinical psychologist and an adjunct professor at the University of Hartford, who drew on her professional and personal experience.  Her book, "Always My Grandpa," was published in 2005.  The roots of the story come from the death of Scacco’s uncle from the disease in 1988.   Reviews of the book highlighted its “gentle narration and easy-to-understand explanations,” about Alzheimer's disease and “how it affects children, and families.”

While acknowledging the challenge of presenting explanations in a way that children can absorb, the Wash U graduate students found that overall, the books tend to “provide little information about the diagnostic process or treatments. Clinical presentations are diverse among characters with AD, and no single book presented a comprehensive depiction of the cognitive, behavioral, affective, and functional symptoms of the disease.”  They suggest that more be done to “ensure health literacy about AD in young children.”

The Times pointed out that the study indicated that generally absent were “symptoms like wandering, agitation sleep disturbances and depression. Only about a third of the books depicted anger or irritability, and very few showed functional limitations — the inability to drive, feed oneself, walk.”

Holistic Chamber of Commerce to Launch in Connecticut

The Connecticut chapter of the Holistic Chamber of Commerce (HCC) will have its first meeting later this month, one of three new chapters around the country that are being launched.  (The others are in Houston and Washington State.)  The HCC – which began in California - is a growing national network of holistic professionals and businesses, and the organizations that encourage and promote a holistic lifestyle. The Connecticut chapter - led by local business owners - will kick-off at an inaugural meeting on Tuesday, October 23 at 6 PM at Sacred Rivers Yoga, 2934 Main Street in Glastonbury.  The newly forming Connecticut chapter becomes part of a member-based organization representing and promoting holistic and eco-friendly products, services and solutions for health, lifestyle and business, and supporting the professionals and practitioners who make holistic/eco-friendly choices available.

The organization promotes community outreach and social awareness of holistic and eco-friendly alternatives. Members also take part in networking opportunities, educational forums and learn business development skills designed to enhance business, life and community.  Individuals or business owners interested in learning more may contact Chapter President Kimberly Gedney at 860-965-1559 or CT@HolisticChamberOfCommerce.com.

AARP Forums, Survey Focus on Need for Social Security, Medicare Funding

The Connecticut chapter of AARP will hold public forums in the 4^th and 5^th Congressional Districts in the coming weeks, just prior to Election Day, highlighting the decisions that will need to be made next year by the newly elected administration and Congress regarding future of Medicare and Social Security.   The forums – which will detail the issues involved to assist people to decade amongst candidates  - will take place on October 29 in Waterbury and November 2 in Bridgeport. As a backdrop to the forums, AARP commissioned the development of a website focusing on the future of Medicare and Social Security, earlier this year.  More than 10,000 Connecticut visitors to the site have responded to AARP’s questionnaire to date.

Interestingly, 86 percent said they believe that Medicare and Social Security will need some combination of more funding or benefit changes. The majority of respondents (58 percent) think Social Security is okay as is or needs only minor changes, while 54 percent feel the same about Medicare. Only 18 percent of respondents believe Social Security is in immediate crisis and only 14 percent believe Medicare is in immediate crisis.

Report: CT Lacks 'Top Performing' Hospital

Connecticut is the only New England state - and one of just three nationally - to have no hospitals designated as "Top Performers" by The Joint Commission. The organization issues an annual report gauging the performance of more than 3,300 accredited hospitals on 45 accountability measures linked to positive patient outcomes. The Connecticut Health I-Team reports that the commission evaluated 620 hospitals in 47 states that it says are "leading the way nationally in using evidence-based care processes closely linked to positive patient outcomes." The Joint Commission report notes that many hospitals not recognized as top performers "are still performing well on accountability measures, but there is room for improvement."

Every state has at least one hospital on the list except Connecticut, North Dakota and South Dakota.  Ten hospitals in Massachusetts, four in Maine, four in New Hampshire, three in Vermont and one in Rhode Island were designated as top performers. The top-performer designation is based on performance related to accountability measures for heart attack, heart failure, pneumonia, surgical care, children's asthma care, inpatient psychiatric services, venous thromboembolism (VTE) care, and stroke care.

Of the 620 hospitals recognized as 'Top Performers on Key Quality Measures," 26 percent are rural hospitals, 45 percent are nonprofit hospitals, and 49 percent have between 100 and 300 beds.  Major teaching hospitals account for 5 percent of the recipients.  The number of hospitals recognized by the Joint Commission increased more than 50 percent from the list's debut last year, when one Connecticut hospital - Griffin, in Derby - was included.   The full list of Top Performers on Key Quality Measures is available at www.jointcommission.org.

"Pink Party" Launches Focus on Breast Cancer Awareness

The stark statistics underscore the importance of Breast Cancer Awareness Month in Connecticut, which kicks off with a “Pink Party” in the thriving Blue Back Square in West Hartford on Thursday, October 4 from 5:30 to 7:30.  The festivities – including food, music, dancing and fashion - have a serious backdrop encouraging financial support for education, prevention and treatment:

• About 3,140 Connecticut women will be diagnosed with breast cancer this year.
• About 20% of breast cancers nationwide occur among women younger than age 50.
• Breast cancer is the second most common cancer among U.S. women.
• One in 8 women will be diagnosed with breast cancer curing their lifetime.
• Most women with breast cancer do not have a family history of the disease.

Numerous hospitals, radiology facilities and clinics - as well as some retail outlets - throughout Connecticut have special programs throughout the month, aimed at ensuring that women take preventative steps such as screenings and mammograms.  The Pink Party supports  Komen Connecticut, which provides about $1 million in grants annually to support the work of health care organizations statewide.  The American Cancer Society is sponsoring additional awareness events, many with the support of local media and businesses.

Prescription Drug Take Back Day is Saturday; 60 CT Sites Ready

State and local law enforcement officials in more than 60 cities and towns across Connecticut will join with the U.S. Drug Enforcement Administration (DEA) this Saturday, September 29, to give residents the opportunity to prevent drug abuse and theft by ridding their homes of potentially dangerous expired, unused and unwanted prescription drugs. Attorney General George Jepsen joined the DEA, the state Departments of Consumer Protection and of Emergency Services and Public Protection, and the Governor’s Prevention Partnership in detailing the state’s growing prescription drug problem and encouraging state residents to take part in National Prescription Drug Take Back Day by visiting a nearby collection site.  Connecticut’s  collection sites will be open from 10:00 a.m. to 2:00 p.m.

The National Survey on Drug Use and Health reports that 90 percent of addictions start in the teenage years. Prescription medications are now the most commonly used drugs among 12 to 13 year olds. Two-thirds of teens who abuse pain relievers say they get them from their family members and friends

“Prescription drug abuse is the fastest growing drug problem in the United States, and the problem is here, at our doorstep,” said Attorney General Jepsen. “Safe disposal of unused and unwanted prescription medications is an effective way of getting potentially dangerous substances out of medicine cabinets.”

According to the Centers for Disease Control, more Americans die from drug overdoses than in car crashes, and this increasing trend is driven by prescription painkiller overdoses.

“National Prescription Drug Take Back Day is an opportunity for us to increase awareness of the simple steps we all can take to slow the growth of prescription drug abuse, which is a 365-day a year problem, and to encourage everyone to use safe drug disposal practices every day,” Department of Consumer Protection Commissioner William M. Rubenstein said, noting that Connecticut has sites for unused prescription medication to be turned in throughout the year, beyond the nationwide event  this Saturday.

This past April, Americans turned in 552,161 pounds – 276 tons – of prescription drugs at over 5,600 sites operated by the DEA and nearly 4,300 state and local law enforcement partners. In its four previous Take Back events, DEA and its partners took in over 1.5 million pounds – nearly 775 tons – of medication.

“The Governor’s Prevention Partnership commends the leadership of the Attorney General and the DEA in bringing focus to the need for proper disposal of unused medicine in order to reduce the risk of youth drug abuse,” said Jill Spineti, president and CEO of the Governor’s Prevention Partnership. “We also remind parents and caregivers to have open communication with their children and to remain vigilant throughout the teenage years, so that misuse or abuse of medicine can be avoided.”