Connecticut Leads the Nation in Preventative Health Care

Among the nation’s 34 most populous states, the rate of preventive health care visits was higher in Connecticut than any state in the nation.  Data released this month from the Centers for Disease Control and Prevention National Center for Health Statistics also found that the rate of preventive care visits to primary care physicians, among the 34 most populous states, exceeded the national rate in Connecticut more than elsewhere. Preventive care visits such as general medical examinations, prenatal visits, and well-baby visits give physicians and other health professionals the opportunity to screen for diseases or conditions, as well as to promote healthy behaviors that may delay or prevent these conditions and reduce subsequent use of emergency or inpatient care.

In this report, the rate of preventive care visits to office-based physicians is examined by state, patient demographics, and physician specialty. Estimates are based on data from the National Ambulatory Medical Care Survey (NAMCS), a nationally representative survey of visits to office-based physicians.

Overall, preventive care visit rates were higher for children under age 18 years (73.2 per 100 persons) and for those aged 65 and over (81.1 per 100 persons) than for adults aged 18–44 (53.2 per 100 persons) and 45–64 (51.8 per 100 persons).  The preventive care visit rates for women aged 18–44 (87.1 per 100 women) and 45–64 (60.5 per 100 women) exceeded the rates for men in those age groups (18.5 and 42.5 per 100 men, respectively).

The rate of preventive care visits in the 34 most populous states ranged from 33.1 visits per 100 persons in Arkansas to 120 visits per 100 persons in Connecticut.  Among those 34 states, the rate of preventive care visits was lower than the national rate in 11 states (Arkansas, Indiana, Iowa, Michigan, Missouri, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, and Washington).  The national average was 61.4 visits per 100 persons.  The data is from 2012, the most recent year available from the National Ambulatory Medical Care Survey.

In 2012, 35.7 preventive care visits were made to primary care physicians for every 100 persons across the United States.  In Connecticut, primary care physician preventative care visits were made 59.3 times per 100 people, the highest percentage in the nation.  In Massachusetts, the rate was 53.1, in Colorado 51.7, in Florida 48.7 in Georgia 43.3, in Texas 42.8 and in Maryland 42.2.  Overall, 58.2 percent of preventive care visits were made to primary care physicians, according to the CDC data.  Primary care physicians include office-based physicians in the specialties of family or general medicine, internal medicine, and pediatrics.

The female rate (76.6 visits per 100 females) of preventative care visits exceeded the male rate (45.4 visits per 100 males) by 69 percent. The percentage of preventive care visits to primary care physicians, however, made by males (76.3%) exceeded those made by females (48.0%). The data suggests that women tend to make their preventative care visits to physicians other than their primary care physician, with the report’s summary suggestion. this “may be related to gynecological or obstetric care for women.”

In 2012, the NAMCS survey sample size was increased fivefold to allow for state-level estimates in the 34 most populous states for the first time.

Elder Abuse Prevention Recommendations Sent to State Legislature

Though precise definitions of elder abuse vary widely across jurisdictions, conceptually, elder abuse is any form of mistreatment that results in harm or loss to an older person. That, according to a report issued by Connecticut’s Legislative Commission on Aging, is at the core of a series of 15 recommendations being made to the state legislature and executive branch to respond to increasing concerns about the growing prevalence of elder abuse. The report explains that “it can be physical, financial, psychological, or include neglect or abandonment and it may take place in a home or institutional setting. Though often a hidden phenomenon, elder abuse is a significant human rights, public health and social justice issue that transcends race, ethnicity, religious affiliation, income and education levels.”

Earlier this year, the legislature directed the Commission to conduct a study” concerning best practices for reporting and identification of the abuse, neglect, exploitation and abandonment of older adults.”  The report was submitted to the legislature, which convenes this week.

The Commission has also launched a new website focused on Financial Abuse & Exploitation, which includes a series video training videos and a range of resources.

Organized around the three areas of inquiry framed in Public Act 15-236, the report recommendations are:

To emulate national models for reporting abuse, neglect, exploitation or abandonment:

1. Establish parameters for reasonable caseload standards for the Connecticut Department of Social Services Protective Services for the Elderly program (PSE);
2. Establish an elder abuse resource prosecutor in the Office of the Chief State’s Attorney;
3. Conduct a Connecticut-specific cost assessment to better understand the personal and state costs of financial exploitation; and
4. Evaluate moving to an adult protective services model, for adults ages 18 and older, rather than a model only for adults ages 60 and older, balancing the import of retaining choice and control with ensuring that access to protective services is not restricted by age.

To advance standardization and uniformity in definitions, measurements and reporting mechanisms:

5. Conduct a definitional crosswalk among and between state agencies and national guidelines and assess where legal, policy and practice changes can enhance alignment;
6. Have Connecticut PSE develop a strategic plan to develop national voluntary consensus guidelines that have been developed nationally;
7. Have Connecticut PSE modify its data collection process and explore predictive analytics modeling to improve outcomes and quality, to align with the dataset to be collected nationally, and to develop more targeted interventions; and in the interim, have PSE submit a more detailed report to the Connecticut General Assembly;
8. Require Connecticut PSE to develop an online training module for mandated reports on the role of PSE, elder abuse red flags and reporting procedures to PSE; and
9. Develop training and resources for law enforcement.

To promote and coordinate reporting communication among local and state government entities:

10. Have Connecticut PSE formalize a system for consistent and uniform follow-up with all reporters of elder abuse;
11. Enhance training for Connecticut PSE social workers and utilize consultants with specific subject matter expertise to provide guidance on investigation in certain highly specialized areas;
12. Explore promising evidenced-based assessment tools and service models to make informed policy and practice decisions about how to direct and utilize limited resources on behalf of adults who need them most;
13. Pursue federal funding for enhanced training and services to end abuse later in life program.
14. Empower and support multidisciplinary teams (groups of regularly-meeting professionals to handle complex cases of elder abuse), as well as specialized teams such as financial abuse specialist teams, elder fatality review teams, and an elder abuse forensic center; and
15. Support continued development of Connecticut’s criminal justice information system.

Connecticut’s Legislative Commission on Aging is a nonpartisan public policy and research office of the Connecticut General Assembly.  The report indicated that according to a study sponsored by the U.S. Department of Justice, 12.4 percent of adults age 60 and older reported at least one form of emotional, physical or sexual abuse or potential neglect and 11.7 percent reported financial exploitation by a family member or stranger.

Connecticut is the 7th oldest state in the nation, based on median age. It also has the third longest-lived constituency, with an average life expectancy of 80.8 years for residents born in Connecticut today. The report indicated that the “vast scope of elder abuse is especially concerning in light of the significant adverse health consequences for victims.”

More than one-third of Connecticut’s population is over the age of 50, and that proportion continues to rise. Between 2010 and 2040, Connecticut’s population of people age 65 and older is projected to grow by 57%, with less than 2% growth for people age 20 to 64 during the same period, according to the report.

https://youtu.be/b3Dr_sqJOYE

Caregiving Is Critical Issue as "Incredible Demographic Transformation" Continues, Aging Report Stresses

The United States continues to experience “incredible demographic transformation,” according to the Final Report of the White House Conference on Aging (WHCOA), a year-long, nationwide endeavor throughout 2015. In Connecticut, with the nation’s 7^th oldest population, input was provided by legislative and executive branch agencies, which held hearings and offered expert testimony from organizations including AARP, the state Department on Aging, Legislative Committee on Aging and Commission on Aging. “No topic attracted more attention in the lead-up and follow-up to the 2015 WHCOA than caregiving. It echoed across all four of the conference issue areas,” the report indicated, referencing the four common themes that emerged as particularly important to older Americans: Retirement Security, Healthy Aging, Long-Term Services and Supports, and Elder Justice.  The final report noted the participation, at the Boston Regional Forum, of Connecticut’s Commissioner of the Department of Public Health, Jewel Mullen.

Among the findings in the report, issued by the White House, that will demand the attention of policy makers in the next decade:

• Over 10,000 baby boomers are turning 65 every day, and the fastest growing demographic in the U.S. is women over age 85. The proportion of older adults representing racial and ethnic minorities is also increasing rapidly.
• There is a need to break down the silos between housing, transportation, health care, and long-term services and supports in order to support healthy aging. The United States must also take advantage of an “increasing array of web-based technologies, robotics, and mobile devices” that “help older adults access the services they need, stay connected to family and friends, and remain active and independent.”
• The majority of assistance for older Americans is generally provided at home by informal caregivers, especially family and friends, and are often the “primary lifeline, safety net, and support system for older adults.” Although rewarding, caregiving can be demanding, and “informal caregivers need to be supported and sustained with appropriate resources.”
• With family structures changing as Americans are having fewer children and increasingly moving away from families of origin, the availability of family members to provide care is diminishing. “Direct care is a demanding profession with low wages, long hours, and limited benefits. It is critical for there to be efforts to recruit and retain a sufficient number of direct-care workers to keep pace with the growing need.”

The White House has held a Conference on Aging every decade, beginning in 1961, to identify and advance actions to improve the quality of life of older Americans. In 2015, the United States marked the 50th anniversaries of Medicare, Medicaid, and the Older Americans Act, as well as the 80th anniversary of Social Security. The White House Conference on Aging provided "an opportunity to recognize the importance of these key programs as well as to look ahead to the next decade."

At a public hearing in May at Connecticut's Legislative Office Building, state officials noted that Connecticut is undergoing a “permanent and historic transformation” in its demographics.  Statistics released as part of the WHCOA report echoed that observation.

On July 13, 2015, President Obama hosted the sixth White House Conference on Aging, joining older Americans and their families, caregivers, and advocates at the White House and virtually through hundreds of watch parties across the country.

The July event built on a year-long dialogue; the White House Conference on Aging launched a website to share regular updates on its work and solicit public input; engaged with stakeholders in Washington, D.C. and listening sessions throughout the country; developed policy briefs on the emerging themes for the conference and invited public comment and input on them; and hosted regional forums with community leaders and older Americans in Tampa, Florida; Phoenix, Arizona; Seattle, Washington; Cleveland, Ohio; and Boston, Massachusetts.  Additional hearings, including those in Connecticut, were shared with conference officials.  Individuals and groups participated via live webcast in watch parties held in every State and were able to ask questions of panelists and others via Twitter and Facebook.

The Final Report, completed in late December and publicized by the White House this week, now goes to policy makers at the federal and state level to review findings and consider policy actions to respond the critical issues cited as requiring attention.

Average Age of Mothers Increasing in CT and Nationwide, Federal Data Reveals

First-time mothers are older than ever, new federal data has revealed.  Since 2000, the average mother’s age at the birth of her first child has increased in every state in the nation, rising 1.9 years or more in D.C., California, Oregon, and Utah, while increasing by less than a year in Connecticut, Michigan, New Hampshire, and West Virginia. Overall, the average age of mothers has increased from 2000 to 2014 for all birth orders, with age at first birth having the largest increase, up from 24.9 years old in 2000 to 26.3 years in 2014, according to newly released data compiled by the Centers for Disease Control and Prevention.  Connecticut is among a dozen states with the smallest increases in the average age of first-time mothers. 

The federal agency points out that “a mother's age at birth, and particularly the average age when a mother has her first child, is of interest to researchers and the public. Mean age can affect the total number of births a mother has over a lifetime, which in turn impacts the composition and growth of the U.S. population. Age of mother is associated with a range of birth outcomes, such as multiple births and birth defects, the agency noted.

The largest factor in the rise a mother’s average age when her first child is born is the decline in the proportion of first births to mothers under age 20, down 42 percent from 2000 to 2014, or from approximately 1 in 4 births to 1 in 7.

Increases in the average age for all birth orders were most pronounced from 2009 to 2014, according to the data.  While the average age at the birth of a mother’s first child was fairly stable for the first half of this time period, greater increases were observed from 2009 (25.2 years) to 2014 (26.3 years).

Increases from 2000 to 2014 in average age for higher birth orders were less than those for first births, rising 1.4 years for first births, 1.0 years for second births, 0.8 years for third- and fourth-order births, and 0.5 years for fifth- and higher-order births.  As a result of the different rate of increases by birth order, the gap in the average age between sequential birth orders is less than previously. For example, the difference in a mother’s average age at first birth compared with the mean age at second birth was 2.8 years in 2000 and fell to 2.4 years in 2014.

States with larger increases (1.7 years or more) in the average age at first birth tended to be in the western United States (California, Oregon, Washington, Utah, and Colorado), the data indicated. Greater increases were also seen in Illinois, Arkansas, and D.C.

The report emphasized that over the past several decades, the United States continued to have a larger number of first births to older women along with fewer births to mothers under age 20. “This trend and the more recent uptick in delayed initial childbearing can affect the number of children a typical woman will have in her lifetime, family size, and for the overall population change in the United States,” the federal agency pointed out.

This report contains data from the birth data set, which is part of the National Vital Statistics System (NVSS). NVSS contains all live births reported in the United States. The birth data set is the primary data set for analyzing birth trends and patterns in the United States.

Background Checks Up 71 Percent in Past Five Years in CT, 12th Highest Increase in U.S.

Between 2010 and 2015, the number of background checks in Connecticut related to the purchase of firearms grew by 71.4 percent, ranking Connecticut 12^th in the nation in the increase in background checks, according to data compiled by Bloomberg.  The number of background checks during the five-year period increased in every state in the nation, except Utah. In Connecticut in 2010, there were 179,595 background checks conducted as part of the process of purchasing  a firearm.  In 2015, that number had increased to 307,750 during the year, the data compiled by the National Instant Criminal Background Check System (NICS) revealed.

The states with the largest increased in the number of background checks, from 2010 to 2015, were Indiana (211% increase), Delaware (162%), Alabama (139%), California (115%), District of Columbia (112.6%), Florida (105.1%), Wisconsin ((96.8%) Ohio (90.3%), Illinois (79.4%) and New Jersey (78.2%).

Overall, the largest number of background checks occurred in Kentucky, with 3.2 million.  California conducted 1.7 million, Texas 1.5 million, Illinois 1.2 million, and Wisconsin 1.1 million.

The Bloomberg news website ranked the 50 states and the District of Columbia by the percentage increase in number of NICS firearm background checks from January 1, 2010 through December 31, 2015. NICS is the National Instant Criminal Background Check System.

In six jurisdictions – the states of Indiana, Delaware, California, Alabama, Florida and the District of Columbia – the number of federal firearm background checks more than doubled from 2010 to 2015.

Because of varying state laws and purchase scenarios, the statistics do not represent the number of firearms sold, the data analysis indicated.

Advertisers Target Hispanic and Black Youth with Unhealthy Snack Ads, UConn Center Study Finds

The University of Connecticut’s Rudd Center for Food Policy & Obesity is calling on media companies to “set nutrition standards” for snack ads aimed at children and teens and “stop targeting advertising high-calorie, nutritionally poor foods to all young people,” but “especially advertising aimed at Black and Hispanic youth.” The recommendations come in the wake of a report that found that Black and Hispanic children “are exposed to more food advertising than white non-Hispanic children” and much of it is for unhealthy foods that have a greater likelihood of adversely impact children’s health.

The Rudd Center’s report, Snack Facts, found that Black children saw 64 percent more snack food ads on TV compared to white children, and Black teens viewed 103 percent more compared to white teens.  The disparity, according to the report issued last fall, had increased between 2010 and 2014, the most recent year studied.  “FACTS” is an acronym for “Food Advertising to Children and Teens Score.”

The findings also indicated that in addition to a barrage of advertising for unhealthy snacks, Black children and teens saw approximately 50 percent and 80 percent more ads for healthier fruit and yogurt brands – although the positive findings were generally outdistanced by findings of concern.  Black children also saw 99 percent more ads for savory snacks and Black teens saw 129 percent more, compared with white children and teens.

From 2010 to 2014, TV ads for savory snacks (salty or spicy) viewed by black children increased 48 percent and ads viewed by black teens increased 95 percent.  “Given that youth of color suffer from higher rates of obesity and other diet-related diseases,” the Rudd Center indicated, “snack food advertising likely exacerbates health disparities affecting their communities.”

Two-thirds of 2- to 5 year-olds and more than half of youth ages 6 to 19 report having three of more snacks per day, and Americans are spending more on snacks – an increase of more than $100 million from 2012 to 2015, according to data cited in the report.

The Rudd Center report found that snack advertising on Spanish language television had changed dramatically between 2010 and 2014, and not for the better:

• Yogurt advertising declined by 93 percent, and not one fruit brand advertised on Spanish-language TV in 2014.
• Spending on savory snack ads (salty/spicy snacks) skyrocketed 551 percent and sweet snack ads rose 30 percent.
• Ads for unhealthy snacks comprised 88 percent of snack food ads viewed by Hispanic children on Spanish-language TV in 2014, a dramatic jump from 39 percent in 2010.

The 102-page report reviewed the advertising practices of specific companies in the snack food industry, and highlighted changes in advertising emphasis.  It also tracked trends in advertising on social media.  The advertising analysis examined 90 brands spending more than$1 million in total advertising in 2014 from 43 different companies, according to the report. 

The report suggested that “media companies could provide lower rates for advertising that promotes nutritious foods,” noting that aggressive marketing of unhealthy snack foods to children and teens exacerbates the crisis of poor diet and related diseases among young people.”

Snack FACTS examined the nutritional quality and advertising for 90 snack food brands offered by 43 companies that were marketed to U.S. children and teens on TV, internet, and in schools in 2014. Researchers analyzed healthier snacks, including yogurt, fruit, and nuts, as well as unhealthy snacks, including sweet and savory snacks such as cookies, chips, and fruit snacks, comparing 2010 and 2014 when possible.

The report also indicates that “companies have recognized the business opportunity in marketing healthy snacks to young people,” and urges those companies to respond in children and youth’s best interest.

The Rudd Center for Food Policy & Obesity, which affiliated with UConn a year ago after a decade at Yale University, is a non-profit research and public policy organization devoted to improving the world’s diet, preventing obesity, and reducing weight stigma. The Rudd Center is described as “a leader in building broad-based consensus to change diet and activity patterns, while holding industry and government agencies responsible for safeguarding public health.”  Research related to the report was funded by a grant from the Robert Wood Johnson Foundation.

Health Care Seen as Economic Driver in Connecticut, Propelling Growth

The first thought that comes to mind when someone mentions health care is likely not “economic driver.”  If a new marketing initiative by the Connecticut Health Council succeeds, that may be changing. Newly launched in January 2016, the Connecticut Health Council's "Did You Know" campaign is a multichannel content marketing program designed to raise awareness of the health sector's importance as an economic and employment driver in Connecticut. The initiative highlights data that may have escaped widespread attention across the state, with the aim of “promoting Connecticut as a center of health excellence.”

The campaign includes a series of informational posters, now on display at the State Legislative Office Building in Hartford through the end of January, along with “traditional print and broadcast media content, social media alerts, and thought leadership.”  Among the stats highlighted:

• The healthcare sector in Connecticut has grown 12.5% over the past seven years, and now employs 266,400 people.
• There are 20,434 registered healthcare employers in the State of Connecticut.
• From 2007 to 2014, healthcare and social services was the fourth fastest growing employment category in the state.
• Connecticut’s healthcare sector generated $29.6 billion in estimated total before-tax revenue in 2012.

In addition, the marketing campaign also highlights that thee of the top 10 fastest growing companies headquartered in Connecticut in 2014 were healthcare related companies, and that Connecticut’s healthcare sector has the fifth highest number of sole proprietorships of any sector in the state, with the seventh highest revenues. Connecticut’s “unique base of health sector assets” include health insurance companies, hospitals, medical schools, research capacity, and specialty practices, according to the organization’s website.

Founded in 2012 by the MetroHartford Alliance, the Connecticut Health Council is an association of health sector leaders who work to advance the development of businesses, initiatives and technology that improve health care and wellness both nationally and in the State.  The organization, which currently has 90 partners, fosters “collaboration, education, entrepreneurship and networking among leaders of for-profit and non-profit health sector entities.”

Speaking at this month’s Economic Summit & Outlook in Hartford, Oz Greibel, President & CEO of the MetroHartford Alliance, spoke to the need to highlight the data at the State Capitol, where the info-posters are on display.  “(The campaign) is based on the notion of the health sector as an economic and employment driver – and a place for additional capital investment.  Making sure that people at the legislature understand the importance of this sector, and that the actions that they take can be either helpful or detrimental, to long-term growth.”

The Council's primary activity is to host programs focused on health sector topics that feature speakers of regional, national and international renown, the website points out. The Council also provides “a forum for a robust network of experts, professionals and other parties interested in promoting Connecticut as a center of health excellence and the health sector as a primary driver of economic and employment growth in our State.”

As Greibel described it, the Council’s activities are designed specifically “to leverage the extraordinary resources we have in Connecticut in the health care disciplines.”

Highlighting the impact of the state’s hospitals, the Council points out that Connecticut hospitals provide jobs to 55,000 full-time employees and spend $4.2 billion on goods and services.  Overall, Connecticut hospitals contribute $21.9 billion annually to the state and local economies.

The Connecticut Health Council is co-chaired by Marty Gavin, President & CEO of Connecticut Children’s Medical Center, and Bob Patricelli, Chairman & CEO of Women’s Health USA.  The executive director is Amy Cunningham.

Health Care Providers, Insurers Need to Collaborate to Improve Care, Rein in Costs

When Eric Schultz began his keynote remarks, the President and CEO of Massachusetts-based Harvard Pilgrim Health Care made sure to alert his audience to his homegrown pedigree.  Whether his youth in the Naugatuck Valley, college years (five of them) at UConn, or graduate work at Yale contributed to Harvard Pilgrim’s more-than-solid inaugural years doing business in Connecticut isn’t certain, but the above-expectations numbers are indisputable.  And Schmitt made clear that his nonprofit health insurance company is looking for even greater achievements in his home state. Since entering the Connecticut market in the summer of 2014, the company has been aggressively growing its customer base in a competitive market while working diligently to grow and expand its network of doctors.  Harvard Pilgrim Health Care announced recently that its Connecticut membership has grown to more than 24,000, exceeding expectations for 2015. It now serves more than 800 Connecticut businesses.  Twenty-nine of the state’s 30 hospitals are now in-network.

With more than 500 business leaders in attendance at an annual Economic Summit & Outlook last week, brought together by the Connecticut Business and Industry Association and MetroHartford Alliance, Schmitt spent some time touting a new model launched in the state of New Hampshire that he believes may be a glimpse into the direction the industry is moving. Harvard Pilgrim Health Care’s footprint in New England now covers “where 90 percent of New Englanders live,” in Massachusetts, Connecticut, Maine and New Hampshire. 

Schultz, who succeeded now-Massachusetts Governor Charlie Baker in leading the organization five years ago, pointed to what he described as “a practical example of how an insurance company and groups of providers can work together to get control of medical cost trends and to help improve medical outcomes and help create better experiences for physicians and their patients.”

The goals, Shultz explained, are to reduce insurance premium trends by 10 to 15 percent, to improve clinical outcomes, to create a better “practice environment” for medical staff and to grow business.  The partnership is driven to “produce something that’s better than what we have today, because we know the financing of health care is largely broken in the U.S.”

Launched in October 2015 and in business as of January 1, Benevera Health, a joint venture led by senior leadership at Harvard Pilgrim Health Care and Dartmouth-Hitchcock, is a population health company, centered around “clinical and medical informatics.”  Dartmouth-Hitchcock, a nonprofit academic health system that serves a patient population of 1.2 million in New Hampshire and Vermont, is led by Dr. James Weinstein, recently named as one of “100 Physician Leaders to Know” by a national health care trade publication.

“We are combining insurance data with clinical data,” Schultz said, “from their electronic medical records and our claims system, and creating a very powerful source of information.”  That information, he stressed, could be used to better understand what’s happening in regards to patient care, and it can help to redesign and improve clinical care.  This has the potential to be especially important in chronically ill patients, noting that 10 percent of patients drive 50 percent of health care costs.  “It is a great financial opportunity and a great clinical opportunity.”

“The magic,” Shultz noted, is in having the provider and the payer sit down together and figure out” what should be done.  Too often in the past, he said, providers and insurers haven’t gotten together – a lack of cooperation and collaboration that contributes to higher costs and to disconnects regarding patient care.  His expectation is the Benevera will “reduce headaches” that insurance companies often cause providers, reduce duplication and costs, and improve patient care. 

In fact, when the new venture was launched last fall, officials from the two companies stressed that the groundbreaking entity, “will take health care coordination to a new level by bringing together clinical, financial and operational data from across partner institutions to provide actionable analytics for clinicians to further improve the quality and efficiency of patient care.”  They added that  “at the center of this approach will be locally-based care advocates who will identify early opportunities to engage patients – especially those with chronic, complex or emerging conditions - and provide them with one-on-one support.”

Schultz noted that insurance companies tend to resist providers suggesting how insurance plans ought to be designed.  He disagrees with that resistance.  “If more insurers took more input from providers on plan design, we’d be a lot better off.”

Harvard Pilgrim is the only not-for-profit, regional health plan operating in four contiguous New England states.  Harvard Pilgrim’s flagship health plans in New England provide health coverage to 1.3 million members, while another 1.4 million individuals are served through Health Plans, Inc., a subsidiary that provides integrated care management, health coaching and plan administration solutions to self-funded employers nationwide.  Schultz holds an MBA in Health Care Leadership from Yale University’s School of Management, as well as a bachelor of science degree in biology and a bachelor of arts degree in economics from the University of Connecticut.

“We’re about change and driving change,” Schultz told those attending the Hartford summit, “and I believe we need to do more of that.”  He’s hoping to build a similar structure in Connecticut, and in other states around the country, because “it’s exactly what we need to do.”

Link to CT-N video of Economic Summit & Outlook.

Cellphone Likely Won’t Tell 911 Operator Your Location

The Federal Communications Commission has estimated that about 70 percent of 911 calls are placed from wireless phones, and that percentage is growing. For many Americans, according to the federal agency, “the ability to call 911 for help in an emergency is one of the main reasons they own a wireless phone.”  Yet, in an emergency, a cell phone may provide potential first responders with less information than one would expect. The National Emergency Number Association (NENA),which represents dispatchers, supervisors and private-sector service providers, points out that “when 9-1-1 calls are made from wireless phones, the call may not be routed to the most appropriate 9-1-1 center, and the call taker doesn't receive the callback phone number or the location of the caller. This presents life threatening problems due to lost response time, if callers are unable to speak or don't know where they are, or if they don't know their wireless phone callback number and the call is dropped.”  The organization’s motto is “emergency help, any time, anywhere, any device.”

Recent published reports in Governing magazine indicate that “when you check movie times on your cellphone, search for a restaurant or hail a ride, the device automatically knows exactly where you are and can suggest things nearby. So it’s understandable that many people assume the same holds true when they call 911 for emergency assistance.  But the fact is, 911 call centers frequently receive imprecise locations of callers from wireless carriers -- and some don’t get any location information at all. Calls from landline phones are linked to addresses.”

The FCC website explains that “since wireless phones are mobile, they are not associated with one fixed location or address. While the location of the cell site closest to the 911 caller may provide a general indication of the caller's location, that information is not always specific enough for rescue personnel to deliver assistance to the caller quickly.”

More reliable and specific location information could save lives, advocates say, and earlier this year an order from the Federal Communications Commission (FCC) set targets for companies to improve both the availability and accuracy of location information. But those upgrades remain a long way off.

Under the new rules, carriers will have to provide caller location info within 50 meters 80 percent of the time by 2021, along with vertical location information, if the call is being made from an apartment building or high rise office tower -- that would have to be in place in major markets by 2023.

Some have said the industry needs to provide those capabilities much sooner.  While 911 dispatchers routinely ask callers for their location, callers at times hang up before providing that information, for any number of reasons. And, they argue, if a cell phone knows where you are, that information should be instantly made available to 911 dispatchers as well.

The latest FCC guidelines are available for public review.  “We would have liked to have seen a more compressed timetable,” NENA CEO Brian Fontes told Governing.

Published reports in Connecticut indicate that some communities are moving forward with new technology.  The town of Wolcott, according to reports, has begun using a system that will allow police to pinpoint the location of emergency calls made from cell phones.  The Republican-American newspaper reports the town was the first in the state to use the next-generation system in a pilot program that was slated to include the New Britain, Wilton, Enfield, Newington, Valley Shore, Fairfield, Middletown, Mashantucket and Shelton police departments .  The new system shows dispatchers the caller’s location within a 50-foot radius, compared with the old system  which would indicate the location of a wireless 911 call within a quarter-mile radius.

Plans are also in the works that would permit individuals to text 911 from their cell phones.  The CT Post reported last month that about 24 dispatch centers out of 110 statewide are being upgraded to the text-to-911 system. Stratford and Fairfield will be among the first towns in the state to get the texting capability. Officials hope the entire state will have text-to-911 by late 2016 or early 2017, the newspaper reported.

CT Start-Up Wins MassChallenge, Takes Home $300,000 to Advance Work in Glucose Monitoring

Connecticut-based Biorasis, with roots at UConn, was recently awarded the MassChallenge’s top prize at their annual awards ceremony in Boston.  The company was one of only four “Diamond Winners,” receiving a cash prize of $100,000. They were also one of two teams to receive the Sidecar Award, providing an additional $200,000 in non-dilutive funding. Biorasis Inc. is a rapidly growing medical device company committed to advancing the field of metabolic monitoring through development of implantable biosensor platforms and basic research in the areas of drug delivery, nanotechnology and microelectronics.  The company’s goal is to vastly improve the quality of life of diabetics.

The technology developed by Biorasis, the Glucowizzard™, is an ultra-small implantable biosensor for continuous, reliable glucose monitoring. This needle-implantable device wirelessly transmits glucose levels to a watch-like unit for real-time display, which in turn communicates with personal digital accessories like a smartphone. Continuous metabolic monitoring “holds great potential to provide an early indication of various body disorders and diseases,” the company website explains, adding that Biorasis’ implantable multi-sensor platform is “capable of such real-time, continuous monitoring.”

Biorasis is in the business of developing a miniaturized, hypodermic-injectable biosensor for reliable continuous glucose monitoring (CGM) with autonomous operation for 3-6 months that requires no user intervention.

Their solution “eliminates surgery for sensor implantation and extraction, restores active life style, enables remote care for juveniles and the elderly, enhances compliance, and saves 50-70% in annual healthcare costs.”

The company’s co-founders and scientific advisors are:

• Faquir Jaina, a Professor of Electrical & Computer Engineering at the University of Connecticut. He has over 35 years of experience in design, modeling and fabrication of micro/opto-electronic devices, integrated circuits and multiple quantum-well light valves/modulators.
• Fotios Papadimitrakopoulos, a Professor of Chemistry and Associate Director of the Institute of Materials Science at University of Connecticut. He has over 20 years of experience in the areas of polymers, nano/bio-systems and supramolecular assembly of nanostructures.

The company continues to grow, and their scientific team is currently expanding. The Biorasis website indicates that the company is seeking individuals with “a proven track record and experience in the areas of medical devices, electrochemistry, polymer science, pharmaceutics, animal studies, microelectronics and device packaging.” Inquiries can be directed to Biorasis at the UCONN Technology Incubation Program in Storrs.  Additional investors are also being sought.

MassChallenge, an independent nonprofit organization, envisions “a creative and inspired society in which everyone recognizes that they can define their future, and is empowered to maximize their impact.” They note that “novice entrepreneurs require advice, resources and funding to bring their ideas to fruition. Currently there is a gap between the resources these entrepreneurs need and the ability of the entrepreneurial ecosystem to provide them.” To bridge that gap, the organization’s primary activities include running an annual global accelerator program and startup competition, documenting and organizing key resources, and organizing training and networking events.  They “connect entrepreneurs with the resources they need to launch and succeed immediately.”