Category Archives: Harborview

Will Seattle’s gun tax survive court challenge?

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Mike Coombs, the owner of an outdoor store in Seattle, opposes the city’s gun tax. But city leaders say it will fund medical research on reducing gun violence.

Mike Coombs, the owner of an outdoor store in Seattle, opposes the city’s gun tax. But city leaders say it will fund medical research on reducing gun violence.

By Elaine S. Povich
Stateline

SEATTLE — To Mike Coombs, owner of the Outdoor Emporium, a hunting, fishing and camping store, Seattle’s gun tax is unfair and aimed at driving him out of the city, if not out of business. To Seattle City Councilor Tim Burgess, the tax is a good way to fund medical research on reducing gun violence injuries.

The two represent the opposing poles in the debate over Seattle’s controversial tax on guns and ammunition that took effect Jan. 1 and puts this city at the center of a dispute over whether municipalities can tax firearms to pay for what they see as a public benefit or states alone have the power to regulate and tax guns.

The dispute, which emerged briefly last year in Baltimore and continues in Cook County, Illinois, involves issues such as whether the taxes are designed to suppress gun sales or drive sales out of a city or county, and whether gun violence is a public health issue that justifies taxes on firearms and ammunition to help pay for their consequences in the same fashion as taxes on cigarettes and alcohol.

Here — where the city collects a $25 tax on every gun sale and between 2 cents and a nickel on every round of ammunition, depending on the caliber — Burgess and Coombs are equally wedded to their positions.

The $300,000 to $500,000 that the tax is expected to raise this year is earmarked to fund a study of gunshot victims, including medical and behavioral interventions, by the University of Washington and Harborview Hospital’s trauma center, which treats most of the city’s gunshot victims. Continue reading

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Inslee calls for public health approach to gun violence

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GunFrom the Office of the Governor

Gov. Jay Inslee today signed an executive order that launches a statewide public health initiative to reduce and prevent gun-related fatalities and injuries.

The order uses the same data-driven public health approach that has significantly reduced motor vehicle deaths over the past two decades.

The initiative will help the state understand the people and places most at risk of gun violence or suicide, determine the best approaches to reducing gun violence and work with its partners to develop strategies and actions to prevent gun violence.

“This will be a data-driven approach that helps us identify the people and places most susceptible to gun crime and suicide,” Inslee said. “Gun crime is a scourge that has scarred thousands of families in every corner of our state. It’s a scourge we can, should and will help prevent.”

Between 2012 and 2014, 665 people died in Washington state from firearm injuries, compared to 497 deaths from automobile accidents. Approximately 80 percent of the firearm deaths were suicides.

Inslee’s order requires the Department of Health and the Department of Social and Health Services, in collaboration with the University of Washington and other state and local agencies to collect, review and disseminate data on deaths and injury hospitalizations related to firearms, as well as recommend strategies to reduce firearm-related fatalities and serious injuries.

Inslee said he also wants to further strengthen the background check law approved by Washingtonians in 2014. He is directing the state Office of Financial Management to analyze the effectiveness of information sharing between state agencies, the courts, local jurisdictions, law enforcement and other entities to determine if there are ways to improve the effectiveness of the system.

He is also requesting the Attorney General’s office to analyze current enforcement practices to make sure those attempting to purchase a firearm illegally are held accountable.

He is also asking them to update a 2007 white paper regarding access to firearms for those with mental illness. The white paper included recommendations that have yet to be implemented such as a centralized background check system.

Inslee is directing agencies to submit recommendations by October of 2016. Continue reading

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Push on to open up medical records to patients

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Shelves packed with medical records

Push On To Make Transparent Medical Records The National Standard Of Care

By Michelle Andrews
KHN

Perched on an exam table at the doctor’s office watching the clinician type details about their medical problems into their file, what patient hasn’t wondered exactly what the doctor is writing?

In an experiment, 100 primary care doctors volunteered to open up their notes to 20,000 of their patients at three medical institutions, including Harborview Medical Center in Seattle.

As many as 50 million patients may have a chance to find out in the next few years, following the announcement this week of $10 million in new grants to expand the OpenNotes project, which works with medical providers to expand patient access to clinician notes.

OpenNotes started in 2010 as a research project to examine what would happen if patients had easy access to their doctor’s visit notes, which may include a summary of their conversation, the symptoms patients describe and their doctor’s findings from a physical exam.

Although patients have a legal right to their medical records, getting those documents is often difficult and expensive.

In that experiment, 100 primary care doctors volunteered to open up their notes to 20,000 of their patients at three medical institutions: Beth Israel Deaconess Medical Center in Boston, Harborview Medical Center in Seattle and Geisinger Health System in Pennsylvania and New Jersey.

At the end of a year, according to survey results published in the Annals of Internal Medicine, more than 90 percent of patients said they thought open visit notes were a good idea. More than two-thirds of physicians who participated in the program agreed, though more than half said they thought opening up their notes to their patients would cause them more worry. Continue reading

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Medicare penalizes 758 hospitals for safety incidents

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Physician and Nurse Pushing Gurney

By Jordan Rau
KHN

The federal government is penalizing 758 hospitals with higher rates of patient safety incidents, and more than half of those places had also been fined last year, Medicare records released late Wednesday show.

Among the hospitals getting punished for the first time are some well-known institutions, including Stanford Health Care in Northern California, Denver Health Medical Center and two satellite hospitals run by the Mayo Clinic Health System in Minnesota, according to the federal data.

The fines are based on the government’s assessment of the frequency of several kinds of infections, sepsis, hip fractures and other complications. Medicare will lower all its payments to the penalized hospitals by 1 percent over the course of the federal fiscal year, which runs through September 2016. In total, Medicare estimates the penalties will cost hospitals $364 million.

Penalized hospitals in Washington state:

  • MULTICARE AUBURN MEDICAL CENTER
  • HIGHLINE MEDICAL CENTER
  • SWEDISH ISSAQUAH
  • KENNEWICK GENERAL HOSPITAL
  • MULTICARE GOOD SAMARITAN HOSPITAL
  • VALLEY MEDICAL CENTER
  • HARBORVIEW MEDICAL CENTER
  • SWEDISH MEDICAL CENTER
  • SWEDISH MEDICAL CENTER / CHERRY HILL
  • DEACONESS HOSPITAL, SPOKANE
  • PROVIDENCE HOLY FAMILY HOSPITAL, SPOKANE
  • PROVIDENCE SACRED HEART MEDICAL CENTER, SPOKANE
  • VALLEY HOSPITAL, SPOKANE
  • LEGACY SALMON CREEK MEDICAL CENTER, VANCOUVER
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER, VANCOUVER
  • YAKIMA VALLEY MEMORIAL HOSPITAL, YAKIMA WA

The penalties, created by the 2010 health law, are the toughest sanctions Medicare has taken on hospital safety, and they remain contentious. Patient safety advocates worry the fines are not large enough to alter hospital behavior and that they only examine a small portion of the types of mistakes that take place. Medicare plans to add more types of conditions in future years.

“I think the penalties are important,” said Helen Haskell, a prominent patient advocate. “I think it’s the only thing that gets people’s attention. My concern is the measures stay strong or even be strengthened.” Continue reading

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Online scorecard helps you pick a surgeon

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surgeons performing surgery in operating roomThe independent investigative journalism website ProPublica has created online “Surgeon Scorecard” that you can use to find out a surgeon’s complication rate for eight commonly performed operations.

To learn about the complication rates of surgeons working at hospitals in Washington state go here.

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UW medical school to be ranked in the top 10 for research and primary care by US News & World Report

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UW US News & World Report is offering a “sneak peek” at its 2016 Best Graduate School Rankings due out next week. University of Washington will be ranked in the top 10 in the nation for research and for primary care.

via 2016 Best Graduate Schools Preview: Top 10 Medical Schools – US News.

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Which Washington hospitals penalized for having high rates of medical mistakes?

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Kaiser Health News

Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as “hospital-acquired conditions” or HACs

Penalized hospitals will have their Medicare payments reduced by 1 percent over the fiscal year that runs from October 2014 through September 2015.

To determine penalties, Medicare evaluated three types of HACs.

  • One is central-line associated bloodstream infections, or CLABSIs.
  • The second is catheter-associated urinary tract infections, or CAUTIs.
  • The final one, Serious Complications, is based on eight types of injuries, including blood clots, bed sores and falls.

Here are the Washington state hospitals that are being penalized:

Cascade Valley Hospital Arlington WA Snohomish
Deaconess Medical Center Spokane WA Spokane
Harborview Medical Center Seattle WA King
Kadlec Regional Medical Center Richland WA Benton
Multicare Auburn Medical Center Auburn WA King
Multicare Good Samaritan Hospital Puyallup WA Pierce
Northwest Hospital & Medical Center Seattle WA King
Peacehealth St Joseph Medical Center Bellingham WA Whatcom
Providence Holy Family Hospital Spokane WA Spokane
Providence Sacred Heart Medical Center Spokane WA Spokane
Providence St Mary Medical Center Walla Walla WA Walla Walla
Swedish Medical Center – First Hill/Ballard Seattle WA King
Swedish Medical Center / Cherry Hill Seattle WA King
Trios Health Kennewick WA Benton
Valley Medical Center Renton WA King
Wenatchee Valley Hospital Wenatchee WA Chelan
Yakima Regional Medical And Cardiac Center Yakima WA Yakima

Please contact Kaiser Health News to send comments or ideas for future topics for the Insuring Your Health column.

khn_logo_lightKaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.

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King County man found not to have Ebola, released from hospital

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Map of SeattleThe King County resident who had been tested for Ebola has been found not does not have the virus, according to the results from the Washington State Public Health Laboratory, Public Health – Seattle and King County said Monday.

The man had developed a fever and a sore throat after traveling in the West African nation of Mali and had been admitted to UW Medicine’s Harborview Medical Center for evaluation. By late Sunday afternoon, his symptoms had improved and he was able to go home.

Following the CDC’s protocol for anyone arriving from Mali, his health will continue to be actively monitored by our Communicable Disease and Epidemiology staff until he has cleared the time frame in which Ebola could develop.

Learn more about Ebola: www.kingcounty.gov/health/Ebola

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King County man tests negative for Ebola

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Map of SeattleA King County man who developed fever after returning to the area from Mali has tested negative for Ebola, Public Health – Seattle & King County health officials said Sunday.

The man who also had a sore throat — but none of the of symptoms typical of Ebola infection —  was admitted to UW Medicine’s Harborview Medical Center for evaluation.

The US Centers for Disease Control and Prevention (CDC) recommends close monitoring of anyone with fever and other symptoms of Ebola who has recently travelled in Ebola-affected countries. Mali has had only 8 cases of the disease.

Here’s the announcement from Public Health – Seattle & King County:

Continue reading

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Cambia gives its largest grant ever to UW Medicine: $10 million for palliative care – Puget Sound Business Journal

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Dr. Randy Curtis, right, director of the UW Palliative Care Center of Excellence.

Dr. Randy Curtis, right, director of the UW Palliative Care Center of Excellence.

The grant is Cambia’s largest ever given to any organization and will come in four separate parts, creating three endowments totaling $8 million and $2 million dedicated to immediately improving care at the center.

via Cambia gives its largest grant ever to UW Medicine: $10 million for palliative care – Puget Sound Business Journal.

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Eight Washington hospitals identified for Ebola care

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ebolaAlthough all hospitals in the state are making plans to rapidly identify, isolate and safely evaluate people with suspected Ebola, eight hospitals are preparing to care for a person with Ebola for the duration of the illness.

These are:

  • CHI Franciscan Health (Harrison Medical Center – Bremerton campus),
  • MultiCare Tacoma General Hospital,
  • Providence Regional Medical Center Everett,
  • Providence Sacred Heart Medical Center and Children’s Hospital in Spokane,
  • Seattle Children’s Hospital,
  • Swedish Medical Center (Issaquah),
  • Virginia Mason Hospital, and
  • UW Medicine (Harborview Medical Center, UW Medical Center, Valley Medical Center)

“The chance of a confirmed case of Ebola in Washington is very low, but in the event it happens we want to be sure we have the capacity to provide ongoing care to a patient,” said Dr. Kathy Lofy, state Health Officer. “Patients with Ebola can become critically ill and require intensive care therapy. Care needs to be delivered using strict infection control practices. We are working with each of the committed hospitals to ensure we are coordinated and thorough in our response.” Continue reading

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HIV clinic in Federal Way to increase treatment access for patients

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UW Federal WayFrom the Washington State Department of Health

The Department of Health is funding a new HIV satellite clinic in Federal Way.

It’s the fourth department-funded satellite clinic aimed at improving access to primary medical care for HIV-positive people in Puget Sound.

The satellite clinic operates through a partnership with Harborview Medical Center’s Madison Clinic.

A Harborview physician will be available every Thursday at the UW-Neighborhood Clinic in Federal Way to provide care to HIV patients living in Federal Way and nearby communities.

The department is giving Harborview $42,000 to cover the physician’s time and the costs of administering the services. The clinic opened Oct. 9, 2014.

Earlier satellite clinics opened in Everett, Bremerton and Olympia (in partnership with SeaMar Community Health Center).

The state health department estimates that there are as many as 2,365 people living with HIV in the southern King County and Pierce County areas. Continue reading

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Making hard decisions: WSU President Elson Floyd on splitting up with UW – Puget Sound Business Journal

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elson-floyd-wsu-president*304xx2996-4494-299-0Q: What brought about the decision to split up?

A: It was the view of the UW that in order to continue our participation in the WWAMI program we had to be “100 percent in,” and that was the term that was used by UW. And by that they meant we could not continue in the WWAMI program while pursuing aspirations to have a second medical school in the state.

via Making hard decisions: WSU President Elson Floyd on splitting up with UW – Puget Sound Business Journal.

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Harborview volunteers to care for Ebola patients should need arise

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HarborviewFrom Washington State Department of Health

Harborview Medical Center has volunteered to become one of the hospitals willing to consider receiving U.S. patients evacuated from Western Africa for treatment of Ebola.

The decision follows the Centers for Disease Control and Prevention’s request last week to find hospitals around the country that could treat citizens who have been on the frontlines of the international crisis.

“Consistent with Harborview Medical Center’s mission and role of serving the public in Seattle, King County and our region, we’re willing to consider accepting U.S. residents who may be infected with Ebola,” said Dr. Timothy Dellit, associate medical director of the Seattle hospital. “It will depend on the hospital’s current capacity and our ability to maintain our critical functions.”

There are no patients with Ebola in Washington, and there are no plans to evacuate patients to the region in the near future.

There are no patients with Ebola in Washington, and there are no plans to evacuate patients to the region in the near future. However, the hospital and state and local health officials are ready. Continue reading

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Harborview as busy as ever, even with more people insured | Local News | The Seattle Times

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HarborviewWith more people obtaining health insurance under the Affordable Care Act, places like Harborview Medical Center are providing much less “charity” (uncompensated) care. The Emergency Department there is as busy as ever, though.

via Harborview as busy as ever, even with more people insured | Local News | The Seattle Times.

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