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Healthcare Reform Debate Has Begun

It’s official.  The nation’s healthcare system is in crisis and President Barack Obama vowed, on his campaign trail, to fix it.  He’s taken the first step toward doing just that by convening representatives from his White House Cabinet, Congress, the medical and insurance communities, and the public.  The healthcare reform debate has begun in earnest.

In his opening address to the gathered summit members, Obama said negotiations and their outcome will be different this time, referring to attempts at healthcare reform during the early years of the Clinton Administration.  His mission is threefold:

  • Dramatically expand insurance coverage to the 46 million Americans currently without it;
  • Improve overall quality of care; and
  • Rein in skyrocketing medical costs draining the budgets of individuals and families, businesses, and the government.

The president is urging members of the summit to look beyond health care alone and the nation’s moral responsibility to provide adequate care to all its citizens but to remember that the crisis in the medical industry contributes tremendously to the nation’s current economic crisis, too.  Current spending is about $2.3 trillion per year nationwide, accounting for a whopping 16% of the gross domestic product.  These figures represent the largest per capita expenditure on health care on the planet but dollars spent do not equate to quality of care.  Living longer and healthier are two major criteria for determining quality of care but, in most other industrialized nations, the average citizen outlives the average American and enjoys a healthier life along the way.

In his proposed national budget, Obama has designated $634 billion, to be spread over a 10-year period, for healthcare reform.  The purpose of this summit is to determine exactly what reforms need to be made, how to make those reforms, and how to fund the reformation.

Acknowledging his expectation of a long and heated debate, the president has asked all involved to accept the impossibility of a plan perfect for everyone and, instead, to avoid making “the perfect the enemy of the good.”  He also reiterated his invitation to evaluate all ideas presented from every source.

it’s not your grandfather’s pharmacy anymore . . .

Upstate HomeCare Maintaints 797 Compliant Pharmacy To Ensure The Highest Level Of Safety In Our Compounded Drugs.

During the 1960s, the practice of pharmacy began growing and evolving. In response to an increasing number of patient injuries due to medication delivery and sterile compounding, the industry began calling attention to safety.

The United States Pharmacopeia (USP) drafted a revision of the general information chapter 1206, which was proposed as a guideline and detailed the procedures for preparing sterile drugs intended for home use. The FDA committee wanted an enforceable entity and, by changing chapter 1206 to chapter 797 and moving it into the General Tests and Assays portion of the USP, they established a legal base by which the FDA could determine whether a drug has been adulterated. The revision of the chapter ensures that medications are compounded accurately and appropriately, protecting patients from microbially contaminated preparations.

USP 797 enlists quality controls for technique, method, and validation, building quality and safety into the entire compounding process. CSPs must be accurately identified, measured, diluted, and mixed. They must then be appropriately purified, sterilized, packaged, sealed, labeled, stored, dispensed, and distributed. And all this must be accomplished in an environment that ensures less than 352,001 particles per cubic meter (0.5 μm or larger), called a cleanroom.  To give perspective to this requirement, realize that ambient air outside in a typical urban environment might contain as many as 35,000,000 particles per cubic meter (0.5 μm or  larger). 

Upstate’s cleanroom meets this ISO7 requirement by having the air entering our cleanroom filtered to exclude dust. Then the air inside is constantly recirculated through high efficiency particulate air HEPA and ultra low penetration air filters to remove internally generated contaminants. 
Static controls are maintained through sticky mats on entrance and exit, a controlled anti room in which special cleanroom garments must be put on, such as gloves, gowns, hoods, and shoe covers.  

Want To Lose Weight? Keep A Food Diary

US researchers working on a study comparing approaches to weight loss, found that keeping a food diary can double weight loss as part of a managed programme; they said that the more food records they kept, the more weight the participants lost.

The study was carried out by investigators from Kaiser Permanente’s Center for Health Research, and is to be published in the August issue of the American Journal of Preventive Medicine.

Read more about Weight Loss by Keeping a Food Diary