Limerick Council calls for maternity hospital move to Dooradoyle

first_imgTwitter TAGSDepartment of HealthHealth Minister Leo VaradkarlimerickRegional Maternity Hospital Limerickuniversity hospital limerick Advertisement WhatsApp Linkedin NewsLocal NewsLimerick Council calls for maternity hospital move to DooradoyleBy Alan Jacques – October 9, 2014 827 Limerick’s National Camogie League double header to be streamed live Print Email Previous articleSpecial needs pupils victimised by budget cutsNext articleCouncillors in the dark over Limerick landfill proposal Alan Jacqueshttp://www.limerickpost.ie center_img RELATED ARTICLESMORE FROM AUTHOR Predictions on the future of learning discussed at Limerick Lifelong Learning Festival Vanishing Ireland podcast documenting interviews with people over 70’s, looking for volunteers to share their stories Limerick Artist ‘Willzee’ releases new Music Video – “A Dream of Peace” Health Minister Leo Varadkar is to be called upon to relocate the Regional Maternity Hospital from its current site on the Ennis Road to the University Hospital Limerick (UHL) campus in Dooradoyle.This follows the unanimous support for a notice of motion submitted by Limerick City East Labour Party councillor Elena Secas at last week’s meeting of Limerick City and County Council.Sign up for the weekly Limerick Post newsletter Sign Up When a similar motion was proposed last March, the Department of Health said there was limited funding available for such capital projects up to 2018  and that significant investment has been made at the maternity hospital over the previous year.However Cllr Secas insists that the quality of health care and the access to it in the maternity hospital is a huge issue and its relocation to the main hospital campus is a matter of urgency.“The building is over 50 years old; its facilities and working environment are relatively poor and, despite being the fifth busiest of the 19 maternity units in the country, it has no intensive care or high dependency units,” she stated.“Because it has no blood bank, mothers in critical condition have to be transferred to UHL for treatment and/or investigations, which poses a huge concern for patient safety and separates mothers from their newborn babies in many cases for several days,” she added.Fianna Fail councillor James Collins added his support to Cllr Secas’s proposal and hoped that it would be a case of “new motion, different answer”.He also called for an emergency plan to be implemented at UHL to deal with the current crisis at the hospital’s emergency department and pointed out that “real investment” would have to happen if the maternity hospital was to be moved to Dooradoyle.Fine Gael councillor Maria Byrne said it was “more appropriate” to have the maternity hospital based at the Dooradoyle campus.Sinn Fein councillor for Adare-Rathkeale, Ciara McMahon, expressed concern over the fact that ten people were currently waiting for emergency bypasses at UHL.“I know of one person who has a 100 per cent blockage and they cannot get a bypass.“There are too many pushing pens and not enough pushing trolleys. I know from my experience abroad that you would be treated much faster in Kenya,” she claimed.Fine Gael councillor Liam Galvin described the current situation at UHL as a “disaster” while Anti-Austerity Alliance councillor slammed the Government for its “botched” centralisation of A&E services in the region. Limerick Ladies National Football League opener to be streamed live WATCH: “Everyone is fighting so hard to get on” – Pat Ryan on competitive camogie squads Facebooklast_img read more

Researchers work to fill gaps in Chinese health care

first_img Related The costs of inequality: Money = quality health care = longer life Harvard researchers have designed a system that aligns financial incentives for physicians and hospitals with key measures of performance, hoping to improve health care for millions of patients in some of China’s poorest regions.The effort follows on the Chinese government’s 2009 health care overhaul, which more than tripled spending and implemented an insurance system aimed at ensuring access for 1.2 billion people. The reform made insurance universal and increased participation in the health care system, but without ensuring improvements in quality of care, said Winnie Yip, professor of the practice of international health policy and economics at the Harvard T.H. Chan School of Public Health. To accomplish that goal, the government is working with a research team led by Yip on a large-scale experiment at county hospitals in the provinces of Guizhou and Ningxia. Federal insurance has helped many, but system’s holes limit gains, Harvard analysts say Panel probes how the two vast nations can solve systemic problems Improving health care in China, U.S. The initiative — called APPROACH, for Analysis of Provider Payment Reforms on Advancing China’s Health — is being conducted in collaboration with provincial governments and with teams from Chinese universities. It seeks to alter a system whose incentives are “mal-aligned,” according to Jose Figueroa, an instructor in medicine at Harvard Medical School, physician at Brigham and Women’s Hospital, and part of the project team.China’s fee-for-service health care system leads to inappropriate prescriptions, unnecessary tests, and longer-than-needed hospital stays, Figueroa said. And because not every procedure is covered, the system also drives up out-of-pocket expenses for patients.In the experimental system, the public insurance program pays hospitals a prospective budget based on the county’s disease profile, with 30 percent withheld and paid at six-month intervals according to whether the hospital has met specific quality measures known to improve care for common health conditions. Figueroa is helping devise those measures as a Burke Fellow at the Harvard Global Health Institute.The plan is being implemented at 50 hospitals in 28 counties, Yip said, and is part of a broader effort to improve care at different levels of the nation’s health care system.“A major area of my research is concerned with how to use financing and provider payment to leverage delivery of more effective care,” Yip said. “In China, my work is always conducted in partnership with a team of China-based researchers and governments.”Measures on which hospital payments are based include use of a standard surgical checklist and routine tests of blood oxygen levels in pneumonia patients.Though the measures have been proven in a Western setting, it’s important during the pilot phase to ensure that they translate to rural Chinese hospitals, Figueroa said. Differences in standards and practices raise the chances of technical misunderstandings that can influence performance and reporting among local doctors, affecting results of the trial and the hospital’s subsequent payment.“Before we start holding these hospitals accountable, we need to ensure we pick good enough measures that are true reflections of the quality of care that these hospitals are giving,” Figueroa said.Another challenge, Yip said, is accurate and timely data collection. In addition, hospital managers have needed time to transition to a prospective budget payment system from fee-for-service. Changing minds and behavior is not easy, Yip said.Pay-for-performance systems are controversial because of doubts over whether they actually improve care. In the U.S., pay-for-performance reforms in the Affordable Care Act have lowered readmission rates, but have been ineffective in other areas of care. The amount withheld — 1 percent to 3 percent — may be too small to drive change, Yip said.The size of the Chinese experiment and the 30 percent withheld should provide significant incentives to alter behavior, she said. In addition, China’s strong central government both encourages experimentation and gives health care leaders the ability to scale up positive results and lessons learned.“It’s really exciting because it’s very rare to have an opportunity to essentially design a health system,” Figueroa said. “The ability for scaling and dissemination is pretty incredible. Depending on the success of this program, it would be really cool to see it hopefully help other regions of China as well.”last_img read more

Zeus Command Troops Improve Public Safety in El Salvador

first_imgBy Dialogo November 19, 2014 The Zeus Command’s role in supporting the PNC is scheduled to end on May 3, 2015. The government could extend that role. Patrols by troops have prevented some violent attacks. For example, on November 4, the Ares Task Force, which is part of the Zeus Command, repelled an armed attack by Barrio 18 gang members in the Department of La Paz. Military actions supported by the public BetweenMay2013 and October 6, 2014, the military has confiscated more than $109,000 in cash; more than 32,000 doses of drugs, such as marijuana and cocaine; 11,870 packs of contraband cigarettes; 3,892 cellphones, which soldiers seized from suspected gang members; 239 firearms, of various calibers; and 1,642 rounds of ammunition. The military has been supporting the PNC’s efforts to fight crime since May 2013, and have had a signifianct impact in improving public safety. The military and the PNC work together closely to fight crime. When a soldier detains an offender or seizes weapons, money or drugs, he files a report, and both the detainee and whatever is confiscated is delivered to the PNC to initiate the investigation process. The PNC takes custody of suspects and evidence. Thousands of troops attached to the Zeus Command of the Armed Forces of El Salvador (FAES) are patrolling the country’s 31 most dangerous municipalities to help the National Civil Police (PNC) provide public security. The 3,100 Zeus Command troops on patrol are helping the PNC fight violent street gangs like Mara Salvatrucha (MS-13) and Barrio 18 (M-18), as well as common criminals. “From an operational point of view, the Armed Forces bring the patrolling,” according to. Misael Rivas Soriano, a Salvadoran security analyst. Zeus Command troops are concentrating their patrols in municipalities plagued by violent clashes between Mara Salvatrucha and Barrio 18. The two gangs are fighting over control of territory to engage in street-level drug sales and weapons trafficking. In the Department of La Paz, for example, every person surveyed supported having troops accompany police during anti-crime operations, and 92 percent said that strengthening the military has led to a decrease in violence. “We are making an exception to support different government plans in order to bring peace and social harmony [to the public],” said Maj. Gen. David Munguía Payés, the national defense minister. “The main accomplishment is the control and decrease of illegal activities in the municipalities where we operate.” Military cooperation in the fight against crime Zeus Command troops are concentrating their patrols in municipalities plagued by violent clashes between Mara Salvatrucha and Barrio 18. The two gangs are fighting over control of territory to engage in street-level drug sales and weapons trafficking. In the Department of La Paz, for example, every person surveyed supported having troops accompany police during anti-crime operations, and 92 percent said that strengthening the military has led to a decrease in violence. Military cooperation in the fight against crime Before the Zeus troops were deployed to help the PNC, the military did not typically provide police patrols and seize small amounts of drugs. The military has been supporting the PNC’s efforts to fight crime since May 2013, and have had a signifianct impact in improving public safety. After they foiled the attack, soldiers located a house where gang members were storing an arsenal of weapons, including an M16 A1 rifle; a .22-mm pistol; a 30.30 carbine; and several ammunition cartridges. The soldiers also seized drugs that were apparently prepared for domestic sale, including 230 doses of marijuana; 180 doses of crack cocaine; and 260 doses of powder cocaine. As a consequence of these and other successful security operations, the civilian population supports the Zeus Command’s contributions to public safety, according to a study conducted by the legal sciences program at the Universidad Francisco Gavidia. The 3,100 Zeus Command troops on patrol are helping the PNC fight violent street gangs like Mara Salvatrucha (MS-13) and Barrio 18 (M-18), as well as common criminals. “We are making an exception to support different government plans in order to bring peace and social harmony [to the public],” said Maj. Gen. David Munguía Payés, the national defense minister. “The main accomplishment is the control and decrease of illegal activities in the municipalities where we operate.” BetweenMay2013 and October 6, 2014, the military has confiscated more than $109,000 in cash; more than 32,000 doses of drugs, such as marijuana and cocaine; 11,870 packs of contraband cigarettes; 3,892 cellphones, which soldiers seized from suspected gang members; 239 firearms, of various calibers; and 1,642 rounds of ammunition. Combating violent street gangs Before the Zeus troops were deployed to help the PNC, the military did not typically provide police patrols and seize small amounts of drugs. In an earlier operation, on October 11, Zeus Command soldiers in the municipality of San Julián, Department of Sonsonate, seized four firearms and 167 portions of marijuana. They also captured José Daniel Juárez, 21, who is known as “El Chino.” Law enforcement officials suspect El Chino planned to sell the drugs domestically. Combating violent street gangs Military actions supported by the public After they foiled the attack, soldiers located a house where gang members were storing an arsenal of weapons, including an M16 A1 rifle; a .22-mm pistol; a 30.30 carbine; and several ammunition cartridges. The soldiers also seized drugs that were apparently prepared for domestic sale, including 230 doses of marijuana; 180 doses of crack cocaine; and 260 doses of powder cocaine. In an earlier operation, on October 11, Zeus Command soldiers in the municipality of San Julián, Department of Sonsonate, seized four firearms and 167 portions of marijuana. They also captured José Daniel Juárez, 21, who is known as “El Chino.” Law enforcement officials suspect El Chino planned to sell the drugs domestically. Patrols by troops have prevented some violent attacks. For example, on November 4, the Ares Task Force, which is part of the Zeus Command, repelled an armed attack by Barrio 18 gang members in the Department of La Paz. “From an operational point of view, the Armed Forces bring the patrolling,” according to. Misael Rivas Soriano, a Salvadoran security analyst. “The inhabitants of rural areas in the department of La Paz felt that criminals and gang members have decreased their activities ever since the arrival of the FAES, especially at night, when criminals carry out more activities,” said researchers Vilma Pineda and Moris Sigüenza, the authors of the study. “The people look for support from people who give (them) confidence and that confidence is provided by the Armed Forces,” according to Rivas Soriano Thousands of troops attached to the Zeus Command of the Armed Forces of El Salvador (FAES) are patrolling the country’s 31 most dangerous municipalities to help the National Civil Police (PNC) provide public security. “The inhabitants of rural areas in the department of La Paz felt that criminals and gang members have decreased their activities ever since the arrival of the FAES, especially at night, when criminals carry out more activities,” said researchers Vilma Pineda and Moris Sigüenza, the authors of the study. “The people look for support from people who give (them) confidence and that confidence is provided by the Armed Forces,” according to Rivas Soriano The military and the PNC work together closely to fight crime. When a soldier detains an offender or seizes weapons, money or drugs, he files a report, and both the detainee and whatever is confiscated is delivered to the PNC to initiate the investigation process. The PNC takes custody of suspects and evidence. As a consequence of these and other successful security operations, the civilian population supports the Zeus Command’s contributions to public safety, according to a study conducted by the legal sciences program at the Universidad Francisco Gavidia. The Zeus Command’s role in supporting the PNC is scheduled to end on May 3, 2015. The government could extend that role. I agree, but we must remember that it’s not just about these ones, and the provider who is in San Julian, he should be captured too, that’s what military, police and OIE intelligence is for. It is loud and clear who profits from these plagues, but they are untouchable. Their business is not just drugs and extortion, hired assassinations, prostitution, gambling, but also political and economic power, since they’ve got the distribution of territories, but is there any way out of this? There is, and the first thing is to become aware of it, now, let’s see what we have in terms of communications and equipment, we should be able to rely completely on what the ARMED FORCES have, each and every one of the departments, their S2, the law protects them, there is no need for USELESS modifications. NOW, let’s get to work. I’m not talking about the strategy for obvious reasons, but let’s start with the one who thinks, who has lots of money, who is powerful. If we don’t capture him, let’s keep him close, and every day, let him see we’re watching him, as well as his subordinates, in an instant let’s starting fighting, no pity, in far away places, family and all, without exterminating. Nature is wise, human rights will act; here come the lawyers from within the state, prosecutors and solicitors, and let the judges in townships who don’t work or have cases purge the cases. Towns like Morazan, Chalate, La Union, Metapan, Santa Ana, Quenu Two years gone by and we’re still the same, and what is funny is that they want the people to cough up 50 million for one thousand troops, they’re thieveslast_img read more