Sunburn and Heatstroke – Dangers to Avoid

It’s a beautiful summer morning and you head to the beach. By mid-afternoon you’re on your way to the ER.

What went wrong?

Odds are, you thought the sun was your friend. But too much of a good thing can make you sick.

The most common sun-related problem is sunburn. Fortunately the risk of sunburn often chases us inside before we suffer an even worse fate. Sunburn is indeed a burn, caused by the ultraviolet rays of the sun, both UVB and UVA. The superficial layers of your skin are actually cooked and start leaking fluid, like a sizzling steak. Once the damage is done there is no medical cure except to allow your body to heal itself. Pain medications and cool compresses may relieve the discomfort, but do not speed healing. Do yourself a favor and leave your sunburn alone. You don’t want scarring from peeling a deep sunburn, or infection from opening the blisters.

Certainly prevention is the best answer. Avoid direct exposure to the sun between 10 and 4 p.m. Always use a sunscreen of SPF 15 or higher, and apply it to all sun-exposed areas a good half hour before exposure. Even sunscreens that claim to be water resistant should be reapplied every few hours after sweating or swimming.

When the core of your body becomes overheated, not just the skin, the danger becomes much greater. The body core can become overheated due to direct sun exposure on a hot day, or other high temperature environments, especially when physical activity is involved. Below 80 degrees Fahrenheit this rarely happens. Above 130 degrees F the danger is extreme. Between 80 and 130 degrees the danger rises dramatically.

The body becomes overheated from a combination of internal heat production (as in fever) and external heat. In order to maintain a normal body temperature the body must be able to get rid of excess body heat. Think of your car engine, for example. If the fan goes bad or the water leaks out, it will overheat. Similarly, if the body cannot be cooled through a combination of evaporation (sweating), convection (a cool breeze), conduction (cold packs or cool water, or radiation, it, too, will become overheated.

A car that overheats will start sputtering and steaming, and eventually quits working. So will your body. The first symptom you are likely to experience is heat cramps, which generally occur in the calf muscles or abdominal muscles. Stretching your muscles before exercise and keeping yourself hydrated with a sports drink such as Gatorade can help prevent heat cramps. If they do occur, stop exercise, cool your body, and if you haven’t done so already, drink some Gatorade.

Heat exhaustion occurs when the body loses too much water and/or sodium. Core body temperature is usually between 100.4 and 104 degrees F. Again, an adequate intake of sports drinks can help prevent heat exhaustion. In addition to heat cramps, you may experience light-headedness, confusion, headache, nausea, vomiting, and lack of urination. For milder symptoms, immediate cooling with fans or water is helpful. However for severe symptoms, especially disorientation, other mental symptoms, or a rapid heart rate, you should seek immediate medical attention, where a doctor can check your electrolytes and provide the proper balance of replacement fluids through an I.V.

The worst case scenario is heat stroke (sun stroke, if due to the sun). Heat stroke can be deadly, especially if treatment is delayed. At an internal temperature of 104 or above the internal organs stop functioning properly. Therefore, heat stroke is a medical emergency – call 911 immediately.

Symptoms of heat stroke can occur even when a person is not sweating. Confusion is common, which may delay recognition of the problem, especially in the elderly. Persons suffering from heat stroke should be moved to a shady area and excess clothing should be removed. A heat stroke victim should be doused with water and/or fanned, and ice packs should be applied to the armpits, groin, and neck until professional help arrives.

In summary, avoiding hot environments and keeping well-hydrated are the answer to preventing most heat and sun related problems. Don’t plan to run a marathon on a hot summer day, especially if you are not conditioned to the heat. Keep an eye on granny, in particular if her home is not air-conditioned. Don’t leave your children or pets in the car where the sun can bake them. Preventing the problem in the first place is the key to avoiding life-threatening illness.

Baby Shower Gifts for Baby and Mom

In lots of cultures a common way for relatives members & friends to celebrate the pending birth of a infant is to host a infant shower. Historicallyin the past, infant showers were only held to celebrate the birth of the first infant in the relatives, but as families have become smaller & smaller it is not unusual to have infant showers for all children in the relatives. Originally, only females & close relatives members attended these showers but now men & other relatives are welcome to join the celebration . It’s also become common to hold showers for potentially adopted children.

Baby showers are organized for expecting moms as well as for newborns; either way they are a celebration of new life and blessings and gift giving are a big part of them. Because it is often regarded as rude to ask for gifts from your family, the baby showers are organized by a close friend rather than a family member. There are many types of gifts that are presented at baby showers. In addition to bringing gifts to the future or newborn baby it is becoming more and more common to bring gifts for the expecting or recent mother.

GIFTS FOR THE BABY

As far back as baby showers go, the main focus has been gift giving for the baby. The thought behind it was that blessing the new baby and “showering” it with gifts will grant him or her future life of greatness and prosperity. Nowadays the gifts are more of a practical character with the intention to help offset some of the initial costs associated with raising a child. These gifts often include baby bottles, clothes, toys, diapers, wipes, baby bedding, blankets, etc. The good wishes and blessings come in the form of good luck charms. Often friends pool their money together and buy bigger items like cribs, car seats, swings, baby chairs and others. The gifts are often opened and admired at during the party. However, some still expecting moms may choose to save and not open them until after the baby’s birth.

GIFTS FOR THE MOTHER

Bringing gifts for the father has always been thought about a thoughtful & well-mannered way of recognizing the new Mom. However, the gifts that the mothers are receiving are changing as child showers become more modernized. Traditional gifts for the father include incense, money, food, & clothing. Responding to the values of the day, child shower gifts for the father come in more contemporary forms. A day at the spa, cosmetics baskets, a trip to the hair salon, manicure or pedicure treatment, jewelry, lingerie, aroma treatment sets, candles & similar others are not only welcomed but a great way of little mom’s indulging.

When it comes to gift giving I do know plenty of people hide behind the elderly adage ‘It’s the thought that counts’. Well, when choosing a child shower gift for child or mom you better put some thought & use creativity in case you require your gift to be an expression of your nice will & well wishing.

Diseases Caused by Paint Fumes

You have decided to redecorate your house and settled on the number of rooms to be painted. You have reckoned on the amount of paint needed and bought the necessary number of gallons, and are ready to go.

But have you also considered the risks of diseases caused by the paint fumes which will inundate you home for a few weeks?

Paints can contain many organic chemical substances such as solvents, thinners, and also compounds which help the paint dry quicker. All of these substances give off potentially dangerous fumes which can lead to –

• Headaches, dizziness and lightheadedness.
• Burning sensations in the eyes and nose.
• A dry throat and nausea.

These harmful effects will disappear if you are exposed to the fumes for only a short time, but the paint fumes can often linger around the house for a few weeks causing continual distress.

Young children around the house have to be thought about. Their breathing rate is significantly quicker than adults, so they run the risk of inhaling larger quantities of the harmful fumes.

There is also the risk of affecting the fetus carried by pregnant females which may cause problems with the natural development of the unborn child, by the mother being exposed for prolonged periods, to the paint fume. Any older members of the family who may have asthmatic problems or suffer from any kind of heart condition will be adversely affected by the fumes also.

There are certain types of paint currently available which have no dangerous chemicals in them. These are more expensive to buy, but when measured against the risk of the family suffering from bad health they are well worth consideration..

Savor the Flavor for Better Health

As Americans, we tend to be a nation of gobblers when it comes to eating.  In other cultures, meals and conversation can run on into the evening, with family members enjoying conversation and sharing the news of the day.  On average, our meals last a whopping 11 minutes—and that’s for dinner.  Breakfast and lunch clock in at under 5 minutes for some people.

The good news is, to realize an abundance of health benefits all we need to do is slow down.  And here are few good reasons why:

• You will actually have a chance to taste and enjoy the flavors of your food.  You could actually begin to look forward to a variety of flavors, smells and textures your poor taste buds have probably forgotten about.
• You’ll find it easier to lose weight.  By eating more slowly and chewing your food thoroughly, you give your body a chance to begin the digestive process so it can signal you when it starts to get full—and well before you’ve consumed double helpings of everything.  Set aside 20 minutes to savor each bite and enjoy your meals; your body will thank you for it.
• You’ll probably start to eat healthier, better-for-you foods.  Once you begin to recognize and appreciate the melding of different flavors and textures in a well-prepared meal, you should be less inclined to consume the fat- and salt-laden fare from the local fast food joints.  Add new spices and try different ingredients in your meals.  Begin to enjoy the process of eating again.
• Enjoying meals with family and friends at home or trying new restaurants together is a great way to socialize and broaden your food horizons.  Talking, laughing and enjoying good company over a leisurely meal not only benefits your body; socializing with others also reduces stress and contributes to your emotional well-being.

Whether you’re eating with a group or on your own, take time and live in the moment.  The emails, the phone calls and to-do lists can take a back seat for 20 minutes, while you nourish body and soul.

Four Heart Health Myths You Should Know About

As American Heart Month draws to a close, it’s important to encourage continued, year-round awareness of heart health as well as correct some of the common heart health myths or misconceptions people may have about heart disease:

People who are physically fit and active are not at risk for heart disease.   While it’s great to be fit and get plenty of exercise, it’s not a guarantee of good heart health.  Cholesterol levels, genetics and other factors can contribute to heart issues — and no matter how fit and active you are, smoking and overindulging in less-than-healthy foods will still take a toll on your body.

Women are at higher risk of dying from breast cancer than heart disease.  Wrong, by a long shot. Statistics indicate that across all age groups (including childbearing years), death from heart disease is more common among women than breast cancer.  Young women especially should begin taking care of heart health right now — the combination of smoking and birth control increases their heart risks by as much as 20%.

When blood sugar levels are under control, diabetes is not a heart threat.  Think again.  Though good levels are healthier for diabetics, what many people don’t realize is that the diabetes itself can cause inflammation, which in turn can damage blood vessels.  Monitoring and maintenance of  blood pressure, cholesterol and weight remain important to overall health.

Heart disease primarily affects the aging and the elderly.  Yes, many of the symptoms of heart disease manifest as we age – but the seeds of risk are often planted early in our lives.  They range from poor eating habits acquired in early childhood (including over-consumption of fast-foods or processed foods containing high levels of fat, sugar and sodium) to discreased levels of physical activity, increasingly sedentary lifestyles, smoking, excessive alcohol consumption and more.

Plaque does not accumulate in our arteries overnight.  It can take years to develop, so the earlier we become conscious  of healthier heart habits for ourselves and our children, the better our odds of avoiding heart disease later in life.   

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Learn How to Know What Triggers a Migraine Headache

Americans spend in excess of $4 billion dollars a year on over the counter pain relievers and 25% of those are for the relief of pain from headaches. That is a great deal of money, but worse then money is all of the chemical in balances you are causing in your body by taking all of these drugs. These in balances can cause serious health problems for you. If medicine is not the answer for you, you may want to consider prevention of these horrible headaches. Our article will try and give you some tips to help.

First, stress is an obvious and common cause for headaches. All of the drugs in the world can not cure stress. Stress comes from within yourself and only you can control it. You must have a plan how you will control your stress. Many people find exercise an excellent release for stress. Most doctors will recommend a regular routine before they suggest anything else. Meditation is another great method for releasing your stress. Take 5 to 10 minutes everyday at the time you normally have your biggest stress build up. It will work wonders for you. Another suggestion for stress relief is do something you like. When you are doing something that makes you happy, your body doesn’t usually go in a stress mode.

Secondly, watch your diet, as with most health issues what you eat makes a big difference. A balanced healthy diet will make you feel better eating a diet with all the suggested foods from the daily food pyramid is a good idea. Cutting down on large amounts of junk food is recommended.There are also some foods that are known to raise your chances of getting a headache because of the food themselves or their ingredients. They are caffeine, red wine, processed meats, chocolate, and foods containing MSG, mono sodium glutamate.

Third, sleep habits, too little sleep can cause headaches, as will too much sleep. It is best to keep regular sleep patterns even on the weekend and holidays. Good sleep habits are in the new daily telling us how important they are for maintaining good health.

Meditation Made Easy

A daily meditation practice is one of the very best habits you can establish for yourself. Studies have shown that meditation reduces stress, lowers blood pressure and boosts immunity. It can also help you to let go of negative feelings and give you a more positive outlook without the use of medication. Unfortunately, many people are intimidated by the thought of meditation because they believe it is either difficult to do, overly time consuming or attached to a specific religious belief; all of which are false. Meditation is actually a very healthy practice that will result in less stress, a healthier body and more mental clarity. To reap the benefits to mind, body and spirit, you need only to practice a very basic form of meditation. Try these simple steps for just 10 minutes each morning:

Dress comfortably and find a quiet location where you will not be interrupted. (This is sometimes the most difficult part!)

Sit or lie down (some people say that meditation should never be practiced lying down, but it can as long as you are not prone to falling asleep… sleep and meditation are two very different things and do not have the same effects.)

Relax your body by taking a few slow, deep breaths. (Make sure that your belly rises before your chest as you breathe in. This is known as deep breathing, diaphragmatic breathing or “belly” breathing and helps the body to relax. Deep breathing is a great relaxation technique on its own.)
Now, simply close your eyes and try to clear your mind of all thoughts while focusing on your breathing… as thoughts do come into your mind (and they will), gently acknowledge them and then let them go, refocusing each time on your breathing. Your goal is to stop thought as much as possible and you will find that as you practice meditation daily, it will become much easier and more beneficial. Some people find that listening to a constant sound such as the air conditioning or a hum will help them focus. In this type of basic meditation, there is no need to use a mantra (a word or phrase used to focus the mind in some types of meditation).

PATH..our partnership with the YMCA

The following is an internal communication that speaks to our commitment to work with existing, strong organizations and bring more to the community.  I welcome your thoughts or comments, on this blog or at the gym….Mike

GHS and the YMCA of Greenville launch second phase of partnership

December 1, 2010 – Greenville Hospital System University Medical Center (GHS) and the YMCA of Greenville established the PATH (Partners Achieving Total Health) initiative in 2008 with the goal of providing fitness and preventative care that’s affordable, easily accessible – and focuses on reaching people before they get sick.

The first phase of the initiative included creation of a PATH membership, which grants members access to all four Greenville County Y locations and two Life Center locations, and Wellness Way, a six-week exercise prescription program for patients at risk for chronic diseases like diabetes and hypertension.

The second phase, being launched now, focuses on improving access to health and wellness services in the Golden Strip area. The Y is currently under contract to purchase the 60,000 square foot LivN Nsidout wellness facility on I-385 in Simpsonville and anticipates transfer of ownership to occur on Dec. 10. The plan is to consolidate the Y’s at-capacity facility on Highway 14 to this new facility over the next 18 months.

The new facility will be co-branded with GHS as the GHS Family YMCA in recognition of the strong, evolving partnership between GHS and the Y and our combined commitment to improving the health of the community. In return for naming rights of the facility and involvement in health-related programs across all YMCA of Greenville sites, GHS has agreed to support the new Y facility with $100,000 a year for 10 years.

“We are thrilled to continue our relationship with GHS and to name this facility in a way that reflects our shared commitment to improving the health and wellness of our community,” said Scot Baddley, president and CEO of the YMCA of Greenville.

 “Our investment in this facility is an investment in the health of the Golden Strip community,” said GHS President and CEO Michael Riordan. “By working together, GHS and the Y can create conditions in which everyone has the opportunity to succeed in their journey to better health.”

 In addition to consolidating the Golden Strip Y, GHS’ Simpsonville Life Center Health and Conditioning Club will also consolidate to the new GHS Family YMCA.

 “Integrating fitness center operations will improve and expand fitness options for Y, Life Center and LivN Nsidout members,” said Baddley. “Consolidating services will also eliminate any unnecessary duplication of services and allow the Y and GHS to better leverage their resources to meet our community’s health and wellness needs.”

The Y plans to begin construction on an aquatic center at the GHS Family YMCA in December, which will take approximately four to seven months to complete. During this time, the Y will begin transitioning its Golden Strip members to the new facility.

 Members of the Simpsonville Life Center will begin transitioning to the GHS Family YMCA in January with the Life Center expected to close in May 2012.

The Y will honor all current LivN Nsidout memberships and accept applications from LivN Nsidout employees interested in becoming Y employees.

 Current Golden Strip Y and Simpsonville Life Center employees will also have an opportunity to apply for positions at the GHS Family YMCA.

 “Our goal is to make this transition as seamless as possible and to keep as many jobs intact as we can,” said Baddley.

 A ribbon cutting ceremony and open house for the GHS Family YMCA is planned for Thursday, January 13 at 10 a.m. Employees and the public are welcome to attend. Information on how to join the GHS Family YMCA or obtain a PATH membership will be available at the open house and is currently available at all Greenville County Y locations.

Make Common Sense Part of Nutrition Planning

Yes, it’s National Nutrition Month, so be prepared to be presented with a smorgasbord of nutritional tips and resources throughout the month.

As with almost any health-related topic, we find ourselves bombarded with “expert” and frequently conflicting advice from all quarters — nutrition is no exception.  How many meals a day are the best?  How many servings of vegetables?  Of grains and cereals?  Is white sugar ever okay?  Is high fructose corn syrup the cause of all mankind’s ills?  Does deciding what fats are GOOD or BAD make feel like you’re spinning a dietary roulette wheel?  When it comes to good nutrition choices, what’s a well-meaning, intelligent person to do?

Of course we’re never going to get the so-called experts to agree.  Trends in nutrition can be like trends in clothing, what’s in and out can change from year to year or decade to decade (remember the food pyramid we boomers grew up with?).  And let’s not delve into the dark underbelly of food industry lobbying, that calls for a blog all its own.

Thank goodness for Common Sense.  Here are some fundamental questions to ask yourself when you decide what, when and how much to eat:

How hungry are you, really?  The American Dietetic Association tells us that skipping meals can have adverse effects.  It suggests that eating meals at regular intervals helps avoid trigger the “store calories” response in our bodies.  On the other hand, the American Journal of Clinical Nutrition maintains that three meals or six meals a day is not the question, that the deciding factor in unwanted weight gain is the total number of calories consumed.

Here’s a sensible suggestion.  Is a three-meal a day schedule working for you, or do you find yourself needing to refuel more frequently?  Listen to your body, and take the time identify your own metabolic rhythm; we each have different physiologies and levels of activity. What works for your best friend may be far off the mark for you.

What to choose, what to choose?  I bet that most of us — confronted with momentous decisions such as what to eat for lunch — could readily identify the healthier options.  Let’s face it:  Our nation’s obesity problem is not a result of making the wrong choice between the tuna on whole wheat and the Caesar salad – it’s choosing the high-fat, high-sodium, high-carbohydrate over-processed drive-thru fast food value meal over almost anything else.  It’s reaching for just about any beverage except good, old-fashioned water when we have a thirst.  It’s eating foods from the color palette of brown-browner-brownest.  It’s forgetting that what we put into us is going to have to come out in some way, shape or form (ideally, as expended energy), or we’re going to end up carrying it around with us on a daily basis.

Perhaps the most fundamental aspect of the nutrition issue is this:  Our daily food choices are actually critical decisions about how we fuel our bodies to generate the energy we need to live the best lives we can in the time that we have here.

This National Nutrition Month I’m going to begin taking my own advice and ask myself this question before every meal:  Is what I am about to consume going to serve me in pursuing my goals and passions?  Will eating this meal help me to achieve my dreams?

Article by Kim Washetas, contributing writer and enthusiastic whole health advocate.

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Hiccups Making You Crazy? Try These Tricks.

Most cases of hiccups are generally believed to be a reflex action of your body, which can be caused when the vagus nerve (which runs from the brain to the abdomen) or one of its branches is irritated.

If you regularly suffer from hiccups (and they always seem to manifest when you least expect them), you may have been told you can cure them by swallowing sugar. Some people also swear by the stick-your-fingers-in-your-ears technique. Believe it or not, some of these seemingly goofy “cures” can prove to be helpful, and here are some of the reasons why they may work:

Taking a spoonful of sugar overloads the nerve endings in the mouth and sticking your fingers into your ears stimulates the vagus nerve, which can help to stop the hiccups. There are several other tricks that you can try.

Disrupting the hiccups cycle is sometimes effective, so if you are startled the element of surprise could serve the purpose; gulping water can also interrupt the cycle of hiccups. Sticking out your tongue and pulling on it could also be effective. A cotton swab to the roof of your mouth or having someone tickle you are two ideas that may also help.

Another treatment variation includes holding your breath for as long as possible or breathing into a paper bag. This increases the of level carbon dioxide in your bloodstream and may make the body “forget” the hiccups.

Two final tips: If you are a fast eater, slow down and don’t overload your stomach. Avoiding overly spicy foods and excess alcohol can also reduce the incidence of hiccups.

If you suffer regularly from hiccups or are having a prolonged bout, consult a healthcare professional to make sure there are not more serious underlying issues causing the problem.

8 Healthy Summer Snack Ideas for the Young and Old

Summer is here and in most places school is out. Keeping our children on a good eating pattern is harder in the summer as most do not keep the same schedule as winter. Here are a few snack ideas to keep them healthy and on track with their healthy eating habits.

1. Peel a ripe banana and cut it in two inch pieces. Roll each piece in vanilla yogurt, crushed dry cereal and freeze. This is also a good way to put use to the last stray bites of cereal in the box. Mixing different cereals can be fun also.
2. Mix peanut butter and lightly crushed corn flakes in a bowl. Make quarter size balls with the mixture then roll in crushed nuts. Walnuts or pecans work best. Store left overs in an air tight container. Use within 3 days.
3. Fresh fruits [apples of any kind] and vegetables [celery or carrots] can be spread with peanut butter to make an appealing snack.  Most children will try something if it is pleasing to their eye.
4. Make kabobs using a pretzel stick. Push a cube of cheese, pineapple, apples or grapes on the pretzel and watch the snacks disappear.
5. Add some low fat shredded cheese to a corn tortilla, roll it up and heat for 20 seconds in a microwave. Use a bowl of salsa for a dipping sauce.
6. Toast a frozen whole grain waffle, spread a heaping tablespoon of vanilla yogurt over the top, then add a few strawberries. You will have happy children.
7. Blend a tablespoon of honey in 3/4 cup of small curd cottage cheese. You will have a great tasting dip for active children. It can be used with fruits or vegetables.
8. Baked corn chips and a mild homemade salsa will keep them coming back for more.

Quick Salsa Recipe 

1 large tomato, cored and diced
1 8-10 inch celery stalk, ribbed and sliced thin
1 medium red onion, chopped small
1 tablespoon fresh cilantro, chopped

Mix all ingredients in a small bowl. If the mixture is dry add one teaspoon of virgin olive oil and two tablespoons of vegetable juice. That will give it enough moisture to be dipable and add an extra little kick to the taste.

Lead your children by your example. If they see you eating these healthy snacks, so will they.

Leadership Changes: Enabling Clinical Integration

Several health providers are seen as positioned for success in health reform. While some claim that they have been operating as accountable care organizations, those that truly are positioned for success have been preparing for ACOs for a long time. They’ve done this not to comply with a law that didn’t yet exist, but to do the right thing. One of those institutions is the Greenville (S.C.) Hospital System, an integrated health system comprising a tertiary academic medical center, 11 specialty hospitals, more than 120 practice sites (including the University Medical Group), skilled nursing care and extensive subacute facilities.

Greenville’s journey toward physician engagement began approximately 10 years ago with a small group of employed physicians, including Angelo Sinopoli, M.D., now the CMO. That group gradually gained a stronger foothold in various administrative roles, supported by a willing administrative team and willing physicians. Over time, the system made key physician administrative appointments, including that of Jerry Youkey, M.D., from Geisinger Health System, as vice president of medical affairs.

In 2006, Greenville selected a new CEO—Michael Riordan, former CEO at the University of Chicago Hospitals. That appointment formalized the board’s commitment to a more academic vision and to a leader who could execute the structure required to engage physicians and integrate clinical services.

Leading by Example:

Under Riordan’s leadership, Greenville enhanced physician engagement and integrated clinical services according to its vision of accountable care and community commitment. It made several organizational changes to cement a new, physician-led clinical structure:

It launched an initiative to recruit affiliated physicians into employment. The employed physician group has grown in the last five years from 220 to almost 600 today, allowing for tighter clinical integration and physician engagement.

It rewrote bylaws and created a structure in which chairmen and vice chairmen align physicians with quality initiatives; the chairmen drive Joint Commission compliance, while the vice chairmen work with multidisciplinary quality improvement teams.

It restructured board committees to accommodate more physicians who address quality and academics.
It established an operations council to drive care delivery at Greenville and to improve quality performance. The council is a multidisciplinary team of department chairs and support staff who review each clinical area, assess plans for improving performance, then implement those changes.

It expanded the president’s council to include the chief medical officer and the chief academic officer. As the critical decision-making body, the council now is better able to reinforce the importance of physician leadership to all organizational constituents.

Greenville has transformed itself from a hospital with affiliated practices to an integrated, quasi-clinic model health system that incorporates teaching and academic medicine. The system’s objectives, illustrated in Fig. 1, form the basis for its evolution into an ACO. This degree of organizational change necessitated a firm hand from Greenville leaders as well as board support, because tension emerged between those supporting the new model and those holding on to the past. Physician leaders and employed physicians gave their support at a critical time and helped build momentum.

Short-Term Results and Long-Term Planning

Structural leadership changes have yielded significant benefits. Greenville now represents best practice in its market area, and its financial performance has improved. Fifteen months ago, prior to establishing the operations council, the finance department and the University Medical Group still were separated into distinct silos. With guidance from the operations council, Greenville integrated those silos and reported good financial performance for 2010, despite the recession and its impact on patients, employers and providers.

About two years ago, Greenville began planning for what it believed health care would look like in 2020. A clinically integrated team helped develop the 2020 plan. The outcome included five goals that have refocused Greenville’s strategic plan:

Become a total health organization.

Transform core organization structures and processes into a highly integrated delivery system.
Become an accountable care organization.
Improve care delivery and workforce development through innovation in academics.
Ensure a sustainable financial model that supports the Greenville vision and mission.
Greenville continues to move toward a clinic model, although it is not a closed model. Many institutions will not have the time and financial resources to move toward a closed model or fully employed model in time for Patient Protection and Affordable Care Act milestones.
A Note of Caution

Donald Berwick, M.D., administrator of the Centers for Medicare & Medicaid Services, recently stated that “cloaking the status quo is not authentic” during a keynote address at the National Committee for Quality Assurance’s policy conference in Washington D.C. (Read “Some Claim ACO Status without Truly Changing,” by Sandra Yin, in the Dec. 4, 2010, issue of FierceHealthcare. The statement was part of a discussion on how several institutions are suddenly finding that they always have been an ACO.

Berwick’s point is that success in health reform is greater than meeting a set of requirements. It will need to be demonstrated in many ways across the clinical enterprise. Institutions focused on achieving a set of criteria are at risk for missing the greater opportunity of broad clinical care coordination.

That point is not lost on Greenville. Delivering care in a way that improves patients’ health requires a paradigm shift in leadership, organizational structure and care delivery. Greenville’s commitment to clinical integration and physician leadership is an example of the change required for success as an ACO.

Although Greenville’s physician integration efforts are pervasive, they are not a guarantee of future performance. Better results will require constant work and dedication to a common set of strategic goals that are reinforced in the daily work of the institution.

Looking Ahead

Greenville continues to pursue its strategic objectives amid many challenges and much change. A next step for Greenville is realigning the rewards system so that quality and effective care delivery are supported with the right incentives. Funding will pose a significant challenge for Greenville and other institutions in the coming years, including potential reductions in Medicaid reimbursement at the state level. Many other challenges lie ahead as well, such as uncertainty in PPACA regulations, and even whether some aspects of the legislation will be underfunded or modified by the new Congress.

Despite the uncertainty, Greenville is in a position to succeed with a strong leadership team, including its physician managers. This guidance is critical to providing a clinically integrated academic health system for Greenville’s community and for the state in which it operates.

Christine Stead is a principal and Tom Enders is the managing director of CSC, headquartered in Falls Church, Va.

The opinions expressed by authors do not necessarily reflect the policy of Health Forum Inc. or the American Hospital Association.

Resveratrol And Acai Berry: Two Of The Most Powerful Anti-Aging Antioxidants Available Today

If you are looking for the top-rated health products that offer the best anti-aging properties available today, it won’t take you long to realize that Resveratrol and Acai Berry are it. This all natural supplement contains the two most powerful antioxidants found on the planet. Neither substance is new. However, both are new to the supplement world and can help improve your health, reduce the risk of certain health conditions, and increase longevity.

What Are These Two Substances Anyway?

First of all, you probably need a little history on both Resveratrol and Acai Berry. Resveratrol is found in the skin of red grapes and is found in red wine. The French are very familiar with the benefits of red wine, as it is an important part of their lives. For many years, scientists wonder how many French people could consume foods with high fat and cholesterol content, but not have the common health conditions that usually followed. In the 1990’s, researchers at Harvard finally determined that Resveratrol was the reason why. Over time, the benefits of this incredible antioxidant were discovered.

As far as the Acai Berry, it is only found in certain regions of South America. The natives have long known of its incredible anti-aging properties. The Acai Berry has been proven to reduce cholesterol levels, decrease the risk of cancer, and prolong life. When combined with Resveratrol, it’s easy to see why Resveratrol with Acai is simply one of the best anti-aging products available today.

If you have watched Oprah or 60 Minutes lately, you have seen the reports on how powerful these two substances are. Dr Oz, a regular guest on Oprah, has spoken of the many benefits of Resveratrol paired with Acai Berry. There are many other doctors and researchers that are amazed at how well these types of supplements work to improve health and longevity.

Where Can I Get Resveratrol and Acai Berry?

This is where you want to exercise some caution. There are many, many imitation products available today. Many do not contain high quality Resveratrol or Acai. What little amounts are in the supplements are usually very diluted.

For this reason, you really need to do some research on which products actually contain high quality, potent levels of these anti-aging supplements. Resveratrol and Acai Berry are some of the top health supplements available today. They contain highly concentrated levels of antioxidants and will provide you with the most benefits.

Resveratrol and Acai – Power Packed Performance!

Acai Berry combined with Resveratrol has so many benefits due to the combination of these ultimate, anti-aging, all natural supplements. You can fight the signs of aging, some cancers, high cholesterol, Alzheimer’s and other serious health conditions with two incredible supplements. The health benefits of Resveratrol(Red Wine) and Acai Berry are undeniable. Unfortunately, we are readily inundated with so many “miracle cures” and “medical fears” from local news and print journalism, it has become a formidable task to differentiate score from scam. Fear not, with these two proven, all-natural health supplements. If you are ready to start on a path to a healthier, longer life, try the top Resveratrol and Acai Berry supplements on the market, right now.

Healthcare and Politics

Each month we publish an employee newsletter – The View. It is designed to update employees on issues of interest within GHS as well as provide information that may impact them. In the most recent edition, we profiled one of our leaders and she spoke about her role in South Carolina Hospital Association and governmental affairs. I want to acknowledge that internally there has been a small but wide range of reactions to this issue of the View and that tells me people care and are involved. I believe that after the election there will be more opportunities to engage employees and the community in a conversation and understanding of what we need to do to prepare for the future. I have included the article and a link to the SCHA Scorecard in this blog and welcome your reactions.

In this month’s issue of The View, GHS is collaborating with the South Carolina Hospital Association (SCHA) to do something new – inform employees on how our gubernatorial candidates have voted on healthcare issues.

Sarah Richter has served the past 18 months on the SCHA Policy Council and will become the council’s chair in February 2011. Here, she explains why it is important that S.C. hospitals and health systems play an active role in shaping policies around healthcare issues and why hospital employees should be aware of these matters.

What is the SCHA Policy Council, and what is its purpose?

Congress and the state legislature create or make laws that affect health care every year. SCHA’s Policy Council – composed of senior hospital executives from across the state – works to stimulate, guide and stay abreast of issues affecting S.C. hospitals. Physicians, nurses and hospitals are actively involved in advocacy; but to be an effective advocate, you need a policy objective. That’s where the Policy Council plays a major role. When the SCHA prepares its advocacy agenda, it calls on hospital leaders to prioritize issues.

Why is this year different?

This year, hospitals in S.C. are taking a different approach to policy and politics. National healthcare reform has been front and center, and our industry is changing. There is a simple truth about politics: If you don’t get involved and don’t vote, then you can’t complain about the outcome. We care about whathappens to our industry, so we can’t afford NOT to be involved. Now more than ever before, S.C. hospitals have key issues on the table, and the two gubernatorial candidates have different visions for our state. SCHA believes healthcare employees deserve to understand these issues as they will shape the future of our business.

Why the scorecard?

S.C. has more than 90,000 hospital employees. This scorecard is intended to educate employees on the issues affecting their employers and to show how the gubernatorial candidates have voted on each one. Which candidate you vote for is your right and privilege. Health care is just one of many important issues in this election. No matter what the issue or where you stand, we encourage you to make informed decisions.

Be an Advocate

As one of the state’s leading health systems, GHS has always been active in state-wide advocacy efforts. You don’t have to be a lobbyist to be an advocate. For example, nurse managers at Hillcrest Memorial Hospital were concerned about the behavioral health crisis and wanted to know how they could help. They studied the problem and dynamics, and then they wrote letters to their representatives about the need for support. They educated their frontline staff on how state budget cuts and lack of funding affect the availability of mental health resources. They also learned about the cigarette tax and how it could make a difference for health care.

Like most things, we have to choose whether we try to influence and get involved or sit back and be a spectator. When it comes to the best interest of patients and employees at GHS, I choose to get involved. I hope you will, too.”

Your Vote Can Make a Difference

GHS is joining the South Carolina Hospital Association (SCHA) and its member hospital and health systems in educating healthcare workers on how decisions made in Columbia can affect medical care and healthcare jobs. SCHA members are distributing the scorecard below to show how the two candidates for governor have voted on major issues affecting health care.

Note: SCHA and GHS are not suggesting that you vote for one candidate or the other. This scorecard simply provides education on issues that are important to health care.

On November 2, you will have the opportunity to vote for a candidate to govern South Carolina for the next four years. Please take time to learn where both candidates have stood on healthcare issues. That way, you can make an educated, well-informed decision on the person you believe will best represent interests of the healthcare community.

Coast Guard called for medical emergency

ASHTABULA — The Ashtabula station of the United States Coast Guard responded to a call for a potential stroke victim on a boat nine and a half miles out on Lake Erie on Sunday.

Coast Guard Bosun’s Mate 2nd Class Chad Carlson said the station received a call from the operator of a boat 9.5 miles northwest of Ashtabula Harbor at about 1:40 p.m.

“He was inbound towards the Ashtabula public docks and asked for assistance because he thought his passenger was having a stroke,” he said. “We dispatched a 34-ft. pursuit boat and called Community Care for assistance at the dock.”

By the time the Coast Guard boat arrived at the boat carrying the possible stroke victim, identified as Allen Ballman, 59, it was already near the harbor, so they escorted it to the dock where Community Care was waiting to take him to Ashtabula County Medical Center.

“In cases of stroke, time lost is brain lost, so rather than transfer him to our boat and then transfer him to the ambulance again, we let Community Care offload the victim where they were waiting for him,” Carlson said.

Coast Guard sources said Ballman was complaining of pain in his right arm and his face showed possible signs of stroke.

Coast Guard sources said the incident is under investigation and no further details will be released until the investigation is completed.

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What To Know About A Candida Rash

The question “how serious is a Candida rash” will always be a matter of importance to someone who has developed a Candida infection. What needs to be understood is that Candida is nothing more than a fungal organism which can live in the gastrointestinal tract of most people. If the organism gets out of the G.I. Tract, medical problems can develop.

Generally, a Candida infection will manifest itself in a number of different areas. In women it can be seen in the vaginal region and in men it sometimes appears in the head of the penis. Many times, the microorganism can break out onto the skin, in which case the affected person will quickly develop a rash. In babies, this is known as a Candida diaper rash.

Candida skin rashes in children are a common sight mainly due to the fact that the Candida microorganism is usually prevalent within the gastrointestinal tract of small children. The most common of these microorganisms is Candida albicans. A Candida albicans rash is nothing more than a condition caused by the presence of that specific species of Candida.

There are a number of different treatments for Candida skin rashes and general Candida rashes. Usually, skin creams that contain general antibiotics have been proven to be effective in helping to rid a person of a Candida rash that’s found on the skin. Strangely enough, there are sometimes no reason to can be found for why a person will suddenly develop a Candida rash.

Babies sometimes seem to suffer from more Candida diaper rashes than would normally be the case. However, when you stop to think about it, and you understand that the Candida microorganism is present in the G. I. Tract, you realize that the diaper rash will of course occur when the Candida organism is excreted through normal processes.

In some cases, what’s known as a Candida die off rash can occur when many of the Candida microorganisms within the gastrointestinal tract die off and release a waste product known as a toxin. The body is unable to handle such a large amount of toxin, and one of the reactions to this inability to handle this toxin can be a skin rash.

As far as dealing with certain Candida rash treatment regimens, it is helpful to remember that supportive care in the cleaning of the area that’s been affected by the rash will do the most to rid the skin of that rash. Also, warm compresses and those antibiotic creams have been proven equally as effective. Check out the Internet if you’re curious about Candida. Just conduct a search for Candida rash pictures and study them.

People who are unfamiliar with the medical term “Candida” need to know first of all that it is NOT a sexually transmitted disease. However, having unsafe sex with a partner who already has an infection on or in their genitals can transmit Candida to their sexual organs causing either a Candida yeast infection, or Candida penis. Therefore, there should be no shame or embarrassment in discussing the Candida microorganism or medical issues related to Candida with a doctor or other health professional, or even with friends or family.

Candida rash that is the result of a Candida infection and how it’s handled will all depend on how well-educated person who is suffering from the infection has made him or herself. As always, educated awareness of the Candida fungal organism will help a person to realize that all they are dealing with is generally an overabundance of the yeast, Candida albicans which can be completely uprooted from their body by following the anti Candida diet.

5 Tips to Help Encourage Your Daycare Provider

When I surf the internet, I found a tips that may be very useful for you in terms of cloth diapers. You may ask what are these tips? It is Five Tips to Help Encourage Your Daycare Provider to Cloth Diaper Your Baby.

For many parents, sending your child to daycare as you head back to work is fillef with as much emotion as prepartion. This process is exacerbated if your’re a committed cloth diapering parent too. To date, many daycare settings have preferred the convenience of disposable diapers; however a Real Diaper Association (RDA) study found that with a little education and passion, moms can get past any daycare naysayers.

Here are some tips to getting your daycare provider on board with cloth diapering your little one:

Tip #1: Demonstrate cloth diapering

What you don’t know will hurt you! Your daycare provider may have never used modern cloth diapers before, which may lead them to be sheepish about cloth diapers altogether. Bring in a cloth diaper to demonstrate how it works when you go in to discus this topic with your daycare provider. Seeing is believing!

Tip #2: Recommend trial period

Often the recommendation of a trial period of 2-3 weeks will disarm your daycare provider’s objections. They know they’re not committing to anything, yet they are being reasonable with you. Suggest that you use this period to see how it ges – and to learn what rules need to be in place to make this work long-term, if possible.

Tip #3: Know the law

Unfortunately, some daycare providers may suggest it is against the law for the center ti use cloth diapers. Respectfully remind the provider that you understand their concerns and that’s why you researched this topic beforehand (which you should do!). To learn about daycare diapering laws specific to your state, check the National Resource Center for Health and Safety in Child Care and Early Education website at http://nrckids.org/STATES/states.htm

Tip #4: Let them know what’s in it for them

Tell them about the benefits cloth diapers provides specifically to their center. They may find their teachers spend less time taking out trash and more time with their kids. Further, the daycare’s director may find promotional opportunitis given that they are now an “eco-friendly” daycare – a moniker green-minded moms like to see and which may lead to new clientele.

Tip #5: Shop around

If cloth diapering your baby is important to you, be sure to shop around for daycares willing to listen. When interviewing new daycares let them know that you cloth diaper and would like to continue to do so. Bring a sample of the diaper with you at all meetings and let them know you will provide education, products for containment and will wash them each day to keep with their level of sanitation. If they continue to shoot down the idea… move on. There are plenty of excellent daycares out there willing work with you.