Author Archives: Pia Christensen

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates social media efforts of AHCJ and assists with the editing and production of association guides, programs and newsletters.

Medicare data shows dangerous prescribing habits, lack of oversight

ProPublica’s Tracy Weber, Charles Ornstein and Jennifer LaFleur, in an analysis of Medicare prescription records, found that “some doctors and other health professionals across the country prescribe large quantities of drugs that are potentially harmful, disorienting or addictive,” with no attempt by the federal government to monitor or deter the practices.

“… officials at the Centers for Medicare and Medicaid Services say the job of monitoring prescribing falls to the private health plans that administer the program, not the government.”

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Dates, location of Health Journalism 2014 announced

Health Journalism 2014Health Journalism 2014, the annual conference of the Association of Health Care Journalists, will take place in Denver next year, AHCJ has announced.

The conference, which has drawn between 600 and 800 attendees in each of the past three years, will take place March 27-30, 2014, at the Grand Hyatt Denver. The hotel is located just a block from Denver’s popular 16th Street pedestrian mall and features views of the vibrant downtown and the majestic Rocky Mountains.

A local planning committee is being formed by co-chairs Michael Booth ofThe Denver Post and Eric Whitney of Colorado Public Radio. It will be made up of area journalists from print, broadcast and online outlets.

“The local journalists will provide some guidance on local and regional issues, as well as help pinpoint area experts worth including,” said Len Bruzzese, AHCJ executive director. Continue reading

Join today’s webinar on newly released hospital cost data

The federal government released data today showing what hospitals across the country charge Medicare for the same treatment or procedure. The 2011 data includes bills submitted by 3,300 hospitals for the 100 most commonly performed treatments. This allows a basis for some local or regional comparisons and a starting point for stories on hospital costs. 

The data is available on the AHCJ website. A webinar for AHCJ members on using the data will take place today at 2 p.m. ET with Jonathan Blum, the acting principal deputy administrator at the Centers for Medicare & Medicaid Services, and Karl Stark, AHCJ vice president and Philadelphia Inquirer health editor. Register here.

More on medical costs

The cost of medicines, devices, tests and treatment is such an important element of health reporting that it is included in AHCJ’s Statement of Principles: “Strive to include information about cost and insurance coverage in any reporting of new ideas in medicine.”

Brenda Goodman, AHCJ’s topic leader on covering medical studies says that the runaway costs of such things are arguably one of the most important issues in medicine, but it’s one that’s often missing from health stories.

Michael Schroeder, who covers health for Angie’s List Magazine, is required to include meaningful medical pricing information in his stories. He acknowledges this is no simple task but urges reporters to have a strategy and be persistent. “You won’t always get the information you’re after, but your batting average will certainly go up, and you won’t be left to routinely settle for hollow numbers.”

To that end, Goodman and Schroeder have contributed tip sheets to help reporters get that vital information. Goodman focuses on several resources where you might find pricing information, while Schroeder shares his strategy and the specific questions he asks sources about costs.

Health Data WorkshopHealth Data Workshop

For more on using data to report on health care, journalists are invited to tap into health data in a special workshop, Oct. 3 & 4 in Anaheim, Calif.

This AHCJ workshop offers something for data newcomers and  veterans – from spreadsheet basics to visualizing data online. You’ll come away with skills and ideas on teasing stories out of datasets and tools on presenting these stories.

How one reporter asks for — and often gets — meaningful medical pricing information

Michael Schroeder of Angie's List Magazine

Michael Schroeder

As a writer covering health for Angie’s List Magazine, a consumer publication that goes to more than 1 million members around the country, Michael Schroeder is required to include meaningful medical pricing information in his stories. But as any health reporter knows, this is no simple task.

Schroeder says he is constantly fine-tuning his strategy. In an era in which high-deductible plans are on the rise, with patients paying more out of pocket and increasing pressure — public and private — for health organizations to share pricing information with the rest of us, he sees no other choice but to press on. In this tip sheet for AHCJ members, he reveals what questions he asks to get that very important information.

Sequester hits health journalism training

News came over the weekend that the annual Medicine in the Media workshop run by the National Institutes of Health has been cancelled this year. The website cites sequestration as the reason.

Over at HealthNewsReview.org, Gary Schwitzer expresses his disappointment, saying that “Dartmouth’s Steve Woloshin and Lisa Schwartz, along with NCI’s Barry Kramer who founded the workshops, inspired and educated any journalist – and I think any of the instructors (like me) who ever attended one of these sessions.”

AHCJ remains committed to offering training and resources for health journalists, with two opportunities coming up:

Drugs remain on market despite fraudulent research; FDA withholds information

Despite concluding that a drug research lab’s violations “were so ‘egregious,’ and pervasive that studies conducted there between April 2005 and August 2009 might be worthless,” the FDA didn’t pull the drugs tested there from the market, according to a ProPublica piece by Rob Garver and Charles Seife.

pills

Photo by Grumpy-Puddin via Flickr

The FDA is refusing to release information about those drugs, saying that “We believe that this did not rise to the level where the public should be notified.”

A statement from the agency said, “The issue is not a lack of transparency but rather the difficulty of explaining why the problems we identified at Cetero, which on their face would appear to be highly significant in terms of patient risk, fortunately were not.” Continue reading

Reporter’s advice can help you get past sources’ jargon

Kathleen Doheny

Kathleen Doheny

If you’ve interviewed anyone with an M.D., Ph.D., M.P.H. or Sc.D. after his or her name, you know: It’s often no easy feat to get your sources to speak in everyday language.

You start off the interview asking a simple, straightforward question but get a reply that, should you actually use it verbatim, is bound to make your editor cry, at best.

Freelance journalist Kathleen Doheny has come up with some strategies to coax more usable language out of sources. Find out what the “java approach” is, ways to suggest to your source that they use more reader-friendly words and how to coach them through the interview.

R.I. program provides care outside hospitals in effort to reduce ER use

Emergency department

Photo by KOMUnews via Flickr

Using community health workers to work with frequent emergency room visitors is showing some success in reducing ER use.

The latest installment of “Cost of Diabetes,” a yearlong series by Rhiannon Meyers of the Corpus Christi (Texas) Caller-Times, looks at what Rhode Island is doing to help prevent and manage diabetes.

A “Communities of Care” program pairs peer navigators, who are community health workers, with Medicaid patients who are seen in an emergency room four or more times in a year. The peer navigators “try to figure out why [the patients] keep going to the emergency room and help them access resources they need, from housing to transportation to doctors’ appointments. The peer navigators also continuously check in with patients to make sure they are seeing the doctor as needed and taking their prescriptions to avoid unnecessary hospitalizations.”

Officials at UnitedHealthcare, which contracts with Rhode Island Medicaid, say they’ve seen a 30 percent decrease in ER use and have possibly saved up to $600,000, according to preliminary results. And those results are prompting people to look at the program as a model, said Dr. Rene Rulin, medical director of Rhode Island Medicaid at UnitedHealthcare.

(Hat tip to Keldy Ortiz.)

#ahcj13 speakers featured in news about Boston Marathon bombings

If you attended Health Journalism 2013, you heard from plenty of Boston-based medical professionals, some of whom are in the news now talking about the Boston Marathon bombings. You might remember hearing from:

Ron Medzon, M.D., led AHCJ members through the SIM lab part of one of the field trips and talked with attendees about doctors and nurses communicating with patients and families about medical errors. Medzon, emergency room physician at Boston Medical Center, was on duty when victims of the bombing began arriving. He talked about the experience with Robin Young of WBUR-Boston.

Paul Summergrad, M.D., chair of psychiatry at Tufts Medical Center, spoke about mental disorders at the conference, offers advice on how to care for the emotional wounds of the bombing in several articles:

And John Halamka, M.D., the chief information officer at, Beth Israel Deaconess Medical Center, talked about communication and technology in the wake of the bombings in “Social media key in enabling quick provider response to Boston bombings,” by  Dan Bowman for FieceHealthIT. At the conference, he spoke about electronic health records.

Have you seen other panel speakers quoted in the news? If so, please let us know by posting links to the stories in the comments section.

Update: AHCJ member Naseem S. Miller, of Internal Medicine News Digital Network, interviewed Medzon and a doctor who was in the medical tent at the finish line about their experiences.

Update: AHCJ member Leana Wen writes on NPR’s Shots blog about treating patients in the aftermath of the bombing while wondering if the next patient she saw was going to be her husband.

Las Vegas hospital sends 1,500 patients with mental health issues to other cities

Nevada has been shipping mental health patients out of state as it has cut funding for mental health services, according to a Sacramento Bee investigation.

In recent years, as Nevada has slashed funding for mental health services, the number of mentally ill patients being bused out of southern Nevada has steadily risen, growing 66 percent from 2009 to 2012. During that same period, the hospital has dispersed those patients to an ever-increasing number of states.

Cynthia Hubert, Phillip Reese and Jim Sanders report that Rawson-Neal Psychiatric Hospital in Las Vegas, the primary state psychiatric hospital, put more than 1,500 patients on Greyhound buses bound for other cities.

The reporters reviewed bus receipts kept by Nevada’s mental health division. Southern Nevada Adult Mental Health Services has had a contract with Greyhound since July 2009, a bus company spokesman said. He also revealed that “Greyhound has contracts with ‘a number’ of hospitals around the country, but declined to identify them.”

Mental health professionals in other places are quoted as saying putting someone with a mental illness on a bus is risky and several said their counties don’t do it.

The Center for Medicare and Medicaid Services is investigating Rawson-Neal and the situation has prompted statements from California’s Senate president and a member of the U.S. Commission on Civil Rights.