Not unexpectedly, ProPublica has published a response to the Rand Corporation’s recent 20-page critique of the journalism organization’s Surgeon Scorecard, a searchable database of complication rates for surgeons performing several elective operations.
In a Rand summary of the piece, its authors advised patients “not to consider the Scorecard a valid or reliable predictor of the health outcomes any individual surgeon is likely to provide.” The paper listed what researchers labeled “Methodological Issues” in the Scorecard and ways the authors thought the data could be improved.
ProPublica’s rebuttal, written by editor-in-chief Stephen Engelberg and deputy data editor Olga Pierce, offers specific responses to Rand’s points and says the organization plans to take some suggestions into account as it prepares the next version of the scorecard. However, it says conversation about the database should be “grounded in fact and evidence.” Continue reading
AARP, The Commonwealth Fund and The SCAN Foundation have released their second long term care scorecard, a state-by-state breakdown of performance of long-term services and supports that help older adults, adults with disabilities and their family caregivers. The rankings looked at 26 performance indicators within five dimensions of care for each of the 50 states, plus the District of Columbia and classifies them against each other.
Minnesota led the way among all states in all dimensions – affordability and access, choice of setting and provider, quality of life and quality of care, support for family caregivers, and effective transitions. It was the only state to rank in the top quartile for all five dimensions.
“The scorecard underscores value and importance and of state leadership and state policy,” said Melinda Abrams, vice president for health care delivery system reform, The Commonwealth Fund in a telephone press briefing. “Leading states have implemented laws and policies that build stronger Medicaid programs, and support the family caregiver.”
Policymaking at the state level sets the stage for a high performance system, she said. Indicators such as strong paid sick leave policies for caregivers and more funding of home- and community-based services help older adults age in place longer, or keep them out of nursing homes all together. Continue reading
Image by U.S. Pacific Air Forces via flickr.
Judi Kanne, a registered nurse and freelance writer for Georgia Health News took a look at dental care for seniors and found that her state, and many others, have been coming up short.
She interviewed elderly patients who sought care at Mercy Care, a downtown Atlanta charity clinic.
One of them was 71-year-old Johnnie Collier who told her he went there to get a tooth extracted that had been hurting him for years.
Despite the work of such charity clinics, Kanne wrote, millions of older adults are unable to get the dental services they need.
Then she offered a good summary of the predicament. Continue reading