Public Health Nursing
Section Newsletter
Spring 2011

A Message from the Chair

Greetings PHN Section, and Welcome to the Spring 2011 Newsletter!

 

It has been a busy and challenging year for many PHN Section members.  In the face of severe budget slashing and numerous devastating natural disasters, I am seeing and hearing about what we do so well…persevere in times of stress and adversity. 

 

As I look back through the archive of PHN Section newsletters, I am struck by the frequency that this history of hardship repeats itself, from weather related emergencies to working through and finding ways to survive budget shortfalls.  This particular period of time seems more threatening than those we’ve lived through, yet we know more difficulties lie ahead…and we are never “out of the woods” in this regard. 

 

While we face significant challenges, it is also a time of great opportunity to move PHN forward in new and creative ways.  At our Midyear PHN Section meeting this February in Washington, D.C., members gathered in person and via conference call to discuss our challenges and opportunities.  Some members made visits to the “Hill” to talk with their elected representatives about issues important to PHN.  The importance of these lobbying efforts cannot be emphasized enough!  If our congressmen and women do not hear from us, they will continue to lack knowledge about the importance of prevention and PHNs who understand the health of our communities and population. 

 

We discussed how “stories” are a great way to reach both elected officials and others who lack an understanding of prevention.  What are the stories we can tell to demonstrate outcomes made possible by PHN interventions?

 

Speaking of “stories”, we spent some time discussing the IOM Future of Nursing Report and how PHN fits into the goals and priorities listed in the Report. Because PHN is not directly addressed, how do we weave our priorities into the goals of the initiative?  We all have stories we can tell that demonstrate the difference that we make in the health of our communities. Let’s find a way to get them out there!

 

The PHN Section has a seat on the Center to Champion Nursing Council, part of the Center to Champion Nursing in America (led by AARP in partnership with the Robert Wood Johnson Foundation).  I am honored to represent our Section on this Council and am working with the Coalition and Council to highlight PHN and prevention as the groundwork is laid for implementation.  We have an opportunity to highlight what PHN’s do best, and the difference we make.

 

You will see in the newsletter that follows that PHN Section members have been active in many ways this year.  I’m pleased to report that the Quad Council has been especially active. We have been working on a quite a few initiatives, including a number of subcommittees under the leadership of Linda Olson Keller.

 

Please mark your calendars for the upcoming PHN Membership Conference Call on Tuesday, June 21, 2011 @ 3:00 p.m. EDT.  Additionally, there is a PHN Leadership Conference Call on Wednesday, June 29, 2011 @ 3:00pm EDT.  We welcome your involvement in the PHN Section.  Please check the website for our committee listings, and let us know your interests!

 

Last but not least, please plan to attend the 139th Annual APHA meeting this year in Washington, D.C.! Plans are under way for a wonderful meeting, including the Quad Council Learning Institute on Sunday and PHN Section luncheon on Tuesday.  Please note that these two events require separate registration and an additional fee.

 

Best Regards,

 

Susan V. Coleman

PHN Section Chair

colemasv@georgetown.edu

 

PHN Members Recognized

AAN Announces 2011 Class of Fellows

 

The American Academy of Nursing recently announced the 2011 cohort of nurse leaders. Fellows are selected by a panel of elected and appointed Fellows, and selection is based, in part, on the extent to which nominees’ nursing careers influence health policies and health care delivery for the benefit of all Americans.

 

The Public Health Nursing Section congratulates the following PHN Section members who have been selected for induction as Fellows into the American Academy of Nursing:

 

  • Betty Bekemeier, PhD, MPH, MSN, RN, University of Washington
  • Huey-Shys Chen, PhD, RN, CHES, University of Medicine and Dentistry of New Jersey
  • Karen Monsen, PhD, RN, University of Minnesota
  • Elizabeth Reifsnider, PhD, WHNP, PHCNS-BC, Arizona State University
  • Irene Sandvold, DrPH, RN, CNM, Health and Human Services, Bureau of Health Professions

 

These public health nursing leaders are among 142 nurses to be inducted into the Academy during its annual meeting this October in Washington, D.C. The Academy Fellowship represents the nation’s top nurse researchers, policy-makers, scholars, executives, educators and practitioners. The Academy is comprised of more than 1,600 nursing leaders. Congratulations on this wonderful achievement!

(AAN, news release, June 3, 2011)

 


Chair-Elect Appointed to IOM Standing Committee

 

Congratulations to David Reyes, MN, MPH, RN, chair-elect of APHA’s Public Health Nursing Section, who has been appointed to the Institute of Medicine’s (IOM) Standing Committee on Family Planning, sponsored by the DHHS Office of Family Planning. The committee will follow up on issues addressed in the 2009 IOM report, A Review of the HHS Family Planning Program: Mission, Management, and Measurement of Results.  The standing committee will also participate in discussions of scientific, workforce, health services, and education issues relevant to family planning.  In addition, the committee will maintain surveillance of the field, discuss planning and program development efforts, and serve as a focal point for discussions and potential ad hoc studies requested by OFP and approved by the Institute of Medicine and the National Academies.  The work of the standing committee will also include providing a public venue for communication among government, the academic community, and community clinics well as other relevant stakeholders.

 


Congratulations Graduates!

 

Congratulations to incoming PHN Section Newsletter Co-Editors Lisa Campbell and Anne Heenan who both received their Doctor of Nursing Practice degree in Public Health Nursing from the University of Tennessee Health Science Center College of Nursing on May 27. They are joined by fellow PHN Section members: Kelli Boots, Darlene Byrd, Colleen Harris, and Keevia Porter. Congratulations to these members who are advancing public health nursing to achieve the IOM's Future on Nursing Report's goal of advancing health, nursing education, practice and leadership. 

APHA 139th Annual Meeting Registration Now Open

Registration is now open for the APHA 139th Annual Meeting and Exposition in Washington, D.C., Oct. 29 - Nov. 2, 2011.  More than 1,000 cutting edge scientific sessions will be presented by public health researchers, academicians, policy-makers and practitioners on the most current public health issues facing the nation today. For registration and more information about the Annual Meeting, visit www.apha.org/meetings .

 

Our Section will have a strong presence at the meeting. View the sessions sponsored by our Section in the interactive Online Program here: http://apha.confex.com/apha/139am/webprogram/start.html. Search the program using keyword, author name or date. Don’t forget to visit the Section and SPIG pavilion in the Public Health Expo next to Everything APHA to speak to a Section representative.

From the Quad Council

Quad Council Learning Institute

 

If you are attending APHA's Annual Meeting this year, please note that registration for the Quad Council session will be done differently than in the past.  The session will be a Learning Institute (LI).  Registrants will need to register for the event under Learning Institutes.  There is a $25 fee which, you must pay when you register for the conference. The fee will cover the reception and the 1.5 nursing CEs. 
 
The event will be Sunday, Oct. 30, from 3:00-4:30 p.m. The session is listed on page 9 of the APHA registration bulletin.

 


 

“Public Health Nurses: Leading Change, Advancing Health”

 

We are in the midst of a sea change in public health approaches driven by multiple influences including the Institute of Medicine’s (IOM) “The Future of Nursing” report, the 2010 Affordable Care Act, and public health department accreditation.  Public health nurses all across the country are responding, doing the work of public health nursing differently, more creatively, and with a clear focus on improving the health of the population they serve.  The Quad Council of Public Health Nursing Organizations will be addressing the implications of the IOM report and Affordable Care Act for public health nursing at a Learning Institute session at the APHA Annual Meeting, on Oct. 30, 2011, in Washington, D.C.  We would like to showcase examples of future-oriented public health nursing practice that meet or exceed the vision of the IOM and Affordable Care Act.  If you have a great example to share, let us know!  Tell us about your goal, how you used to approach the issue, and how you are approaching it now.  A short, descriptive email is all that is needed; direct your email to Susan Zahner, UW-Madison School of Nursing, at sjzahner@wisc.edu.  Thanks!

New Goals for APHA 2011, Less Trash! Less Plastic!

The 2011 APHA Annual Meeting theme "Healthy Communities Promote Healthy Minds and Bodies" gives APHA members an opportunity to build on the 2009 and 2010 themes of Water and Social Justice as public health priorities.

 

Green Goals. The APHA Food and Environment Working Group, the Environment Section's 100th Anniversary Committee, and APHA are setting goals to reduce waste and promote a sustainable, just, and healthy food and water system.

Got Trash? We encourage everyone at APHA 2011 to increase efforts to reduce trash, especially paper and plastic.

 

  • The Diversion Rate (the recycling/trash ratio) in D.C. at APHA 2007 was 34 percent.
  • The Diversion Rate in Denver at APHA 2010 was 52.7 percent.

 

Can we achieve a Diversion rate of 75 percent at APHA 2011?

 

The D.C. Convention Center’s water fountains and food service sinks provide filtered water! Bring your own refillable bottle to the conference to cut down on plastic waste.

 

Plan events using local resources and services that encourage wise use of water and other resources. If you need advice or suggestions, contact us: apha.fewg@gmail.com

 

Buy food sourced from sustainable producers and distributors. 

 

If using disposables, use compostable products and use the facility compost program.  Label containers so compostables do not go into the waste stream.

 

Take advantage of the DC Convention Center's Green Initiatives:

http://www.dcconvention.com/Planners/Large/GreenInitiatives.aspx.

 

Learn more about APHA 2011 Environmental Initiatives: http://www.apha.org/meetings/highlights/environment.htm

Be an Ambassador of public health and social justice in your own community.  Share information about  the social justice, public health and environmental problems caused by bottled water and water privatization, especially disposable plastic water bottles.  Use the "Resources and References" below and on the Food and Environment Working Group’s Facebook page located here: https://www.facebook.com/topic.php?uid=134564799935654&topic=6959.

 

Share ideas for waste reduction at the 2011 APHA Annual Meeting programs, scientific sessions, events and exhibits.  Send your questions and suggestions to Ellie Goldberg ellie.goldberg@gmail.com and join the conversation on the Food and Environment Working Group’s Facebook page https://www.facebook.com/APHA.food.and.environment.

 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 

The APHA Food and Environment Working Group is a multi-disciplinary collaboration across APHA Sections, housed in the Food & Nutrition and Environment Sections. Colleagues work together to protect public health by promoting and cultivating a safe, healthy, just and sustainable food system.

 

If you would like to work with us toward these goals, contact Rebecca Klein, rklein@jhsph.edu, Working Group membership is open to all APHA members.

 

~ ~ ~ ~ ~ ~ Resources and References ~ ~ ~ ~ ~ ~ ~

Bottled Water Myths:

http://www.storyofstuff.com/pdfs/storyofbottledwater_myth-v-reality.pdf

 

Bottled Water: Get the Facts:

http://www.foodandwaterwatch.org/waterbottled/

 

 

Blue Gold, Maude Barlow:

Book: http://www.amazon.com/Blue-Gold-Fight-Corporate-Worlds/dp/1565848136/ref=sr_1_2?ie=UTF8&qid=1302634088&sr=8-2

 

Film: http://www.bluegold-worldwaterwars.com/

Public Health Nursing APHA Annual Meeting Scholarship

The Public Health Nursing Section of APHA invites graduate nursing students with a public health concentration, BSN students who plan to engage in PHN practice, and novice public health nurses to submit an application to become a recipient of a PHN Scholarship to provide $500 to assist in attendance at the 2011 APHA Annual Meeting. 

This program provides a scholarship to nurses/students for the purpose of establishing meaningful connections in the public health nursing community, developing future PHN leaders, maximizing awardees' experiences at the APHA Annual Meeting, and supporting involvement in the PHN Section. 

Eligibility requirements, awardee responsibilities, and application can be found by clicking here.  For more information, contact Anne Belcher, abelche@iupui.edu or (317) 274-4750.

 

ELECTRONIC APPLICATIONS ARE DUE

BY CLOSE OF BUSINESS DAY

August 13, 2011


APHA Annual Meeting Student Scholarship

APHA is proud to announce the availability of need-based scholarships, sponsored by External Medical Affairs, Pfizer Inc., for student members to attend the 139th Annual Meeting and Exposition in Washington, D.C., from Oct. 29-Nov. 2, 2011.  Twelve students will be granted registration and up to a $500 stipend to use toward food, lodging and transportation.  An additional four students will be given Annual Meeting registration only.  Recipients of the scholarships will be chosen based on financial need and essay.  As part of the award, students will be strongly encouraged to attend at least one Section business meeting.  Please inform the student members of your Section about this unique opportunity!  Visit: www.apha.org/meetings/registration/scholarship  for complete details and application.  Please contact Pooja Bhandari at pooja.bhandari@apha.org with any questions

Public Health and Transportation Urgent Action and Toolkit

These are exciting times. The U.S. Congress has recently acknowledged through legislation the many ways our transportation systems affect health and equity in our communities. The current federal surface transportation bill has been extended until Sept. 30, 2011, and includes funding for public transportation, increased highway safety, and measures to protect the environment. Congressional committees are planning to draft a new transportation bill before this latest extension ends.

Want to learn more about the connections between transportation, equity and health? View our archived webinar series, subscribe to the monthly transportation and health eNewsletter that offers an array of new events and updates, and download the newly released online public health and transportation toolkit and accompanying resources today.

We also invite you to send a message to your members of Congress urging that they ensure that strong public health provisions continue to be included in the federal surface transportation reauthorization. For more information, visit http://apha.org/transportation.

From the Field

Alaska Public Health Nursing: More than giving vaccines!

 

The state of Alaska is currently rich in PHN job opportunities, particularly in lead positions for small communities and remote areas of the state. The state’s public health priority areas include improving immunization rates, reducing communicable diseases, domestic violence prevention, and emergency preparedness. Here are three examples of public health nurses working in Alaska: 

 

Nancy Davidian has been a PHN in Fairbanks for the past 10 years. Davidian helps lead the Interior Domestic Violence Workgroup promoting prevention of violence by increasing the community’s awareness, screening and referring people, and partnering with community members. The group also focuses on linking individuals and families to supportive resources. PHNs partner with schools, shelters and others that may be involved with awareness and prevention of domestic violence.

 

Penny Lehmann has served as Sitka’s public health nurse for 20 years. In 2007, she worked alongside the Sitka Community Hospital, Southeast Alaska Regional Health Consortium and other groups to start a new annual meeting called the Sitka Health Summit. Every year, these partners get together to discuss ways they can help Sitka residents become healthier. In 2007 these partners created a bike-friendly city, earning Sitka the first city in Alaska to receive the “Bike Friendly Community” distinction from the League of American Bicyclists. In 2010, the Health Summit partners followed Gov. Sean Parnell’s lead and started a “Choose Respect” project, which is now supported by several grants. The project will conclude with a Choose Respect Mural depicting the seriousness of all types of violence and possible solutions.

 

Rachelle Hill has been a PHN in Delta Junction for seven years. Hill is the board secretary of the Deltana Community Services Partnership.  The group surveyed community members to determine the key health issues facing residents: senior services, children’s services, youth activities, behavioral health, and medical needs like speech and physical therapy. Work groups formed to address these issues. Hill said the partnership recently took over Delta Junction’s Food Box program and now serves almost 90 families in need. Another partnership goal is to build a 12-unit housing facility for Delta Junction’s seniors.

 

These stories (or portions of them) first appeared in Summer Update 2011, a biannual external publication from the Alaska Department of Health and Social Services. Reprinted with permission. Please note these stories have been edited for this Spring Issue of the PHN Newsletter.

 

Learn more about current State of Alaska opportunities at www.hss.state.ak.us/dph/nursing/recruitment/ or contact Jerrine Regester at (800) 499-2964 or HSS.publichealthnursing@alaska.gov.

Advanced Public Health Nursing Certification Exam

The Advanced Public Health Nursing Certification Exam (formerly the Clinical Nurse Specialist in Public/Community Health Certification Exam), now has a new name, expanded eligibility options, two options for credentials, and the ease of computer-based testing.
 
Name Change
The ANCC Commission on Certification changed the name of the Clinical Nurse Specialist in Public/Community Health certification exam to the Advanced Public Health Nursing certification exam. This name change led to the development of  this exam's newly expanded eligibility options.
 
Expanded Eligibility
There are now three eligibility options for this exam that encompass a variety of graduate educations programs in public/community health. A current, active RN license is required for all three options.
 
Two Credential Options
The standard credential awarded upon passing this examination is now APHN-BC (Advanced Public Health Nurse - Board Certified). Those who have competed a formal clinical nurse specialist graduate program in public and/or community health can request the PHCNS-BC credential (Public Health Clinical Nurse Specialist - Board Certified) that contains separate courses in advanced physical/health assessment, advanced pathophysiology, advanced pharmacology and a minimum of 500 faculty supervised clinical hours.
 
Computer-Based Testing
This exam is now a computer-based test. This means you can apply all year and test during a 90-day window, at a time and location convenient to you. Applications for this certification will be accepted at any time. Your testing results will be available immediately after completing the exam at the testing center. The first Advanced Public Health Nursing computer-based exams were administered in May 2009.
 
To Apply: Visit ANCC's Advanced Public Health Nursing web page and download the type-able PDF of the application: http://www.nursecredentialing.org/NurseSpecialties/PublicHealthNurse.aspx

American Nurses Credentialing Center
(800) 284-2378 customer service
www.nursecredentialing.org

Second International Public Health Nursing Conference

Public health nurses from around the world will gather in St Paul, Minn., from Oct. 9-11, 2011 to promote "Visibility and Voice in Public Health Nursing". The conference is being hosted by the University of Minnesota School of Nursing.

Please join us at this conference! Public health nurses from many different countries will:

  • identify similarities and differences in health policies, public health nursing practice, and health outcomes;
  • share innovative strategies to prevent disease and promote health;
  • energize a global public health nursing workforce; and
  • share best practices in public health nursing.

This conference builds on the commitment and energy of the first conference held in Oslo, Norway in October 2009, which was hosted by Diakonova University College. The program will highlight speakers from Norway, New Zealand, the Netherlands, Kenya and the United States. As part of this conference, public health nurse educators, practitioners, and researchers will come together to discuss establishing an international association of public health nursing to advance global cooperation and health.

Please explore the website at www.tinyurl.com/InternationalPHN for information about:

  • Program agenda
  • Speaker bios
  • Call for abstracts for oral presentations and posters
  • Exhibitor information
  • Registration information
  • Conference organizers

If you cannot find the information you need, please contact us at: PHNconference2@metroconnections.com

Several members of the APHA Public Health Nursing Section are on the planning committee for this exciting conference.  We hope to see you in Minnesota this fall! 

Planning Committee:  Debbie Swanson and Linda Olson Keller

 

 

Rita M. McGinley Symposium on Social Justice in Heath Care

Save the Date for the Rita M. McGinley Symposium, Sept. 29-30, 2011, Duquesne University School of Nursing, Pittsburg.

 

The Rita M. McGinley Symposium is a unique scholarly forum for nurses and other health care professionals to address issues of social justice in health care. Organized annually by the holder of the Jacques Laval Chair for Justice for Vulnerable Populations at the Duquesne University School of Nursing, the McGinley Symposium is an expression of the Mission of the Congregation of the Holy Spirit, the Catholic missionary order, which founded Duquesne and assists needy and marginalized persons throughout the world. For more information, go to http://www.duq.edu/social-justice/ or contact Alyssa M. Kramer at krameral@duq.edu, Duquesne University School of Nursing.

 

 

Population-Based Public Health Nursing Clinical Manual Released

The Population-Based Public Health Nursing Clinical Manual – The Henry Street Model for Nurses, provides an evidence-based practice approach for developing entry-level competencies in public health nursing.  It is co-authored by Marjorie A. Schaffer, Carolyn M. Garcia, and Patricia M. Schoon, with contributions from 16 Henry Street Consortium practice and academic partners. Henry Street Consortium, a community and academic collaboration in Minnesota, was formed to better prepare nurses for population-based public health nursing practice of the 21st century.

 

This new publication is a valuable tool for public health nursing educators and entry-level public health nurses. It is informed by key public health and public health nursing standards and guidelines, including the Quad Council core competencies, the Scope and Standards of Public Health Nursing, and Essential Public Health Services. The book addresses a need in the literature for a guide for students and faculty to develop the skills necessary for effective entry-level PHN practice.

 

In this publication, the authors seek to speak to readers in an understandable, meaningful way and address student concerns about practicing nursing in the complex and often unorganized world of the community. They hope to motivate students to excel in their PHN clinical experience, engage in activities that facilitate learning, and promote health in diverse individuals, families, communities and populations. They encourage readers to think critically, using their minds to grapple with moral and ethical dilemmas and complex health needs, disparities and inequities.

 

The Henry Street Consortium manual begins with a description of foundational public health nursing concepts. Each subsequent chapter is devoted to one core competency and organized according to the key competency characteristics.  Chapters include foci on: PHN process, communication, leadership, epidemiology, collaboration, nonjudgmental care, holistic PHN, and social justice, among others.

 

Key chapter elements include: 1) a case study that is woven throughout the chapter with real-life scenarios; 2) a notebook with competency components and definitions of key concepts; 3) evidence examples; 4) activities that give readers and opportunity to reflect and engage in the content; 5) ethical considerations for each competency; 6) learning examples; 7) a reflective practice section that pulls together key competency concepts; 8) key points; and 9) Think, Explore, Do opportunities for continued learning application.

 

The Population-Based Public Health Nursing Clinical Manual is published by Sigma Theta Tau International. To preview the manual click here.

 

Submitted by,

 

Marjorie A. Schaffer, PhD, PHN

Carolyn M. Garcia, PhD, PHN

Patricia M. Schoon, MPH, PHN

AHRQ Reports and Statistical Briefs Released

New Offerings from the HCUP Online Tutorial Series

 

The Agency for Healthcare Research and Quality has just released a new data training module and an updated re-release of a favorite in the HCUP Online Tutorial Series. These online trainings are designed to provide data users with information about HCUP data and tools, as well as training on technical methods for conducting research using HCUP datasets.

 

·        The all-new Calculating Standard Errors tutorial is designed to help users determine the precision of the estimates they produce from the HCUP nationwide databases. Users will learn two methods for calculating standard errors for estimates produced from the HCUP nationwide databases.

 

·        The newly-revised HCUP Overview Course is a helpful introduction to HCUP for new users. The original course has been updated to include the latest additions to the HCUP family of databases and tools, including the Nationwide Emergency Department Sample.

 

The HCUP Online Tutorial Series is available on the HCUP-US Website.

 

 

Use of Episiotomy and Forceps During Childbirth Down, C-Section Rates Up

 

Use of episiotomy, a surgical incision to widen the vaginal area during childbirth, fell by 60 percent between 1997 and 2008, according to a recent report from AHRQ. However, the proportion of hospital stays of women who delivered via cesarean section increased by 72 percent during the same period.

 

AHRQ's analysis also found that from 1997 to 2008:

·        The use of forceps to aid delivery declined by 32 percent, from 14 percent to 10 percent.

·        The number of hospital stays for childbirth fell by 300,000 between 2007 and 2008 — from 4.5 million to 4.2 million. In comparison, the annual number of childbirth stays had been increasing by an average of 2 percent a year starting in 1999.

·        The average childbirth stay involving C-section with no complications cost hospitals an average of $5,700, and $7,600 when there were complications. By comparison, a vaginal childbirth stay without complications cost hospitals an average of $3,400, and $4,400 when there were complications.

·        Forty percent of all childbirth stays were billed to Medicaid, 53 percent to private insurers, 4 percent were uninsured, and the rest were charged to other payers.

·        Roughly 36 percent of all childbirth hospital stays in 2008 occurred in the South, compared to 16 percent in the Northeast. The West and Midwest accounted for 26 percent and 23 percent, respectively, of childbirth stays.

 

These findings are based on data described in Hospitalizations Related to Childbirth, 2008. The report uses data from the 2008 Nationwide Inpatient Sample, a database of hospital inpatient stays in all short-term, non-federal hospitals. The data are drawn from hospitals that comprise 95 percent of all discharges in the United States and include patients, regardless of insurance type, as well as the uninsured.

 

 

Medication Side Effects, Injuries Up Dramatically

 

The number of people treated in U.S. hospitals for illnesses and injuries from taking medicines jumped 52 percent between 2004 and 2008 — from 1.2 million to 1.9 million — according to a recent AHRQ report. These medication side effects and injuries resulted from taking or being given the wrong medicine or dosage.

 

The federal agency also found that in 2008:

·        The top five categories of medicines that together sent more than 838,000 people to emergency departments for treatment and release were unspecified medicines (261,600); pain killers (118,100); antibiotics (95,100); tranquilizers and antidepressants (79,300); and corticosteroids and other hormones (71,400).

·        For patients admitted to the hospital, the top five categories causing side effects and injuries were corticosteroids (used for such illnesses as asthma, arthritis, ulcerative colitis, and other conditions — 283,700 cases); painkillers (269,400); blood-thinners (218,800); drugs to treat cancer and immune system disorders (234,300); and heart and blood pressure medicines (191,300).

·        More than half (53 percent) of hospitalized patients treated for side effects or other medication-related injuries were age 65 or older, 30 percent were 45 to 64, 14 percent were between 18 and 44, and 3 percent were under age 18. Children and teenagers accounted for 22 percent of emergency cases.

·        About 57 percent of the hospitalized patients and 61 percent of emergency department cases were female.

 

These findings are based on data described in Medication-related Adverse Outcomes in U.S. Hospitals and Emergency Departments, 2008. The report uses data from the Agency's 2008 Nationwide Inpatient Sample and 2008 Nationwide Emergency Department Sample. For information about these two databases, please visit the HCUP-US Website.

 

 

Uninsured Hospital Stays Surged from 2003 to 2008

 

Hospital stays for uninsured patients jumped 21 percent between 2003 and 2008, after holding fairly steady during the previous five years, according to a recent AHRQ report. By comparison, all hospital stays grew only 4 percent between 2003 and 2008, and 10 percent during the previous five years.

 

The federal agency found that there were 2.1 million uninsured admissions in 2008, compared to 1.8 million in both 2003 and 1998. The average cost of a 2008 uninsured hospital stay was $7,300.

 

AHRQ also found that:

·        Public hospitals saw the greatest share of uninsured stays (8.3 percent) in 2008, compared to stays in private, for-profit hospitals, (5.5 percent) and private, not-for-profit hospitals (4.7 percent).

·        Hospitals in the South had more than twice the percentage of uninsured stays (7.6 percent) than those in the Northeast (3.2 percent) in 2008. Uninsured patients made up 4.9 percent and 3.6 percent of stays in the Midwest and West, respectively.

·        Between 2003 and 2008, the number of uninsured hospital stays increased by 55 percent for skin infections; 43 percent for gall bladder disease; 40 percent for diabetes complications; 35 percent for alcohol-related disorders; and 20 percent for heart attacks.

 

These findings are based on data described in Uninsured Hospital Stays, 2008. The report uses data from the 2008 Nationwide Inpatient Sample.

Update on APHA Book Publications – June 2011

I am very pleased to announce that there are number books in production as well proposals for books that have been accepted, and work on them is under way.  Furthermore, several authors of current products will be available to sign their books at the fall APHA Annual Meeting in Washington, D.C.

APHA members of all Sections are encouraged to using existing, new and emerging products in their academic courses. These resources are also very relevant to policy, prevention, advocacy and client care initiatives. Please encourage your colleagues to use these timely and evidence-based resources.  Go to the APHA website to find out more: www.aphabookstore.org 

We are also looking for new proposals for books. If you have an idea for a book, please send a few paragraphs describing the idea, intended audience and your qualifications to Nina Tristani, Director of Publications, APHA, nina.tristani@apha.org

Thank you for supporting APHA Books and promoting these products.

Norman Giesbrecht, PhD, Chair, APHA Publications Board

**************

  New

o    Environmental Health and Racial Equity in the United States, Authors: Robert D. Bullard, PhD; Glenn S. Johnson, PhD; and Angel O. Torres, MCP

Books at Printer in June

·         Megacities and Public Health, Omar Khan, MD, MHS

·         Public Health Management of Disasters, 3rd edition, Linda Landesman

Books Currently in Production

  • Injury Prevention for Children and Adolescents: Research Practice, and Advocacy, 2nd edition, Karen D. Liller, PhD
  • School–Based Health Care, Terri Wright, MPH and Jeanita Richardson, PhD

Books in Development

  • Control of Communicable Diseases Manual, 20th Edition
  • Control of Communicable Diseases Lab Book
  • Compendium of Methods for the Examination of Foods, 5th Edition
  • Caring for Our Children, 3rd edition
  • Standard Methods for the Examination of Water and Wastewater, 22nd edition

E-Books

·         Communicating Public Health Information Effectively is now on Kindle.

Co-sponsored Books

Jossey-Bass: Emerging Infectious Diseases published in April 2011.

 

Jones and Bartlett Learning books to be published before the 2011 Annual Meeting: Essentials of Biostatistics in Public Health, Essential Case Studies in Public Health: Putting Public Health into Practice, Global Health 101, Field Epidemiology in Public Health Practice, Epidemiology in Women's Health, Essentials of Health, Culture and Diversity, Epidemiology of Chronic Disease, Introduction to Air Pollution Science, and Essentials of Program Planning and Evaluation.

 

APHA is also co-publishing with Wiley, Designing Healthy Communities by Richard Jackson.  The book is a companion to a PBS series to air this fall.

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