UM Shore Regional Health Publishes 2018 Community Benefits Report Online

UM Shore Regional Health’s 2018 Community Health Improvement Report has been published online and is available for viewing at https://www.umms.org/shore/news/2018/um-shore-regional-healths-2018-community-health-improvement-2018.

UM Shore Regional Health’s most recent Community Health Needs Assessment (CHNA), conducted in 2016, identified top health concerns in the region: chronic disease management (obesity, hypertension, diabetes, tobacco use), behavioral health, access to care, cancer, outreach and education (preventive care, screenings, health literacy).These are the same top health concerns and health barriers indicated by the overall Maryland Department of Health and Mental Hygiene State Health Improvement Process (DHMH SHIP) county data.

UM SRH determined that the greatest transformation in population health in the five-county region would be achieved by focusing on chronic disease management, behavioral health and cancer screenings. An implementation plan was developed for each priority, with key activities to improve care coordination and health education in community settings.

As detailed in the new report, the total value of UM Shore Regional Health’s community health improvement initiatives during 2018 exceeds $40 million. According to Ken Kozel, UM SRH president and CEO, and Kathleen McGrath, regional director, Outreach and Community Health, the document “reflects UM Shore Regional Health’s commitment to building community partnerships that help foster better health outside the walls of our hospitals and outpatient facilities, while enhancing access to care and the overall quality of life in the five counties we serve.”

As part of the University of Maryland Medical System (UMMS), University of Maryland Shore Regional Health is the principal provider of comprehensive health care services for more than 170,000 residents of Caroline, Dorchester, Kent, Queen Anne’s, and Talbot counties on Maryland’s Eastern Shore. UM Shore Regional Health’s team of more than 2,500 employees, medical staff, board members, and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

Death with Dignity: DC Residents Learning about New End-of-Life Law

More than a year after a controversial end-of-life law went into effect in the District of Columbia, advocacy groups say they are now seeing a higher public response to its efforts to ensure city residents know the law exists.

How many people have used the law will become clearer in an upcoming February report. As of last April, no patient had yet used the law, according news accounts.

The Death with Dignity Act allows mentally capable, terminally ill adults with six months to live to request lethal doses of prescription medication so they can die peacefully and comfortably in their homes or any place where they have been granted permission to do so.

One of the law’s main proponents, Compassion & Choices, has helped the District of Columbia Council advocate for the legislation and educate Washington residents about the new option for patients with terminal illnesses.

The administrative side of the end-of-life process apparently has dissuaded physicians, pharmacists and patients from using the law, but local public service announcements have helped spike interest and attention, Sean Crowley, spokesman for Compassion & Choices, told Capital News Service in an interview.

His group declined to say how many doctors in the District registered to use the law, as it did not have access to such records. But as of last April, only two doctors among the roughly 11,000 doctors in the city had registered to use the law and just one hospital had approved doctors for the practice, according to The Washington Post.

The District of Columbia Department of Health is set to release a detailed report in February on how many patients have utilized lethal drugs and how many physicians have administered them. But to date, no patients have volunteered to go public with their stories.

During September, Compassion & Choices distributed television public service announcements promoting the end-of-life law, featuring prominent Washingtonians Diane Rehm, a former WAMU radio show host, and Dr. Omega Silva, a retired physician.

The announcements, which began Labor Day weekend, aired on various Comcast stations. Compassion & Choices reported that there were 229 visits to the group’s page during September, compared to only 56 for the same month a year ago – a 400 percent increase.

In addition to the District, six states have end-of-life, or physician-assisted dying laws: California, Colorado, Hawaii, Oregon, Vermont and Washington, according to the nonprofit Death with Dignity National Center, based in Portland, Oregon.

Efforts to pass a similar law in Maryland have been unsuccessful.

Since the District’s end-of-life bill was introduced in 2015, organizations such as Right to Life and conservatives in Congress have opposed it and tried to defund it.

Rep. Andy Harris, R-Cockeysville, introduced an amendment in 2017 to defund and repeal the law. The amendment failed to pass the House Appropriations Committee.

Harris, a physician, criticized what he called “the so-called Death With Dignity Act,” saying “most people don’t associate suicide with dignity in any way shape or form.”

“It sends a strong message that regardless of the many types of disease you might have and the many types of treatment that may be available, there is one common pathway that in this case the District would say is perfectly acceptable, it is legal,” he said. “It’s actually to go to a physician and ask if they can participate in your suicide. That doesn’t lead to more choice – that leads to one choice.”

The House will be controlled by the Democrats next month, making the prospects for repealing the District bill more remote.

In any case, Crowley said that “lawmakers from outside the District should not dictate to district lawmakers what laws they should pass for their local constituents.”

“Other states would never allow lawmakers from outside their state dictate what their states can do,” he said. “Why should they be allowed to dictate in D.C.?”

Since its founding as the seat of the federal government, the District of Columbia has not had voting representation in Congress, although it has some limited autonomy. Even so, Congress has the power to review and repeal District laws.

“That Congress thinks it should substitute its judgment for the judgment of the residents of the District of Columbia is odious enough,” said Councilmember Mary Cheh, who sponsored the end-of-life bill. “That it would presume to substitute its judgment for the judgment of people who are dying is unconscionable. Such an action is fundamentally undemocratic and it should not stand.”

By Morgan Caplan

Mid-Shore Health: The Goal of Control at the End of Life

There is little doubt that one of the paramount issues for those facing the last phase of their lives is one of control. From such things as pain management to document the end of life wishes with family members, the patient is eager to control as much of the process as possible.

And one of their primary allies in maintaining that control is working with their local hospice as early as possible. That is the central message we received when talking to Talbot Hospice’s medical director, Mary DeShields, and its executive director, Vivian Dodge when talking to the Spy the other day.

With the national average hospice care period lasting only two to three weeks, the options and time for solid planning are minimal. That is why Mary and Vivian are strong advocates for patients and families to enter into hospice care almost immediately after a terminal diagnosis, which allows up to six months for them to prepare appropriately and guarantee the most comfortable end of life strategies possible.

This long-range approach also applies to palliative care which takes of those between acute care and end of life care. This stage for those with a chronic illness this is likely to result in death also requires a multidisciplinary management approach that, like hospice, is directed around the wishes of the patient and dramatically improve their day-to-day quality of life.

That is the primary reason that Talbot Hospice has been taking steps this year to strengthen their palliative care role with a new initiative to work more closely with community physicians and their patients.  By adding the local hospice team, both doctors and those under their care can greatly benefit patients with symptoms, and the emotional side of these serious chronic conditions.

The Spy sat down with Mary and Vivian at Talbot Hospice last week for a brief discussion of these issues.

This video is approximately seven minutes in length. For more information about Talbot Hospice please go here

Mid-Shore Careers: Mental Health Careers Found at Channel Marker

While the demand on the Mid-Shore to fill skilled job openings has never been higher, especially in such fields as cyber-security, healthcare, or a range of traditional trades from welding to culinary management, it was interesting for the Spy to note that there are still career openings for what is known as generalists. These well-educated, “jacks of all trades, masters of none” young people have demonstrated their ability to achieve in their coursework in education, but sometimes not with a clear vocation in mind when it’s completed.

But one option open to many that fall into this category is in the growing field of mental health, and that is indeed the case with Channel Marker, Inc. which serves the Mid-Shore region helping those suffering from a variety of these conditions.

The Spy sat down with two of Channel Marker’s staff who have found themselves in a profession they have not only grown to love but offers significant opportunities for career advancement. Heather Chance, a residential coordinator with the organization, and Kelly Holden, its HR and training director, to talk about their rewarding careers helping those with these afflictions navigate back into being productive citizens in the community, their professional growth, and the opportunities that await other to follow in their footsteps.

This video is approximately five minutes in length. For more information about Channel Marker and review the list of job openings go here

.

Suicidal Behavior In Children And Adolescents: Focus on Awareness and Prevention by Dr. Laurence Pezor

As we complete a week dedicated to the awareness of suicide, it is important to review this manifestation of mental illness and what the community and we, family, friends and mental health professionals, can do to address this crisis.

Statistically, it is staggering that suicide is the 3rd Leading cause of death in 15 to 24 year-olds and the 6th leading cause of death in 5 to 14 year-olds according to data from the American Academy of Child and Adolescent Psychiatry (AACAP, Facts for Families, 2013). Center for Disease Control data from 2005 indicated that among 15 – 24 year-olds, suicide accounts for 12.9% of all deaths annually.

This is particularly a concern for high school students who, in a study by Eaton et al in 2006, indicated at 16.9% of all high school students seriously considered suicide in the previous twelve months before the study. Additionally, there are significant cultural differences. The same study documented that Hispanic female high school students reported a higher percentage of suicide attempts than their non-Hispanic peers.

These statistics, however overwhelming, are only overshadowed by the unrelenting pain suicide inflicts on surviving family and friends. Some professionals contend that suicide cannot be prevented but mitigated by focusing on providing alternative choices to desperate situations. That providing those in emotional distress with more appropriate choices to manage their feelings and instead of self harm, utilize different coping skills when overwhelmed.

To that end, open discussion about suicidal behavior and feelings as well as providing alternatives to self harm, are the goal of therapy and community support.
Providing tools to children and their families including crisis lines, access to mental health services and other professional support is key.

Recognition of potential risk factors that indicate emotional distress and could lead to suicidal thoughts or behavior is everyone’s responsibility.
Potential risk factors, described by AACAP (2004), include:

Prior suicide attempts
Substance Abuse
Change in sleeping/eating habits
Withdrawal from family and friends
Unusual neglect of personal appearance
Violent, rebellious behavior
Loss of interest in pleasurable activities
More severe psychiatric symptoms (psychosis)
Complain of feeling “bad” or “rotten” inside
Put his or her “affairs in order”
Verbalize suicidal thoughts or feelings

Underlying mental illness, lack of family and social support as well as limited coping skills also play a pivotal role in suicidal behavior.

How can we, as family, friends and community, help?
Some basic interventions include:
Take threats seriously; notify police or mental health professionals
Be suspicious when there are serious psychiatric symptoms or substance abuse issues
Keep lines of communication open
Seek professional support

Eastern Shore Psychological Services (ESPS) has therapists in all the Talbot County schools working hand in hand with the school guidance counselors ready to help.
ESPS offers mental health, substance abuse and wellness services for all ages. For those seeking mental health services, ESPS offers “same day access” appointments Monday – Thursday at 8 AM at their office at 29520 Canvasback Drive.  For more information, please contact the Clinic at 410-822-5007.

Laurence Pezor, MD is the Chief Medical Officer at Child and Adolescent Psychiatrist with Eastern Shore Psychological Services.

 

Talbot Hospice Fetes Guthrie Members

Gigi and Steve Hershey, Jim Farrell, and Judy Gieske

More than 140 Talbot Hospice Guthrie Society members were honored at a donor appreciation party in September hosted by Jim and Maxine Farrell at their home, Canterbury Manor. The Guthrie Society is a giving society for top donors that give at a designated level each year to the Annual Campaign. Named after one of Talbot Hospice’s founders, Dr. Eugene “Buck” Guthrie, this group of dedicated donors exemplifies and honors Dr. Guthrie’s vision and commitment to the Talbot Hospice mission and his passion for making a difference in the end-of-life experience for patients and families served by hospice.

Guthrie Party Hosts Jim and Max Farrell, TH Executive Director Vivian Dodge, and Board President Steve Slack.

Canterbury Manor is a colonial revival mansion on Bailey’s Neck built in 1906 featuring sweeping views of Trippe Creek and award winning gardens. “We want to share Canterbury Manor with our community,” said Maxine Farrell.  “It brings us great pleasure to entertain this important group of Talbot Hospice supporters.”

Mary Choksi and Debbie Willse

Executive Director Vivian Dodge took the opportunity to express her appreciation for Guthrie Society members and their support for the hospice mission. “Our donors are an inspiration. They have given their time, efforts, resources, commitment, and love to Talbot Hospice. Their gifts and support make it possible for Talbot Hospice to exist and to close the gap of nearly $485,000 in care and services that is uncompensated.”

Talbot Hospice has been providing hospice and grief support services in Talbot County since 1981. For questions about our services or for more information visit TalbotHospice.org or call 410-822-6681.

 

PHOTO CAPTIONS:

  1. Talbot Hospice Guthrie Society party hosts Jim and Maxine Farrell, Talbot Hospice Executive Director Vivian Dodge and Board President Steve Slack, September 14, 2018 at Canterbury Manor
  2. Mary Choksi and Debbie Willse attended the Talbot Hospice Guthrie Society Party September 14, 2018
  3. Gigi and Steve Hershey, Guthrie Society Party Host Jim Farrell, and Judi Gieske enjoyed the evening at Canterbury Manor

 

You Do Matter: For All Seasons and Suicide Prevention on the Mid-Shore

It is most often the case that the subject of suicide comes up in conversation after a celebrity or public figure ends their life that way.  That was indeed the case when Anthony Bourdain killed himself in France during the summer.

And it is to the credit of the media that stories like Bourdain are now going beyond the sensational details and more frequently talk frankly about mental illness and the impact it has throughout the country. It is an occasion to have a national conversation about suicide.

In a local way, that is what For All Seasons wants to have with their “No Matter What…You Matter” suicide prevention campaign kicking off October 5th in Easton.  The staff and volunteer leaders of the Mid-Shore’s behavioral health provider, including director Beth Anne Langrell and Allie Prell, the chair of this year’s You Matter campaign, want the region to have those same conversations but with friends and family, and particularly with those that may be a risk of self-harm.

The Spy spent some time with Beth Anne and Allie at the Bullitt House last week to get their perspective on this awareness drive and their hopes for a community reaching out to loved ones for honest conversations about mental health.

This video is approximately five minutes in length. For more information about For All Seasons and its No Matter What…You Matter” suicide prevention campaign please go here

 

Maryland Democrats: Trump Health Care curbs could Affect 260,000 in State

As many as 260,000 Maryland residents could see higher premiums or lose their health care coverage altogether because of pre-existing medical conditions, age or gender under a new Trump administration legal strategy, state Democrats warned on Tuesday.

Rep. Elijah Cummings, D-Baltimore, along with other Democratic members of the Maryland congressional delegation and state Attorney General Brian Frosh attacked the Trump administration for refusing to protect Americans guaranteed the right to health insurance under the Affordable Care Act.

The protections, the Democrats argued, are of the utmost importance and won’t be invalidated without a legal fight.

“We’re better than that,” Cummings said. “We’re a better country than that.”

In June, Attorney General Jeff Sessions wrote in a letter to House Speaker Paul Ryan, R-Wisc., that the Justice Department would not defend key provisions of the health care law, a regular target of attacks by President Donald Trump and repeal efforts by congressional Republicans.

Cummings released a report by the Democratic staff of the House Oversight and Government Reform Committee that detailed potential impacts of such a policy on Marylanders. Frosh is among more than a dozen attorneys general challenging Sessions’s decision in federal court.

“Even more troubling, they did not offer any alternative,” Cummings said at a press conference.

He was flanked by Frosh, Maryland Sens. Ben Cardin and Chris Van Hollen, and Reps. Dutch Ruppersberger of Timonium and John Sarbanes of Towson. All are Democrats.

Trump has largely moved to defund the ACA since taking office, scaling back federal funding from $62.5 million in 2016 to just $10 million this year.

But Health and Human Services Secretary Alex Azar has challenged attacks on Trump’s handling of the health care law.

“The president trying to sabotage the (Affordable Care Act) is proving better at managing it than the president who wrote the law,” Azar said during a Sept. 27 speech in Nashville, The Washington Examiner reported.

Under the new Trump policy, 167,000 Marylanders with pre-existing conditions could lose coverage or face hikes in premiums, the Democrats’ study estimated. Of those, 79,000 have such severe pre-existing conditions that insurance carriers could deny them any coverage.

Up to 160,000 Maryland women could be charged more than men for the same health care coverage, the report said. Such discrimination was barred by the health care law.

In addition, up to 108,000 older Maryland residents could be charged more, according to the report.

Maryland workers in higher-risk occupations also could lose protections: 19,000 construction workers, 9,700 shipping clerks and 4,800 emergency medical technicians.

“Defending the Affordable Care Act will affect the lives of Marylanders and people all over this country,” Cardin said. “It’s critically important that the American people understand what’s at stake when the president does not defend the Affordable Care Act.”

A Kaiser Family Foundation poll released in September showed that 50 percent of adults held a favorable view of the ACA. Forty percent held an unfavorable view. Another Kaiser poll found that 75 percent of people polled said it was “very important” that the ACA’s protections for people with pre-existing conditions ensuring guaranteed coverage remains law.

“When the Trump Administration decided not to defend the law … they’ve given a green light to all those who want to undo that protection through the courts,” Van Hollen said.

Trump, who said during his campaign that he wanted to put somebody on the Supreme Court who would help overturn the ACA, has done just that in nominating Brett Kavanaugh. In 2011, Kavanaugh was the dissenter in a 2-1 federal appeals court ruling on the constitutionality of the ACA’s individual mandate provision.

Cummings said the administration’s hostility to the health care law has caused unease even among government attorneys.

“Their actions are so indefensible,” Cummings said, “that three of four career attorneys representing the government withdrew from the case rather than sign their names on the brief. One attorney even resigned.”

Joel McElvain and two other lawyers withdrew from the case this summer; he later resigned. All three worked on a lawsuit brought by Texas and other Republican-led states that challenges the constitutionality of the ACA and is likely to find its way to the Supreme Court.

by Jared Goldstein

Women and Girls Fund’s Purple Grants in Action: Rising Above Disease with Bonnie Scott

As noted in our first Women & Girls Fund Goes Purple interview Sherry Collier with Restoring H.O.P.E. in Women it could be said that the  WGF has been wearing purple a long time before Talbot Goes Purple started their successful awareness campaign last year. A philanthropic organization committed to empowering women and girls; it also seeks to help with the unique health needs, both physical and mental, of women in our community who are trying to rebuilding their lives after a life of drug or alcohol abuse.

In the Spy’s ongoing Grants in Action series with the WGF, we turn our attention to Rising Above Disease’s women-only recovery house founded by Bonnie Scott.

WGF board member Talli Oxnam once again introduces Bonnie and her extraordinary personal journey from addiction to recovery, and her commitment to supporting women as a tribute to her son who tragically lost his life due to a drug overdose a few years ago.

This video is approximately six minutes in length. For more information about Rising Above Disease please go here

This is the ten in a series of stories focused on the work of the Women & Girls Fund of the Mid-Shore. Since 2002, the Fund has channeled its pooled resources to organizations that serve the needs and quality of life for women and girls in Caroline, Dorchester, Kent, Queen Anne’s and Talbot Counties. The Spy, in partnership with the Women & Girls Fund, are working collaboratively to put the spotlight on twelve of these remarkable agencies to promote their success and inspire other women and men to support the Fund’s critical role in the future.

Talbot Hospice Offers New Support Groups

Talbot Hospice has announced the addition of three new grief support groups to its roster. All support groups are free of charge and open to the public, whether or not your loved one was served by Talbot Hospice.

Beginning in September an eight-week group called “Looking Ahead” will be offered for anyone in the community who is grieving the death of a loved one. Participants will have two options to choose from – Wednesdays from 1 – 3 p.m. or Thursdays from 6 – 8 p.m. Wednesday dates are September 5, 12, 19, 26 and October 3, 10, 17, 24. Thursday dates are September 6, 13, 20, 27, and October 4, 11, 18, 25. Registration is required.

In October, a four-week group called “Shattering the Silence” will offer support, education, and resources to families impacted by a loved one’s death from suicide or overdose. This group will meet every Tuesday in October (2, 9, 16, and 23) from 6:30 – 8:30 p.m.

“Navigating the Holidays in the Midst of Grief” will be offered Friday, November 2, 9 a.m. – 12:30 p.m. This grief workshop will offer coping strategies, ideas, suggestions and grief education on how to navigate the holidays which can be challenging, especially during the first year after the death of a loved one. Registration is required.

Other ongoing support groups at Talbot Hospice include:
Caregivers Support Group, Thursdays at 1-2:15 p.m.
Pet Loss Support Group, 1st Thursday of the month, 6-7 p.m.
Child Loss Support Group, 3rd Wednesday of the month, 6:30-8 p.m.
Grief Support Group, 4th Tuesday of the month, 5-6:30 p.m.

All support groups meet at Talbot Hospice, 586 Cynwood Drive, Easton. For more information or to register for a group contact Becky DeMattia at 410-822-6681 or bdemattia@talbothospice.org. More details about these groups can be found at www.Talbothospice.org/programs/bereavement.