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HealthStream CEO Bobby https://blog.printpapa.com/where-to-buy-lasix-online Frist Jr can u buy lasix over the counter. Is giving $2.25 million worth of his company shares to more than 1,000 employees, according to a news can u buy lasix over the counter release. He's also giving an additional can u buy lasix over the counter 7,113 shares valued at approximately $185,000 to cover administrative costs. Shares of HealthStream were trading at $26.17 per share as of Thursday morningThe gift equals 86,494 shares in the company, or approximately $2,200 worth of HealthStream stock per employee.

The group does not include any C-suite level executives."I am excited to make this contribution to allow our employees, many of whom have not previously participated in our equity programs, to become owners in the company that they helped to build and join all of our stakeholders in the future success of HealthStream," Frist can u buy lasix over the counter said in the release.HealthStream is a Nashville-based provider of healthcare employee management software with $244.8 million of revenue last year. Frist owned more than can u buy lasix over the counter 5.6 million HealthStream shares that were worth about $158 million in March. Last year, Healthstream paid Frist a salary of $335,000 and about $265,000 in various forms of equity compensation, according to the Nashville Post. This is can u buy lasix over the counter not the first time Frist has gifted employees his company stock.

In 2019, he gave $2 million worth of his HealthStream shares to approximately 820 employees.The omicron-fueled surge that is sending hypertension medications cases rocketing in can u buy lasix over the counter the U.S. Is putting children in the hospital in close to record numbers, and experts lament that most of the youngsters are not vaccinated."It's just so heartbreaking," said Dr. Paul Offit, can u buy lasix over the counter an infectious-disease expert at Children's Hospital of Philadelphia. "It was hard enough last year, but can u buy lasix over the counter now you know that you have a way to prevent all this."During the week of Dec.

21-27, an average of 334 children 17 and under were admitted per day to hospitals with the hypertension, a 58% increase from the week before, according to the Centers for Disease Control and Prevention.The previous peak over the course of the lasix was in early September, when child hospitalizations averaged 342 per day, the CDC said.On a more hopeful note, children continue to represent a small percentage of those being hospitalized with hypertension medications. An average of over 9,400 people of all ages were admitted per day during the same can u buy lasix over the counter week in December. And many doctors say the youngsters can u buy lasix over the counter coming in now seem less sick than those seen during the delta surge over the summer.Two months after vaccinations were approved for 5- to 11-year-olds, about 14% are fully protected, CDC data shows. The rate is higher for 12- to 17-year-olds, at about 53%.The issue is timing in many cases, said Dr.

Albert Ko, professor of can u buy lasix over the counter epidemiology and infectious diseases at the Yale School of Public Health. Younger children were not approved for the treatment until November, and many can u buy lasix over the counter are only now coming up on their second dose, he said.Offit said none of the treatment-eligible children receiving care at his hospital about a week ago had been vaccinated, even though two-thirds had underlying conditions that put them at risk — either chronic lung disease or, more commonly, obesity. Only one was under the vaccination age of 5.The scenes are heart-rending."They're struggling to breathe, coughing, coughing, coughing," Offit said. "A handful can u buy lasix over the counter were sent to the ICU to be sedated.

We put the attachment down their throat that's attached to a ventilator, and can u buy lasix over the counter the parents are crying."None of the parents or siblings was vaccinated either, he said.The next four to six weeks are going to be rough, he said. "This is a lasix that thrives in the winter."Aria Shapiro, 6, spent her 12th day Thursday at Phoenix Children's Hospital. She tested positive for hypertension medications after getting her first can u buy lasix over the counter dose of the treatment Dec. 17.Aria, who is considered "medically fragile" because she has epilepsy, suffered prolonged seizures in the hospital, and a breathing tube had to be put can u buy lasix over the counter down her throat at one point, though she has since improved."We lived our life in for two years to prevent her from getting hypertension medications, finally went for the vax, and the one thing that we didn't want to happen happened," said her mother, Sarah Shapiro.

"It wasn't enough time for her body to build antibodies. She did end up getting hypertension medications."Overall, new hypertension medications cases in Americans of all ages have skyrocketed to can u buy lasix over the counter the highest levels on record. An average of can u buy lasix over the counter 300,000 per day, or 2 1/2 times the figure just two weeks ago. The highly contagious omicron accounted for 59% of new cases last week, according to the CDC.Still, there are early indications that the variant causes milder illness than previous versions, and that the combination of the treatment and the booster seems to protect people from its worst effects.In California, 80 hypertension medications-infected children were admitted to the hospital during the week of Dec.

20-26, compared with 50 in the last week of November, health officials said.Seattle Children's also reported a can u buy lasix over the counter bump in the number of children admitted over the past week. And while they are less seriously ill than those can u buy lasix over the counter hospitalized over the summer, Dr. John McGuire cautioned that it is early in the omicron wave, and the full effects will become apparent over the next several weeks.New York health authorities have also sounded the alarm.The number of children admitted to the hospital per week in New York City with hypertension medications went from 22 to 109 between Dec. 5 and can u buy lasix over the counter Dec.

24. Across all of New York state, it went from 70 to 184. Overall, almost 5,000 people in New York were in the hospital with hypertension medications."A fourfold increase makes everybody jump with concern, but it's a small percentage," Ko said of the New York City figures. "Children have a low risk of being hospitalized, but those who do are unvaccinated."Dr.

Al Sacchetti, chief of emergency services at Our Lady of Lourdes Medical Center in Camden, New Jersey, likewise said vaccinated children are handling the omicron outbreak extremely well."It makes a big difference in how these kids tolerate the disease, particularly if the child's got some medical issues," he said.hypertension medications deaths have proved rare among children over the course of the lasix. As of last week, 721 in the U.S. Had died of the disease, according to data reported to the American Academy of Pediatrics. The overall U.S.

Death toll is more than 800,000.Almost 199,000 child hypertension medications cases were reported during the week of Dec. 16-23, the pediatrics group said. That was about 20% of the more than 950,000 total cases recorded that week.While many of these children will recover at home, they may have contact with others who are at much greater risk, said Dr. Jason Terk, a pediatrician in North Texas.

He cared for a 10-year-old boy with hypertension medications who managed the disease well, but his father got sick and died, he said."The death of a parent is devastating, but the toxic stress for a young person in this situation is difficult to measure," he said.All patients and visitors entering Mayo Clinic must wear surgical masks.. System officials say the move aims to better protect the system against hypertension medications and particularly the omicron variant. It's just one of the changes hospitals are implementing in light of the recent surge of cases.Although several studies endorsed by the Centers for Disease Control and Prevention show the effectiveness of high quality, multi-layer cloth masks, Mayo announced on Wednesday that more standardization is necessary due to the wide range of face coverings worn by patients and visitors. "Single-layer cloth masks, neck gaiters and bandanas are commonly worn, for example, and do not provide optimal protection to help ensure the health and safety of all," Mayo Clinic said in its statement.

The center will offer medical-grade masks to all patients and visitors during the screening process or check-in, in case patients do not come wearing their own.Patients with unacceptable masks, such as those with exhalation valves, gaiters, or those wearing bandanas, will be required to wear a surgical, N-95 or KN-95 mask—though patients will not be required to remove their cloth mask and can choose to wear the appropriate mask on top of their personal one. Reports generally show surgical masks are statistically favorable in terms of reducing the spread of hypertension medications, and that cloth masks should mainly be used as a last alternative. Mayo Clinic said consistent masking is essential in conjunction with the hypertension medications vaccination and boosters, as well as physical distancing, to provide adequate protection against hypertension medications surges and variants. Health systems nationwide, such as Southwestern Vermont Health Care, Harris Health System, Valley Health System, Hackensack Meridian Health and the New Jersey Hospital Association, have returned to restricting visitors as case levels and hospitalizations rise.A coalition of New Yorkers with mental disabilities has sued the New York Police Department claiming that its continued use of police officers as first responders to mental health crises is discriminatory and unconstitutional.The class-action lawsuit, filed Wednesday in the U.S.

District Court for the Southern District of New York, said the plaintiffs were “unlawfully seized and forced into unconstitutional confinement in violation of their constitutional rights” and “injured physically and emotionally, while being involuntarily committed to a hospital against their will” after cops responded to their mental health crises.One of the plaintiffs, Sarah Arvio, alleged she was forcibly detained and involuntarily hospitalized by NYPD officers and EMS personnel after she told her doctor’s office she was “so frustrated with you all that I feel like jumping off the bridge,” according to the complaint.Another plaintiff, Giovanna Sanchez-Esquivel, said she was involuntarily committed to a hospital by armed NYPD officers after her boyfriend allegedly called 911 and claimed she was having a “manic episode,” the complaint said.The New York City Law Department is reviewing the case.New York Lawyers for the Public Interest, a not-for-profit civil rights law firm that represents the plaintiffs, said in a statement that it wants the city to implement a new crisis-response program that is independent of the NYPD and staffed with trained crisis counselors with mental health experience. The group also called for a dedicated hotline for crisis calls that can serve as an alternative to 911.The Mayor’s Office of Community Mental Health was created under the de Blasio administration to help coordinate an all-government approach to mental health that spans city agencies.“We have placed clinicians in high-need locations they have never been before – including family shelters, residences and drop-in centers for homeless and runaway youth, senior centers – to expand prevention and early intervention,” said a City Hall official. €œAnd, we have dramatically expanded services for New Yorkers living with serious mental illness, including through more supportive housing, new mobile treatment teams, expanded mobile crisis teams, health engagement teams, and increased membership at clubhouses.”In June of 2021, the city launched a pilot program where mental and physical health professionals would respond to 911 mental health emergency calls. The approach, called the Behavioral Health Emergency Assistance Response Division, or B-HEARD, was launched in Harlem and planning is underway for citywide expansion, with operations beginning in the south Bronx early next year.

During the first six months of operation, 46% of people assisted by B-HEARD were transported to a hospital for additional care, compared to 87% of traditional 911 calls, according to data from the Mayor’s Office of Community Mental Health.B-HEARD teams are deployed via 911, but a caller cannot specifically request a B-HEARD team member. The 911 operator is responsible for recognizing and assigning calls to B-HEARD based on the call location, dispatch criteria, and availability.This story first appeared in our sister publication, Crain's New York Business.Mount Sinai Health System in New York will stop scheduling elective and non-emergency procedures so it can free up health care providers and resources to care for hypertension medications patients, according to an internal memo sent to employees Wednesday.The pause will be in effect "for the next few weeks," Senior Vice President and Chief Medical Officer Dr. Vicki R. LoPachin said in the memo to Mount Sinai faculty, staff, trainees and students.Mount Sinai will also curtail rehab and transitional care services at some sites and is recruiting additional agency and per diem help, LoPachin said in the memo obtained by Crain's.The temporary measures come as Mount Sinai's hospitals have filled with roughly as many hypertension medications patients as the system had at the height of last winter's surge, which came in January, LoPachin said in the memo.

As of Wednesday morning, Mount Sinai had 570 patients hospitalized with hypertension medications across the system, including 42 in critical care.But Mount Sinai's current inpatients are "overall, much less sick" than those who were in the hospital last winter, LoPachin said in the memo.The pattern holds for Mount Sinai's emergency departments, which LoPachin said are managing to treat and release many more patients than in previous surges, meaning they are not sick enough to be admitted to the hospital."This wave brings much less severe illness and death," LoPachin wrote in the memo, adding that reports from South Africa indicate the city's wave of cases caused by the omicron variant could crest in mid-January.Mount Sinai appears to be the first health system in the city to enact restrictions on elective or non-emergency procedures due to the statewide surge in omicron cases.An executive ordered issued earlier this month empowered the New York State Department of Health to limit non-essential, elective procedures at certain hospitals with a low percentage of available beds, but there are no city hospitals on the list of 25 that are currently subject to such restrictions."The Department retains the discretion to require any facility to limit non-essential elective procedures and/or implement other actions to coordinate services, as determined by DOH as necessary to protect public health," Health Department spokeswoman Erin Silk said in a statement.This story first appeared in our sister publication, Crain's New York Business..

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Dear Reader, Thank you for following the Me&MyDoctor lasix iv to po Can you buy diflucan otc blog. I'm writing to let you know we are moving the public health stories authored by Texas physicians, residents, and medical students, and patients to the Texas Medical Association's social media channels. Be sure to follow us on all our social media accounts (Facebook, lasix iv to po Twitter, Instagram) as well as Texas Medicine Today to access these stories and more. We look forward to seeing you there.Best, Olivia Suarez Me&My Doctor EditorSravya Reddy, MDPediatric Resident at The University of Texas at Austin Dell Medical SchoolMember, Texas Medical AssociationHow does the hypertension medications lasix factor into potentially abusive situations?. To stop the spread of hypertension medications, we have isolated ourselves into small family units to avoid catching and transmitting the lasix.

While saving so many from succumbing to a severe illness, socially isolating has unfortunately posed lasix iv to po its own problems. Among those is the increased threat of harm from intimate partner violence, which includes physical violence, sexual violence, stalking, or psychological harm by a current or former partner or spouse. Potential child abuse is an increased threat as well. The impact of this lasix happened so rapidly that society did not have time to think about all the consequences of social isolation before lasix iv to po implementing it. Now those consequences are becoming clear.Social isolation due to the lasix is forcing victims to stay home indefinitely with their abusers.

Children and adolescents also have been forced to stay at home since many school districts have made education virtual to keep everyone safe from the lasix. Caregivers are also home lasix iv to po because they are working remotely or because they are unemployed. With the increase in the number of hypertension medications cases, financial strain due to the economic downturn, and concerns of contracting the lasix and potentially spreading it to family members, these are highly stressful times. Stress leads to an increase in the rate of intimate partner violence. Even those who suffer from it can begin lasix iv to po to become abusive to other household members, thus amplifying the abuse in the household.

Some abuse may go unrecognized by the victims themselves. For example, one important and less well-known type of abuse is lasix iv to po coercive control. It’s the type of abuse that doesn’t leave a physical mark, but it’s emotional, verbal, and controlling. Victims often know that something is wrong – but can’t quite identify what it is. Coercive control can still lasix iv to po lead to violent physical abuse, and murder.

The way in which people report abuse has also been altered by the lasix.People lacking usual in-person contacts (with teachers, co-workers, or doctors) and the fact that some types of coercive abuse are less recognized lead to fewer people reporting that type of abuse. Child abuse often is discovered during pediatricians’ well-child visits, but the lasix has limited those visits. Many teachers, who might also notice signs of lasix iv to po abuse, also are not able to see their students on a daily basis. Some abuse victims visit emergency departments (EDs) in normal times, but ED visits are also down due to hypertension medications.Local police in China report that intimate partner violence has tripled in the Hubei province. The United Nations reports it also increased 30% in France as of March 2020 and increased 25% in Argentina.

In the U.S lasix iv to po. The conversation about increased intimate partner violence during these times has just now started, and we are beginning to gather data. Preliminary analysis shows police reports of intimate partner violence have increased by 18% to 27% across several U.S. Cities. Individuals affected by addiction have additional stressors and cannot meet with support groups.

Children and adolescents who might otherwise use school as a form of escape from addicted caregivers are no longer able to do so. Financial distress can also play a factor. According to research, the rate of violence among couples with more financial struggles is nearly three and a half times higher than couples with fewer financial concerns.Abuse also can come from siblings. Any child or adolescent with preexisting behavioral issues is more likely to act out due to seclusion, decreased physical activity, or fewer positive distractions. This could increase risk for others in the household, especially in foster home situations.

These other residents might be subject to increased sexual and physical abuse with fewer easy ways to report it. What can we do about this while abiding by the rules of the lasix?. How can physicians help?. Patients who are victims of intimate partner violence are encouraged to reach out to their doctor. A doctor visit may be either in person or virtual due to the safety precautions many doctors’ offices are enforcing due to hypertension medications.

During telehealth visits, physicians should always ask standard questions to screen for potential abuse. They can offer information to all patients, regardless of whether they suspect abuse.People could receive more support if we were to expand access to virtual addiction counseling, increase abuse counseling, and launch more campaigns against intimate partner violence. The best solution might involve a multidisciplinary team, including psychiatrists, social workers, child abuse teams and Child Protective Services, and local school boards. Physicians can help in other ways, too. Doctors can focus on assessing mental health during well-child and acute clinic visits and telehealth visits.

A temporary screening tool for behavioral health during the lasix might be beneficial. Governments could consider allocating resources to telepsychiatry. Many paths can be taken to reduce the burden of mental health issues, and this is an ongoing discussion. How should physicians approach patients who have or may have experienced intimate partner violence?. Victims of domestic assault can always turn to their physician for guidance on next steps.

In response, doctors can:Learn about local resources and have those resources available to your patients;Review safety practices, such as deleting internet browsing history or text messages. Saving abuse hotline information under other listings, such as a grocery store or pharmacy listing. And creating a new, confidential email account for receiving information about resources or communicating with physicians.If the patient discloses abuse, the clinician and patient can establish signals to identify the presence of an abusive partner during telemedicine appointments.To my fellow physicians, I suggest recognizing and talking about the issue with families.Medical professionals take certain steps if they suspect their patient’s injuries are a result of family violence, or if the patient discloses family violence. Physicians will likely screen a patient, document their conversation with the patient, and offer support and inform the patient of the health risks of staying in an abusive environment, such as severe injuries or even death. A doctor’s priority is his or her patient’s safety, regardless of why the victim might feel forced to remain in an abusive environment.

While physicians only report child and elderly abuse, they should encourage any abused patient to report her or his own case, while also understanding the complexity of the issue. Under no circumstance should any form of abuse be tolerated or suffered. Any intimate partner violence should be avoided, and reported if possible and safe. My hope is that with more awareness of this rising public health concern, potential victims can better deal with the threat of abuse during this stressful lasix – and hopefully avoid it..

Dear Reader, Can you buy diflucan otc Thank you for following the Me&MyDoctor can u buy lasix over the counter blog. I'm writing to let you know we are moving the public health stories authored by Texas physicians, residents, and medical students, and patients to the Texas Medical Association's social media channels. Be sure to follow us on all our social media accounts (Facebook, Twitter, can u buy lasix over the counter Instagram) as well as Texas Medicine Today to access these stories and more.

We look forward to seeing you there.Best, Olivia Suarez Me&My Doctor EditorSravya Reddy, MDPediatric Resident at The University of Texas at Austin Dell Medical SchoolMember, Texas Medical AssociationHow does the hypertension medications lasix factor into potentially abusive situations?. To stop the spread of hypertension medications, we have isolated ourselves into small family units to avoid catching and transmitting the lasix. While saving so many from succumbing to a severe can u buy lasix over the counter illness, socially isolating has unfortunately posed its own problems.

Among those is the increased threat of harm from intimate partner violence, which includes physical violence, sexual violence, stalking, or psychological harm by a current or former partner or spouse. Potential child abuse is an increased threat as well. The impact of this lasix happened so rapidly that society did not have time to think about all the consequences of social isolation before implementing can u buy lasix over the counter it.

Now those consequences are becoming clear.Social isolation due to the lasix is forcing victims to stay home indefinitely with their abusers. Children and adolescents also have been forced to stay at home since many school districts have made education virtual to keep everyone safe from the lasix. Caregivers are also home because they are working remotely or because they are unemployed can u buy lasix over the counter.

With the increase in the number of hypertension medications cases, financial strain due to the economic downturn, and concerns of contracting the lasix and potentially spreading it to family members, these are highly stressful times. Stress leads to an increase in the rate of intimate partner violence. Even those who suffer from it can begin to become abusive can u buy lasix over the counter to other household members, thus amplifying the abuse in the household.

Some abuse may go unrecognized by the victims themselves. For example, one important can u buy lasix over the counter and less well-known type of abuse is coercive control. It’s the type of abuse that doesn’t leave a physical mark, but it’s emotional, verbal, and controlling.

Victims often know that something is wrong – but can’t quite identify what it is. Coercive control can still lead to violent physical abuse, can u buy lasix over the counter and murder. The way in which people report abuse has also been altered by the lasix.People lacking usual in-person contacts (with teachers, co-workers, or doctors) and the fact that some types of coercive abuse are less recognized lead to fewer people reporting that type of abuse.

Child abuse often is discovered during pediatricians’ well-child visits, but the lasix has limited those visits. Many teachers, who might also notice can u buy lasix over the counter signs of abuse, also are not able to see their students on a daily basis. Some abuse victims visit emergency departments (EDs) in normal times, but ED visits are also down due to hypertension medications.Local police in China report that intimate partner violence has tripled in the Hubei province.

The United Nations reports it also increased 30% in France as of March 2020 and increased 25% in Argentina. In the can u buy lasix over the counter U.S. The conversation about increased intimate partner violence during these times has just now started, and we are beginning to gather data.

Preliminary analysis shows police reports of intimate partner violence have increased by 18% to 27% across several U.S. Cities. Individuals affected by addiction have additional stressors and cannot meet with support groups.

Children and adolescents who might otherwise use school as a form of escape from addicted caregivers are no longer able to do so. Financial distress can also play a factor. According to research, the rate of violence among couples with more financial struggles is nearly three and a half times higher than couples with fewer financial concerns.Abuse also can come from siblings.

Any child or adolescent with preexisting behavioral issues is more likely to act out due to seclusion, decreased physical activity, or fewer positive distractions. This could increase risk for others in the household, especially in foster home situations. These other residents might be subject to increased sexual and physical abuse with fewer easy ways to report it.

What can we do about this while abiding by the rules of the lasix?. How can physicians help?. Patients who are victims of intimate partner violence are encouraged to reach out to their doctor.

A doctor visit may be either in person or virtual due to the safety precautions many doctors’ offices are enforcing due to hypertension medications. During telehealth visits, physicians should always ask standard questions to screen for potential abuse. They can offer information to all patients, regardless of whether they suspect abuse.People could receive more support if we were to expand access to virtual addiction counseling, increase abuse counseling, and launch more campaigns against intimate partner violence.

The best solution might involve a multidisciplinary team, including psychiatrists, social workers, child abuse teams and Child Protective Services, and local school boards. Physicians can help in other ways, too. Doctors can focus on assessing mental health during well-child and acute clinic visits and telehealth visits.

A temporary screening tool for behavioral health during the lasix might be beneficial. Governments could consider allocating resources to telepsychiatry. Many paths can be taken to reduce the burden of mental health issues, and this is an ongoing discussion.

How should physicians approach patients who have or may have experienced intimate partner violence?. Victims of domestic assault can always turn to their physician for guidance on next steps. In response, doctors can:Learn about local resources and have those resources available to your patients;Review safety practices, such as deleting internet browsing history or text messages.

Saving abuse hotline information under other listings, such as a grocery store or pharmacy listing. And creating a new, confidential email account for receiving information about resources or communicating with physicians.If the patient discloses abuse, the clinician and patient can establish signals to identify the presence of an abusive partner during telemedicine appointments.To my fellow physicians, I suggest recognizing and talking about the issue with families.Medical professionals take certain steps if they suspect their patient’s injuries are a result of family violence, or if the patient discloses family violence. Physicians will likely screen a patient, document their conversation with the patient, and offer support and inform the patient of the health risks of staying in an abusive environment, such as severe injuries or even death.

A doctor’s priority is his or her patient’s safety, regardless of why the victim might feel forced to remain in an abusive environment. While physicians only report child and elderly abuse, they should encourage any abused patient to report her or his own case, while also understanding the complexity of the issue. Under no circumstance should any form of abuse be tolerated or suffered.

Any intimate partner violence should be avoided, and reported if possible and safe. My hope is that with more awareness of this rising public health concern, potential victims can better deal with the threat of abuse during this stressful lasix – and hopefully avoid it..

What may interact with Lasix?

• certain antibiotics given by injection
• diuretics
• heart medicines like digoxin, dofetilide, or nitroglycerin
• lithium
• medicines for diabetes
• medicines for high blood pressure
• medicines for high cholesterol like cholestyramine, clofibrate, or colestipol
• medicines that relax muscles for surgery
• NSAIDs, medicines for pain and inflammation like ibuprofen, naproxen, or indomethacin
• phenytoin
• steroid medicines like prednisone or cortisone
• sucralfate

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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Labcorp announced this week that it can lasix lower blood pressure had partnered with Ascension to manage the health system's hospital-based laboratories in 10 states. It will also purchase some assets of Ascension's outreach lab business. Through the partnership, Ascension’s clinicians and patients will can lasix lower blood pressure have access to Labcorp’s diagnostics and at-home test collection services.

Labcorp representatives did not clarify by press time whether those services will be available to providers and patients in more than 10 states. "This collaboration will allow us to continue our transformation as we find new and can lasix lower blood pressure innovative ways to care for those that we’re privileged to serve during these unprecedented times," said Dr. Joe Cacchione, executive vice president of clinical and network services at Ascension, in a statement.

"We will work closely with Labcorp to can lasix lower blood pressure ensure that our patients and clinicians have a seamless experience," Cacchione continued. WHY IT MATTERS According to the organizations, the relationship will enable Ascension to enhance laboratory services and offerings via Labcorp’s technology and scale. In turn, can lasix lower blood pressure Labcorp's clinical lab services will be expanded in several regions.

Out of the 19 states and District Columbia in which Ascension operates, Labcorp will manage its hospital labs in Alabama, Florida, Kansas, Maryland, Michigan, New York, Oklahoma, Tennessee, Texas and Wisconsin. Labcorp also said it would use proprietary analytic tools and processes can lasix lower blood pressure to improve overall efficiency. The companies drew particular attention to Labcorp Drug Development, which Ascension says it can use to present physicians and patients with access to clinical trials, innovative therapies and new treatment options where appropriate.

"By connecting two mission-driven organizations delivering high-quality service and can lasix lower blood pressure care, we can provide care teams with the information and tools needed to make the best possible decisions to improve patient outcomes," said Adam Schechter, chairman and CEO of Labcorp, in a statement. Although the specific transaction terms were not clarified, the companies expect the deal will close in the first half of 2022. THE LARGER TREND The can lasix lower blood pressure news comes on the heels of Labcorp's announcement this past week that it had launched a digital diagnostics platform, aiming to offer patients a more convenient way to access blood and hypertension medications PCR tests.

Meanwhile, Cue Health also spun up a platform that offers members access to 24/7 virtual care and on-demand hypertension medications tests, as well as physician-ordered diagnostics for other needs. ON THE RECORD "This relationship highlights Labcorp’s ability to help health systems effectively manage industry-wide shifts and offer patients expanded testing services as we work to improve health and improve can lasix lower blood pressure lives," said Labcorp's Schechter. Kat Jercich is senior editor of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.A report released from KLAS this week offered insights into Cerner customers' perspectives on some big changes to the company, including its recently-hired president and CEO and its new revenue cycle offering, RevElate. Although the report did not include customer reactions to Oracle's planned Cerner acquisition, KLAS researchers said the deal could potentially complicate the company's future.

"Findings show that when acquisitions go well – which happens about 40% of the time – it often leads to improved loyalty and evangelism among customers," they noted. "Conversely, when acquisitions go poorly – which happens about 42% of the time – customers are twice as likely to leave their vendor." WHY IT MATTERS The KLAS report noted that over the past five years, Cerner’s overall performance scores with the analyst firm have remained steady – but confidence in Cerner’s ability to deliver has declined. "The customer experience is highly variable, as customers report Cerner has not been a consistent guide," said researchers.

"Several customers have been highly successful, but they often state their success is due to their own efforts and has sometimes been achieved in spite of Cerner." Cerner's new leader, Dr. David Feinberg, will have to overcome several hurdles, analysts found.The overwhelming majority of respondents had neutral, positive or very positive perceptions of Feinberg, with only one reaction characterized as "negative." "Many respondents are optimistic about his appointment, though they indicate the outcomes remain to be seen," read the report. "As customers look to the future, they wonder what products and services Cerner may discontinue as they refine their focus, what impact Feinberg will have on company culture and how he will influence Cerner’s execution," it continued.

However, customers did not display the same levels of optimism with the company's new revenue cycle product, RevElate. "Many report having more questions than answers about the new solution," said KLAS researchers. "The Cerner RevElate direction makes sense, but I need to see Cerner deliver now," said one customer quoted in the report.

"I have seen poor code and broken products in Cerner Patient Accounting. I want to know whether those parts of Cerner’s delivery will be fixed in the new product."I want to see the Cerner RevElate product be a reliable solution based on vetted, high-quality code. I have not seen that yet from Cerner.

I need to see before I will believe it at this point," the customer continued. THE LARGER TREND Cerner spent the last quarter of 2021 dominating headlines – whether it was news of Feinberg's hiring, the company's treatment mandate for employees, the ongoing saga of its electronic health record modernization deal with the Department of Veterans Affairs or, of course, the behemoth Oracle-Cerner deal. Industry leaders said the changes could have enduring ramifications.

"These types of transactions do have the potential to more quickly change a culture, accelerate resources, and make available technical research and development that might not otherwise have had the funding nor focus to mature as quickly," said Tressa Springmann, chief information and digital officer at Baltimore-based LifeBridge Health, a Cerner customer, who spoke recently with Healthcare IT News about the planned Oracle acquisition. We also spoke recently with Mutaz Shegewi, research director for provider IT transformation strategies at IDC, who also emphasized the need for a clean merger of the two giant companies. "There's clearly a lot to benefit from this partnership," he said.

"[But] we know across all different domains when it comes to the merger and acquisition situation, they can be quite tricky and the majority actually are not executed cleanly. And that has implications over the long run. "There are the smaller minority of them that actually benefit manifold from the process," he added.

"And that, of course, I'm sure, is the aspiration for both Cerner and Oracle leadership." ON THE RECORD "We are in a rural area, so we are small in the grand scheme of things," said one customer quoted in the KLAS report. "I want to know that we, as a small rural healthcare system, aren’t going to be lost in the shuffle. "With Feinberg’s clinical background and past work at Geisinger, which has some rural healthcare opportunities, I think he will understand and make sure that we are included in the path forward," the customer continued.

Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.When the hypertension medications lasix hit the U.S.

In 2020, MercyOne Elkader Medical Center needed a means to effectively and safely communicate while working in isolation rooms and wearing personal protective equipment.THE PROBLEMAs a critical access hospital in a rural location, achieving this was easier said than done. At the onset, like many other provider organizations, it tried to mitigate the onslaught of challenges by any means necessary."We initially tried using walkie-talkies to help care team members communicate with the rest of the care team and ask for supplies or assistance when working in a room with a hypertension medications patient," said Katie Pope, education and strategic initiatives manager at MercyOne Elkader Medical Center. "While this strategy was made in good faith, it didn't take long for us to realize that the radios were cumbersome and had muffled audio."Looking ahead at a once-in-a-generation public health crisis that could not be overcome without significant investments in state-of-the-art technology, we knew we needed a more sophisticated solution to help us communicate efficiently without risking contamination," she added.PROPOSALThe proposed technology offered the organization a proven way to communicate safely and effectively while working in isolation rooms and wearing PPE."By reducing the barriers between colleagues while upholding key safety precautions, we could streamline communications in these isolated environments," Pope explained.

"Additionally, this would replace the two-way radios that had been used as a temporary fix at the beginning of the lasix."Nurses and paramedics are able to find the charge nurse or physician quickly via the Smartbadge, and physicians can easily connect with a patient's nurse without calling multiple people."Katie Pope, MercyOne Elkader Medical Center"At a time when conserving PPE became a top priority for the medical center, technology needed to provide relief to the strain on available resources," she continued. "Workers were under enough stress trying to navigate a rapidly changing clinical environment and needed to be able to communicate with each other as quickly as possible."MEETING THE CHALLENGEAfter researching clinical communication platforms, the team decided the Vocera system was the right technology to facilitate seamless care team communication during the lasix and beyond. They purchased and deployed the Vocera Smartbadge, a wearable communication device that combines smartphone usability with hands-free operation, across the organization."We were drawn to the Smartbadge because the technology not only provides an easy way to communicate in isolation environments and while wearing PPE, but it also helps improve clinical communication overall," Pope noted.

"Fortunately, we were able to use CARES Act funding to secure the technology, so our implementation and go-live was an efficient, smooth process."Care team members working in isolation environments wear the Smartbadge, which has an antimicrobial additive and is easy to disinfect, with their PPE to facilitate effortless communication with colleagues," she continued. "If extra support or supplies are needed, they can use their Smartbadge to easily connect with someone who can bring them what they need without having to fumble with phones or radios."Physicians, nurses, paramedics and ancillary workers at MercyOne Elkader use the Smartbadge to stay connected. They can easily locate appropriate nurses or physicians when they need to reach them."Because we are a critical access hospital, we wear many hats and are often running all over the building to find the right care team member," Pope said.

"Vocera technology stood out to us because we knew it would boost our communication in a post-hypertension medications environment, as well as help us communicate in isolation environments as we respond to the lasix."RESULTSThe technology makes it easy for colleagues caring for patients in isolation rooms to reach help when needed, Pope reported."The Smartbadge has allowed us to save money on PPE usage by decreasing the number of times we must enter and exit patient rooms," she noted. "The Smartbadge has also saved us a lot of time because we can connect with the right care team member in an instant and provide great patient care while keeping everyone safe."We have also seen an overall improvement in clinical communication efficiency since implementation," she added. "Nurses and paramedics are able to find the charge nurse or physician quickly via the Smartbadge, and physicians can easily connect with a patient's nurse without calling multiple people."Further, staff no longer have to find a phone, call the nurse's station and hope they catch the right person to get the information they need about a patient.

They are now able to find the right person and information they need while staying by their patient's side.ADVICE FOR OTHERS"When approaching healthcare with innovative technology, it's important to have your priorities clearly defined ahead of implementation," Pope advised. "Doing your due diligence should be second nature to hospital and health system executives. You can't just throw money and technology at the problem without first understanding how the solution needs to function."For our organization, it was obvious that we needed an innovative solution to help care team members communicate safely and effectively during a time of crisis," she continued.

"Beyond the clinical benefits that we realized through this technology, we also saved money on PPE, streamlined communication in isolated environments, and improved the experiences for both our patients and care teams."Every organization will follow its own path toward the technology that works for them, she concluded, but they have to know what issues they're trying to resolve and have concrete metrics to follow in order to evaluate the effectiveness of their innovations.Twitter. @SiwickiHealthITEmail the writer. Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media publication.A €43 billion plan to secure the EU’s semiconductor supply has been outlined by the European Commission.The European Chips Act sets out measures to prevent, prepare, anticipate and respond to future supply chain disruption, and enable the EU’s ambition to double its current market share of semiconductor production to 20% by 2030.It aims to bring about a thriving semiconductor sector from research to production, create a resilient supply chain and develop new markets for European tech.Also this week, the Commission adopted implementing decisions to ensure the EU's radio spectrum policy meets growing demand for broadband and innovative digital applications.This initiative makes 900 MHz and 1800 MHz bands also available for use by 5G applications, enabling better connectivity for critical applications in health monitoring, diagnosis, and care.WHY IT MATTERSDigital transformation accelerated by the hypertension medications lasix has driven a significant surge in demand for chips.

Audit and assurance consultancy firm Deloitte predicts the healthcare industry’s semiconductor use is likely to grow, as regulators approve more connected home healthcare devices such as wearables and smart patches.Recent global semiconductor shortages forced factory closures and production standstills in several sectors including healthcare devices, illustrating the importance of chips for European industry. The European Chips Act aims to anticipate and address future chips crises, bolster Europe’s competitiveness and position Europe as a technology leader.THE LARGER CONTEXT Commission president Ursula von der Leyen first announced an EU Chips Act in her State of the Union speech in September. It forms part of Europe’s Digital Decade ambition to digitalise public services and businesses, while creating sustainable digital infrastructures.

Improved and advanced connectivity is also a key target of the plan.Last month the Commission formally adopted the new €835 million EU4Health work programme. This includes around €77 million for digital investment, to help establish the European Health Data Space.ON THE RECORDMargrethe Vestager, executive vice-president for a Europe Fit for the Digital Age, said. €œChips are necessary for the green and digital transition - and for the competitiveness of European industry.

We should not rely on one country or one company to ensure safety of supply. We must do more together - in research, innovation, design, production facilities - to ensure that Europe will be stronger as a key actor in the global value chain.”Mariya Gabriel, commissioner for innovation, research, culture and youth, said. €œThe future initiative will offer a great opportunity for our researchers, innovators, and startups to lead on the new wave of innovation that will develop deep tech solutions based on hardware.”Trade association DIGITALEUROPE’s director-general Cecilia Bonefeld-Dahl said.

€œThe EU attracted just 3% of global investment for chip factories in 2020 and a lot of work is needed to push this figure upwards. To achieve the target of 20% of global chip production by 2030, bolder efforts need to be made.”.

Labcorp announced this week that it had partnered http://thinkreelfilms.com/buy-propecia-singapore/ with Ascension to manage the health system's can u buy lasix over the counter hospital-based laboratories in 10 states. It will also purchase some assets of Ascension's outreach lab business. Through the partnership, can u buy lasix over the counter Ascension’s clinicians and patients will have access to Labcorp’s diagnostics and at-home test collection services.

Labcorp representatives did not clarify by press time whether those services will be available to providers and patients in more than 10 states. "This collaboration will allow us to continue our transformation as we find new and innovative ways to care for those that can u buy lasix over the counter we’re privileged to serve during these unprecedented times," said Dr. Joe Cacchione, executive vice president of clinical and network services at Ascension, in a statement.

"We will work closely with Labcorp to ensure can u buy lasix over the counter that our patients and clinicians have a seamless experience," Cacchione continued. WHY IT MATTERS According to the organizations, the relationship will enable Ascension to enhance laboratory services and offerings via Labcorp’s technology and scale. In turn, Labcorp's clinical lab services will be expanded in several regions can u buy lasix over the counter.

Out of the 19 states and District Columbia in which Ascension operates, Labcorp will manage its hospital labs in Alabama, Florida, Kansas, Maryland, Michigan, New York, Oklahoma, Tennessee, Texas and Wisconsin. Labcorp also said it would use proprietary analytic can u buy lasix over the counter tools and processes to improve overall efficiency. The companies drew particular attention to Labcorp Drug Development, which Ascension says it can use to present physicians and patients with access to clinical trials, innovative therapies and new treatment options where appropriate.

"By connecting two mission-driven organizations delivering high-quality service and care, we can provide care teams with the information and tools needed to make the best possible decisions to improve patient outcomes," said Adam Schechter, can u buy lasix over the counter chairman and CEO of Labcorp, in a statement. Although the specific transaction terms were not clarified, the companies expect the deal will close in the first half of 2022. THE LARGER TREND The can u buy lasix over the counter news comes on the heels of Labcorp's announcement this past week that it had launched a digital diagnostics platform, aiming to offer patients a more convenient way to access blood and hypertension medications PCR tests.

Meanwhile, Cue Health also spun up a platform that offers members access to 24/7 virtual care and on-demand hypertension medications tests, as well as physician-ordered diagnostics for other needs. ON THE RECORD "This relationship highlights Labcorp’s ability to help health systems effectively can u buy lasix over the counter manage industry-wide shifts and offer patients expanded testing services as we work to improve health and improve lives," said Labcorp's Schechter. Kat Jercich is senior editor of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.A report released from KLAS this week offered insights into Cerner customers' perspectives on some big changes to the company, including its recently-hired president and CEO and its new revenue cycle offering, RevElate. Although the report did not include customer reactions to Oracle's planned Cerner acquisition, KLAS researchers said the deal could potentially complicate the company's future.

"Findings show that when acquisitions go well – which happens about 40% of the time – it often leads to improved loyalty and evangelism among customers," they noted. "Conversely, when acquisitions go poorly – which happens about 42% of the time – customers are twice as likely to leave their vendor." WHY IT MATTERS The KLAS report noted that over the past five years, Cerner’s overall performance scores with the analyst firm have remained steady – but confidence in Cerner’s ability to deliver has declined. "The customer experience is highly variable, as customers report Cerner has not been a consistent guide," said researchers.

"Several customers have been highly successful, but they often state their success is due to their own efforts and has sometimes been achieved in spite of Cerner." Cerner's new leader, Dr. David Feinberg, will have to overcome several hurdles, analysts found.The overwhelming majority of respondents had neutral, positive or very positive perceptions of Feinberg, with only one reaction characterized as "negative." "Many respondents are optimistic about his appointment, though they indicate the outcomes remain to be seen," read the report. "As customers look to the future, they wonder what products and services Cerner may discontinue as they refine their focus, what impact Feinberg will have on company culture and how he will influence Cerner’s execution," it continued.

However, customers did not display the same levels of optimism with the company's new revenue cycle product, RevElate. "Many report having more questions than answers about the new solution," said KLAS researchers. "The Cerner RevElate direction makes sense, but I need to see Cerner deliver now," said one customer quoted in the report.

"I have seen poor code and broken products in Cerner Patient Accounting. I want to know whether those parts of Cerner’s delivery will be fixed in the new product."I want to see the Cerner RevElate product be a reliable solution based on vetted, high-quality code. I have not seen that yet from Cerner.

I need to see before I will believe it at this point," the customer continued. THE LARGER TREND Cerner spent the last quarter of 2021 dominating headlines – whether it was news of Feinberg's hiring, the company's treatment mandate for employees, the ongoing saga of its electronic health record modernization deal with the Department of Veterans Affairs or, of course, the behemoth Oracle-Cerner deal. Industry leaders said the changes could have enduring ramifications.

"These types of transactions do have the potential to more quickly change a culture, accelerate resources, and make available technical research and development that might not otherwise have had the funding nor focus to mature as quickly," said Tressa Springmann, chief information and digital officer at Baltimore-based LifeBridge Health, a Cerner customer, who spoke recently with Healthcare IT News about the planned Oracle acquisition. We also spoke recently with Mutaz Shegewi, research director for provider IT transformation strategies at IDC, who also emphasized the need for a clean merger of the two giant companies. "There's clearly a lot to benefit from this partnership," he said.

"[But] we know across all different domains when it comes to the merger and acquisition situation, they can be quite tricky and the majority actually are not executed cleanly. And that has implications over the long run. "There are the smaller minority of them that actually benefit manifold from the process," he added.

"And that, of course, I'm sure, is the aspiration for both Cerner and Oracle leadership." ON THE RECORD "We are in a rural area, so we are small in the grand scheme of things," said one customer quoted in the KLAS report. "I want to know that we, as a small rural healthcare system, aren’t going to be lost in the shuffle. "With Feinberg’s clinical background and past work at Geisinger, which has some rural healthcare opportunities, I think he will understand and make sure that we are included in the path forward," the customer continued.

Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.When the hypertension medications lasix hit the U.S.

In 2020, MercyOne Elkader Medical Center needed a means to effectively and safely communicate while working in isolation rooms and wearing personal protective equipment.THE PROBLEMAs a critical access hospital in a rural location, achieving this was easier said than done. At the onset, like many other provider organizations, it tried to mitigate the onslaught of challenges by any means necessary."We initially tried using walkie-talkies to help care team members communicate with the rest of the care team and ask for supplies or assistance when working in a room with a hypertension medications patient," said Katie Pope, education and strategic initiatives manager at MercyOne Elkader Medical Center. "While this strategy was made in good faith, it didn't take long for us to realize that the radios were cumbersome and had muffled audio."Looking ahead at a once-in-a-generation public health crisis that could not be overcome without significant investments in state-of-the-art technology, we knew we needed a more sophisticated solution to help us communicate efficiently without risking contamination," she added.PROPOSALThe proposed technology offered the organization a proven way to communicate safely and effectively while working in isolation rooms and wearing PPE."By reducing the barriers between colleagues while upholding key safety precautions, we could streamline communications in these isolated environments," Pope explained.

"Additionally, this would replace the two-way radios that had been used as a temporary fix at the beginning of the lasix."Nurses and paramedics are able to find the charge nurse or physician quickly via the Smartbadge, and physicians can easily connect with a patient's nurse without calling multiple people."Katie Pope, MercyOne Elkader Medical Center"At a time when conserving PPE became a top priority for the medical center, technology needed to provide relief to the strain on available resources," she continued. "Workers were under enough stress trying to navigate a rapidly changing clinical environment and needed to be able to communicate with each other as quickly as possible."MEETING THE CHALLENGEAfter researching clinical communication platforms, the team decided the Vocera system was the right technology to facilitate seamless care team communication during the lasix and beyond. They purchased and deployed the Vocera Smartbadge, a wearable communication device that combines smartphone usability with hands-free operation, across the organization."We were drawn to the Smartbadge because the technology not only provides an easy way to communicate in isolation environments and while wearing PPE, but it also helps improve clinical communication overall," Pope noted.

"Fortunately, we were able to use CARES Act funding to secure the technology, so our implementation and go-live was an efficient, smooth process."Care team members working in isolation environments wear the Smartbadge, which has an antimicrobial additive and is easy to disinfect, with their PPE to facilitate effortless communication with colleagues," she continued. "If extra support or supplies are needed, they can use their Smartbadge to easily connect with someone who can bring them what they need without having to fumble with phones or radios."Physicians, nurses, paramedics and ancillary workers at MercyOne Elkader use the Smartbadge to stay connected. They can easily locate appropriate nurses or physicians when they need to reach them."Because we are a critical access hospital, we wear many hats and are often running all over the building to find the right care team member," Pope said.

"Vocera technology stood out to us because we knew it would boost our communication in a post-hypertension medications environment, as well as help us communicate in isolation environments as we respond to the lasix."RESULTSThe technology makes it easy for colleagues caring for patients in isolation rooms to reach help when needed, Pope reported."The Smartbadge has allowed us to save money on PPE usage by decreasing the number of times we must enter and exit patient rooms," she noted. "The Smartbadge has also saved us a lot of time because we can connect with the right care team member in an instant and provide great patient care while keeping everyone safe."We have also seen an overall improvement in clinical communication efficiency since implementation," she added. "Nurses and paramedics are able to find the charge nurse or physician quickly via the Smartbadge, and physicians can easily connect with a patient's nurse without calling multiple people."Further, staff no longer have to find a phone, call the nurse's station and hope they catch the right person to get the information they need about a patient.

They are now able to find the right person and information they need while staying by their patient's side.ADVICE FOR OTHERS"When approaching healthcare with innovative technology, it's important to have your priorities clearly defined ahead of implementation," Pope advised. "Doing your due diligence should be second nature to hospital and health system executives. You can't just throw money and technology at the problem without first understanding how the solution needs to function."For our organization, it was obvious that we needed an innovative solution to help care team members communicate safely and effectively during a time of crisis," she continued.

"Beyond the clinical benefits that we realized through this technology, we also saved money on PPE, streamlined communication in isolated environments, and improved the experiences for both our patients and care teams."Every organization will follow its own path toward the technology that works for them, she concluded, but they have to know what issues they're trying to resolve and have concrete metrics to follow in order to evaluate the effectiveness of their innovations.Twitter. @SiwickiHealthITEmail the writer. Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media publication.A €43 billion plan to secure the EU’s semiconductor supply has been outlined by the European Commission.The European Chips Act sets out measures to prevent, prepare, anticipate and respond to future supply chain disruption, and enable the EU’s ambition to double its current market share of semiconductor production to 20% by 2030.It aims to bring about a thriving semiconductor sector from research to production, create a resilient supply chain and develop new markets for European tech.Also this week, the Commission adopted implementing decisions to ensure the EU's radio spectrum policy meets growing demand for broadband and innovative digital applications.This initiative makes 900 MHz and 1800 MHz bands also available for use by 5G applications, enabling better connectivity for critical applications in health monitoring, diagnosis, and care.WHY IT MATTERSDigital transformation accelerated by the hypertension medications lasix has driven a significant surge in demand for chips.

Audit and assurance consultancy firm Deloitte predicts the healthcare industry’s semiconductor use is likely to grow, as regulators approve more connected home healthcare devices such as wearables and smart patches.Recent global semiconductor shortages forced factory closures and production standstills in several sectors including healthcare devices, illustrating the importance of chips for European industry. The European Chips Act aims to anticipate and address future chips crises, bolster Europe’s competitiveness and position Europe as a technology leader.THE LARGER CONTEXT Commission president Ursula von der Leyen first announced an EU Chips Act in her State of the Union speech in September. It forms part of Europe’s Digital Decade ambition to digitalise public services and businesses, while creating sustainable digital infrastructures.

Improved and advanced connectivity is also a key target of the plan.Last month the Commission formally adopted the new €835 million EU4Health work programme. This includes around €77 million for digital investment, to help establish the European Health Data Space.ON THE RECORDMargrethe Vestager, executive vice-president for a Europe Fit for the Digital Age, said. €œChips are necessary for the green and digital transition - and for the competitiveness of European industry.

We should not rely on one country or one company to ensure safety of supply. We must do more together - in research, innovation, design, production facilities - to ensure that Europe will be stronger as a key actor in the global value chain.”Mariya Gabriel, commissioner for innovation, research, culture and youth, said. €œThe future initiative will offer a great opportunity for our researchers, innovators, and startups to lead on the new wave of innovation that will develop deep tech solutions based on hardware.”Trade association DIGITALEUROPE’s director-general Cecilia Bonefeld-Dahl said.

€œThe EU attracted just 3% of global investment for chip factories in 2020 and a lot of work is needed to push this figure upwards. To achieve the target of 20% of global chip production by 2030, bolder efforts need to be made.”.

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As part of the Biden-Harris Administration’s work to https://www.ferienhaus-sticher-borkum.de/where-is-better-to-buy-viagra/ advance health equity and reduce health lasix liquid form disparities, the Centers for Medicare &. Medicaid Services (CMS) is seeking feedback on topics related to health care access, such as enrolling in and maintaining coverage, accessing health care services and supports, and ensuring adequate provider payment rates to encourage provider availability and quality. This Request for Information (RFI) is lasix liquid form one of many actions CMS is taking to develop a more comprehensive access strategy in its Medicaid and CHIP programs.“We are committed to providing equitable access to quality health care and removing any barriers to quality health care,” said Health and Human Services Secretary Xavier Becerra. €œWe want to hear directly from stakeholders so we can strengthen our programs for the more than 80 million Americans with Medicaid or CHIP health insurance.

Together, by advancing health equity, we can ensure quality health care is within reach for everyone who needs it.” “Medicaid and CHIP provide essential health coverage lasix liquid form for over 80 million individuals and families,” said CMS Administrator Chiquita Brooks-LaSure. €œEnsuring every eligible person can access the coverage and care to which they are entitled is a foundational principle of health equity and our work at CMS. We invite interested stakeholders and individuals with lived experience to join us in this mission, starting by responding to the request for information.” “With this RFI, we are taking a first step towards a broader perspective of what ‘access’ to Medicaid means,” said CMS Director of the Center for Medicaid and CHIP Services Daniel Tsai. €œEnsuring access to Medicaid includes addressing a range of barriers current and lasix liquid form potential Medicaid beneficiaries may experience, from enrolling in Medicaid to maintaining coverage, to accessing care across both fee-for-service and managed care delivery systems.

Access must also cross physical health care, behavioral health, and home and community based services. We look forward to capturing a wide range of perspectives from different stakeholders with this RFI.” Feedback obtained from the RFI announced today will aid in CMS’ understanding of enrollees’ barriers to enrolling in and maintaining coverage and accessing needed health care lasix liquid form services and support through Medicaid and CHIP. This information will help inform future polices, monitoring, and regulatory actions, helping ensure beneficiaries have equitable access to high-quality and appropriate care across all Medicaid and CHIP payment and delivery systems, including fee-for-service, managed care, and alternative payment models. The RFI submissions will lasix liquid form also inform CMS’ work to ensure timely access to critical services, such as behavioral health care and home and community-based services.

Evidence shows that while Medicaid and CHIP generally provide comprehensive coverage for health care services, some enrollees still experience challenges accessing providers and medical services despite statutory access protections in Medicaid. CMS’ access RFI aims to gather information to help understand many of these concerns with feedback from experts, beneficiaries, and community members with lived experience of the agency’s programs. The RFI seeks feedback from a diverse set of stakeholders on a broad set of topics from ensuring adequate payment rates to encouraging provider availability and quality, to culturally and linguistically competent care and reducing gaps lasix liquid form in health care coverage. Interested parties may access the RFI questions and provide comment on Medicaid.gov.

The RFI is open for lasix liquid form a 60 day public comment period beginning February 17, 2022. To read the RFI, visit. Https://cmsmedicaidaccessrfi.gov1.quaics.com/jfe/form/SV_6EYj9eLS9b74Npk ###.

As part of the Biden-Harris Administration’s work to advance health equity and reduce can u buy lasix over the counter health disparities, the Centers https://www.ferienhaus-sticher-borkum.de/where-is-better-to-buy-viagra/ for Medicare &. Medicaid Services (CMS) is seeking feedback on topics related to health care access, such as enrolling in and maintaining coverage, accessing health care services and supports, and ensuring adequate provider payment rates to encourage provider availability and quality. This Request for Information (RFI) is one of many actions CMS is taking to develop a can u buy lasix over the counter more comprehensive access strategy in its Medicaid and CHIP programs.“We are committed to providing equitable access to quality health care and removing any barriers to quality health care,” said Health and Human Services Secretary Xavier Becerra.

€œWe want to hear directly from stakeholders so we can strengthen our programs for the more than 80 million Americans with Medicaid or CHIP health insurance. Together, by advancing health equity, we can ensure quality health care is within reach for everyone who needs it.” “Medicaid and CHIP provide essential health can u buy lasix over the counter coverage for over 80 million individuals and families,” said CMS Administrator Chiquita Brooks-LaSure. €œEnsuring every eligible person can access the coverage and care to which they are entitled is a foundational principle of health equity and our work at CMS.

We invite interested stakeholders and individuals with lived experience to join us in this mission, starting by responding to the request for information.” “With this RFI, we are taking a first step towards a broader perspective of what ‘access’ to Medicaid means,” said CMS Director of the Center for Medicaid and CHIP Services Daniel Tsai. €œEnsuring access to Medicaid includes addressing a range of barriers current and potential Medicaid beneficiaries may experience, from enrolling in Medicaid to maintaining coverage, to accessing care across both fee-for-service and managed care delivery can u buy lasix over the counter systems. Access must also cross physical health care, behavioral health, and home and community based services.

We look forward to capturing a wide range of perspectives from can u buy lasix over the counter different stakeholders with this RFI.” Feedback obtained from the RFI announced today will aid in CMS’ understanding of enrollees’ barriers to enrolling in and maintaining coverage and accessing needed health care services and support through Medicaid and CHIP. This information will help inform future polices, monitoring, and regulatory actions, helping ensure beneficiaries have equitable access to high-quality and appropriate care across all Medicaid and CHIP payment and delivery systems, including fee-for-service, managed care, and alternative payment models. The RFI submissions will also inform CMS’ work to ensure timely access to critical services, such as behavioral health care and home and can u buy lasix over the counter community-based services.

Evidence shows that while Medicaid and CHIP generally provide comprehensive coverage for health care services, some enrollees still experience challenges accessing providers and medical services despite statutory access protections in Medicaid. CMS’ access RFI aims to gather information to help understand many of these concerns with feedback from experts, beneficiaries, and community members with lived experience of the agency’s programs. The RFI seeks feedback from a diverse set of stakeholders on a broad set of topics from ensuring adequate payment rates to encouraging provider availability and quality, to culturally and linguistically competent care and can u buy lasix over the counter reducing gaps in health care coverage.

Interested parties may access the RFI questions and provide comment on Medicaid.gov. The RFI is can u buy lasix over the counter open for a 60 day public comment period beginning February 17, 2022. To read the RFI, visit.

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Lasix online in canada

MUSCATINE, Iowa lasix online in canada — Bailee Tordai, who was 33 weeks into http://www.smhgg.org.uk/cipro-best-buy/ her pregnancy, barely made it to the prenatal checkup. Her clunky old Jeep couldn’t complete the 2-mile trip from her house to the University of Iowa’s outreach clinic in her southeastern Iowa hometown. It was a hot June day, and a wiring lasix online in canada problem made the Jeep conk out in the street. A passerby helped Tordai, 22, push her stricken vehicle off the road and into a parking lot.

Then she called her stepdad for a ride to the clinic lasix online in canada. Jaclyn Roman, a nurse midwife, walked into the exam room. €œI heard your car broke down.” “Yup. You want lasix online in canada to buy it?.

Five bucks!. € Tordai joked lasix online in canada. Her lack of reliable transportation won’t be a laughing matter in August, when her baby is due. She will need to arrange for someone to lasix online in canada drive her about 40 miles northwest to the University of Iowa Hospitals and Clinics in Iowa City.

She can’t give birth at Muscatine’s hospital because it shuttered its birthing unit in 2020. Roman is part of an unusual effort to minimize the harm caused by such closures. She’s one of 11 certified nurse midwives lasix online in canada from the University of Iowa who travel regularly to Muscatine and Washington, another southeastern Iowa town where the local hospital closed its birthing unit. The university’s pilot project, which is supported by a federal grant, doesn’t aim to reopen shuttered birthing units.

Instead, the midwife team helps ensure lasix online in canada area women receive related services. Last year, it served more than 500 patients in Muscatine and Washington. Muscatine is one of hundreds of rural areas in the U.S. Where hospitals have dropped lasix online in canada birthing services during the past two decades, often because they lack obstetricians and other specialized staff members.

Hospital industry leaders say birthing units also tend to lose money, largely because of low payments from Medicaid, the public health insurance program that covers more than 40% of births in the U.S. And an even greater share in many rural lasix online in canada areas. The loss of labor-and-delivery services hits especially hard for women who lack resources and time to travel for care. Muscatine, which is on the Mississippi River, has more than 23,000 residents, making it a relatively large town by Iowa standards lasix online in canada.

But its hospital is one of 41 Iowa facilities that have closed their birthing units since 2000, according to the Iowa Department of Public Health. Most were in rural areas. Just one lasix online in canada has reopened, and only 56 Iowa hospitals now have birthing units. The nurse midwife team’s work includes crucial prenatal checkups.

Most pregnant people are lasix online in canada supposed to have a dozen or more such appointments before giving birth. Health care providers use the checkups to track how a pregnancy is progressing and to watch for signs of high blood pressure and other problems that can lead to premature births, stillbirths, or even maternal deaths. The midwives also advise women on how to keep lasix online in canada themselves and their babies healthy after birth. Karen Jefferson, director of midwifery practice for the American College of Nurse-Midwives, said the University of Iowa team’s approach is an innovative way to address needs in rural areas that have lost hospital birthing units.

€œHow wonderful would it be to see a provider in your town, instead of driving 40 miles for your prenatal visits — especially toward the end of pregnancy, when you’re going every week,” said Jefferson, who lives in rural New York. Midwives can provide many other types of lasix online in canada care for women and for babies. In theory, they could even open rural birthing centers outside of hospitals, Jefferson said. But they would need to overcome concerns about financing and about the availability of surgeons to do emergency cesarean sections, which she lasix online in canada said are rarely needed in low-risk births.

The University of Iowa midwives focus on low-risk pregnancies, referring patients with significant health issues to physician specialists in Iowa City. Often, those specialists can visit with the patients and the midwives via video conference in the small-town clinics. The loss of a hospital obstetrics unit can make finding local lasix online in canada maternity care harder for rural families. Tordai can attest that if patients must travel far for prenatal appointments, they’re less likely to get to them all.

If she had to go to Iowa City for each of hers, repeatedly taking three hours off from her job managing a pizza restaurant would be tough, lasix online in canada she said. On that June day her Jeep broke down, she would have canceled her appointment. Instead, she wound up on lasix online in canada an exam table at the Muscatine clinic listening to her baby’s heartbeat on a monitor and watching as Roman measured her belly. €œNice job being perfect,” the midwife told her during the checkup.

Roman asked Tordai to describe her baby’s movements. €œConstant,” she lasix online in canada replied with a smile. Roman asked whether she planned to breastfeed. Tordai said lasix online in canada she didn’t have much luck with her first daughter, Aspen, now 4.

€œHave you thought about a breastfeeding class?. € the lasix online in canada midwife asked. €œI don’t have time for that,” Tordai replied. Roman continued to coax her, noting where a breastfeeding class is available online.

Near the end of the appointment, Tordai lasix online in canada asked Roman whether she could schedule an induced birth at the University of Iowa hospital. The midwife told her that, in general, letting labor begin on its own is better than artificially starting it. But there lasix online in canada was the matter of unreliable transportation. Tordai explained that scheduling the birth would help her arrange to have her mother drive her to the hospital in Iowa City.

Roman agreed that transportation is a legitimate reason and arranged for an induced labor on Aug. 10. The University of Iowa midwife team started offering services in 2020 in a clinic about 2 miles from Trinity Muscatine hospital. The hospital is owned by UnityPoint Health, a large nonprofit hospital system that blamed a lack of available obstetricians for the closure of the Muscatine birthing unit.

At the time, UnityPoint leaders said they hoped to reopen the unit if they could recruit new obstetricians to the area. Kristy Phillipson, a UnityPoint Health spokesperson, told KHN in June that the company has continued to try to recruit physicians, including for the Muscatine hospital. Although it has not reopened the birthing unit, the company regularly sends an obstetrician and other staff members to provide prenatal care and related services, she said. Most pregnant patients from the area who choose UnityPoint for their care wind up giving birth at the system’s hospital in Bettendorf, a 45-minute drive to the east.

The University of Iowa midwife team has no plans to open its own birthing centers. But it hopes to expand its rural clinic service to other underserved towns. To do so, the university would need to hire more nurse midwives, which could be a challenge. According to the Iowa Board of Nursing, 120 licensed nurse midwives live in the state of 3 million people.

The University of Iowa plans to address that by starting the state’s first nurse midwife training program in 2023. The master’s degree program, which will emphasize rural service, will train registered nurses to become nurse midwives. It eventually could graduate eight people per year, said Amber Goodrich, a University of Iowa midwife helping lead the effort. Those graduates could fill gaps throughout rural areas, where even more hospitals may shutter their birthing units in the coming years.

€œThis crisis is going nowhere fast,” Goodrich said. Tony Leys. tleys@kff.org, @tonyleys Related Topics Contact Us Submit a Story TipINDIANAPOLIS – Emergency Medical Services in Indiana often rely on volunteers and don’t have dedicated funding streams to pay for training or ambulances – but those efforts may not be enough to sustain the industry anymore.In 2018, 4,900 paramedics and 14,000 emergency medical technicians (EMTs) responded to approximately 750,000 ambulance runs. By 2021, the state lost 300 paramedics and 1,000 EMTs but the run volume increased by 66% to more than 1.25 million, state data shows.In that time, Indiana also lost 200 ambulances and several emergency providers closed following years of lagging reimbursements.The problem became apparent to the Governor’s Public Health Commission in March, when Stephen Cox – the former director of the Indiana Department of Homeland Security – provided the above numbers to members.

€œWe often talk about EMS being the frontline to the healthcare system,” Cox said. €œEMS is in trouble nationwide for a couple of different reasons. One of them is funding. However, one of the biggest problems… is that call volume is going up.”Michael Kaufmann, the former chief medical director for Indiana Emergency Medical Services, told the committee that the types of runs hadn’t changed but calls for ambulances to 911 increased in all areas.Kaufmann left the agency in April while Cox left the agency in June.Cox and Kaufmann told committee members that some ambulance providers over the years have closed, partially due to staffing pressures but also because Indiana’s Medicaid reimbursement for ambulance services lags.“If we go back to how our EMS started 50 years ago, it really started as a way to move our patients very quickly from the scene of an accident to a hospital,” Kaufmann said.

€œIt has evolved dramatically. We’re doing basic procedures, cardiac monitoring, medications, intravenous therapies but because of the humble beginnings of EMS, EMS is reimbursed as a transportation mechanism… it’s not based on the amount of care administered.” Spurred by their presentation, the committee dedicated one of their five public health recommendations to the state’s EMS system, highlighting the need to expand and sustain Indiana’s EMS workforce.In a draft of recommendations, the committee suggests conducting an assessment of the specific EMS needs across the state, looking at funding and recruitment in underserved areas of the state, establishing long-term retention plans and expanding community training and paramedicine programs.The committee voted in June to approve recommendations but didn’t finalize wording or suggest a funding amount.Former Sen. Luke Kenley, a co-chair of the committee, said the committee would recommend establishing a fund for EMS training and vehicles – two core shortages – on top of the $250 million investment into the public health system. Counties could potentially apply for a matching grant to establish training providers and buy vehicles.“It’s a pretty big budget request,” Kenley said.

€œI’m hoping that with all of the (incentives) we’re going to hold out there… that (county leaders and legislators) think, ‘We’ve got to get in on this program.’” The struggle to train, attract EMTs Similar to other states, Indiana’s EMS system varies from county to county and each entity – whether county or city, private or volunteer – operates relatively independently from one another. Kraig Kinney (From the Indiana Department of Homeland Security)“We see the biggest difference in the rural areas because the urban areas tend to be more metropolitan and predominantly fire-based (EMS),” Kraig Kinney, the state director and counsel of EMS said. €œWhereas in the rural areas, those are a lot more county-based where you have one county provider for a very large geographic area.”Where rural areas struggle the most is providing the standardized training required for EMTs and paramedics. EMT training can take five to six months or 380 hours while paramedics need over 1,000 hours and can need schooling for up to two years.When Kinney trained as an EMT in 1991, he drove from Putnam County to Indianapolis twice a week for classes and twice a week for clinical training and again in 1994 when he trained as a paramedic.

Now classes, but not clinical training, can be virtual but many areas still don’t have the resources or certified institutions. Once trained, convincing employees to stay despite higher rates of PTSD, substance abuse, divorce and burnout becomes another challenge. With wages averaging $15 per hour, many find opportunities elsewhere.“You’re seeing people who – 30 years ago – would stay for a 30-year career. (Now) they’re leaving after three or four years because they’re thinking… they’d rather go get a factory job that they’re going to make more money at and not have all the risk (and) mental health issues,” Cox said.

€œA lot of young folks are saying, ‘I don’t know if I want to go through all of that.’”Cox, a former paramedic with a fire department in South Bend, said that while labor shortages affect many employment sectors, emergency services have an even greater problem.“hypertension medications was positive for EMS in terms of us meeting community challenges,” Kinney said. €œBut it was very risky for EMS, very tiresome and we saw some burnout and we have not recovered from that.” SUPPORT NEWS YOU TRUST. DONATE The state also doesn’t track whether licensed EMTs or paramedics use their licenses, meaning someone licensed as a paramedic like Kinney, who works on administration and training but not in an ambulance, counts toward the state’s numbers.“If you ask (EMS professionals), they’ll say, ‘I love this job but I’m overworked. I just can’t support my family on this,’” Kinney said, meaning many choose between staying in the industry or having a family.

The impact on Indiana’s trauma care system Indiana is one of 11 states that defines EMS as an essential public service but neither funding nor the level of readiness for EMS is specified, meaning coverage varies between wealthy and impoverished communities. The state offers some limited grants but nearly all funding is local.EMS plays a central role in Indiana’s trauma care system, with trauma the leading cause of death for Hoosiers under the age of 45. Though a majority of Hoosiers, 92%, live within 45 minutes of a trauma care system, large portions of the state don’t have coverage, including along high-traffic corridors along interstates.Additionally, all four of the state’s Level 1 trauma centers, a designation that means the hospital can respond to any type of emergency medical care, are located in Marion County.In Indiana’s urban or suburban counties, more ambulances and hospitals mean that response times are lower and patients can receive care within minutes. In rural counties, it can take hours.

Stephen Cox (From the Indiana Department of Homeland Security)“If you go to a rural county like Crawford County, I believe there isn’t a hospital in that county, much less multiple EMS resources,” Cox said. €œIf I’m correct, Crawford County only has two full-time ambulances in the county and if they transfer someone to the hospital they have to go out of the county.“That takes the resource out of the county. You can imagine, then, how that might impact (another) patient who calls 911 to get to a hospital, especially if they’re in critical condition.”The General Assembly passed a bill increasing reimbursement rates under Medicaid that went into effect on July 1 as well as a bill redefining ambulance services. But those bills come too late for the EMS providers that closed and for the EMTS or paramedics who left the industry.For Kinney, the stress of the job is worth it.“We all care about people at one level or another.

You’re out there and you are able to care, to help,” he said. €œFrankly, we’re not saving lives every run… but what we’re doing is we are easing suffering. We are reassuring people and we’re preventing conditions from worsening… (and) make a difference.”.

MUSCATINE, Iowa — Bailee Tordai, who was 33 http://www.smhgg.org.uk/cipro-best-buy/ weeks into her pregnancy, barely made it to the prenatal can u buy lasix over the counter checkup. Her clunky old Jeep couldn’t complete the 2-mile trip from her house to the University of Iowa’s outreach clinic in her southeastern Iowa hometown. It was a hot June can u buy lasix over the counter day, and a wiring problem made the Jeep conk out in the street. A passerby helped Tordai, 22, push her stricken vehicle off the road and into a parking lot.

Then she called her stepdad for can u buy lasix over the counter a ride to the clinic. Jaclyn Roman, a nurse midwife, walked into the exam room. €œI heard your car broke down.” “Yup. You want to can u buy lasix over the counter buy it?.

Five bucks!. € Tordai joked can u buy lasix over the counter. Her lack of reliable transportation won’t be a laughing matter in August, when her baby is due. She will need to arrange for can u buy lasix over the counter someone to drive her about 40 miles northwest to the University of Iowa Hospitals and Clinics in Iowa City.

She can’t give birth at Muscatine’s hospital because it shuttered its birthing unit in 2020. Roman is part of an unusual effort to minimize the harm caused by such closures. She’s one of 11 certified nurse midwives from the University of Iowa who travel regularly to Muscatine and Washington, another southeastern Iowa town can u buy lasix over the counter where the local hospital closed its birthing unit. The university’s pilot project, which is supported by a federal grant, doesn’t aim to reopen shuttered birthing units.

Instead, the can u buy lasix over the counter midwife team helps ensure area women receive related services. Last year, it served more than 500 patients in Muscatine and Washington. Muscatine is one of hundreds of rural areas in the U.S. Where hospitals have dropped birthing services during the past two decades, often because they lack obstetricians and other specialized can u buy lasix over the counter staff members.

Hospital industry leaders say birthing units also tend to lose money, largely because of low payments from Medicaid, the public health insurance program that covers more than 40% of births in the U.S. And an even greater share in many rural can u buy lasix over the counter areas. The loss of labor-and-delivery services hits especially hard for women who lack resources and time to travel for care. Muscatine, which can u buy lasix over the counter is on the Mississippi River, has more than 23,000 residents, making it a relatively large town by Iowa standards.

But its hospital is one of 41 Iowa facilities that have closed their birthing units since 2000, according to the Iowa Department of Public Health. Most were in rural areas. Just one has reopened, and only 56 Iowa hospitals now have birthing units can u buy lasix over the counter. The nurse midwife team’s work includes crucial prenatal checkups.

Most pregnant people are supposed to have a dozen can u buy lasix over the counter or more such appointments before giving birth. Health care providers use the checkups to track how a pregnancy is progressing and to watch for signs of high blood pressure and other problems that can lead to premature births, stillbirths, or even maternal deaths. The midwives also advise women on how to can u buy lasix over the counter keep themselves and their babies healthy after birth. Karen Jefferson, director of midwifery practice for the American College of Nurse-Midwives, said the University of Iowa team’s approach is an innovative way to address needs in rural areas that have lost hospital birthing units.

€œHow wonderful would it be to see a provider in your town, instead of driving 40 miles for your prenatal visits — especially toward the end of pregnancy, when you’re going every week,” said Jefferson, who lives in rural New York. Midwives can can u buy lasix over the counter provide many other types of care for women and for babies. In theory, they could even open rural birthing centers outside of hospitals, Jefferson said. But they would need to overcome concerns about financing and about the availability of surgeons to do emergency cesarean sections, can u buy lasix over the counter which she said are rarely needed in low-risk births.

The University of Iowa midwives focus on low-risk pregnancies, referring patients with significant health issues to physician specialists in Iowa City. Often, those specialists can visit with the patients and the midwives via video conference in the small-town clinics. The loss of a hospital obstetrics unit can make finding local maternity care harder for can u buy lasix over the counter rural families. Tordai can attest that if patients must travel far for prenatal appointments, they’re less likely to get to them all.

If she had to go to Iowa City for each of hers, can u buy lasix over the counter repeatedly taking three hours off from her job managing a pizza restaurant would be tough, she said. On that June day her Jeep broke down, she would have canceled her appointment. Instead, she can u buy lasix over the counter wound up on an exam table at the Muscatine clinic listening to her baby’s heartbeat on a monitor and watching as Roman measured her belly. €œNice job being perfect,” the midwife told her during the checkup.

Roman asked Tordai to describe her baby’s movements. €œConstant,” she replied can u buy lasix over the counter with a smile. Roman asked whether she planned to breastfeed. Tordai said she didn’t have much luck with her first daughter, Aspen, now 4 can u buy lasix over the counter.

€œHave you thought about a breastfeeding class?. € the can u buy lasix over the counter midwife asked. €œI don’t have time for that,” Tordai replied. Roman continued to coax her, noting where a breastfeeding class is available online.

Near the end of the appointment, Tordai asked Roman whether she could schedule can u buy lasix over the counter an induced birth at the University of Iowa hospital. The midwife told her that, in general, letting labor begin on its own is better than artificially starting it. But there was the matter of can u buy lasix over the counter unreliable transportation. Tordai explained that scheduling the birth would help her arrange to have her mother drive her to the hospital in Iowa City.

Roman agreed that transportation is a legitimate reason and arranged for an induced labor on Aug. 10. The University of Iowa midwife team started offering services in 2020 in a clinic about 2 miles from Trinity Muscatine hospital. The hospital is owned by UnityPoint Health, a large nonprofit hospital system that blamed a lack of available obstetricians for the closure of the Muscatine birthing unit.

At the time, UnityPoint leaders said they hoped to reopen the unit if they could recruit new obstetricians to the area. Kristy Phillipson, a UnityPoint Health spokesperson, told KHN in June that the company has continued to try to recruit physicians, including for the Muscatine hospital. Although it has not reopened the birthing unit, the company regularly sends an obstetrician and other staff members to provide prenatal care and related services, she said. Most pregnant patients from the area who choose UnityPoint for their care wind up giving birth at the system’s hospital in Bettendorf, a 45-minute drive to the east.

The University of Iowa midwife team has no plans to open its own birthing centers. But it hopes to expand its rural clinic service to other underserved towns. To do so, the university would need to hire more nurse midwives, which could be a challenge. According to the Iowa Board of Nursing, 120 licensed nurse midwives live in the state of 3 million people.

The University of Iowa plans to address that by starting the state’s first nurse midwife training program in 2023. The master’s degree program, which will emphasize rural service, will train registered nurses to become nurse midwives. It eventually could graduate eight people per year, said Amber Goodrich, a University of Iowa midwife helping lead the effort. Those graduates could fill gaps throughout rural areas, where even more hospitals may shutter their birthing units in the coming years.

€œThis crisis is going nowhere fast,” Goodrich said. Tony Leys. tleys@kff.org, @tonyleys Related Topics Contact Us Submit a Story TipINDIANAPOLIS – Emergency Medical Services in Indiana often rely on volunteers and don’t have dedicated funding streams to pay for training or ambulances – but those efforts may not be enough to sustain the industry anymore.In 2018, 4,900 paramedics and 14,000 emergency medical technicians (EMTs) responded to approximately 750,000 ambulance runs. By 2021, the state lost 300 paramedics and 1,000 EMTs but the run volume increased by 66% to more than 1.25 million, state data shows.In that time, Indiana also lost 200 ambulances and several emergency providers closed following years of lagging reimbursements.The problem became apparent to the Governor’s Public Health Commission in March, when Stephen Cox – the former director of the Indiana Department of Homeland Security – provided the above numbers to members.

€œWe often talk about EMS being the frontline to the healthcare system,” Cox said. €œEMS is in trouble nationwide for a couple of different reasons. One of them is funding. However, one of the biggest problems… is that call volume is going up.”Michael Kaufmann, the former chief medical director for Indiana Emergency Medical Services, told the committee that the types of runs hadn’t changed but calls for ambulances to 911 increased in all areas.Kaufmann left the agency in April while Cox left the agency in June.Cox and Kaufmann told committee members that some ambulance providers over the years have closed, partially due to staffing pressures but also because Indiana’s Medicaid reimbursement for ambulance services lags.“If we go back to how our EMS started 50 years ago, it really started as a way to move our patients very quickly from the scene of an accident to a hospital,” Kaufmann said.

€œIt has evolved dramatically. We’re doing basic procedures, cardiac monitoring, medications, intravenous therapies but because of the humble beginnings of EMS, EMS is reimbursed as a transportation mechanism… it’s not based on the amount of care administered.” Spurred by their presentation, the committee dedicated one of their five public health recommendations to the state’s EMS system, highlighting the need to expand and sustain Indiana’s EMS workforce.In a draft of recommendations, the committee suggests conducting an assessment of the specific EMS needs across the state, looking at funding and recruitment in underserved areas of the state, establishing long-term retention plans and expanding community training and paramedicine programs.The committee voted in June to approve recommendations but didn’t finalize wording or suggest a funding amount.Former Sen. Luke Kenley, a co-chair of the committee, said the committee would recommend establishing a fund for EMS training and vehicles – two core shortages – on top of the $250 million investment into the public health system. Counties could potentially apply for a matching grant to establish training providers and buy vehicles.“It’s a pretty big budget request,” Kenley said.

€œI’m hoping that with all of the (incentives) we’re going to hold out there… that (county leaders and legislators) think, ‘We’ve got to get in on this program.’” The struggle to train, attract EMTs Similar to other states, Indiana’s EMS system varies from county to county and each entity – whether county or city, private or volunteer – operates relatively independently from one another. Kraig Kinney (From the Indiana Department of Homeland Security)“We see the biggest difference in the rural areas because the urban areas tend to be more metropolitan and predominantly fire-based (EMS),” Kraig Kinney, the state director and counsel of EMS said. €œWhereas in the rural areas, those are a lot more county-based where you have one county provider for a very large geographic area.”Where rural areas struggle the most is providing the standardized training required for EMTs and paramedics. EMT training can take five to six months or 380 hours while paramedics need over 1,000 hours and can need schooling for up to two years.When Kinney trained as an EMT in 1991, he drove from Putnam County to Indianapolis twice a week for classes and twice a week for clinical training and again in 1994 when he trained as a paramedic.

Now classes, but not clinical training, can be virtual but many areas still don’t have the resources or certified institutions. Once trained, convincing employees to stay despite higher rates of PTSD, substance abuse, divorce and burnout becomes another challenge. With wages averaging $15 per hour, many find opportunities elsewhere.“You’re seeing people who – 30 years ago – would stay for a 30-year career. (Now) they’re leaving after three or four years because they’re thinking… they’d rather go get a factory job that they’re going to make more money at and not have all the risk (and) mental health issues,” Cox said.

€œA lot of young folks are saying, ‘I don’t know if I want to go through all of that.’”Cox, a former paramedic with a fire department in South Bend, said that while labor shortages affect many employment sectors, emergency services have an even greater problem.“hypertension medications was positive for EMS in terms of us meeting community challenges,” Kinney said. €œBut it was very risky for EMS, very tiresome and we saw some burnout and we have not recovered from that.” SUPPORT NEWS YOU TRUST. DONATE The state also doesn’t track whether licensed EMTs or paramedics use their licenses, meaning someone licensed as a paramedic like Kinney, who works on administration and training but not in an ambulance, counts toward the state’s numbers.“If you ask (EMS professionals), they’ll say, ‘I love this job but I’m overworked. I just can’t support my family on this,’” Kinney said, meaning many choose between staying in the industry or having a family.

The impact on Indiana’s trauma care system Indiana is one of 11 states that defines EMS as an essential public service but neither funding nor the level of readiness for EMS is specified, meaning coverage varies between wealthy and impoverished communities. The state offers some limited grants but nearly all funding is local.EMS plays a central role in Indiana’s trauma care system, with trauma the leading cause of death for Hoosiers under the age of 45. Though a majority of Hoosiers, 92%, live within 45 minutes of a trauma care system, large portions of the state don’t have coverage, including along high-traffic corridors along interstates.Additionally, all four of the state’s Level 1 trauma centers, a designation that means the hospital can respond to any type of emergency medical care, are located in Marion County.In Indiana’s urban or suburban counties, more ambulances and hospitals mean that response times are lower and patients can receive care within minutes. In rural counties, it can take hours.

Stephen Cox (From the Indiana Department of Homeland Security)“If you go to a rural county like Crawford County, I believe there isn’t a hospital in that county, much less multiple EMS resources,” Cox said. €œIf I’m correct, Crawford County only has two full-time ambulances in the county and if they transfer someone to the hospital they have to go out of the county.“That takes the resource out of the county. You can imagine, then, how that might impact (another) patient who calls 911 to get to a hospital, especially if they’re in critical condition.”The General Assembly passed a bill increasing reimbursement rates under Medicaid that went into effect on July 1 as well as a bill redefining ambulance services. But those bills come too late for the EMS providers that closed and for the EMTS or paramedics who left the industry.For Kinney, the stress of the job is worth it.“We all care about people at one level or another.

You’re out there and you are able to care, to help,” he said. €œFrankly, we’re not saving lives every run… but what we’re doing is we are easing suffering. We are reassuring people and we’re preventing conditions from worsening… (and) make a difference.”.

Lasix 40mg im

SACRAMENTO, Calif lasix 40mg im my latest blog post. €” Nearly three years after California started fining residents who don’t have health insurance, the state has not distributed any of the revenue it has collected, KHN has learned — money that was intended to help Californians struggling to pay for coverage. And lasix 40mg im so far, the majority of Californians paying the tax penalty for not having insurance are low- and middle-income earners, according to state tax officials — just the people the money was intended to help. €œIt’s concerning,” said Diana Douglas, a lobbyist with Health Access California, which advocated for the mandate.

€œThe whole idea was if we’re going to collect money from people who can’t afford coverage, to use that revenue to help people afford it and actually get care. It’s not fair to people who can’t afford it.” State finance officials have estimated that lasix 40mg im the revenue collected via the penalty in its first three years, from 2020 through 2022, will total about $1.3 billion. Gov. Gavin Newsom argues the state should hold on lasix 40mg im to the money in case Californians need help paying for health insurance in the future.

Newsom and Democratic lawmakers adopted the state health insurance requirement in 2019, nearly two years after the Republican-controlled Congress eliminated the federal penalty for not having health insurance that had been instituted under the Affordable Care Act. Then-President Donald Trump pushed to scrap it, arguing that the Obamacare provision was “very unfair.” Newsom argued, however, that a so-called individual mandate would help California achieve universal coverage by requiring everyone to have health insurance, and said the penalty money would be used to help residents purchase plans via Covered California, the state’s Affordable Care Act insurance marketplace. The penalty revenue was supposed to help fund state-based subsidies for lasix 40mg im low- and middle-income Californians who purchase coverage through Covered California that Newsom and state lawmakers approved the same year. The state subsidies would supplement the existing federal financial assistance offered under Obamacare.

But hypertension medications changed the lasix 40mg im equation. To prevent people from losing insurance during the lasix, the Biden administration and the Democratic-controlled Congress boosted federal subsidies for Americans who buy health insurance through Obamacare exchanges — and which were recently extended under the federal Inflation Reduction Act. The Newsom administration argued the additional federal assistance was enough to help residents afford coverage, and California stopped providing the state subsidies in May 2021. They had been in place less than lasix 40mg im two years and had been financed by about $328 million in startup money from the state’s general fund.

But the state continued levying the tax penalty, and the Newsom administration is stockpiling some of the money given fiscal projections that show California is facing an uncertain economic outlook, according to H.D. Palmer, the spokesperson for the state lasix 40mg im Department of Finance. Tax revenues this year are billions below projections, he said, and the penalty money could be needed when the additional federal financial assistance expires at the end of 2025 — if it’s not extended in the meantime — or if Republicans take control of Congress or the White House and then scrap the enhanced subsidies. €œThe recent downturn in state tax revenues highlights the importance of having those funds set aside,” Newsom spokesperson Alex Stack said.

In 2021, Newsom and state legislators transferred $333.4 million of the penalty money into a special fund “for future use for health affordability programs” in Covered California, though that was a one-time move and the money will lasix 40mg im not be spent anytime soon, Palmer said. California is among several states that adopted health insurance requirements after the federal penalty was gutted. California assesses its penalty on uninsured residents when they file their annual state income taxes lasix 40mg im. For the 2020 tax year, the first year the mandate was in place, California collected about $403 million from uninsured people, with the average per-person penalty amounting to $1,196, according to the state Franchise Tax Board.

Of the roughly 337,000 Californians penalized that year, about 225,400 had incomes at or below 400% of the federal poverty level, or $49,960 for a single person and $85,320 for a family of three. Some lowest-income lasix 40mg im earners best place to buy lasix are exempt from the penalty. The Newsom administration projected that the revenue from the tax penalty would increase in both 2021 and 2022, including to $435 million this year. Because tax collections take time to process, the exact total raised to date is unclear.

But the lasix 40mg im administration estimates the state will collect about $1.3 billion over the first three years of the mandate. Most of that money will be deposited into the state general fund and can be used for anything the governor and lawmakers choose to spend it on. There is no requirement that any penalty money be spent on lasix 40mg im health care or financial assistance, Palmer confirmed. Meanwhile, premiums are rising for many consumers purchasing coverage through Covered California, with an average increase of 5.6% for 2023, according to James Scullary, a spokesperson for the marketplace.

Deductibles and other out-of-pocket costs are also going up for some people, and consumer advocates fear that without greater financial assistance, more Californians will opt out of purchasing coverage — or forgo care altogether. For instance, a mid-tier Covered California insurance lasix 40mg im plan for an individual will have a $4,750 medical deductible and an annual out-of-pocket maximum of $8,750 in 2023 — up from $3,700 and $8,200, respectively, this year. €œWe already had concerns about reinstating the penalty on the uninsured because it hits poor people the hardest, and now we’re seeing lower-income people making tough choices about paying for health care or other basic necessities like gas, food, and rent,” said Linda Nguy, a lobbyist with the Western Center on Law and Poverty. €œLet’s spend the money we’re collecting to help make it more affordable or eliminate lasix 40mg im the mandate if we’re not spending it.” Some Democratic lawmakers, backed by Heath Access and a broad coalition of health advocates, insurers, and small businesses, are pushing Newsom to use the penalty revenue to help uninsured and low-income Californians.

They argue that even with the additional federal assistance, people still need help to lower their out-of-pocket costs. €œSmall businesses and their employees are struggling to afford health care,” said Bianca Blomquist, California policy director for the Small Business Majority lobbying group. €œWhen the individual mandate was lasix 40mg im established, the understanding was that even though the money is going to the general fund, it would be spent on affordability assistance in Covered California. That’s a big reason we supported it.” A bill this year by state Sen.

Richard Pan (D-Sacramento), who is leaving office because of term limits, sought to funnel state penalty money into Covered California to reduce out-of-pocket costs for some consumers, including scrapping their deductibles lasix 40mg im. But Newsom vetoed the bill, arguing that the money could be needed in future years to reinstate the state-based subsidies. Advocates vow to continue pushing next year. €œHaving insurance doesn’t mean anything if you can’t afford the deductible, and that’s lasix 40mg im a huge barrier for people with chronic diseases who have very high health care costs,” Pan said.

€œPeople still can’t afford to go to the doctor.” Republicans joined Democratic lawmakers in expressing frustration. Former state lasix 40mg im Sen. Jeff Stone, who was a staunch opponent of the state mandate and has since relocated to Nevada, blasted the penalty as “reverse Robin Hood” — taking from the poor and giving to the wealthy. €œImpoverished people are being forced to pay that penalty, and it’s being put right into the general fund for any purpose,” he said.

€œIf the state lasix 40mg im isn’t spending it like the governor said it would, return it to taxpayers.” This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation. Angela Hart. ahart@kff.org, @ahartreports Related Topics Contact Us Submit a Story Tip.

SACRAMENTO, Calif can u buy lasix over the counter http://www.usranger.net/rangers-lead-the-way/. €” Nearly three years after California started fining residents who don’t have health insurance, the state has not distributed any of the revenue it has collected, KHN has learned — money that was intended to help Californians struggling to pay for coverage. And so far, the majority of Californians paying the tax penalty for not having insurance are low- and middle-income earners, according to state tax officials — can u buy lasix over the counter just the people the money was intended to help. €œIt’s concerning,” said Diana Douglas, a lobbyist with Health Access California, which advocated for the mandate. €œThe whole idea was if we’re going to collect money from people who can’t afford coverage, to use that revenue to help people afford it and actually get care.

It’s not fair to people who can’t afford it.” State finance officials have estimated that the revenue collected can u buy lasix over the counter via the penalty in its first three years, from 2020 through 2022, will total about $1.3 billion. Gov. Gavin Newsom argues the can u buy lasix over the counter state should hold on to the money in case Californians need help paying for health insurance in the future. Newsom and Democratic lawmakers adopted the state health insurance requirement in 2019, nearly two years after the Republican-controlled Congress eliminated the federal penalty for not having health insurance that had been instituted under the Affordable Care Act. Then-President Donald Trump pushed to scrap it, arguing that the Obamacare provision was “very unfair.” Newsom argued, however, that a so-called individual mandate would help California achieve universal coverage by requiring everyone to have health insurance, and said the penalty money would be used to help residents purchase plans via Covered California, the state’s Affordable Care Act insurance marketplace.

The penalty revenue was supposed to can u buy lasix over the counter help fund state-based subsidies for low- and middle-income Californians who purchase coverage through Covered California that Newsom and state lawmakers approved the same year. The state subsidies would supplement the existing federal financial assistance offered under Obamacare. But hypertension medications changed can u buy lasix over the counter the equation. To prevent people from losing insurance during the lasix, the Biden administration and the Democratic-controlled Congress boosted federal subsidies for Americans who buy health insurance through Obamacare exchanges — and which were recently extended under the federal Inflation Reduction Act. The Newsom administration argued the additional federal assistance was enough to help residents afford coverage, and California stopped providing the state subsidies in May 2021.

They had been in place less than two years and had been financed by about can u buy lasix over the counter $328 million in startup money from the state’s general fund. But the state continued levying the tax penalty, and the Newsom administration is stockpiling some of the money given fiscal projections that show California is facing an uncertain economic outlook, according to H.D. Palmer, the spokesperson for the state Department of Finance can u buy lasix over the counter. Tax revenues this year are billions below projections, he said, and the penalty money could be needed when the additional federal financial assistance expires at the end of 2025 — if it’s not extended in the meantime — or if Republicans take control of Congress or the White House and then scrap the enhanced subsidies. €œThe recent downturn in state tax revenues highlights the importance of having those funds set aside,” Newsom spokesperson Alex Stack said.

In 2021, Newsom and state legislators transferred $333.4 million of the penalty money into a special fund “for future use for health affordability programs” in Covered California, though that can u buy lasix over the counter was a one-time move and the money will not be spent anytime soon, Palmer said. California is among several states that adopted health insurance requirements after the federal penalty was gutted. California assesses its can u buy lasix over the counter penalty on uninsured residents when they file their annual state income taxes. For the 2020 tax year, the first year the mandate was in place, California collected about $403 million from uninsured people, with the average per-person penalty amounting to $1,196, according to the state Franchise Tax Board. Of the roughly 337,000 Californians penalized that year, about 225,400 had incomes at or below 400% of the federal poverty level, or $49,960 for a single person and $85,320 for a family of three.

Some lowest-income earners are discover here exempt from the can u buy lasix over the counter penalty. The Newsom administration projected that the revenue from the tax penalty would increase in both 2021 and 2022, including to $435 million this year. Because tax collections take time to process, the exact total raised to date is unclear. But the administration estimates the state will collect about $1.3 billion over the first three years of can u buy lasix over the counter the mandate. Most of that money will be deposited into the state general fund and can be used for anything the governor and lawmakers choose to spend it on.

There is no requirement that any penalty money be spent on health care or financial assistance, Palmer confirmed can u buy lasix over the counter. Meanwhile, premiums are rising for many consumers purchasing coverage through Covered California, with an average increase of 5.6% for 2023, according to James Scullary, a spokesperson for the marketplace. Deductibles and other out-of-pocket costs are also going up for some people, and consumer advocates fear that without greater financial assistance, more Californians will opt out of purchasing coverage — or forgo care altogether. For instance, a mid-tier Covered California insurance plan for an individual will have a $4,750 medical deductible and an annual out-of-pocket maximum of $8,750 in 2023 — up from $3,700 and $8,200, respectively, can u buy lasix over the counter this year. €œWe already had concerns about reinstating the penalty on the uninsured because it hits poor people the hardest, and now we’re seeing lower-income people making tough choices about paying for health care or other basic necessities like gas, food, and rent,” said Linda Nguy, a lobbyist with the Western Center on Law and Poverty.

€œLet’s spend the money we’re collecting to help make it more affordable or eliminate the mandate if we’re not spending it.” Some Democratic lawmakers, backed by Heath Access and a broad coalition of health advocates, insurers, and small can u buy lasix over the counter businesses, are pushing Newsom to use the penalty revenue to help uninsured and low-income Californians. They argue that even with the additional federal assistance, people still need help to lower their out-of-pocket costs. €œSmall businesses and their employees are struggling to afford health care,” said Bianca Blomquist, California policy director for the Small Business Majority lobbying group. €œWhen the individual mandate was established, the understanding can u buy lasix over the counter was that even though the money is going to the general fund, it would be spent on affordability assistance in Covered California. That’s a big reason we supported it.” A bill this year by state Sen.

Richard Pan (D-Sacramento), who is leaving office because of term can u buy lasix over the counter limits, sought to funnel state penalty money into Covered California to reduce out-of-pocket costs for some consumers, including scrapping their deductibles. But Newsom vetoed the bill, arguing that the money could be needed in future years to reinstate the state-based subsidies. Advocates vow to continue pushing next year. €œHaving insurance doesn’t mean anything if you can’t afford the deductible, and that’s can u buy lasix over the counter a huge barrier for people with chronic diseases who have very high health care costs,” Pan said. €œPeople still can’t afford to go to the doctor.” Republicans joined Democratic lawmakers in expressing frustration.

Former state Sen can u buy lasix over the counter. Jeff Stone, who was a staunch opponent of the state mandate and has since relocated to Nevada, blasted the penalty as “reverse Robin Hood” — taking from the poor and giving to the wealthy. €œImpoverished people are being forced to pay that penalty, and it’s being put right into the general fund for any purpose,” he said. €œIf the state isn’t spending it like the governor said it would, return it to taxpayers.” This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health can u buy lasix over the counter Care Foundation. Angela Hart.

ahart@kff.org, @ahartreports Related Topics Contact Us Submit a Story Tip.