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Vermont only state to get a second ‘A’ in palliative care congressional report card

first_img“Studies suggest that in states with more hospital-based palliative care programs, patients are less likely to die in the hospital,  are likely to spend fewer days in the ICU, have better pain management and higher satisfaction with their healthcare,” said Dr. Sean Morrison, director of the National Palliative Care Research Center and the study’s lead author.  “Some studies have reported that palliative care may also prolong life.  And beyond patient benefits, the overall cost savings to hospitals have been well documented.”The Report Card demonstrates considerable improvement in the growth of palliative care. (Out of a total of 2,489 hospitals nationwide who participated in this survey, about 1,500 provide palliative care services.) This number is expected to grow significantly over the next five years, but barriers continue to exist in three key areas: Workforce, Research and Access.The report gives seven states plus the District of Columbia an A: Maryland, Minnesota, Nebraska, Oregon,Rhode Island, Vermont and Washington. Only three states, Vermont, Montana and New Hampshire, received an A in 2008.More than half of the fifty states received a grade of B. Seven states improved from a D to a C (Georgia,Kentucky, New Mexico, Texas, South Carolina, Louisiana and Wyoming).Nevada saw dramatic gains, rising from a D to a B grade. Only two states ‘ Delaware and Mississippi ‘ got an F. Oklahoma, Alabama and Arkansas improved from an F in the last report card to a D in 2011.For state and district rankings and policy recommendations visit www.capc.org/reportcard(link is external).  The Center to Advance Palliative Care ( www.capc.org(link is external) , www.getpalliativecare.org(link is external) ) and The National Palliative Care Research Center www.npcrc.org(link is external) are affiliated with Mount Sinai School of Medicine and are dedicated to increasing quality palliative care services.SOURCE Center to Advance Palliative Care NEW YORK, Oct. 5, 2011 /PRNewswire-USNewswire/ — To view the multimedia presentation, click: http://www.multivu.com/mnr/52418-palliative-care-state-by-state-report-c…(link is external)”America’s hospitals have a strong history of caring for patients and families during the most difficult of times,” said Rich Umbdenstock, President and CEO of the American Hospital Association. “Hospitals and other health care organizations are taking the lead in ensuring health care is patient-centered, reflecting patient’s desires including palliative care assistance.” Congress learned today just how well their home states are doing in terms of caring for our sickest Americans. According to a “Report Card” published by the Center to Advance Palliative Care, the nation overall gets a “B” grade, up from a “C,” when the report was first released in 2008.”The good news is that over the last ten years hospital palliative care teams have more than doubled,” said Dr. Diane E. Meier, director of the Center and co-author of the study America’s Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation’s Hospitals.  “The bad news is that despite its enormous benefits to patients and care givers, millions of seriously ill Americans still do not have access. Given the will of Congress to assure patients receive high quality care while reducing costs, it seems that palliative care should be a natural part of that prescription.”Palliative care is a medical specialty that helps people facing serious and chronic illness more comfortable by alleviating pain, treating a host of other symptoms and focusing on their quality of life.  It is appropriate at any age and any stage of a serious illness and can be provided along with curative treatment.  last_img read more

Shortlist of three for Quayside

first_imgTo access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week. Would you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletterslast_img

Dave Roberts, A.J. Hinch squirm under barrage of sign-stealing questions

first_imgBoth men were asked multiple questions about the allegations the Astros stole signs electronically at home games in Houston during the 2017 season. Hinch’s Astros, of course, played Roberts’ Dodgers in a classic seven-game World Series that same year.MORE: Carlos Correa reportedly on trade blockWhen Roberts was asked for his thoughts on the allegations, the skipper chose his words carefully. He paused often. He strained his face before speaking. Have you thought back to that series, about moments that might have been suspicious, Roberts was asked.“Possibly.”Does it make you feel differently about the outcome?“Umm … no. Because nothing’s going to change it.”Were you taking extra precautions in that series?Five seconds passed, with only an “Umm …” as he pondered his response. “Were we taking extra precationaries in that series? Yes. Yep.”So you were somewhat aware?“Yeah. But, yeah, to what extent, we, we, uh we didn’t know to what extent. But we were trying to, y’know, take some precautions, yes.”The line of questioning lasted five minutes. Roberts showed restraints with his words, even as he made it pretty clear how he felt about the entire situation. Watch for yourself here. Dave Roberts, on the Astros’ sign-stealing allegations of 2017.He chose his words carefully, but his body language/pauses spoke volumes, too.Video Part 1 pic.twitter.com/8WSdtylh2c— Ryan Fagan (@ryanfagan) December 11, 2019And here. More Dave Roberts, on the Astros’ sign-stealing allegation of 2017.Part 2 pic.twitter.com/rwZc5F2Dqo— Ryan Fagan (@ryanfagan) December 11, 2019And then, it was A.J. Hinch’s turn in the spotlight. His team was on the winning end of the 2017 World Series, claiming Game 7 at Dodger Stadium. This was his first open media session since The Athletic story that detailed the allegations. Hinch started with an opening statement. SAN DIEGO — The contrast in demeanors was stark. Dodgers manager Dave Roberts sat for the 4:40 p.m. interview slot. Astros skipper A.J. Hinch replaced his good friend and fellow manager in the same chair, just to the left of the main stage in the Grand Hall at the Manchester Grand Hyatt Hotel, for his 5 p.m. session.  A.J. Hinch’s opening statement, declining comment on the sign-stealing allegations of 2017. pic.twitter.com/DUOLmV8FnK— Ryan Fagan (@ryanfagan) December 11, 2019The manager, who knows how to command a media session, was clearly uncomfortable. He declined comment time after time, even though he acknowledged reporters asking the questions had a job to do. He even tried joking a bit, when he mentioned how much time he’d spent speaking with MLB investigators on multiple occasions. He said he looked forward to one day being able to talk about it, fully. He’s not the only one.last_img read more

Zidane hails Bale, Ronaldo as Real win at Dortmund

first_imgShare on: WhatsApp “The side worked hard – Isco, (Luka) Modric, Casemiro and (Toni) Kroos were marvellous.“Everyone was brilliant. It was a tremendous game.”The result leaves Real top of Group H, just ahead of Tottenham Hotspur, who beat APOEL 3-0 away, with Dortmund third and six points adrift of Spurs, who they also lost 3-1 to in London.Dortmund coach Peter Bosz gave an honest appraisal of his team, who were better than Real in virtually every statistic – apart from the scoreboard.“We defend with 11 players and we attack with 11 players,” said the Dutchman, whose Dortmund shaded possession and match Real’s 16 shots on goal.“We were just too late against a side who barely made a mistake and we have to defend better.“We didn’t put any pressure on the ball during the game and it’s difficult against an opponent like that.“We were always too late, we have to analyse the performance and do better in the future.Dortmund should have been awarded a penalty with 13 minutes gone when Real captain Sergio Ramos cleared Maximilian Philipp’s shot off the line and the ball deflected off his hand.“That was clearly a handball in the first-half, but we deserved to lose,” admitted Bosz. This is the first time Dortmund have lost at home to Real in seven European games while holders Madrid have now scored in 38 successive Champion League games.“It is difficult to play in this stadium, we have never won here, so this victory was important to us, and the whole game was good for us from start to finish,” said Zidane.“We had a lot of ball possession, that was the key.“Dortmund played as impressively as ever, but we compensated well.”Dortmund shaded possession and matched Real’s tally of 16 shots on goal and Zidane wanted to see more chances converted.“We could have scored more. We had chances. The important thing is to score more than our opponents and we did that,” said the Frenchman.center_img Zinedine Zidane: Real Madrid managerDortmund, Germany | AFP | Zinedine Zidane praised goal-scorers Gareth Bale and Cristiano Ronaldo, who netted twice in a 3-1 victory as Real Madrid finally claimed a Champions League win at Borussia Dortmund.Ronaldo marked his 150th European game with second-half goals after Bale’s stunning early volley gave Real the lead at Dortmund’s Signal Iduna ParkPierre-Emerick Aubameyang scored Dortmund’s consolation goal with just over half an hour left, but the Germans were simply out-played by holders Real.Having also netted twice against APOEL, Ronaldo has now scored four goals in just two Champions League games this season.“I’m happy for Cristiano… again! I’m delighted for Ronaldo and Bale,” said Zidane.last_img read more