Written Public Comments for November 15, 2013 IACC Strategic

Total Page:16

File Type:pdf, Size:1020Kb

Written Public Comments for November 15, 2013 IACC Strategic Written Public Comments IACC Strategic Plan Update Workshop November 15, 2013 List of Written Public Comments Linda M. Amity .............................................................................................................................................. 4 Eileen Nicole Simon ...................................................................................................................................... 7 Eileen Nicole Simon ...................................................................................................................................... 9 Marian Dar .................................................................................................................................................. 10 Donna Knepple ............................................................................................................................................ 11 Benedetta Stilwell ....................................................................................................................................... 13 Martha Moyer ............................................................................................................................................. 14 Benedetta Stilwell ....................................................................................................................................... 15 Eileen Nicole Simon .................................................................................................................................... 16 Eileen Nicole Simon .................................................................................................................................... 17 Eileen Nicole Simon .................................................................................................................................... 18 Yadira Calderon ........................................................................................................................................... 19 Jill White ...................................................................................................................................................... 20 Amanda Hammond ..................................................................................................................................... 22 Eileen Nicole Simon .................................................................................................................................... 24 Eileen Nicole Simon .................................................................................................................................... 25 Wendy Fournier .......................................................................................................................................... 26 Jill Escher ..................................................................................................................................................... 27 Kerry Lane ................................................................................................................................................... 29 Carmen Allen ............................................................................................................................................... 30 Stewart D. Simonson ................................................................................................................................... 34 Rosanna Armendariz ................................................................................................................................... 35 Autumn Stevens .......................................................................................................................................... 36 Eileen Nicole Simon .................................................................................................................................... 37 Ann Z Bauer ................................................................................................................................................. 38 Caroline Rodgers ......................................................................................................................................... 39 Eileen Nicole Simon .................................................................................................................................... 40 Eileen Nicole Simon .................................................................................................................................... 41 Laurie Sparks-Dennison .............................................................................................................................. 46 Laura Adams................................................................................................................................................ 48 2 Laura Adams................................................................................................................................................ 49 Linda Varsou................................................................................................................................................ 50 DT Welsh ..................................................................................................................................................... 52 Gina Pepchinski ........................................................................................................................................... 53 Teresa Holman ............................................................................................................................................ 54 Belinda ........................................................................................................................................................ 55 Maria Lujan Ferreira .................................................................................................................................... 56 Eileen Nicole Simon .................................................................................................................................... 58 Jill Rubolino ................................................................................................................................................. 59 3 Linda M. Amity July 3, 2013 Subject: Requests for Public Comment To Whom it May Concern: Hello. Thank you for the opportunity to share our children’s chronic health needs and experiences with you, in effort and in hope for creating a mainstream medical system of appropriate medical evaluations and safe treatments for them. I am the Mother to my now 15 y.o. son and 12 y.o. daughter, both of whom are on the spectrum of “autism”. Today, I share with you copies of some of their test results that we have completed over the past decade, which span many professionals in different states across the country, as we looked for those medical professional specialists who were trained within the specialty of “autism”, to try to help our children with the chronic health issues they have suffered with all of their young lives. This search was exceptionally difficult, for as you may know, there are far too few medical professionals who have any “autism specific” medical expertise, to serve the hundreds of thousands of our children who are suffering in physical pain unnecessarily. Starting with our family practitioner from our children’s birth, with chronic ear infections, developmental delays but then developing G.I. health problems consisting of such acidic stools passed that if the stool was on their skin for even the shortest length of time, resulted in painful and sore burning, but most concerning, malnutrition due to malabsorption of food, failure to thrive and grow properly. One biomedical doctor wrote a book appropriately named, “Children with Starving Brains”, which speaks to the medical needs of our children. Not having this knowledge, our family doctor explained that “diarrhea was a part of “autism” and sent us on our way home. Like many parents of children with “autism”, we learned from other “like” parents who were ahead of us on this journey to find medical professionals who could help us. Our first trip was to see a Pediatric G.I. who specialized in treating children with “autism” in New York, [PII redacted]. We drove to see him in July, 2003, for scopings with biopsies, which returned the confirmation of illeal lymphoid nodular hyperplasia, also termed enterocolitis. In efforts to spare other “like” children precious time, I later became a parent mentor as well, to share vital information I had learned the long and hard way. I know many families who took their child to our own Children’s Hospital of Pittsburgh, who had their child undergo the same scoping procedure for the same symptoms only to leave with a false negative report of findings, no help or appropriate diagnosis or treatment because even though they saw a Pediatric specialist in G.I. health, mainstream medical professionals are not researching nor are they trained in “autism” and the chronic health needs of our children. In other words, traditionally trained Ped. G.I.’s do not scope into the ileum where often our children’s G.I. damage is. Part of the initial consultation with [PII redacted] involved his asking us if our children “postured” their bodies, contorting them in efforts to relieve the pain. Laying their bellies across the arms of couches or the hard wooden seats of a dining room chair, screaming in pain, self-injuring, biting, hitting themselves 4 in the head, or striking out at their
Recommended publications
  • The Financial and Human Cost of Medical Error
    The Financial and Human Cost of Medical Error ... and How Massachusetts Can Lead the Way on Patient Safety JUNE 2019 EXECUTIVE DIRECTOR Barbara Fain BOARD MEMBERS Maura Healey Attorney General Marylou Sudders Secretary of Health and Human Services Edward Palleschi Undersecretary of Consumer Affairs and Business Regulation Ray Campbell Executive Director of the Center for Health Information and Analysis PREFACE AND ACKNOWLEDGEMENTS This report, and the two research studies upon which it is based, aims to fill information gaps about the incidence and key risks to patient safety in Massachusetts, increase our understanding of how medical error impacts Massachusetts patients and families and, most importantly, propose a new, concerted effort to reduce medical error in all health care settings in the Commonwealth. Many individuals and organizations made meaningful contributions to this work, for which we are extremely grateful: • Betsy Lehman Center Research Advisory Committee, whose members • SSRS, which fielded the survey, including David Dutwin, PhD; Susan offered insightful feedback on our methodologies and analyses including: Sherr, PhD; Erin Czyzewicz, MEd, MS; and A.J. Jennings David Auerbach, PhD, Health Policy Commission; Laura Burke, MD, • Center for Health Information and Analysis (CHIA), especially Ray Harvard Global Health Institute; Ray Campbell, JD, MPA, Center for Campbell, JD, MPA; Lori Cavanaugh, MPH; Amina Khan, PhD; Mark Health Information and Analysis; Katherine Fillo, PhD, RN, Massachusetts Paskowsky, MPP; Deb Schiel,
    [Show full text]
  • Americans' Experiences with Medical Errors and Views on Patient Safety
    Americans’ Experiences with Medical Errors and Views on Patient Safety FINAL REPORT AN IHI/NPSF RESOURCE 20 University Road, Cambridge, MA 02138 • ihi.org How to Cite: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute. Americans’ Experiences with Medical Errors and Views on Patient Safety. Cambridge, MA: Institute for Healthcare Improvement and NORC at the University of Chicago; 2017. AUTHORS: NORC at the University of Chicago IHI/NPSF Lucian Leape Institute NORC at the University of Chicago is an independent research institution that delivers reliable data and rigorous analysis to guide critical programmatic, business, and policy decisions. Since 1941, NORC has conducted groundbreaking studies, created and applied innovative methods and tools, and advanced principles of scientific integrity and collaboration. Today, government, corporate, and nonprofit clients around the world partner with NORC to transform increasingly complex information into useful knowledge. NORC conducts research in five main areas: Economics, Markets, and the Workforce; Education, Training, and Learning; Global Development; Health and Well-Being; and Society, Media, and Public Affairs. The Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation (NPSF) began working together as one organization in May 2017. The newly formed entity is committed to using its combined knowledge and resources to focus and energize the patient safety agenda in order to build systems of safety across the continuum of care. To learn more about our trainings, resources, and practical applications, visit ihi.org/PatientSafety Copyright © 2017 Institute for Healthcare Improvement. All rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses, provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content.
    [Show full text]
  • Prevention of Medical Errors
    Prevention Of Medical Errors Dana Bartlett, BSN, MSN, MA, CSPI Dana Bartlett is a professional nurse and author. His clinical experience includes 16 years of ICU and ER experience and over 20 years of as a poison control center information specialist. Dana has published numerous CE and journal articles, written NCLEX material, written textbook chapters, and done editing and reviewing for publishers such as Elsevier, Lippincott, and Thieme. He has written widely about toxicology and was recently named a contributing editor, toxicology section, for Critical Care Nurse journal. He is currently employed at the Connecticut Poison Control Center and is actively involved in lecturing and mentoring nurses, emergency medical residents and pharmacy students. ABSTRACT The identification and prevention of medical errors requires the participation of all members of the health team, including patients. The traditional way of coping with medical errors was to assume errors were the result of individual mistakes such as carelessness and inattention, creating a culture of blame. However, it has become clear this approach is not optimal. It does not address the root causes of medical errors, system problems, it discourages disclosure of errors, and without disclosure errors cannot be prevented. Enhancing health team knowledge and the environment of care will help to reduce the risk of a medical error. Policy Statement This activity has been planned and implemented in accordance with the policies of NurseCe4Less.com and the continuing nursing education 1 nursece4less.com nursece4less.com nursece4less.com nursece4less.com requirements of the American Nurses Credentialing Center's Commission on Accreditation for registered nurses. It is the policy of NurseCe4Less.com to ensure objectivity, transparency, and best practice in clinical education for all continuing nursing education (CNE) activities.
    [Show full text]
  • (HARP, Depression, Bipolar Disorder) Clinical Advisory Group Meeting Date: October 6
    Behavioral Health (HARP, Depression, Bipolar Disorder) Clinical Advisory Group Meeting Date: October 6 October 2015 October 6 2 Content Introductions & Tentative Meeting Schedule and Agenda A. Bundles – Understanding the Approach B. Depression Bundle –Current State C. Bipolar Disorder Bundle D. Bipolar Disorder Outcome Measures October 6 3 Tentative Meeting Schedule & Agenda Depending on the number of issues address during each meeting, the meeting agenda for each CAG meeting will consist of the following: Meeting 1 Meeting 3 • Clinical Advisory Group‐ Roles and Responsibilities • Bundles ‐ Understanding the Approach • Introduction to Value Based Payment • Depression Bundle • HARP Population Definition and Analysis • Bipolar Disorder Bundle • Introduction to Outcome Measures • Introduction to Bipolar Disorder Outcome Measures Meeting 2 Meeting 4 • Recap First Meeting • Depression Outcome Measures • HARP Population Quality Measures • Trauma and Stressor Bundle • Wrap‐up of open questions If necessary, a fifth meeting can be planned October 6 4 Any Questions, Comments or Suggestions from the Second Meeting? Content of Behavioral Health CAG Meeting 2 . HARP Population Quality Measures October 6 5 Today we look at the bipolar and depression episode for the general population • For the general population those episodes can be used for contracting. General population • Patients in a subpopulation can have one or more episodes. Bipolar Depression • However, for subpopulation contracts disorder episodes are only used for analytical population purposes. They can be used to help inform analysis on what is happening within the HARP subpopulation. Medicaid HIV/AIDS • But they do not form the basis of any financial, contractual care arrangement. Total DD Subpopulation arrangements are inclusive of MLTC total cost of care and outcomes are measured at the level of the whole subpopulation.
    [Show full text]
  • Development of a Comprehensive Medical Error Ontology
    Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care is the collection and assessment of medical error data so that potential harms to patients can be identified and steps taken to prevent or mitigate them. However, no standardized framework for classifying and evaluating such data currently exists. This paper describes our efforts in developing a comprehensive medical error ontology to serve as a standard representation for medical error concepts from various existing published taxonomies. Eight candidate taxonomies were selected from the published literature and merged to create a reference ontology consisting of 12 multidimensional axes that encompass all the aspects of a medical error event. The ultimate goal of the project is to use the medical error ontology to identify strategies for preventing future adverse events in health care. Introduction The study and reduction of medical errors has become a major concern in health care today. In its report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (IOM) estimated that between 44,000 and 98,000 Americans die each year because of preventable medical errors, making hospital errors between the fifth and eighth leading causes of death.1 In order to identify medical errors and develop strategies to prevent or mitigate them, it is essential to develop reporting systems for the collection, analysis, interpretation, and sharing of medical error data. A number of proprietary reporting systems are currently available or under development to collect and evaluate medical error data.2.
    [Show full text]
  • Written Public Comments: IACC Full Committee Meeting – October 26
    Written Public Comments IACC Full Committee Meeting October 26, 2016 1 List of Written Public Comments Andrea Colburn ............................................................................................................................................. 3 Brian Kelmar .................................................................................................................................................. 4 Teresa Horowitz ............................................................................................................................................ 5 Jeff Belloni ..................................................................................................................................................... 6 Mary Barto .................................................................................................................................................... 7 Callie Mitchell................................................................................................................................................ 9 Jim N. ........................................................................................................................................................... 10 Sandi Marcus ............................................................................................................................................... 11 AnnMarie Sossong ...................................................................................................................................... 12 Carmel
    [Show full text]
  • Glossary of Terms Related to Patient and Medication Safety
    Committee of Experts on Management of Safety and Quality in Health Care (SP-SQS) Expert Group on Safe Medication Practices Glossary of terms related to patient and medication safety Terms Definitions Comments A R P B and translations and references and synonyms accident accident : an unplanned, unexpected, and undesired event, usually with adverse “For many years safety officials and public health authorities have Xconsequences (Senders, 1994). discouraged use of the word "accident" when it refers to injuries or the French : accident events that produce them. An accident is often understood to be Spanish : accidente unpredictable -a chance occurrence or an "act of God"- and therefore German : Unfall unavoidable. However, most injuries and their precipitating events are Italiano : incidente predictable and preventable. That is why the BMJ has decided to ban the Slovene : nesreča word accident. (…) Purging a common term from our lexicon will not be easy. "Accident" remains entrenched in lay and medical discourse and will no doubt continue to appear in manuscripts submitted to the BMJ. We are asking our editors to be vigilant in detecting and rejecting inappropriate use of the "A" word, and we trust that our readers will keep us on our toes by alerting us to instances when "accidents" slip through.” (Davis & Pless, 2001) active error X X active error : an error associated with the performance of the ‘front-line’ operator of Synonym : sharp-end error French : erreur active a complex system and whose effects are felt almost immediately. (Reason, 1990, This definition has been slightly modified by the Institute of Medicine : “an p.173) error that occurs at the level of the frontline operator and whose effects are Spanish : error activo felt almost immediately.” (Kohn, 2000) German : aktiver Fehler Italiano : errore attivo Slovene : neposredna napaka see also : error active failure active failures : actions or processes during the provision of direct patient care that Since failure is a term not defined in the glossary, its use is not X recommended.
    [Show full text]
  • Why Anti-Vaccine Claims About NVICP Cases Are Wrong
    Minnesota Journal of Law, Science & Technology Volume 20 Issue 1 Article 11 8-7-2019 Using and Misusing Legal Decisions: Why Anti-Vaccine Claims about NVICP Cases Are Wrong Dorit Rubinstein Reiss UC Hastings College of Law Rachel Heap Follow this and additional works at: https://scholarship.law.umn.edu/mjlst Part of the Administrative Law Commons, Health Law and Policy Commons, and the Other Medicine and Health Sciences Commons Recommended Citation Dorit Rubinstein Reiss & Rachel Heap, Using and Misusing Legal Decisions: Why Anti-Vaccine Claims about NVICP Cases Are Wrong, 20 MINN. J.L. SCI. & TECH. 191 (2018). Available at: https://scholarship.law.umn.edu/mjlst/vol20/iss1/11 The Minnesota Journal of Law, Science & Technology is published by the University of Minnesota Libraries Publishing. Using and Misusing Legal Decisions: Why Anti-Vaccine Claims about NVICP Cases Are Wrong Dorit Rubinstein Reiss*and Rachel Heap† Abstract The question of whether vaccines cause autism spectrum disorder (autism, or ASD) has been extensively studied. Studies from different countries around the world, looking at millions of children in total, examined it and found no link. Despite this powerful evidence, the actions of a small group who fervently believe that vaccines cause autism may lead people to question the data. One tactic used to argue that vaccines cause autism is the use of compensation decisions from the National Vaccine Injury Compensation Program to claim such a link. This article demonstrates that not only does the nature of proof in the program make its decisions ill-suited to challenging the science but also that the cases used do not, in their content, support that conclusion.
    [Show full text]
  • Oral and Written Public Comments
    Public Comments July 21-22, 2021 1 Table of Contents Oral Comments ............................................................................................................................................. 4 Christopher Banks on behalf of The Autism Society of America .................................................................. 5 Jill Escher, J.D., M.A. on behalf of National Council on Severe Autism ........................................................ 7 Bin Feng ....................................................................................................................................................... 10 Kelly Israel on behalf of Autistic Self Advocacy Network ............................................................................ 11 Noemi Spinazzi on behalf of M.D., Down syndrome-Autism workgroup of the Down Syndrome Medical Interest Group ............................................................................................................................................. 15 Written Comments ..................................................................................................................................... 16 Oren Evans .................................................................................................................................................. 17 Ramey Chisum............................................................................................................................................. 18 Resa Warner ...............................................................................................................................................
    [Show full text]
  • Transcript for the IACC Full Committee Meeting on July 9, 2013
    1 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES INTERAGENCY AUTISM COORDINATING COMMITTEE FULL COMMITTEE MEETING TUESDAY, JULY 9, 2013 The Interagency Autism Coordinating Committee (IACC) met in Room 10, Sixth Floor, C Wing, Building 31, 31 Center Drive, Bethesda, Maryland, from 9:09 a.m. until 5:28 p.m., Thomas Insel, Chair, presiding. PRESENT: THOMAS INSEL, M.D., Chair, IACC, National Institute of Mental Health (NIMH) SUSAN DANIELS, Ph.D., Executive Secretary, IACC, NIMH IDIL ABDULL, Somali American Autism Foundation JAMES BALL, Ed.D., BCBA-D, JB Autism Consulting and Autism Society of America (attended by phone) ANSHU BATRA, M.D., Our Special Kids JAMES BATTEY, M.D., Ph.D., National Institute on Deafness and Other Communication Disorders (NIDCD) 2 PRESENT (continued): LINDA BIRNBAUM, Ph.D., National Institute of Environmental Health Sciences (NIEHS) (attended by phone) COLEEN BOYLE, Ph.D., M.S.Hyg., U.S. Centers for Disease Control and Prevention (CDC) JOSEPHINE BRIGGS, M.D., National Center for Complementary and Alternative Medicine (NCCAM) SALLY BURTON-HOYLE, Ed.D., Eastern Michigan University MATTHEW CAREY, Ph.D., Left Brain Right Brain (attended by phone) JAN CRANDY, Nevada State Autism Treatment Assistance Program and Nevada Commission on Autism Spectrum Disorders GERALDINE DAWSON, Ph.D., Duke University DENISE DOUGHERTY, Ph.D., Agency for Healthcare Research and Quality (AHRQ) TIFFANY FARCHIONE, M.D., U.S. Food and Drug Administration (FDA) ALAN GUTTMACHER, M.D., Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) LAURA KAVANAGH, M.P.P., Health Resources and Services Administration (HRSA) DONNA KIMBARK, Ph.D., U.S.
    [Show full text]
  • Testimony of Amy S.F. Lutz President, EASI Foundation: Ending Aggression and Self-Injury in the Developmentally Disabled March 13, 2017
    Testimony of Amy S.F. Lutz President, EASI Foundation: Ending Aggression and Self-Injury in the Developmentally Disabled March 13, 2017 My name is Amy Lutz, and I am the president of EASI Foundation: Ending Aggression and Self-Injury in the Developmentally Disabled, a non-profit that supports autistic and other intellectually disabled individuals with dangerous behaviors and their families. First of all, thank you so much to the members of the Committee for including me in this critical conversation concerning the Commonwealth's most vulnerable citizens. 1 am particularly grateful that this hearing was still held even though ODP has already revised its proposal to force waiver recipients in day programs to spend 75 % of their time in fully integrated settings - a regulation whose virtually unanimous opposition was the catalyst for today's meeting. It would have been so easy for the Committee to thank ODP for its quick response - for which the agency should be commended - and to cancel this hearing, considering the matter resolved. But there is still a massive disconnect between the ideological policies of ODP and the needs and preferences of those with I/DD and their families that demands your attention, and - I hope - your intervention. Consider the fact that this 75% rule was floated in the first place, even though the exact same requirement was included in the initial draft of New Jersey's State Transition Plan. Surely, ODP could not have missed the massive protests from individuals with disabilities, their families, advocates, providers and legislators that forced the state's Division of Developmental Disabilities to submit a significantly revised STP just this past December removing this requirement, among other changes.
    [Show full text]
  • The Experiences of Maternal Caregivers of Children with Autism
    THE EXPERIENCES OF MATERNAL CAREGIVERS OF CHILDREN WITH AUTISM A DISSERTATION SUBMITTED TO THE GRADUATE DIVISION OF THE UNIVERSITY OF HAWAIʽI AT MĀNOA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY IN SOCIOLOGY December 2018 By Kalma K. Wong Dissertation Committee: Wei Zhang, Chairperson Yean-Ju Lee Jennifer Darrah Tetine Sentell Alan Katz In Memoriam Dr. Donald William “Bill” Wood 1946-2015 “Somewhere, something incredible is waiting to be known.” – Carl Sagan ii Acknowledgements This dissertation would not have been possible without the support of a number of people. I would like to thank all of the members of my dissertation committee, past and present, for their encouragement and guidance. I especially would like to thank Dr. Wei Zhang, who stepped in as my chair after the passing of Dr. Bill Wood. I am extremely grateful for her expertise, patience, and understanding. I am truly thankful for the insights and feedback that were provided by the final members of my committee. I would also like to thank Dr. Jennifer Dustow for her continued support and guidance throughout the years. A special thanks goes to Dr. Zachary Oliver for his sage advice and valuable input. Most importantly, I would like to thank the twenty-one mothers who participated in this study. I am indebted to them for sharing their deeply personal stories with me. To them, I give my wholehearted gratitude. Finally, I would like to thank my children, who are my raison d’être and the inspiration for this dissertation. iii Abstract Autism is a complex neurobiological disorder that currently affects approximately 1 in 59 children in the United States (CDC 2018).
    [Show full text]