河北治疗羊癫疯病需要多钱(山东抽搐该怎么办) (今日更新中)

When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare’s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.“The biggest thing that needs to be taken away ... is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of Medicare’s data website. Consumer Voice is a national advocacy group for improved quality in long-term care.Nursing homes are only required to provide the government with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.The missing information from early in the pandemic leads to some puzzling results on the website.For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID cases and no deaths on the CMS data page.A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.But consumer advocate Brooks said that information should be on the CMS site.As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”The federal Centers for Medicare and Medicaid Services, which sets standards for nursing homes, said protecting nursing home residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”But CMS said it lacked the legal authority to require nursing homes to disclose COVID information from before the effective date of its reporting rule in May.On Capitol Hill, there is pressure for more information.Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 55,000 deaths.Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.Finding information on individual nursing homes via the data website can be confusing.If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.Instructions say click on one of the dots. But which one?The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs. 4782

When members enter the Schlessman Family YMCA, they’re greeted with new safety measures including getting their temperature taken at the front door.“We’re just ensuring that members, guests and staff are below a 100.4 fever,” said Vanessa Pritchett, sales director with the YMCA of Metropolitan Denver.She says most of the 24,000 YMCA locations across the country were shut down for nearly three months due to the pandemic.Now, with many YMCAs reopening, staff are taking extra steps to ensure member safety like using protective plexiglass at the entrance and having more hand sanitizer stations in more locations.“We really missed our members and we are so much more than a gym,” Pritchett said. “We are focusing on the mind, body and spirit of everyone in our community.”Additional safety measures include mobile check-ins, closing twice a day for deep cleaning, and restructuring the layout of workout equipment to promote social distancing.You don’t have to wear a mask while you’re working out at the YMCA but in between sets or if you switch to a new station, staff is asking members to cover up.To help keep the facilities as clean as possible, the YMCA is encouraging members to clean equipment before and after using it.“You are checking in via touchless system,” said Meredith Marshall, one the nearly 10 million YMCA members in America.She’s been coming to the YMCA since she was eight years old and says these new changes give her peace of mind while working out her body.“It lets me know that the YMCA has thought through what we are doing here,” Marshall said. “How we are to interact with one another.”Interacting and reconnecting with the YMCA community as they move to reopen safely and responsibly. 1725

Winnie Madikizela-Mandela, the South African anti-apartheid activist and former wife of the late President Nelson Mandela, has died at the age of 81.The family said in a statement that she passed away at the Netcare Milpark Hospital in Johannesburg, South Africa after a long illness, for which she had been in and out of hospital since the start of the year. 367

With COVID-19 cases surging across most of the country, teachers are weighing whether it’s safe for them to return to the classroom while at the same time, trying to make sure their students don’t slip through the cracks because of the virus.In a virtual town hall-style meeting, four educators from across the country gathered to share their thoughts, concerns and excitement about the upcoming school year. The overriding theme: parents and students will need to be flexible.“We’re going to ask you for grace for this entire year. We want to teach your children, but when we voice concerns it’s not because we’re lazy and we don’t want to work, it’s because we want to make sure our families are safe, too,” said Rachel Sandoval, an elementary school teacher in Colorado.Sandoval’s school was forced to close back in March because of COVID-19. She knows her students have lost out on valuable in-person learning time because of the virus, but she’s also worried that gathering students back in a classroom setting this coming fall could give the virus a perfect environment to spread in.“We can’t do the same thing we did last year. The world has changed. Everything has changed,” she said.Her concern was echoed by other teachers who joined the virtual town hall.Steph MacPhail teachers 5th grade in Minnesota. As a mom, she’s struggled to juggle a full-time teaching job, while at the same time, taking care of her two young boys.“I felt really burned out this spring from a teacher perspective and from a parent perspective,” she said.While McaPhail misses her students, she worries that COVID-19 cases will continue to surge if kids go back to school.“Kids and families want to go back to normal, but this is going to be anything but normal, and that’s scary,” she said.Across the country, many school districts are choosing to start the year virtually, which brings another set of challenges. Some kids don’t have adequate internet access or access to a computer that they can use to access online classes.“We need to make sure kids are still staying engaged while at the same time dealing with these environmental factors. For a lot of students in poverty-stricken areas, having the one interaction at school is so critically important,” said Dr. Kenyae Reese, who serves as a principal in Nashville, Tennessee.Dr. Reese’s district is one of those starting the school year entirely online. She’s asked her teachers to be flexible. In some instances, she says she’s talked to students who might be embarrassed to turn on their camera during a Zoom call because of the home they live in. Other students in her high school are taking care of younger siblings, all while trying to keep up with classwork.“We’re changing the landscape of a whole generation, what they know about school and how they interact with people,” Dr. Reese said.With all the uncertainty, though, every teacher still expressed joy and excitement about whatever the upcoming school year brings, including Phillip Starostka, who teaches elementary school in Arizona.“We are working as hard as possible and will do everything we can to make it seamless,” he said. 3145

When a Minnesota teacher learned that her school's custodian was in dire need of a new kidney, she didn't hesitate to step up to the plate.According to the Minneapolis Star Tribune and CNN, teacher Erin Durga and custodian Part Mertens have been co-workers at Kimball Elementary School in Kimball, Minnesota, for nine years.The two were well acquainted — they often exchanged pleasantries in the hall, and Durga's children attended a daycare ran by Merten's wife.Recently, Mertens had been leaving school early three days a week to attend dialysis treatments. Earlier this year, the school organized a "Hats for Pat" fundraiser to help pay for his treatments. But school officials didn't realize how dire Mertens' situation was until his daughter posted a plea for help on Facebook.According to Mertens' daughter, Kayla Matten, none of her fathers' relatives was a match for a kidney transplant."We are now in the process of trying to find someone with an O blood type and someone who is willing to donate their kidney," she wrote, according to CNN.When Durga saw the post, she didn't hesitate. She knew she wanted to donate her kidney to a co-worker in need."Why wouldn't you [do it]?" she told the Star Tribune.In late spring, Durga and Mertens found out they were a match."It brought a few tears to my eyes," Mertens told the Star Tribune. "I'm not much for expressing myself."Despite the COVID-19 pandemic, the two underwent the transplant surgery on July 3. Months later, Mertens is doing well, and the Star Tribune reports that he is no longer "tethered" to dialysis treatments."I can live again," Mertens told the Star Tribune. 1642

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