Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured

Low-income families struggle to obtain and maintain public health insurance. We identified strategies used by Community Health Centers (CHCs) to assist patients with insurance applications, and assessed patients’ receptivity to these efforts. Observational cross-case comparative study with four CHCs in Oregon. We observed insurance assistance processes, and interviewed 26 clinic staff and 18 patients/family members. Qualitative data were analyzed using a grounded theory approach. Patients’ understanding of eligibility status, reapplication schedules, and how to apply, were major barriers to insurance enrollment. Clinic staff addressed these barriers by reminding patients when applications were due, assisting with applications as needed, and tracking submitted applications to ensure approval. Families trusted clinic staff with insurance enrollment support, and appreciated it. CHCs are effective at helping patients with public health insurance. Access to insurance expiration data, tools enabling enrollment activities, and compensation are needed to support enrollment services in CHCs

Designing Health Information Technology Tools to Prevent Gaps in Public Health Insurance

Background: Changes in health insurance policies have increased coverage opportunities, but enrollees are required to annually reapply for benefits which, if not managed appropriately, can lead to insurance gaps. Electronic health records (EHRs) can automate processes for assisting patients with health insurance enrollment and re-enrollment.Objective: We describe community health centers' (CHC) workflow, documentation, and tracking needs for assisting families with insurance application processes, and the health information technology (IT) tool components that were developed to meet those needs.Method: We conducted a qualitative study using semi-structured interviews and observation of clinic operations and insurance application assistance processes. Data were analyzed using a grounded theory approach. We diagramed workflows and shared information with a team of developers who built the EHR-based tools.Results: Four steps to the insurance assistance workflow were common among CHCs: 1) Identifying patients for public health insurance application assistance; 2) Completing and submitting the public health insurance application when clinic staff met with patients to collect requisite information and helped them apply for benefits; 3) Tracking public health insurance approval to monitor for decisions; and 4) assisting with annual health insurance reapplication. We developed EHR-based tools to support clinical staff with each of these steps.Conclusion: CHCs are uniquely positioned to help patients and families with public health insurance applications. CHCs have invested in staff to assist patients with insurance applications and help prevent coverage gaps. To best assist patients and to foster efficiency, EHR based insurance tools need comprehensive, timely, and accurate health insurance information

Antibacterial activity of Ethyl Acetate extract from Sideritis montana L.Species

Antibacterial activity of Sideritis montana L. was detennined for ethyl acetate extract from whole plant. Sideritis montana L. (Lamiaceae) is the annual species with low branched trunk, up to 40 cm high. Inhabits sand arid meadows and rocky in the Europe and the Mediterranean. Sideritis montana was collected in July 2008, from the region of Suva Planina Mt. in eastern Serbia. Antimicrobial activity of extract was tested by microdilution method and minimum inhibitory (MIC) and microbicidal concentrations (MBC) were determined. The tested extracts showed significant antibacterial activity against species of the genus Bacillus (MlC 0.625 mg/ml, MBC 1.25 mg/ml) and Staphylococcus aureus (MIC 1.25 mg/ml, MBC 5 mg/ml) while showed moderate and limited antibacterial activity against pathogenic Escherichia coli, Pseudomonas aeruginosa, Enterococus faecalis, Proteus mirabilis and Salmonella enterica

Optimization of frozen wild blueberry vacuum drying process

The objective of this research was to optimize the vacuum drying of frozen blueberries in order to preserve health benefits phytochemicals using response surface methodology. The drying was performed in a new design of vacuum dryer equipment. Investigated range of temperature was 46-74?C and of pressure 38-464 mbar. Total solids, total phenolics, vitamin C, anthocyanin content and total color change were used as quality indicators of dried blueberries. Within the experimental range of studied variables, the optimum conditions of 60 ?C and 100 mbar were established for vacuum drying of blueberries. Separate validation experiments were conducted at optimum conditions to verify predictions and adequacy of the second-order polynomial models. Under these optimal conditions, the predicted amount of total phenolics was 3.70 mgCAE/100dw, vitamin C 59.79 mg/100gdw, anthocyanin content 2746.33 mg/100gdw, total solids 89.50% and total color change 88.83.</jats:p