Vanderbilt study improved low income kids’ nutrition, exercise but results indicate more intensive approach needed to stem obesity
A long-running study in low income Nashville neighborhoods found how challenging it is to intervene in young children’s lives to prevent obesity.
Continue reading “Vanderbilt study improved low income kids’ nutrition, exercise but results indicate more intensive approach needed to stem obesity”
With primaries in the rearview, health care leaders wait for details to emerge from Dean and Lee
This is the first in an on-going series that will look at a wide range of issues, including the economy, infrastructure and manufacturing, facing Tennessee’s next governor.
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Competition shakes up Tennessee ACA exchange: Highlights urban-rural divide, ups interest in cost impact
The distinguishing characteristic of Tennessee’s 2019 individual health insurance market may be competition—and geography will matter.
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State officials, looking for ways to develop a workforce that can ‘bob, weave, and adjust,’ push to forge apprenticeship network
The Tennessee Department of Economic and Community Development presented its findings from a listening tour about what businesses, education and workers need from apprenticeships.
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LifePoint: ‘Cast of thousands’ needed to tackle problems facing health, hospitals
The number of hospitals trying to treat an older, sicker population with a smaller clinical staff is set to decline, leading hospitals and health systems to spearhead the building of community partnerships to prepare for that era, health care executives said. Continue reading “LifePoint: ‘Cast of thousands’ needed to tackle problems facing health, hospitals”
‘Destiny’ brings indie pharmacy to Napier, alleviating the struggle for a ride to get an Rx
Karen Penley got tired of bumming rides to a pharmacy each month to pick up her prescriptions, so she leapt at the chance to transfer to a pharmacy with a delivery service.
Penley, who lives in the Napier community near downtown, resides in what’s long been a pharmacy desert. She switched to Pruitt’s Discount Pharmacy because it delivered from East Nashville.
Pharmacy deserts — or areas with limited access to an independent or retail pharmacy — closely align with low-income areas defined as food deserts, and have fewer retail choices compared to more well to-do communities, according to researchers.
But a community effort involving Neighborhood Health, the Metropolitan Development and Housing Agency, and Pruitt’s Discount Pharmacy has opened a small, but critical, pharmacy in a corner of Nashville that needs it.
The initiative got started because Penley spoke with Janet King, a community engagement manager who works in the Napier-Sudekum neighborhoods, about how the MDHA should talk to Shawn Pruitt about opening up.
And, on April 18, Penley got to help cut the ribbon at Napier Clinic at 107 Charles E. Davis Blvd., marking the opening day.
“I was fighting every month to get my medications. I did this for the community,” Penley said, beaming. “All because I mentioned it. I’m very excited.”
The clinic was abuzz with energy and pride over the opening of a pharmacy not much larger than walk-in closets in some of the luxury houses being built in other parts of the city.
It’s a step toward making sure neighborhood residents have local access to amenities that are commonplace in other neighborhoods, leaders said.
The Neighborhood Health clinic offers dentistry and mental health services so leasing the space to Pruitt makes it a single destination for a community that is dealing with high rates of high-blood pressure and diabetes, said Mary Lawson, the clinic manager.
Researchers found pharmacy deserts were more common in low-income neighborhoods as well as segregated minority or black neighborhoods compared to areas that were predominantly white or integrated. Neighborhoods in Chicago without easy access to pharmacies increased in number in the early part of 2000s, according to a 2014 article published in Health Affairs.
Medication compliance is integral to treatment or management of chronic disease.
“You’ll never get well if you don’t take the medicines and you can’t get them,” said Pruitt.
Pruitt had wanted to open his initial pharmacy in Napier, but wound up planting his first stake in East Nashville. The Neighborhood Health location is next to the Nashville Public Library – Pruitt Branch — which is named for his family.
“It’s very monumental for the family,” said Pruitt. “Karma and destiny have a way.”
The pharmacy won’t sell controlled substances — because “it’s not a drug desert but it is a pharmacy desert,” said Mary Bufwack, the former CEO of Neighborhood Health who still works on some projects.
» Haslam: Tennessee’s health ‘a slow turning battleship’
It will sell a variety of common medicines for $4 without insurance. It accepts TennCare, Medicare, workers compensation and commercial insurance. In 2017, 56 percent of the people treated through Neighborhood Health were uninsured. A quarter are covered by TennCare or the Children’s Health Insurance Program.
There are plans to unfurl a banner that reads “Pharmacy Now Open” on the outside of the building to get the word out that people don’t have to venture too far out of the way to pick up medications. King wanted to make sure it would be in place before a street festival in early May.
A neighborhood resident walked in to talk to Corey Bradley, the new neighborhood pharmacist. She takes medicine for asthma and emphysema and nodded with approval when Bradley said her medications would be in stock.
She indicated she’d transfer to Pruitt’s after she finished the rest of the month’s allotment because a short walk will be easier than finding a way to get to the Walgreens at the intersection of Thompson Lane and Nolensville Pike.
The journal authors wrote that improving access to chain pharmacies, such as Walgreens and CVS, which frequently have retail clinics that offer preventive services “may contribute to improvements” in health.
Brenda Morrow, the chair of Neighborhood Health’s board, wants to go further.
She wants a Neighborhood Health clinic in each public housing complex.
“That’s where the people with the most needs are,” Morrow said. •
Long lines and a mobile clinic: Tennessee’s dentist shortage reshapes how people get care
What you’ll read about: Many parts of Tennessee have a shortage of dentists so free dental care at charity events is a big draw for people who may not have seen a dentist in years.
Meharry Medical College is taking a mobile clinic around to parts of the state to provide care.
While in other states, including Minnesota, legislatures have changed laws allowing a midlevel type of practitioner trained to do basic preventative and restorative work.
Continue reading “Long lines and a mobile clinic: Tennessee’s dentist shortage reshapes how people get care”
The Weekender: how women move about town, soybeans in Tennessee + transcribing words before you verbalize it
What is this? ‘The Weekender’ is a weekly round-up to spotlight what you might have missed on BirdDog and why a few headlines from elsewhere matter for Tennessee.
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Nashville’s health care scene wrestles with where (and when) disruption will emerge
What you’ll read about: Change and innovation run skin deep in some corners where the status quo of in-patient admissions and fee for service reign.
Is change really going to come from the shiny pixels of apps and software that are supposed to streamline the complex annals of behind-the-scenes care?
Continue reading “Nashville’s health care scene wrestles with where (and when) disruption will emerge”
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