Oswego Health finalizing plans for behavioral-health services center

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OSWEGO — Oswego Health officials say plans are being finalized to turn a former grocery store into a modern 20-bed behavioral-health care facility. “Oswego Health’s new Behavioral Health Services facility will not only provide the many services that our patients need in an attractive facility specifically built to offer this specialized care, but it will […]

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Grant seeks to improve health care for Utica–area refugees

Health Care, Subscriber Only

UTICA — The Neighborhood Center Inc. of Utica will use a grant of more than $500,000 to help improve the health care of the local refugee population in Oneida County. The funding is among nearly $5 million in grants for 13 projects that the Syracuse–based Central New York Care Collaborative announced on July 2. With

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UTICA — The Neighborhood Center Inc. of Utica will use a grant of more than $500,000 to help improve the health care of the local refugee population in Oneida County.

The funding is among nearly $5 million in grants for 13 projects that the Syracuse–based Central New York Care Collaborative announced on July 2.

With the Neighborhood Center as the lead agency, the Utica–area initiative also involves the Mohawk Valley Health System, the Regional Primary Care Network, and the Mohawk Valley Resource Center for Refugees.

The project seeks to help reduce “unnecessary” hospital readmissions, increase access to primary care, and address the “social determinant” of health needs for individuals in the refugee and non-English-speaking community, Oneida County said in a news release. The county helped facilitate the collaboration among these organizations, Oneida County Executive Anthony Picente, Jr. said.

“We’re very excited to be able to support creative and innovative health-care services for the community,” Virginia Opipare, executive director of the Central New York Care Collaborative, said in the release. “To see this level of collaboration across Oneida County offering much-needed services for the refugee population is exactly why we developed the Innovation Fund. We are pleased to be able to offer this level of support to Oneida County.”

Additional grants

The funding awarded to the Neighborhood Center is part of the “Innovation Fund” that the CNY Care Collaborative established in 2017, the organization said in a separate news release.

The funding seeks to help improve the system of care for Medicaid and uninsured patients “by funding innovative projects that address physical and mental health needs and foster cross-sector collaboration” through the six-county region it serves.

The other projects getting money included:

• AccessCNY / CIT Training Initiative — $250,000

• ACR Health / complex care innovation program — $500,000

• Cayuga Counseling Services / engagement and wellness enhancement project — $250,000

• Compassionate Family Medicine / super utilizer intervention team — $372,875

• ConnextCare (NOCHSI) / service integration and systematic care management — $499,223

• Catholic Charities of Onondaga County / comprehensive services for the homeless and housing vulnerable — $250,000

• CNY Health Home Network (CNYHHN) / family navigator model proposal — $248,887

• St. Joseph’s Hospital Health Center / healthy parenting through wrap-around mother-unborn child & mother-infant care and education — $249,843

• St. Joseph’s Hospital Health Center / mobile integrated service team — $499,932

• St. Luke Health Services / Oswego County telemedicine collaborative — $246,000

• Upstate University Hospital / heart failure transitional care pilot project — $672,723

• Upstate University Hospital / targeting triggers for high risk asthmatics — $250,000

The “Innovation Fund” process began last November when organizations across the region were asked to submit letters of interest for participation in the fund. The CNY Care Collaborative selected 23 organizations to submit full proposals for funding consideration.

The submitted proposals were scored and ranked by an independent evaluator based on “several considerations.” They included “innovativeness, compelling need, evidence-based solution, [and] collaboration with other organizations.”

Opipare said, “These 13 projects will improve coordination and access to services across our region and truly exemplify our mission of building partnerships for the community.”

About the organization

The Central New York Care Collaborative is a partnership that connects more than 2,000 health-care and community-based service providers in six counties across Central New York, including Cayuga, Lewis, Madison, Oneida, Onondaga, and Oswego.

The collaborative’s primary goal is to “serve the population by improving the coordination of health-care services, enhancing the quality of performance outcomes and creating an overall better system of care for patients.”

It is the lead organization of a “performing provider system” under New York State’s Delivery System Reform Incentive Payment (DSRIP) program. DSRIP focuses on health-care system “transformation, where providers work to improve and coordinate community- based, primary-care, mental-health and preventive-care services.”

Upstate Medical starts geriatrics department

Health Care, Subscriber Only

SYRACUSE — Geriatrics, the branch of medicine that deals with the health and care of older adults, is the focus of a new clinical department at Upstate Medical University in Syracuse. The creation of a department of geriatrics will bring additional funding for “enhanced” services, faculty positions and research, “all aimed at the care and

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SYRACUSE — Geriatrics, the branch of medicine that deals with the health and care of older adults, is the focus of a new clinical department at Upstate Medical University in Syracuse.

The creation of a department of geriatrics will bring additional funding for “enhanced” services, faculty positions and research, “all aimed at the care and wellbeing of older adults,” Upstate Medical said in a news release.

Geriatrics’ status as its own department became effective on July 1. It had previously operated as a division of Upstate’s department of medicine, according to its news release.

Its status as a clinical department “recognizes the increase in numbers of older adults and the increasingly complex overlap” with other medical specialties in the care of elderly, Upstate Medical said.

The medical school joins “only a handful” of other academic health-science institutions across the country that have “elevated” geriatrics to its own clinical department, it added.

Dr. Sharon Brangman, who has led Upstate’s division of geriatrics for 20 years, is the inaugural chair of Upstate Medical’s department of geriatrics. The medical school describes Brangman as a “nationally prominent geriatrician.”

Brangman, a SUNY distinguished professor, is a former president of the American Geriatrics Society and is a “leading voice” for the care of elderly across the nation, per the release.

“As America ages, we must sharpen our focus to address the issues of the elderly with all aspects of Upstate’s mission: teaching, research and clinical care,” Dr. Danielle Laraque-Arena, Upstate Medical University president and health system CEO, said. “The time is right to make this a priority for our university and with the leadership of Dr. Sharon Brangman we can make great strides in this effort.”

The elevation to a clinical department could also increase the number of residency slots that Upstate Medical offers in geriatrics. It currently supports two fellowships in the specialty.

“I am grateful for the support Upstate has provided for the clinical care and study of diseases that affect our oldest patients,” Brangman said. “The medical world is starting to understand the impact older patients are having on our healthcare system. With the focus on our patients and their families, we must address all aspects of caring for this vulnerable population.”

The decision to elevate the profile of geriatrics at Upstate also was in part a “reflection” by the university to “sharpen its focus” on treating and researching Alzheimer’s disease. That effort “will be supported” with plans for the Nappi Longevity Institute, the new building named for benefactors Sam and Carol Nappi, that will have a “special focus” on healthy aging and Alzheimer’s disease.

Groundbreaking for the building, which will be located at the corner of Almond and East Adams streets in Syracuse, is set for this fall.

The study and treatment of Alzheimer’s disease is an “important focus” of geriatric medicine, Upstate Medical said.

Upstate is already a state-designated Center of Excellence for Alzheimer’s Disease (CEAD) that provides patients with “integrated, comprehensive and coordinated” medical services for the diagnosis and management of Alzheimer’s disease and other dementias.

The CEAD also educates health-care providers and students on the detection, diagnosis and treatment of Alzheimer’s disease and related dementias.

The CEAD serves as a regional resource, serving 15 counties and providing “coordinated delivery of services” to patients and their families which is “essential to allow these individuals to remain at home in their communities for as long as possible.”

Aging population

Statistics indicate that about 15 percent of the U.S. population is 65 and older. By 2050 that percentage will be 22.5 percent, with those individuals who are 85 years of age and older increasing at the fastest rate.

Many elderly are more active than people their age were years ago, but nearly all individuals over the age of 65 have some chronic illness.

Upstate Medical cites data from the Arlington, Virginia–based National Council on Aging that indicates about 92 percent of seniors have at least one chronic disease and 77 percent have at least two. Heart disease, stroke, cancer, and diabetes are among the most common and costly chronic-health conditions causing two-thirds of deaths each year.

Schumer calls on SSA to boost funding for Syracuse field office

Health Care, Subscriber Only

CICERO — U.S. Senate Minority Leader Charles Schumer (D–N.Y.) is calling on the Social Security Administration (SSA) to pour additional funding into the Syracuse field office to pay for additional staff and equipment. The Syracuse office has “the longest waits in New York,” said Schumer. “The Syracuse hearing office has a backlog of 9,000 claims.

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The Syracuse office has “the longest waits in New York,” said Schumer. “The Syracuse hearing office has a backlog of 9,000 claims. That’s a lot of people…”

Schumer spoke July 2 during a visit to the Cicero Senior Center at 5924 Lathrop Drive in Cicero.

The Syracuse field office has the state’s largest pending-case backlog with more than 9,000 outstanding retirements, supplementary-security income, and disability claims, and the average wait time for a hearing to be processed is more than 620 days, his office said in a release.

The Syracuse SSA field office received more than 22,000 calls last year, the second most in the state, but only answered 66 percent of calls, Schumer’s office said, citing “recent data.”

The office is located in the James N. Hanley Federal Building at 100 S. Clinton St. in Syracuse.

SSA funding increase

The Democrat negotiated a $480 million increase in SSA funding, which was included in the recently passed omnibus bill, according to Schumer’s news release. Lawmakers approved the $1.3 billion spending bill in March, which keeps the government in business through the end of September.

The omnibus spending bill provides $12.9 billion for SSA’s administrative budget. It includes an increase for general operations and additional staff, as well as designated amounts of $280 million for information-technology modernization and $100 million for reducing the disability-hearings backlog.

This important funding increase for the Social Security Administration is “long overdue but certainly much appreciated,” Randy Hoak, AARP associate state director for Central New York, said in his remarks at the Cicero Senior Center.

“Too many AARP members and too many Americans are frustrated by these long waits to get [through to] the Social Security Administration on the phone, if they can get through at all. Too many of our members and too many Americans are frustrated by reduced field-office hours when they try to take care of matters in person,” said Hoak.

During Hoak’s remarks, Schumer noted the work of AARP that he said helped result in the funding increase for SSA.

Washington, D.C.–based AARP, which has nearly 38 million members.

SSA office role

Social Security field staff help seniors and those living with disabilities apply for benefits, replace lost Social Security numbers or Medicare cards, apply for retirement benefits, and report changes in their address.

In 2016, SSA field office employees helped 43 million visitors nationwide and that number will continue to grow with the retirement of additional baby boomers, Schumer’s office said.

The Omnibus bill helps retain and improve the SSA’s field-office infrastructure, providing a “temporary moratorium” on field office closures that have “disproportionately” impacted New York, according to Schumer’s office. Despite its importance in recent years, the SSA has had its operational capacity “tightly restricted,” it added.

Since 2010, Congress has cut SSA’s operating budget 11 percent in inflation-adjusted dollars, leading to a loss of more than 10,000 employees including 3,500 field office staff, the closing of 65 field offices, including 12 in New York, and reduced hours in field offices nationwide.

In Syracuse, in-person visit wait times average nearly a half-hour, Schumer’s office said.

Doctor returns to practice after two decades on the business side of health care

Health Care, Subscriber Only

CARTHAGE — After nearly two decades of working on the business side of health care, Ancy Kunnumpurath, M.D., has returned to be a practicing physician. She is an internist at Carthage Family Health Center, a unit of Carthage Area Hospital. In 1998, Kunnumpurath and her husband Francis, a CPA, founded SpectraMedi Transcription Services, a nationwide

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In 1998, Kunnumpurath and her husband Francis, a CPA, founded SpectraMedi Transcription Services, a nationwide company headquartered in Syracuse. She says she stopped practicing medicine and helped her husband, working in quality control, so that she could have more time to raise their young children.

Kunnumpurath tells CNYBJ she has returned to practicing medicine now that her children are older and out of the house and because it’s what she likes to do best.

Kunnumpurath says SpectraMedi Transcription Services grew quickly because there was a large need for transcription services at hospitals around the U.S. Doctors sent in audio recordings or dictated orally patient records to a transcriptionist, which could be based anywhere in the country, and that transcriptionist would type the report. At its peak, Kunnumpurath says SpectraMedi Transcription was generating more than $2 million in annual revenue, but since the growth of electronic medical records (EMR), the company has seen a substantial drop in revenue. She declined to say how much. SpectraMedi Transcription is still owned by her husband, though Kunnumpurath has stepped away from the business.

As for the transition back to practicing medicine, she says her job at SpectraMedi Transcription was medically related, which helped her stay up-to-date even though she wasn’t working as a physician. When transcriptionists didn’t understand parts of medical recordings, Kunnumpurath says she would fill in the blanks, which also helped her stay informed about medicine while she wasn’t practicing. She also became a certified medical coder. Reading medical journals on a daily basis further helped her stay current and made it easier to go back into practicing medicine.

Kunnumpurath says she always knew she was going to practice medicine again, so she remained board-certified by taking exams every 10 years. She also recently took a 12-week course, the “Physician Refresher/Re-entry Program” at the Drexel University College of Medicine, which she says is similar to a residency program. The course included inpatient and outpatient clinical rotations in multiple specialties, case management, daily academic conferences, clinical assessments, and lessons on ethics and doctor-patient communications, according to a Carthage Area Hospital news release.

Kunnumpurath says since she started seeing patients again on June 8, she sees about 10 patients per day. Before she took her practicing hiatus, Kunnumpurath would treat about 20 to 25 people daily. She’s gradually building up her patient base and notes that learning EMR has been the biggest hurdle for her and has been time consuming.

As a board-certified internist at Carthage Family Health Center, Kunnumpurath mostly works as a primary care physician, treating the all-around health of a patient, including managing chronic conditions and diagnosing illnesses.

Kunnumpurath is a 1992 graduate of Mahatma Gandhi University School of Medical Education in Kottayam, India. Following medical school, she completed a year of rotating clinical internship in internal medicine, pediatrics, surgery, orthopedics, OB/GYN, and public health, the release stated. Kunnumpurath completed a three-year residency in internal medicine at United Hospital in Newark, New Jersey in 1996 and began practice in New York state the following year. ν

“Text Neck” Means Trouble – For Those Addicted to Mobile Devices

Business Mentors, Health Care, Subscriber Only

Well before the invention of cell phones, medical experts agreed that poor posture is the leading cause of back and neck pain. But the explosion of 24/7 cell-phone use has seriously compounded this problem — and even given rise to a new medical condition called “text neck.” “Text neck” is the nickname for all the

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“Text neck” is the nickname for all the back, neck, and spinal issues affecting those who spend too much time on their cell phones and mobile devices. It is due to the constant hunching over people do to peer into their mobile screens, which malforms the spine. Physicians are reporting children as young as eight years old are affected this condition.

Collectively, Americans check their smartphones more than 8 billion times per day. And young adults age 18 to 24 send or receive an average of 109.5 text messages on a typical day.

Just look at any crowd of young people, chances are most are exhibiting very poor posture from tilting their head down to read their device. This forces their neck & back muscles to work at awkward angles, just to keep the body upright — and pain and strain is often the result.

Cell phones aren’t going anywhere, so it looks like text neck will become a health problem of epidemic proportion in the years ahead. If the trend continues, it looks like in 20 years the number of people who will have spine issues due to this will be astronomical.

The best way to check your mobile device is to stand up straight and look at your device at eye level instead of reading it next to your torso, which usually results in your chin going down towards your chest. Or lie on your stomach when spending long periods of time on your phone. This provides a safe and natural passive isometric exercise to restore the natural curve to the neck.

Of course, it is not just mobile devices that can give a person back problems — there are many causes and some, such as arthritis, have no easy answers. However, frequently the cause of back pain can be something that can be adjusted with proper lifestyle choices, such as the following.

Take breaks from desk jobs

When working at a computer, take a short break every 15 or 20 minutes — then move around and change your body and head positions.

Adjust your workspace

Set your computer monitor at eye level. Raise your smartphone to eye level rather than lowering your head. Get a tablet holder to elevate your device close to eye level. If possible, get a standing desk or an ergonomic chair. Don’t slouch at your desk.

Use voice-to-text as often as possible

This cuts down on the amount of time you are looking down at your phone.

Hold your phone at eye level

Do not look down and allow your chin to move towards your chest when you are on your mobile device. This causes the back of the neck to support the head instead of the shoulders.

Taking some preventive measures is much easier than trying to treat a spine that is already out of alignment.

Robert Gearhart, Jr., the co-inventor of Body Aline (www.bodyaline.com), is an operating-room nurse. He noticed an increasing number of patients with back problems, and teamed with Jason Bowman, a certified personal trainer and former engineer, to create Body Aline. It is an exercise machine designed to strengthen the back and realign the spine.

Uncomfortable Observations about Transportation Security

Opinion, Subscriber Only

Here are a few observations that make many of us uncomfy. This year, a few billion people will have to take off their shoes to board an airplane. That is not an exaggeration. This is a lot of tootsies, bother, and nuisance. All because 17 years ago, a doofus boarded a plane wearing explosive shoes

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Here are a few observations that make many of us uncomfy.

This year, a few billion people will have to take off their shoes to board an airplane. That is not an exaggeration. This is a lot of tootsies, bother, and nuisance.

All because 17 years ago, a doofus boarded a plane wearing explosive shoes that did not explode. Since then? I don’t know. Google does not offer a lot of information on the subject. This makes it difficult to know whether the TSA can justify this inconvenience.

How about the rest of the security precautions? Four billion passengers a year have to come hours earlier to airports. They cannot carry various liquids and gels. They must suffer long lines in some places. They may get prodded and patted down. Agents may paw through their baggage. You don’t need me to describe this. You likely have gone through it.

Our taxpayers pay billions for this security system. Our TSA alone employs nearly 60,000 people. Imagine the costs worldwide. Imagine the amounts spent on equipment. And on re-designing airports to accommodate it.

We presume the staggering bills and inconvenience are worth it. After all, we have suffered no more 9/11s. Aircraft bombings are rare. Hijackings are rarer. Is this because our gargantuan security systems actually deter terrorists? We are not sure. We do know that whackos still slip weird stuff past agents.

Here are the discomforting issues. If the lives of air travelers are precious, how about the lives of train passengers? I often travel Amtrak. Nobody checks my baggage or shoes. I could haul a huge bomb aboard. Two or three. Amtrak porters would probably even help me bring them aboard. If I detonate the explosives while the train is on a bridge I could snuff as many lives as a plane bomber can.

I could do the same in a subway car. Or on a bus. On these, the numbers of lives would be fewer than on a big jet.

But how about if I brought canisters of lethal gas aboard a subway train. I could easily don a gas mask and move from car to car spraying. Thereby killing many hundreds of riders.

Nobody checks subway travelers for weapons of any type. Neither Amtrak nor subway systems care what packages you haul aboard.

Terrorists could easily smuggle automatic weapons onto subway or rail cars. Nobody checks passengers’ totes or backpacks. There is only an occasional sniffer-dog in subway and train stations. And I am not sure one can smell an AK-47.

These issues make folks uncomfortable for a good reason. They know there is little we can do about them.

Imagine that tomorrow terrorists did one of the horrible things I just described. We would gnash our teeth and point fingers. We would hold Congressional hearings. We would make statements and run for office on promises to prevent recurrences.

But what could we do? Technology may rescue us some day. But for now, we cannot screen millions of subway riders in our big cities. Amtrak passengers, yes. But not subway folks. If we interrupted the torrent of subway riders — even slightly — we would create mile-long lines.

This is a significant chink in our security armor. We are fortunate terrorists and nuts have not exploited it. We are fortunate terrorists are so few among us. Over 3 billion passengers ride our subways each year. London’s underground transports 1.4 billion. Only one crazy guy per 10 million would cause havoc.

Keep up with your prayers.

From Tom…as in Morgan.

Tom Morgan writes about political, financial, and other subjects from his home in upstate New York. Write to Tom at tomasinmorgan@yahoo.com. Read more of his writing at tomasinmorgan.com

What the Pledge Means

Opinion, Subscriber Only

You know the Pledge of Allegiance, probably by heart. You may recite it only occasionally, or get the chance several times a week. Sometimes, I’m guessing, you say it mechanically, and other times filled with deep meaning. I hope it’s more often the latter, because here’s what’s remarkable about the Pledge: in a few short phrases,

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I hope it’s more often the latter, because here’s what’s remarkable about the Pledge: in a few short phrases, it lays out the fundamentals of what our country represents and strives to achieve.

Let’s start with these words: “and to the Republic for which it stands, one nation, under God, indivisible.” It’s not just talking about any nation or form of government; it’s talking about a republic — a unified nation, under divine Providence, with three fully equal branches that are strong and independent.

The meaning goes even deeper than that. Really, we’re talking about power being dispersed across a large number of people and institutions. Our founders created a republic that to its core rejects autocratic political leadership and authoritarianism.

This, in turn, provides a system that has the capacity to reform and renew itself, because its institutions rest on the political involvement of our citizens. Government is bound by the electoral process, an independent judiciary, and constitutional guarantees of freedom of speech, assembly, religion, and the press.

This brings us to the final words: “with liberty and justice for all.” They represent a system built on individual dignity and respect for each person. We recognize and tolerate our differences. We may not always measure up to our ideals, but we certainly know what they are. We don’t try to demonize those who are different.

At heart, then, this is a system based on the belief that we’re all in this enterprise together, and all connected to one another. Everyone has the right to enjoy the promise of America.

Put these two parts of the Pledge together, and what it’s telling us is that we live in a system that binds us together by adherence to rules of political engagement, respect for the rule of law, and belief in our democratic institutions.

What the country expects in return is that most individuals will live a life of honor, excellence and responsibility. The system demands hard work on the part of its citizens if it is to succeed.

So the next time you stand as the Pledge is recited, think about what you’re saying. It’s deceptively simple. But it packs a powerful message.

Lee Hamilton is a senior advisor for the Indiana University (IU) Center on Representative Government, distinguished scholar at the IU School of Global and International Studies, and professor of practice at the IU School of Public and Environmental Affairs. Hamilton, a Democrat, was a member of the U.S. House of Representatives for 34 years, representing a district in south central Indiana.

ZACH LEADER

People on the Move, Subscriber Only

Pinckney Hugo Group has hired ZACH LEADER as a junior art director. He has a bachelor’s degree in communication and film studies with a minor in marketing from Le Moyne College.

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Pathfinder Bank

People on the Move, Subscriber Only

JOSEPH MCMANUS has been named VP, computer operations manager at Pathfinder Bank. He has a bachelor’s degree from SUNY Oswego in information science. McManus has more than 15 years of experience in information technology, previously working as senior network technician for Oswego County National Bank and as a senior information systems architect for PCC Information

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