Protection From Toxic Surgical Smoke Key To Proposed Health Legislation 

A bill to protect medical operation room workers from dangerous surgical smoke is moving through the West Virginia Legislature.

A bill to protect medical operation room workers from dangerous surgical smoke is moving through the West Virginia Legislature.

House Bill 4376, reintroduced this session, sets fines for medical facilities that fail to properly evacuate operation room smoke from heat generating surgical instruments such as those used in electrosurgery or electric cautery.

On third reading in the House of Delegates, Health Committee Vice-Chair Heather Tully, R-Nicholas, spoke to the bill on the floor and explained the dangers of not clearing the air.

“It can carry toxic chemicals, bacteria, viruses and tumors,” Tully said. “It can obscure the surgical field and it can be inhaled. Surgical smoke has a noxious odor that can cause physical symptoms such as watery eyes and throat irritation, in addition to having the potential to cause dangerous and life threatening respiratory diseases.” 

The bill charges the Office of the Inspector General to propose rules requiring a health care facility that uses energy-generating devices to use a smoke evacuation system during any surgical procedure that is likely to produce surgical smoke.

Any violating health facility would face fines of not less than $1,000 nor more than $5,000 for each violation.

House Bill 4376 passed 97-0 and again goes to the Senate for confirmation.

W.Va.’s Health Care Future Laid Out For Legislators

The West Virginia-based experts said the future of healthcare in the state is focused on a culture of innovation that has gone beyond theory.

Legislators who gathered for interim meetings Monday attended a panel discussion of health care research leaders. The West Virginia-based experts said the future of healthcare in the state is focused on a culture of innovation that has gone beyond theory. 

They explained and demonstrated, with examples of real-time advanced medicine, that the West Virginia focus on a culture of health care innovation has the state becoming a world leader. One example was a literal “eye opener.” 

Dr. Ali Rezai, executive chair for the WVU Rockefeller Neuroscience Institute, explained a preventive innovation in combating Dementia and Alzheimer’s involves a simple eye test patients can do in their eye doctor’s office. Rezai said the test provides a risk profile based on the eye scan. He said that profile can tell patients – with AI published studies – if they have a higher risk for neurodegenerative conditions. 

“Many times you have 20 years of progression of protein accumulation in your brain for Alzheimer’s and Parkinson’s and you’re not aware of it,” Rezai said. “After 20 years of degeneration, then you start having a little twitching your finger or forgetting your way around more than usual, and that’s the 20-year opportunity waiting to detect disease.” 

Rezai said results from that eye test could lead to patients making life modifications like stress reduction, diet, exercise and better sleep hygiene. He said these are simple things can change one’s risk of getting Alzheimer’s.  

The researchers demonstrated, with numerous health care innovations, that replacing diagnosis and treatment with preventive health methods using technology and artificial intelligence improves public health.

Marshall University Joan C. Edwards School of Medicine Dean Dr. David Gozal explained the future of health has become proactive, using genetic technology to assess internal body functions, looking at the environment, and preventing health problems before they ever start.

“Unique elements that are now becoming the next generation of technology,” Gozal said. “Sensors that today can measure a variety of things in real time and communicate these to computers in real time from the home of the patient to the physician and vice versa. All to assess risk, to identify unique interventions and to actually intervene in real time without necessarily coming to the office or going to the hospital.”

Rezai said new technologies, AI — and in this case a new use of ultrasound  —  are making great strides right now in combating substance use disorder.

“If you’re somebody with an addiction, you show somebody shooting heroin, your craving goes way up and you become very anxious,” Rezai said. “So by increasing the cravings, then we can deliver ultrasound to the craving centers of the brain and shut it down and essentially reboot the brain and reset the brain.”

Asock Aggarwal, chief strategy officer with Intermed Labs said his company is helping West Virginia move to a health care world that is preventive, starting with an expectation of predictability and preventative maintenance. 

“That is what we’re all accustomed to here in West Virginia,” Aggarwal said.  “We all do preventative maintenance on our cars, on our tractors, on our coal mines, on our power plants. We need to do more preventative maintenance on our human bodies. We have  an ability to address a lot of issues related to obesity, rural health, eldercare, addiction and addiction sciences, and all the mental health issues that are related to that. In each of these areas, we have the ability to implement AI and preventative care, to try to address these issues before someone goes on to have a heart attack, before someone goes on to have a psychosis.”

Panelist Dr. Connie Bormans is chief scientific officer with RGEN, a company focused on molecular genetics and DNA analysis. Bormans is also working to replace diagnosis with prevention. Her focus is on Cystic Fibrosis and other inherited disorders. 

“We’re going to couples who want to have children,” Bormans said. “In an attempt to identify couples who are at risk of having children with these diseases and preventing it. By shifting to prevention, there’s a huge cost  savings. As a private lab, one of our goals is to make genetic testing affordable for everyone, regardless of their insurance rate, regardless of if they have health insurance that will cover it. We want to drive down the costs. So anyone that wants to have a test can have a test. And by doing that, we’re going to prevent or remove a lot of these cases, a lot of these conditions from the population.”

All the panelists agreed the future of educating physicians must focus on working as medical teams, working in public-private collaborations and embracing a culture of innovation.  

“We are not individual physicians anymore,” Gozal said. “We are a team of professionals that work together. This is the way that medicine will be practiced in the next several years, as we advance the technology, as we advance the ability to introduce these elements into the practice. I believe that West Virginia, by virtue of the panel that has been assembled here, and all of you, by your interest, will see that by the next generation of physicians that we will train at Marshall University, at West Virginia University and many other medical schools around the nation.”  

Pop-Up Clinics In Charleston And A Discussion On Trust In Science, This West Virginia Morning

On this West Virginia Morning, a nonprofit provider of pop-up clinics will deliver free dental, vision and medical care to those in need in Charleston. Emily Rice has more.

On this West Virginia Morning, a nonprofit provider of pop-up clinics will deliver free dental, vision and medical care to those in need in Charleston. Emily Rice has more.

Also, in this show, trust is in short supply in America as divides continue to erode our faith in a collective community. People distrust each other as well as our government and institutions. This week, Us & Them host Trey Kay hosts a discussion focused on our trust in science. One of his guests is Dr. Jonathan Zimmerman, an education historian from the University of Pennsylvania. He’s the author of “Whose America? Culture Wars in the Public Schools.”

West Virginia Morning is a production of West Virginia Public Broadcasting which is solely responsible for its content.

Support for our news bureaus comes from Shepherd University.

Caroline MacGregor produced this episode.

Listen to West Virginia Morning weekdays at 7:43 a.m. on WVPB Radio or subscribe to the podcast and never miss an episode. #WVMorning

Shortages Vary Across Hospitals

Staffing shortages place an immense strain on the entire health care system, leaving hospitals and medical centers overwhelmed and unable to provide optimal care for patients.

Staffing shortages place an immense strain on the entire health care system, leaving hospitals and medical centers overwhelmed and unable to provide optimal care for patients.

While nursing shortages are critical, with 40 percent of hospital staff made up of nurses, according to the West Virginia Hospital Association’s 2023 workforce report, there are 11 professions in need of staff across the state.

These professions are divided into four broad categories in the report: nursing, diagnostic imaging, medical laboratory and respiratory therapy. All 11 critical professions have an overall vacancy rate of 18.6 percent and a turnover rate of 24.3 percent. 

Jim Kaufman, president of the West Virginia Hospital Association, said workforce issues are pervasive throughout hospital staffing, from clinical positions, to environmental services, nutrition and cafeteria food service.

“One of the challenges that we face, unlike other industries that are also facing workforce issues, we can’t tell the patient to go home at the end of the day,” Kaufman said. “If we’re short staffed, you can’t say okay, go home and come back tomorrow. And they’re there 24/7. Tell me one other industry that when their short staff can just say, ‘Okay, we’re not going to serve these tables.’ Patients are still showing up.”

Diagnostic imaging aids in medical decision-making and delivers lifesaving treatments. In West Virginia, diagnostic imaging professions have a vacancy rate of 15.3 percent and a turnover rate of 15.7 percent.

Medical laboratory professionals process samples for diagnosis, treatment and prevention of diseases. It is a critical part of care with an estimated 60 to 70 percent of physician clinical decisions based on medical laboratory test results. In West Virginia, medical laboratory professions have a vacancy rate of 15.9 percent and a turnover rate of 13.6 percent.

Respiratory therapists administer all types of respiratory therapy and diagnostic procedures. West Virginia has a particularly large need for respiratory therapists due to high rates of respiratory illness. In West Virginia, the respiratory therapy profession has a vacancy rate of 12.2 percent and a turnover rate of 12.4 percent.

“We need them all and we’re really trying to figure out working with higher ed and others and we’ve been fortunate in West Virginia, the governor’s office, higher education, and the legislature have been very supportive of looking at some of the challenges,” Kaufman said. “We need to look at all opportunities.”

Kaufman said it is important for the public to understand how many job opportunities exist in a hospital setting.

“I really think we just need to show people there are great opportunities in healthcare across the board,” Kaufman said. “We just need to show those opportunities and also recognize from a policy side that we need to make sure we have the resources to pay them fairly and help keep them in the state.”

In West Virginia, nursing professions have a vacancy rate of 19.3 percent and a turnover rate of 26.3 percent. 

According to the West Virginia Hospital Association’s workforce report, nursing is a critical hospital workforce that saw shortages prior to 2020 and tends to receive the most attention as the largest workforce in the hospital.

Nursing had the highest overall rates of vacancies and turnovers of all the professions studied in the report with nursing assistants having the single highest turnover rate.

Jordyn Reed, administrator of the West Virginia Center of Nursing, said initiatives like the West Virginia Nursing Scholarship Program are helping staffing shortages among nursing specialties.

The West Virginia Nursing Scholarship Program provides scholarships to LPN, RN, LPN teaching certificates, and masters or doctoral nursing students.

“That program gives scholarship money for nurses all the way from LPN all the way through graduate nursing students, it gives them scholarship funds, in exchange for them completing service obligations in the state,” Reed said. “We did an analysis back in August of 2020, that found, over 88 percent of the completers of that fellowship program are maintaining a West Virginia nursing license. So we found it’s a very good retention tool to keep nurses in the state.”

One of the biggest challenges West Virginia hospitals face in a post-pandemic landscape is still staffing. According to Kaufman, the West Virginia Hospital Association is licensed for 6,500 beds. Due to staffing shortages, they can only offer 4,500 beds to West Virginia patients, causing delays in procedures and care.

“Because there are fewer beds upstairs, there are fewer facilities available for long-term care and post-acute care, there’s fewer EMS to transport the patients and the whole healthcare system is running into problems with staffing, which directly impacts patient’s ability to receive timely care,” Kaufman said.

——

This story is part of the series, “Help Wanted: Understanding West Virginia’s Labor Force.”

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

Advocates Celebrate Inflation Reduction Act Anniversary

Advocates gathered in Charleston to celebrate the first anniversary of the Inflation Reduction Act.

On the first anniversary of the Inflation Reduction Act (IRA), advocates held a press conference to discuss resources available to West Virginians under the law.

The Inflation Reduction Act of 2022 helps individuals lower their health, energy and tax bills. Some initiatives in the law aim to incentivize communities, businesses and industries to adopt energy-friendly practices.

Executive Director of the West Virginia Citizen Action Group, Gary Zuckett, said it is important to bring attention to the savings available to West Virginians from the IRA.

“It really has the potential to do so much good for West Virginia, and West Virginians, and the word is not really getting out,” Zuckett said. “We think that the more people find out about it and learn some of the benefits that would be coming into their communities and to their families and so forth, that they would appreciate more what this new, far-reaching federal legislation is trying to do.”

To improve health outcomes, the law includes prescription drug reform by allowing Medicare to negotiate lower prescription drug prices and capping the cost of insulin at $35.

“For the first time, Medicare (is allowed) to negotiate lower prescription drug prices for the seniors (who) so desperately need that. So many people on fixed incomes can’t afford their medications, but also reduces the copay on insulin,” Zuckett said. “It puts additional federal subsidies on the Affordable Care Act so that people can afford to get insurance so more people will be able to afford insurance. More people will be able to afford their prescription drugs, and it’ll save lives.”

According to Zuckett, on average, 23,000 West Virginians with Affordable Care Act coverage will save $1,500 a year, thanks to measures in the Inflation Reduction Act.

Ellen Allen is the director of West Virginians for Affordable Health Care. She called the IRA a historic investment into the U.S. health care system.

“Inflation reduction lowers health insurance premiums, caps the amount of money families pay for health insurance,” Allen said. “It lowers it so much that a middle-class family of four can see a reduction in yearly premiums over $18,000. Now that is meaningful, that is really meaningful. And West Virginians need to know about this, we need to talk about this and how it impacts our families on the ground.”

According to Allen, there are over 319,000 West Virginians who will benefit from Medicare being empowered to negotiate drug prices. By 2030, there will be 80 prescription drugs that Medicare will be able to price negotiate.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

Federal Funding To Bolster Health Care In W.Va.

The U.S. Department of Health and Human Services has invested nearly $3.5 million in West Virginia to support statewide hospital emergency preparedness efforts, vaccinate children and build a public health arthritis program.

The U.S. Department of Health and Human Services has invested nearly $3.5 million in West Virginia to support statewide hospital emergency preparedness efforts, vaccinate children and build a public health arthritis program.

According to a press release from Sen. Joe Manchin’s office, the money will be split between three initiatives: 

  • Immunization and vaccines for children initiatives will receive the most funding, at $1.8 million.
  • The hospital preparedness program will receive $1.4 million
  • State public health approaches to addressing arthritis will receive $225,000.

“Making these critical investments in all stages of our healthcare infrastructure will ensure West Virginians have the resources they need to thrive and prosper,” Manchin said. “I’m pleased HHS is investing nearly $3.5 million in these three initiatives, and I look forward to seeing the positive impacts these investments will have on the health and well-being of our communities.” 

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

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