39 replies to this topic

[eVader]

[quote name='caligirlz' timestamp='1309462794' post='420637']
Never would have known you were a "card carrying member of the NRA who owns numerous guns" based on your comments. Good decoy!

You're a mod and have been very active in the past 6 months and you dont believe Dude believes in the 2nd amendment? Wow. I do.

From my perspective which is like many here, 911 is fast but a 124 gr Hydra-Shok @ 1220 fps is even faster. I grew up in the 70s and 80s and gun safes were not common nor were trigger locks and yet i am still here and so is our teenage son because all of us were taught to RESPECT all firearms whether in your own house or anywhere else. Normally this is DONT TOUCH unless with adult and typically at a range. And because Dude and jafount are spot on....our weapons are secured in safes.

The five rules are also very true. Post Columbine, schools are trigger happy to call the parents or PD at the slightest word there are firearms at home. Schools must be a safe environment (education...not picking fights, showing off or other carp) but gun is a dirty word which is sad.

[Redone]

If the physician did not ask you about a blank then he was not properly using the form.

These forms were originally rolled out to those patients recieving (& provider treating) fed or state aide (SCHIP, CHDP, Medi-Cal, Healthy Families), and the providers are REQUIRED to use them properly. They are audited to do so, and can receive bonuses if they do so.

Because the form is so cumbersome, is payor-specific and slows down the process of getting a patient in & out the door (some providers actually like them) many providers & medical systems choose to roll them out across the board to ALL patients.

Only our Govt would come up with a "bonus" to pay another American to intrude into one's inalienable, God given rights.

[caligirlz]

In response to eVader "You're a mod and have been very active in the past 6 months and you dont believe Dude believes in the 2nd amendment? Wow. I do."

Well, I'm a new mod, like as of last week. I don't choose topics to view by author.... I haven't quite figured all of you out yet, but I've got a few of you pegged.

[tsukiji]

"Gun Control" discussions are really upsetting. It shows a complete disregard for the 2nd Amendment. Guns are used for hunting, police, sport -- yes. It's also used by citizens for protection against violent criminals - yes.

But fundamentally, the 2nd Amendment is there to ensure the citizens are able to protect themselves from a tyrannical government. Ask any Libyan, Syrian, etc how important it is to keep this Right (not a privilege - a basic and fundamental right, the same as life and liberty and the pursuit of happiness).

I fail to see any reason why a question about gun ownership should appear on ANY form except on the receipt accompanying the purchase.

[caligirlz]

This must be a Kaiser only thing? I've never once in my entire life been asked by any doctor if I owned guns.

Kinda weird of Kaiser to do that, it's none of their business.

Caligirl you posted "These forms were originally rolled out to those patients recieving (& provider treating) fed or state aide (SCHIP, CHDP, Medi-Cal, Healthy Families), and the providers are REQUIRED to use them properly. They are audited to do so, and can receive bonuses if they do so. Because the form is so cumbersome, is payor-specific and slows down the process of getting a patient in & out the door (some providers actually like them) many providers & medical systems choose to roll them out across the board to ALL patients."

Based on this I assume the question about gun ownership is to identify potential criminals? It looks like a way to bribe doctors to narc on patients.

Am I reading this right? That those people are required to be asked about gun ownership in order to receive state healthcare aid? It's funny that they don't also check 'em for drug usage which should be required to receive state aid.

Again, the original target audience was fed/state funded programs. The tool was developed years ago under the partnership of Office of Clinical Preventive Medicine (OCPM), Medi-Cal Managed Care Division (MMCD) and the Medi-Cal managed care health plans.

The details can be found here http://www.dhcs.ca.gov/formsandpubs/forms/Pages/StayingHealthy.aspx
"The "Staying Healthy" Assessment (SHAT) is a set of five age-specific questionnaires that address 11 different patient behavioral risk factors, such as alcohol use, smoking, and nutrition. It serves as prompts for both providers and patients to talk about important behavior risk factors that lead to preventable disease and for which patients may need additional health education and counseling."

You can see the actual questionaire on the website. Providers can also alter the forms with permission from the state.

It is not just a Kaiser thing. Every medical provider who provides care for the programs I mentioned above, are required to administer this tool. And because it is such a hassle (so many forms per age group) many providers chose to administer it to ALL of their patients.

Questions about guns start with the very first age group, 0-3. And there are questions about drug use too. Check it out.

[caligirlz]

Oh, and regarding the bonus / incentive to providers....completion of the SHAT tool is just one of the criteria in order to get their bonus. Other criteria that I remember are things like:

• [list=1]
  
• Access to care, within a designated timeframe from initial call (i.e. urgent issues - within 24-72 hours, routine/preventive care - 14 days)
• Extended hours
• Prescribing generic drugs
• Following the health plan's drug formulary a specific percentage of the time
• Follow preventive care criteria (measured/verified by HEDIS results)
• Passing score & meet corrective action plan within time frame on annual audit

[caligirlz]

Thanks for the reply and all the details, now I understand it better and it makes sense for state funded program recipients.

I do have to admit I got a really good chuckle out of the acronym
"Staying Healthy" Assessment (SHAT)

Yeah, we all used to joke about that one.....the s***ty SHAT and what we all really thought of it

You can imagine the fun it was to instruct reluctant & resentful physicians/staff on the use of the state-mandated tool...in addition to annual audits of their office & medical records ("quality management"). Funny, the private physicans & specialists weren't required to jump through the same hoops, and some of their offices were worse in terms of cleanliness, & processies. IT was amazing. Boy do I got some stories! I'm no longer doing that work, it was soooo stressful.