Kentucky ranks 1st in fatal child abuse

Category : Region III

Kentucky ranks 1st in fatal child abuse

Kentucky had the highest rate of child deaths from abuse and neglect in the United States during 2007, according to a report released Wednesday by a national child advocacy group.

Every Child Matters Education Fund, a non-profit group in Washington, D.C., reported that 41 Kentucky children died from abuse and neglect in 2007 — a rate of 4.09 deaths per 100,000 Kentucky children.

To help stem the tide of deaths, the group called on state officials to make public specific information about each child’s death, including whether he or she had previous contact with state social workers.

“If you want to stop children from dying, it would be in the best interest of Kentucky to open up the process,” said Michael Petit, the group’s president. “It’s not a question of affixing blame; it’s a question of learning.”

Kentucky law permits the disclosure of details about children who die from abuse or neglect but does not appear to mandate release of the information.

Each year, the Kentucky Cabinet for Health and Family Services produces an annual report of deaths and near deaths caused by child abuse and neglect, but it does not provide any specifics about each child’s case.

“Our practice is to address confidentiality in the manner dictated by state statute and regulation,” said Patricia R. Wilson, commissioner of the state Department for Community Based Services. “Opening such records is a complicated issue that would require careful thought and deliberation in order to protect innocent family members.”

The Herald-Leader has filed an appeal in Franklin Circuit Court of the Cabinet’s denial of a request for records in the May death of 22-month-old Kayden Branham, who died in Wayne County after drinking liquid drain cleaner that was allegedly being used to manufacture methamphetamine.

In addition to calling for changes in state law, the report challenges Congress to modify federal confidentiality laws. Such changes would allow policy-makers, the media and the public to understand better what policies need to be improved in the aftermath of a child’s death, he said.

A photo of 10-year-old Michaela Watkins, the Clark County girl who received 77 injuries at the hands of her father and stepmother in 2007 before she died, represented Kentucky on the cover of the report, “We Can Do Better: Child Abuse and Neglect Deaths in America.”

Michaela had been monitored by social workers after she was removed from her mother’s home and sent to live with her father and stepmother, Patrick and Joy Watkins. The two were found guilty of murdering Michaela, who had been scalded and beaten.

Nationally, as many as 50 percent of the children who died had previously been brought to the attention of authorities. State data has shown similar results in Kentucky.

The report said 210 children died from abuse and neglect in Kentucky from 2001 to 2007.

“Reports such as this, though troubling, serve to heighten the importance of investing in strengthening families and protecting children from abuse and neglect,” said Wilson, the Kentucky Cabinet official.

Despite the numbers, Petit said, children should be taken away from their families in only a small number of cases. Rather, he said, state and federal lawmakers should spend most available money on efforts to build stronger families, such as strengthening nutrition assistance, preventing teen pregnancy, increasing health care coverage for children and providing money for home nurses to visit first-time, low-income mothers.

Petit criticized the voting records of Kentucky’s U.S. senators, Jim Bunning and Mitch McConnell, on legislation that he said could help prevent child deaths. According to the national child-advocacy group Vote Kids, Bunning did not vote for any of the legislation that the organization deemed as helpful to Kentucky’s children. McCon nell voted for two bills.

Representatives of both senators said the criticism was unfounded.

“It’s unfortunate that this report by a D.C. special interest group chose to ignore what Senator McConnell has actually done for the children of Kentucky,” said McConnell spokesman Robert Steurer.

Steurer said McConnell supported a University of Louisville program to help detect and prevent child abuse, wrote legislation to increase funding for a program that provides health insurance for low-income children and advocates for the National Center for Missing and Exploited Children.

Bunning’s spokesman, Mike Reynard, noted that Bunning has nine children, 35 grandchildren and five great-grandchildren.

“Senator Bunning is a family man who votes his values and doesn’t pay attention to the views of an extremist organization that cares less about improving the lives of our nation’s children and more about pushing the agenda of Democrats in Washington and the liberal elite of Hollywood,” Reynard said in a statement.

The group says it is non-partisan.

The report shows that in 2004, the most recent data available, was spent per capita in Kentucky on child welfare services, ranking it 16th among states.

Child advocates noted that the state’s budget has faced repeated cuts since then.

“The most alarming aspect of this alarming report is the numbers come before the most recent series of budget cuts,” said Terry Brooks, executive director of Kentucky Youth Advocates, the state’s leading child-advocacy group.

Brooks said Cabinet officials have dealt well with mandated budget cuts, but programs that help save lives and money continue to shrink.

“Belt-tightening may be good for Frankfort political careers,” he said. “It is a bad idea for Kentucky’s kids.”

Wisconsin ranks 10th in nation for health care system performance as judged by The Commonwealth Fund Commission on a High Performance Health System

Category : Region III

Wisconsin ranks 10th in nation for health care system performance as judged by The Commonwealth Fund Commission on a High Performance Health System

When it comes to health care, Wisconsin is one of the best places to live in the nation, according to a new report released today.
Wisconsin ranks 10th in nation for health care system performance as judged by The Commonwealth Fund Commission on a High Performance Health System

When it comes to health care, Wisconsin is one of the best places to live in the nation, according to a new report released today.

The report by The Commonwealth Fund Commission on a High Performance Health System shows that Wisconsin ranks 10th among all states and the District of Columbia in health system performance. That is a notch above the state’s ranking in 2007, the group’s first state scorecard.

But if the state improved its performance to the best level of states — Vermont topped the chart — it would save nearly million on hospital readmissions of Medicare patients, and there would be 163,650 more adults with health insurance.

The Commonwealth Fund is a private research foundation advocating for an improved national health care system. In addition to the state assessment, it also publishes a national scorecard. The 2008 report gave the nation a failing grade.

The 2009 state scorecard was based on the performance of state health systems on 38 indicators covering five categories: access; prevention and treatment; avoidable hospital use and costs; equity; and healthy lives.

The results show wide disparity among states and little movement in narrowing the gaps that existed in 2007, particularly in access and quality of care.

“Where you live matters in terms of access, the quality of care you receive … and it shouldn’t,” said Cathy Schoen, a Commonwealth Fund senior vice president and co-author of the report, titled, “Aiming Higher: Results from the 2009 State Scorecard on Health System Performance.”

On the 38 health performance indicators ranked by state, Wisconsin scored among the top five on five criteria, the top quarter on 15, the second quarter on 17, the third quartile on four and the bottom on two.

Wisconsin’s highest rankings came in healthy lives, which includes deaths per 100,000 population. In that category, the state rose to eighth place from 21st in 2007. In access, which includes the number of insured, Wisconsin was ninth-best compared to 13th two years ago.
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The state dropped to 13th place from ninth in the prevention and treatment category, and to 16th from 14th in avoidable hospital use and costs.

Joel Cantor, director of the Center for State Health Policy and a public policy professor at Rutgers University, said Wisconsin’s drop for the most part was largely the result of other states improving in certain areas, not necessarily because Wisconsin’s performance declined.

For example, Wisconsin actually showed improvement in the percentage of heart failure patients given written instructions at discharge, 76 percent in 2009 compared with 61 percent in 2007, but its rank in that category dropped to 23rd from ninth.

“That’s an area where there’s been improvement nationwide,” Cantor said, “and Wisconsin just did not improve as much.”

The scorecard comes as Congress is engaged in an intense debate over legislation intended to provide health care coverage to most if not all of an estimated 47 million uninsured Americans and slow the rise in costs.

While access to health care for children has improved greatly, the researchers found, it has declined for adults. The researchers attribute the increase in coverage for children to the State Comprehensive Health Insurance Plan, a federal initiative.
Commonwealth Fund officials say the results underscore an urgent need for federal action on health care reform.

“The differences we see among the states translate to real lives and dollars,” said Commonwealth Fund President Karen Davis. “If we can enact health care reforms that give all states the opportunity to do as well as the best states, we will save lives, improve quality and cut costs.”

The state dropped to 13th place from ninth in the prevention and treatment category, and to 16th from 14th in avoidable hospital use and costs.

Joel Cantor, director of the Center for State Health Policy and a public policy professor at Rutgers University, said Wisconsin’s drop for the most part was largely the result of other states improving in certain areas, not necessarily because Wisconsin’s performance declined.

For example, Wisconsin actually showed improvement in the percentage of heart failure patients given written instructions at discharge, 76 percent in 2009 compared with 61 percent in 2007, but its rank in that category dropped to 23rd from ninth.

“That’s an area where there’s been improvement nationwide,” Cantor said, “and Wisconsin just did not improve as much.”

The scorecard comes as Congress is engaged in an intense debate over legislation intended to provide health care coverage to most if not all of an estimated 47 million uninsured Americans and slow the rise in costs.

While access to health care for children has improved greatly, the researchers found, it has declined for adults. The researchers attribute the increase in coverage for children to the State Comprehensive Health Insurance Plan, a federal initiative.
Commonwealth Fund officials say the results underscore an urgent need for federal action on health care reform.

“The differences we see among the states translate to real lives and dollars,” said Commonwealth Fund President Karen Davis. “If we can enact health care reforms that give all states the opportunity to do as well as the best states, we will save lives, improve quality and cut costs.”

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