Lisa Gillespie

Lisa Gillespie

Kentucky’s local health departments are facing massive increases in pension costs starting in July. And this, many of them say, could cause them to have to lay off employees, cut back or even close public health programs as a result.

“This is a watershed moment for public health, it’s a tipping point, where we need to assess how we do business and look at every aspect of operations in local health departments and what can we do differently,” said Scott Lockard, the director of the Kentucky River District Health Department, which covers several eastern Kentucky counties.

FDA Weighs Pros and Cons of Vape Flavors

Apr 5, 2018
Vaping.com

In 2014, about one in four teens nationwide reported smoking an e-cigarette, which are lauded y the vaping industry as a safer alternative to cigarettes. But the Food ad Drug Administration is looking at potentially limiting or banning of these e-cigarette flavors.

For exaple, something called Cutwood that has hints of Golden Honey Graham cereal, roasted nut clusters creamy milk and sliced bananas.

Istock

 

Kentucky advance practice nurses got a big win in 2014. For the first time, they were able to prescribe routine medications, like antibiotics and blood pressure meds, to patients after spending four years collaborating with a doctor. This applied to…“nurse practitioners, nurse midwives and clinical nurse specialist…”

That was Jessica Estes , a nurse practitioner near Owensboro. She’s also the president of the Kentucky Coalition of Nurse Practitioners & Nurse-Midwives.

So this was a big win for these nurses. Nurse practitioners could basically set up their own shops - free from having to work with a doctor - but only if they didn’t prescribe controlled drugs, like opiates. They still have to have an agreement with a doctor indefinitely to prescribe those controlled drugs.

“We are now finding that APRNs are finding difficulty securing a collaborator , and they have to be of the same or a similar specialty, and licensed in Kentucky. And it’s creating some barriers.”

This ‘collaborative prescriptive agreement’ is a piece of paper, a form if you will. Doctors sign off on it. And every year, those doctors have the option of renewing that collaborative agreement.

Kentucky Attorney General Andy Beshear is suing San Francisco-based drug distributor McKesson Corporation for allegedly “flooding” the commonwealth with opioids.    

“McKesson had a duty to report when it ships large or suspicious amounts of opioids to a state or region. They knew that their shipments to Kentucky were excessive, even grossly excessive. But they simply sent them any ways and didn’t notify the authorities," Beshear said.