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    Ouch!

    A big health care fail: Texas ranked dead last in the country by federal medicalagency

    John Bumgardner
    Jul 6, 2012 | 5:36 am

    While we generally love being at the top of every ranking, the latest findings from The Agency for Health Care Research and Quality (AHCRQ) are a little harder to swallow.

    According to the 12-item federal scorecard, the great Republic of Texas ranked "Weak" or "Very Weak" in nine of 12 categories, including Preventive Measures, Home Health Care Measures and Hospital Care Measures. Texas finished 51st in the country overall — not only behind every other state, but also Washington D.C., for health care.

    Texas recorded 31.61 points (out of a possible 100) on the ratings.

    The one category Texas received a "Good" rating on from the AHCRQ was for Maternal Health and Child Health Care Measures.

    Maybe the federal government is just out to get Texas, but there is no denying that we have the highest percentage of uninsured citizens of any state in the country. According to the Texas Medical Association's latest count, the current estimate is about five million Texans have no access to health insurance, as high as one in three people in major cities like Austin and Houston.

    Texas has also been in the news over the past year regarding the highly public defunding of Texas Planned Parenthood offices and other low-income women's health providers largely due to the abortion debate.

    When Gov. Rick Perry proposed a law to exclude Planned Parenthood from future state funding, the U.S. Department of Health and Human Services supplied pressure by announcing it would in turn cut off all funding to Texas' family planning efforts. Thankfully, the funds are in position for now, but the future looks a bit bleak.

    Ironically though, the one category Texas received a "Good" rating on from the AHCRQ was for Maternal Health and Child Health Care Measures.

    Clearly, we've got some work to do. But first we need a bit of an attitude adjustment. And the best way I know to do that is to see who we're up against in the rankings and appeal to some Texas pride.

    After all, filling out the top of the bottom with Texas on the rankings are second-worst Kentucky (with two "Average" rankings above us) and third-worst New Mexico (with three "Average" rankings). Even West Virginia and Oklahoma ranked higher than us.

    So if we're going to make it back up to the top of the herd, we need to start making some serious changes. Only 50 places to go . . .

    You gotta love an underdog story.

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    Mood Changer

    How does art heal? Medical Center powers aim to put real research data behindthe phenomenon

    Joel Luks
    Jul 31, 2012 | 1:39 pm
    How does art heal? Medical Center powers aim to put real research data behindthe phenomenon
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    That music has the prowess to affect our mood, psyche and overall state of wellbeing is something that most people innately understand. We reach for music in times of joy, for celebration and for comfort.

    But to what extent can music influence recovery from illness? That's something that the Center for Performing Arts Medicine (CPAM) at The Methodist Hospital is eager to learn.

    CPAM sits at an advantageous position to answer such a question. Nestled within the largest medical center in the country and with access to educators, world-class artists, art training institutions, art therapists, scientists and neurologists, in addition to state-of-the-art equipment, CPAM is primed to nurture collaborative partnerships to advance the field of integrative arts therapies, with the end goal to research and decode innovative strategies into practical, real-life applications.

    And that expands beyond treating performing and visual artists. CPAM seeks to probe further into health, wellness and rehabilitation, as well as to study human performance.

    The study assesses emotional responses through eye contact, facial expressions, body language, energy, enthusiasm and attention and catalogs them alongside specific creative activities.

    In partnership with the Texas Children's Cancer and Hematology Centers' Arts In Medicine program, the National Center for Human Performance, Young Audiences of Houston (YAH) and a $18,000 grant from The Children's Fund, a research project is surveying the impact of an arts integrated component on the general mood of children and their relatives in the hospital domain.

    "What we know is that these programs touch patients and their families, and bring joy and a sense of normalcy to an otherwise tense environment," Todd Frazier, CPAM program director, explains.

    Titled Characterizing Arts in Medicine Performance at the Impact on Audience Engagement and Mood at Texas Children's Cancer Center, the study delves beyond qualitative observations. It assesses emotional responses through eye contact, facial expressions, body language, energy, enthusiasm and attention and catalogs them alongside specific creative activities.

    The goal is to codify the value and effectiveness of precise artistic endeavors to better inform artists and performers on how to design an Arts In Medicine program with the best possible outcomes.

    "We know in our hearts that what we do makes a different . . . But in a research-driven industry, you need these studies to grow arts integrated programs and to secure funding."

    To do just that, the approaches of YAH puppeteer Jean Kuecher, dancer/choreographer Toni Valle from Becky Valls and Company and classical chamber ensemble WindSync will be monitored by a team of "coders" gathered and trained by Dr. Heather Taylor, director of spinal chord injury research at TIRR Memorial Hermann. These coders will be required to study the flow of each program so they can readily identify each segment, transition and interactive component.

    Pre and post performance questionnaires with the children and their parents will attempt to evaluate their temperament, including fear, fatigue, overall mood and physical pain. A pre and post artist interview will archive the experience from the point of view of the service provider.

    The empirical data, in turn, will serve as advocacy material to better inform health administrators of what's possible with an expertly-crafted, research-based program.

    "We know in our hearts that what we do makes a different," Herron says. "We see it and we hear it from children and their parents. But in a research-driven industry, you need these studies to grow arts integrated programs and to secure funding."

    The study should be completed by spring of next year. Herron sees this multi-faceted project as just a beginning, one that will open up more opportunities for further fieldwork in arts integrated models.

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