Expectant mom, Lana Polishchuk’s special delivery arrived four months before the birth of her baby boy. It came in a cardboard box – from her health insurance company.
“I received a call from my insurance company. I was pregnant and thought they were calling with information on breastfeeding,” said Polishchuk. Instead, her insurer was calling to invite her to participate in a healthy food home delivery pilot program. “I said food? From an insurance company?!”
Lana Polishchuk with her son
Food from an insurance company
Polishchuk was selected to take part in Excellus BlueCross BlueShield’s maternal health food pilot program that delivers fresh food to the homes of expectant moms in their first or second trimesters. About 165 expectant moms were included in the pilot program based on a variety of factors including those in need of access to health care.
The goal is to address food insecurities, improve member health, focus on growing families and expose recipients to a variety of fresh foods. Food deliveries are made bi-weekly or monthly, depending on family size.
Coordinated by Excellus BCBS’s Bright Beginnings care management program, the year-long pilot program is a partnership with Rochester-area food bank, Foodlink, and made possible with funding from the Finger Lakes Performing Provider System.
The boxes are filled with fresh foods including seasonal fruits, vegetables, cheeses, beans, and recipes. Foodlink staff pack and deliver the boxes. Members also receive a box of cookware, including a small blender to make baby food and invitations to join cooking classes sponsored by Foodlink.
This month’s bounty!
Raising healthy babies
“Raising a healthy baby begins long before childbirth,” said Jeanine Davis, Vice President of Clinical Operations at Excellus BCBS. “Providing convenient and healthy meals aligns with our goals of ensuring the best health outcomes for babies and their families in a holistic member- centric way.”
According to Davis, the goal of its Bright Beginnings program is to engage with members early in their pregnancy journey and connect them to community resources. Doing so helps address maternal morbidity, postpartum depression, preterm birth, admissions to the neonatal intensive care unit, and length of stay.
Bright Beginnings also provides direct access to a multi-disciplinary team including doctors, nurses, social workers, pharmacists, registered dieticians, and others.
“Partnering with Excellus BCBS has allowed our Curbside Market home delivery pilot program to reach younger customers, but more importantly, it has made it easier for families to access healthy, nourishing food,” said Julia Tedesco, President & CEO of Foodlink. “
“Our Bright Beginnings team’s goal is to connect with families to reduce food insecurity, increase access to health care and decrease emergency department visits and hospital admissions or readmissions,” said Kara Traverse, manager of Excellus BCBS’s Bright Beginnings, maternal/child case management team. “It’s a great advantage to them.”
A fresh meal in the box
Lana inspecting the latest delivery and recipes
“When I first opened the box, I said, ‘Oh, healthy!’ This is way healthier than anything else because everything is fresh, and you’re being creative and you just follow the recipe,” said Polishchuk.
A working mother of four, she had a 13-year gap between her new baby and his sister. “This was something new to me. Back in the day, 14 years ago, I didn’t cook that much and there was no opportunity like this. It’s a big change and a big transition,” said Polishchuk.
Using the fresh foods and recipes help keep her on track with healthy eating. “It was very special to receive that box because it has everything to create meals. I’m always excited, it’s a fresh meal from the box. You always get vegetables. Sometimes we get a huge bag of carrots, and fresh parsley, dill, we always get options. I have high blood pressure, so I have to watch it. Everything is so fresh, it’s really easy and convenient. To come home and cook a meal in 30-45 minutes is amazing,” says Polishchuk.
Cooking for the future
Lana Polishchuk and her daughter with baby
Home prepared meals not only promote good health, but the pilot program also helps promote a healthy lifestyle. Polishchuk says her 13-year-old daughter was a fast-food lover and now enthusiastically helps prepare meals. “It means a lot because when you make homemade food, it’s healthy eating. As a teenager, it gives her inspiration to help and learn how to cook. She loves to cook now and loves to do it together, with me, learning to cook for the future. It’s amazing, it’s very special for our family.”
“Living our mission and applying an I.D.E.A. (inclusion, diversity, equity, and access) Mindset takes all of us,” says Sady Alvarado- Fischer, Vice President, Diversity, Equity, and Inclusion Officer(DEI). One way we are making a difference is through our Health Equity Awards (HEA) to partner with our community and help fund health and wellness programs that address racial and ethnic health disparities.
Language and cultural barriers can limit access to information, health care, and pose serious health risks. Empire Justice Center received a Health Equity Award to enhance the language accessibility of Common Ground Health’s “My Health Story 2022” survey to hear from a diverse group of respondents. Individuals in under-resourced communities can take the survey and share important health information that impacts their well-being and environment.
“You cannot be committed to Diversity, Equity, Inclusion, and Accessibility and not address language barriers. By not addressing the language barrier, you are contributing to the systemic racism you are trying to dismantle. Language barriers are a tool of racism and oppression,” says Marlene Cortés, Senior Program Manager, Empire Justice Center.
Increasing accessibility to the survey included adding a text-to-speech option in English and Spanish for those with low literacy levels, or who are legally blind or visually impaired. The HEA funds also supported an American Sign Language (ASL) version.
“I took the survey, and it was awesome because every question and answer had ASL video. I was able to understand without worrying about the English form. This is a first survey which includes ASL that I am aware of done in public. Thank you for breaking the barrier and I hope we will see more of these going forward,” says Ray Kenney, Monroe County Language Access Coalition.
Survey results will provide a better understanding of where health inequities need to be addressed in our communities, that can now include the needs of people with limited English Proficiency (LEP), and the Deaf and hard of hearing communities.
“This HEA-funded initiative is just one example of what can happen when we partner with community advocates and experts, like Marlene, to address historical barriers to healthcare and develop innovative solutions to improve language access,” says Sady.
Empire Justice Center also used HEA funds to provide more than 10,000 “iSpeak/iSign,” Language Identification Cards to individuals with Limited English Proficiency (LEP) or are Deaf or hard of hearing, to share with providers and advocate for their need to communicate with an interpreter.
“Together, we can increase equitable access to healthcare services – and when we do so, everybody benefits,” says Sady.
For the second year in a row, our organization has been named a Best Place to Work for Disability Inclusion! In conjunction with Disability Pride Month, which is celebrated in July to commemorate the July 26, 1990 signing of the Americans with Disabilities Act (ADA), we are spotlighting the incredible ways our employees drive change from within – from advocacy, to accessibility, to stepping outside of their comfort zone.
A team effort
Kaitlin Hawkins-Rusch
Kaitlin Hawkins-Rusch, Talent Management Business Partner, is the co-chair of the Awareness of Visible and Invisible Disabilities (AVID) Employee Resource Group. This year’s Disability Equality Index submission would not have been possible without her support and involvement, from data collection to project management.
Now in her third year as co-chair of AVID, Kaitlin got involved with the Disability Equality Index application after last year’s initial entry. “I wanted to see where improvements could be made, where we could continue to do better. Karen Bodley spearheaded last year’s entry and I’ve really just picked up the baton.”
As the sister of someone diagnosed with autism, Kaitlin got involved with AVID early in her days with the health plan while an intern. Former President/CEO Chris Booth connected her with AVID, who in turn connected her with AutismUp, which provides autism support programs and services in the Greater Rochester and surrounding areas. She volunteers with their I Can Bike camp and participates in the annual Kite Flite.
[My brother] didn’t understand when he was diagnosed as autistic and to this day, he doesn’t identify as autistic. I didn’t put the pieces together and learned about his diagnosis later in life. He was just my brother,” Kaitlin said. With AutismUp, I realize there were so many things we could have provided him, so he’d have been better supported. I’ve learned many ways to try to better connect with and support my brother but volunteering with them gives me the opportunity to help other individuals and families both with and without disabilities.”
Kaitlin says she’s proud of the space AVID has created for its members and is excited for the work ahead.
She explained that this ERG has “started to create a space to challenge people’s perspectives of people with disabilities, especially in the employment space. It also has created a safe space for people to feel supported…so they know others are pushing for more inclusion and equality,” she said. “There may still be employees who don’t feel comfortable self-identifying as having a disability, so there’s still work for us to do.”
100% means more
While the organization has received a score of 100% both years it has applied to the Disability Equality Index, our inclusion efforts don’t stop there.
A score of 100% on the Index does not convey perfection. In fact, a Digital Accessibility Program Manager role was created as a result of our 2021 application findings, recognizing the need to have a designated role focused on digital accessibility for both our internal and external customers.
Justin Blais, our new Digital Accessibility Program Manager, shares more about his role and what we can all do to improve digital accessibility for ourselves, colleagues, and members.
Justin Blais
Can you tell us a bit about what your job entails?
The Digital Accessibility Program Manager role is focused both internally at our employee experience and externally at all our other constituent experiences. This includes websites, software & systems, documents, videos, emails, mobile apps, etc. Any of these digital touchpoints needs to meet the basic level of Web Content Accessibility Guidelines (WCAG) 2.1 AA criteria and/or follow best practices for content creation.
In addition to evaluating and progressing the accessibility of these digital touchpoints, the role will also act as a primary driver for providing resources, knowledge, and training around digital accessibility to Employees. Everyone has a role to play in accessibility, but not everyone has the resources and knowledge, even if it is something you are passionate about; my goal is to help close this gap!
What got you into digital accessibility?
My first experience with ‘digital accessibility’ as a concept came at my previous company in 2012. We needed to ensure Word documents being created as artifacts were 508 compliant so that people who might use a screen reader can get meaningful access to the same information. I did research on how to set up Word files correctly, and that really highlighted to me the importance of thinking about structure, labeling, setting up tables correctly, etc.
When I joined Excellus as a contractor back in 2016, I was hired as a business analyst for the Translation Services and Digital Accessibility projects. Eventually, I was hired as a Portal Manager which ultimately molded into our Digital Product Manager role. During this time, I continued to carry accessibility as a responsibility for our external websites and improve processes and knowledge with teams that create external digital ‘stuff’.
I’m very passionate about the accessibility of our digital ecosystem and am excited to keep this battle going on our external side while also taking focus to our Employee experience as well.
What is one of the biggest misconceptions about the work you do?
One misconception is that digital accessibility is a complicated nuisance and needs hours of specialized training. While specialized training is certainly needed for some roles (developers, video editors, content creators, others), there are so many quick little things that we can all do when writing emails or creating that Word or PowerPoint file that can tremendously improve the experience for someone using assistive technology.
The second is that digital accessibility = section 508. Section 508 was established as a set of criteria for government entities or anyone doing business with or receiving funds from them to adhere to when creating or providing anything digital (websites, files, etc.). While section 508 plays a part of digital accessibility, it is not all encompassing and really only applies to a portion of our business. There are standards and sets of criteria such as Web Content Accessibility Guidelines (WCAG) 2.1 that stay more modern and are broadly focused.
“Get outside of your comfort zone and challenge yourself”
With progress worth celebrating in our work toward disability equality for our employees, and lots more work to be done, we can also recognize the ways inclusion and accessibility impact our daily lives as well. Living the Lifetime Way, including modeling IDEA and caring for our wellbeing, doesn’t end when we log off.
Chad Williams, Pharmacy Operations, Excellus Rx Pharmacy Management, recently completed a Spartan Race. He shares his experience with the race and as an athlete with cerebral palsy.
Chad Williams
What does a Spartan Race entail and how did you get involved?
A Spartan Race is an obstacle course race that has varying levels of distance and difficulty. The race that I signed up for was a Spartan Sprint. The Sprint consists of 20 obstacles over 3 miles of mud and tough terrain. I have watched Spartan events on TV and on social media for several years and have always looked up to the athletes that compete in these races. The idea of completing a Spartan myself just didn’t seem like something that was possible for me. In 2021, I was dealing with severe spasticity related to my cerebral palsy. I spent much of 2021 either in pain or wondering how long I would be able to go before the pain would come back. Not only did I miss out on some things, but I felt like I lost a little bit of myself. Rather than continue, I made a choice to find a way to alleviate the pain and set some tough goals for myself so that I could show myself what I am capable of. With that, the challenge to train for and complete a Spartan Race came about. I started training several days a week, starting in January, and I completed my Spartan Race on June 11th.
Do you have another race lined up or are you moving onto other adventures?
One of the best things to come from my Spartan training is a new passion for running. Having never been a participant in a 5K before, I entered a few 5K races to ensure that I was in shape for that element of the Spartan and in doing so, I found that I really enjoy running. Before entering the 5K races, I was training on the canal. I would put on some headphones and run on the canal, and I just found peace in doing so. It was calming and it gave me some time to think about different things, and I felt good about myself as well. So, then I started challenging myself to work on my running form and trying to increase my pace and it became a new challenge for me that I enjoyed. So, I have recently signed up for another 5K in July and I am looking at races in August and September. I am also looking at a Spartan Race in October in Lake Placid called a Spartan Trail. The Spartan Trail is 10K hill race with some tough terrain and hills, but no obstacles.
What would you tell others with cerebral palsy who are looking to get involved in athletics?
Every person and every case are different, but I believe there are ways that everyone can get involved in some capacity. With so much information available to us today, there are ways to find options available for your specific abilities. In my case, with the Spartan race, I worked with my doctor as well as a personal trainer that was very supportive in helping to make certain exercises more adaptive and assisted while I worked at being able to build up strength to complete the exercise on my own. My advice would be to start by talking to a doctor, physical therapist, or a certified personal trainer to properly address and work through any limitations that you might have and then set some tough goals for yourself whether that means entering a 5K or setting a consistent exercise routine for yourself. Fitness looks different for everyone but get outside of your comfort zone and challenge yourself, show yourself what you are capable of!
Whether it’s to carry on a family tradition, accomplish a personal goal, or to enjoy the amazing post-race party, every runner has their personal reason for participating in the Boilermaker Road Race. From its humble beginning in 1978, the Boilermaker Road Race in Utica, NY has grown to become a premiere running event and Excellus BlueCross BlueShield is proud to once again be the presenting sponsor of the 15K.
There is certainly something special about this race. Whether you are a seasoned runner or taking on the challenge of your first long-distance race, the Boilermaker creates lasting memories that bring runners back year after year and highlights the unique spirit of the Utica region. We are proud to have over 30 Excellus BCBS employees participating in this year’s 15K and 5K events. We will be there cheering them on every step of the way.
We were able to talk with several of our employees who are participating in the 15K and hear their Boilermaker story.
Husband and wife, Aileen Lyons and Zachary Nelson will be running the Boilermaker 15K for the first time this year.
With thousands of running races held each year in the United States, Robert (Bob) Bluey has no trouble choosing his favorite, the Boilermaker 15K Road Race in Utica, NY. At the age of 72, Bob is part of a very special group of runners who have participated in every Boilermaker race since its inception in 1978. This long-time Mohawk Valley resident, grandfather of three, and proud Excellus BlueCross BlueShield Medicare member currently lives with his wife in New York Mills.
Bob Bluey, Excellus BlueCross BlueShield Medicare member, runs up the Culver Ave hill as he trains for the Boilermaker 15K Road Race in Utica, NY. (PHOTO BY NANCY L. FORD)
His love of running began in 1975, when at the age of 25 he decided to make his health a priority. “I attended a class about healthy lifestyles put on by the American Heart Association,” Bob recalls. “I took a 5 question heart health quiz and I had one of the highest [risk] scores in the class. I needed to change my lifestyle and become healthier.” Bob’s mother had suffered from heart disease throughout his childhood, even spending time in the hospital. “As a kid it was scary,” remembers Bob. Heart disease eventually took her life at the age of 62. “The instructor of the class talked about the importance of exercise especially if you have a family history of heart disease. It was a wake-up call.”
When putting his plan in place to get healthy, he started slowly with an easy run around the block. At that time running was just starting to become mainstream and the first sneakers designed specifically for running were introduced. “There weren’t a lot of running events to do at that time,” recalls Bob. Then in 1978 he heard about a race happening in Utica. “The main reason I decided to run the first Boilermaker was because they were giving out free beer,” says Bob. “Every other race, you would get water, but the Boilermaker promised free beer!”
The 15K distance was going to be a challenge for Bob, but his very good running friend Joe encouraged him to participate in some development runs and run a 15K race in Rome to prepare. On race day Bob was ready. He remembers the crowd of around 800 people feeling enormous. “There were runners from Buffalo, Albany, New York City, and Canada. It was a big deal,” recalls Bob. “Finishing the race was pretty amazing. When I got to the end there were all of these people. Everyone stayed and talked about the race. It was great!”
Bob incorporates stretching into his fitness routine. (PHOTO BY NANCY L. FORD)
As Bob gears up for his 45th race, he still carries with him the same enthusiasm for running. “I try to get in a run at least 3 days a week,” says Bob. He usually does a 3.5-mile loop and starts adding miles to his runs in June in preparation for the Boilermaker, working his way up to 10 miles. In addition to running, Bob rounds out his fitness routine with 20 to 30 minutes of stretching and strength training on non-running days. “I’m so much healthier because of running,” says Bob. “Most people my age take some type of medication. The only pill I take is a multi-vitamin.” Despite being active and maintaining a healthy weight, he understands his hereditary risk of heart disease can’t be changed. “Knowing that running has kept my body in shape, motivates me to keep going,” explains Bob. He also notices the impact running has on his mental health. “I think being physically fit makes your mental health the best it can be,” says Bob. He maintains a positive attitude about life and looks forward to opportunities to be active.
Having run every Boilermaker since the beginning, Bob has a perspective on the race that few people have. He has seen it transform and grow over the years in a multitude of ways. “The first race was very laid back,” remembers Bob. “Cars were allowed on the course and there wasn’t much security even though there was a professional runner, Ric Rojas, in the race.” Bob remembers a major turning point when Olympian and marathon record holder William (Bill) Rogers participated in the race in 1984. “It turned into a big-time race with professional runners from around the world,” says Bob. “The fact that the best in the world were coming in and you got to run with them was amazing! That doesn’t happen in any other sport. I could never play baseball with Yankee Aaron Judge, but I could run with the pros.” What is even more amazing to Bob is after the race is over the professional runners come out in front of the stage and talk with people. “They are part of the comradery. It is a really nice thing that we’ve got here that no one else has,” says Bob.
He recalls seeing the crowd for the race grow bigger each year as well. “Now there are people everywhere. I love seeing the crowd on the stretch coming down Champlain Avenue and onto Whitesboro Street.”
Personally, for Bob the meaning of the race has also evolved. “Many of the people I’ve known since my early days of the race, mentors in running, friends who would take me to the starting line, have passed on,” says Bob. “Now my family is what makes the race special. I have relatives that come from all over for the race.” He has family that joins him from as far away as California. It has turned into a weekend long family reunion with as many as 50 relatives showing up to run the iconic race. “They love it! We begin celebrating on Friday with different events – dinners, baseball games, the kid’s run. The whole family is here for the weekend,” explains Bob.
Passing on his passion for running is important. “My sons, nephews, grandkids, everyone sees that running is a healthy way of life,” explains Bob. “Even my older brother, who for the longest time thought I was insane, started to run races.”
Some may wonder what keeps Bob coming back to the Boilermaker year after year. Having run four marathons, including the New York City Marathon and the Marine Corp Marathon in Washington D.C., Bob still thinks the Boilermaker is the best race around. “Over the years, I’ve seen people I work with and friends along the course in different places,” says Bob. “I probably don’t go a half mile without seeing someone I know waving to me. I’ll see friends I worked with 30 years ago, and my family waiting for me on the Parkway.” And he has no plans to stop. “It gets harder all the time, but I use my health as my motivation.”
Bob is looking forward to the 45th Boilermaker 15K Road Race presented by Excellus BlueCross BlueShield on July 10. “I can’t wait to get to the starting line, get back to normal, and see thousands of people.”
Bob chats with Excellus BCBS Regional President Eve Van de Wal at the iconic finish line of the Boilermaker 15K Road Race. (PHOTO BY NANCY L. FORD)
“We are excited to continue our support of the Boilermaker as the presenting sponsor of the 15K road race and cheer on runners like Bob,” says Eve Van de Wal, Excellus BCBS Utica regional president. “This event showcases the spirit of our community, as athletes from around the world and in our neighborhoods gather together to enjoy this one-of-a-kind race. We are inspired everyday by Excellus BCBS members like Bob to further our mission of improving the health and wellbeing of the communities we serve. We can’t wait to be there at the finish line!”
Filling our plates with healthy food and avoiding unhealthy temptations can be challenging, particularly as we see prices rise at the grocery store. Excellus BlueCross BlueShield wellbeing engagement consultant Pat Salzer offers some simple tips to help navigate the supermarket aisles and avoid the side dish of guilt. “Food is the spice of life, not the enemy,” she explains.
The key is to set yourself up for success. To do that, Pat advises using “the 4 P’s”: Plan, Purchase, Prep, and Plate.
Plan “Plan your meals for the week, taking into account what items are on sale, as well as what is already in your kitchen,” says Pat. Planning will ensure a more productive trip to the store.
Purchase When grocery shopping, stick to your list and avoid impulse purchases. “The grocery store is the gateway for what comes into your home—invite in healthy foods,” advises Pat.
Prep A little preparation can go a long way not only in stretching a dollar, but in ensuring that healthy options are readily available when hunger strikes. “Prep overnight oats for an easy grab-and-go breakfast in the morning,” suggests Pat. “Have some vegetables sliced up for a quick snack or faster meal prep.”
Plate What you put on your plate matters. Load it with vegetables. Keep salad and vegetables on the table and main dishes on the stove. “When we go for seconds, we are more likely to grab the food within arm’s length rather than walking to the stove,” reminds Pat.
Keeping costs down When it comes to keeping nutrition up and costs down, two main principles apply: extend the life of your groceries, and go for less expensive options when possible. Trail mix, for example, can be a pricey item. Instead, try a homemade option made from popcorn, cereal, nuts, raisins, and pretzels.
When cooking a meal, use what you already have on hand and make substitutions. “For example, green beans can be substituted for asparagus, and sweet potatoes for squash,” explains Pat. Extend the life of herbs by cutting the bottoms off and placing them in a glass of water. Expensive greens, such as romaine, arugula, and escarole, can be cooked and stored in the fridge so they last longer. When it comes to saving money and eating healthily, the freezer is your friend. Freeze leftover items such as bananas, tomato paste, and cooked rice. “I often add frozen bananas to my oatmeal or whip them up into a frozen dessert,” says Pat.
And, contrary to common belief, shopping the inner aisles is encouraged. There, you will find less expensive items with longer shelf lives and often packaged in bulk. Not all items in the inner aisles are healthy, but oats, canned vegetables, peanut butter and brown rice are good options. “Frozen and canned vegetables are processed at the peak of freshness and can have more nutrients than fresh vegetables that are past their prime,” explains Pat.
With a little extra effort, you can eat healthy foods and stick to your budget.
On National Doctors’ Day and all year long, we are proud to celebrate the important work of physicians throughout our community and within our organization. This annual observance on March 30th honors physicians for the work they do for their patients, the communities they support, and our society. For many, it is not only a love of science and medicine that draws them into the profession, but an innate need to help, heal, and serve others. “We are fortunate to work with more than 18,500 physician partners throughout our regions to fulfill our organization’s mission of helping our communities live healthier and more secure lives through access to high-quality, affordable health care,” says Jim Reed, president and CEO of Excellus BlueCross BlueShield. “Doctors’ Day is an opportunity to acknowledge the value our physician partners bring to our organization and our members.”
A strong relationship with community providers is essential to providing quality care to our members. Ninety-nine percent of providers within our service area are part of the Excellus BCBS provider network and 100 percent of hospitals are within the network. Through these relationships, we can implement effective programs such as accountable cost and quality agreements (ACQAs). These agreements focus on integral collaborations between our Health Plan and systems of doctors and hospitals. We work together to improve quality and keep costs down by identifying opportunities for efficiency, closing gaps in care, and helping to manage chronic conditions among members.
In addition to our work with outside providers, within our organization we have a team of 21 clinicians who serve as medical directors and are key to ensuring our organization manages cost, quality, and care for our members. They seek out innovative opportunities to engage our members in enhancing their health and wellbeing. This dedicated group of physicians serves as advisors and leaders for dozens of initiatives to support our organizational goals and improve our service to our members.
“Our medical directors are proud to actively collaborate with our provider partners, seeking their input and feedback in areas such as medical policy, quality improvement and medical management,” says Stephen Cohen, MD, SVP and corporate medical director. “This collaboration leads to improved member care and healthier communities.”
Happy Doctors’ Day to physicians everywhere and thank you for your continued commitment, compassion and dedicated care for others.
You’ve seen signs posted in public places that an AED is on the premises. AED stands for automated external defibrillator — or, more accurately, semi-automated since a human operator is needed. Did you know that the purpose of an AED is to stop the heart, rather than start it? More on that later. First, let’s clarify two common cardiac terms.
A “heart attack” is a plumbing issue — an artery that brings blood to the heart is blocked. Victims are usually conscious, and while they need medical attention quickly, an AED is not needed because the heart is beating, and the victim is breathing.
“Sudden cardiac arrest” is an electrical issue and occurs when the heart’s electrical system unexpectedly malfunctions. Without warning, the victim collapses and stops breathing. The heart is electrically active but beating chaotically and unable to pump blood to the brain and other organs. Medical attention is needed immediately, or the victim will die. The technical term for this is ventricular fibrillation (V-fib or VF). More than 300,000 Americans outside of hospitals die each year from sudden cardiac arrest, according to the American Heart Association. With V-fib, immediate CPR and ready access to an AED is the only hope while 911 is called.
Sudden cardiac arrest may be reversed if CPR is immediately performed, and an AED is used within minutes to shock the heart into stopping its chaotic rhythm. Once the heart is stopped, its own natural pacemaker may re-establish a life-sustaining pulse. AED trainers compare the administration of a heart-stopping shock to unplugging a home computer when it’s acting up, letting it sit for a minute, and then plugging it back in to reboot.
Underwriting grants from Excellus BlueCross BlueShield have placed AEDs into service across New York state. These AEDs issue spoken commands to coach even an untrained layperson in their use, and also in the proper administration of CPR. If the device detects a shockable rhythm, it will provide voice instruction on how to deliver an electrical charge. If it doesn’t detect a shockable rhythm, it will not allow a shock to be administered. The absence of any cardiac electrical activity is commonly called a “flat line.” For those victims, CPR offers the only chance for survival until medical professionals arrive.
Now that you know more about CPR and AEDs, your homework is to become more than an untrained layperson. Go online to RedCross.org or Heart.org and find a CPR class near you.
Lorna Fitzpatrick, MD is vice president medical affairs and medical director at Excellus BlueCross BlueShield.
For many years, Ann Himmler of Monroe County, was required to get a flu shot every year because she was a Hospice volunteer. “I was 100 percent on board with the requirement,” said Ann, “because in addition to the patients I would be spending volunteer time with, my family had also been providing care to a senior parent with compromised health issues who lived in our home.”
Ann knew that older adults and people with certain medical conditions, including a weakened immune system, are among those who are at high risk of serious complications from the flu. “It was important that our entire family receive the flu shot as well, not only to protect ourselves from getting sick, but also reduce the risk of transmitting the flu to our relative who depended on us for their care,” said Ann.
How Dangerous A Virus Can Be
The COVID-19 pandemic has raised awareness of how dangerous a virus can be and how important it is to have an effective vaccine. “In 2019, the U.S. Centers for Disease Control and Prevention estimates between 39 million and 56 million people got sick with the flu and between 24,000 and 62,000 people died of flu complications,” said Dr. Stephen Cohen, Excellus BlueCross BlueShield senior vice president and corporate medical director.
For the very young, the very old, women who are pregnant, and individuals with compromised immune systems including many patients on chemotherapy, catching the flu can place them at high risk for serious complications, including death. “Fortunately, we have a flu vaccine in hand for this year’s strains that can provide a level of immunity or reduce the severity if you do get sick,” said Dr. Cohen.
Don’t Wait to Get a Flu Shot
The flu vaccine is now available at most major pharmacies, many physician practices, and other sites in our community. With rare exceptions, the CDC recommends it for everyone ages 6 months and older. Most health insurance plans cover the flu vaccine in full, and you usually don’t need an appointment to receive it at a pharmacy.
“The flu season will last until May, but it is important to get vaccinated sooner than later to help establish a level of immunity in our community,” said Dr. Cohen. “It takes about two weeks for the vaccine to provide protection.”
Older adults should consult with their health care provider to see if they recommend the high-dose flu vaccine that is approved for people ages 65 years and older. A study published in the New England Journal of Medicine indicated that the high-dose vaccine was 24-percent more effective in preventing flu in adults 65 years and older relative to a standard-dose vaccine.
Keeping Our Community Healthy
Because of COVID-19, it’s even more important to do everything that you can to keep yourself and your family healthy this flu season. “That’s why even though it’s not required for me now, I will be in line for a flu shot again this year,” Ann said.
I had a reunion of sorts with some old friends from high school. Once we adjusted to seeing each other as “seasoned” adults, we caught up on the past 30 plus years since graduation. We chatted about the highlights: families, careers, travel, and memories from high school. As we settled in, our conversation turned toward our current stage of life: retirement, grandchildren and aging parents.
Since my parents passed away fairly young, I haven’t dealt with the caregiving challenges and issues that impact many older adults. As I listened to the conversations, I was amazed that every person talked about a parent who had fallen and the tremendous impact it had on their family.
The Leading Cause of Injury Among Older Adults
I shouldn’t have been so surprised. In upstate New York, more than 1 in 4 adults over age 65 reporting falling at least once, according to research from Excellus BlueCross BlueShield.
View ‘Protect Yourself From Falls’ infographic
Even more eye opening was to hear that my friends’ parents had been hurt or had to enter a nursing home because of the fall. Unfortunately, this is quite common. In fact, research shows that 60 percent of seniors in New York state who were hospitalized for a fall ended up in a nursing home.
Taking Steps to Avoid Falls
But falling doesn’t have to be an accepted part of the aging process. There are simple things you can do to help reduce the risk of a fall and promote independent and active lifestyles among older adults.
One friend actively involved in the care of her aging father shared her strategies to help him avoid a fall. She installed grab bars in his shower and removed throw rugs to help him avoid slipping and falling. She routinely de-clutters his home to reduce his risk of tripping. It helps that she’s a nurse, and assists her dad in managing his medications. There are certain medications, such as sedatives or some over the counter drugs, which can affect balance.
Since I’m not getting any younger, I’m taking note. Thankfully, I’ve always been active. In the past few years, I’ve become a big fan of yoga, which has helped me improve my flexibility and balance. Exercise is a good investment because physical fitness can help prevent the incidence of falls and minimize potential injury. I don’t want to be a statistic (not a bad one, anyway), so added to my long-term to do list is: continue to stay active and clean up the mess in my house.
To learn more about preventing falls, talk with your doctor or visit ExcellusBCBS.com. You might want to explore local falls prevention classes to help the older adult in your life stay healthy. Here are two organizations that offer classes in upstate New York:
