Filed under: Arizona, City of Phoenix, City of Phoenix News, Family, Health, Maricopa County, Phil Gordon, Phoenix, Phoenix Arizona, State of Arizona, Summer, US - AZ (Phoenix) | Tags: Health and Safety, Heat, Phoenix Police, Phoenix Police Department, Safety, Summer Fun, Water Safety
Tips to Stay Safe in the HeatCommunity Information & Referral
or Call: (602) 263-8856
As temperatures begin to rise well over 100 degrees, the city of Phoenix Emergency Management Program, in cooperation with the state, Maricopa County, and nonprofit and faith-based organizations, is prepared to take action to ensure the safety of its residents.Both the Fire and Police departments will respond to heat emergencies and provide water during extreme heat warnings. The Human Services Department is offering heat stress training seminars for its meal delivery aides, minibus operators and caseworkers for seniors who come in contact with the elderly.
“The best advice we can give to residents is to stay hydrated, especially when you go outside during the day. And please keep a special eye on your neighbors, particularly the elderly,” said Mayor Phil Gordon.“Phoenix also is working closely with nonprofit and faith-based organizations that are helping with outreach efforts to the homeless,” he said.
DonationsThrough the city’s annual Summer Respite Program, the public is asked to donate unopened water bottles, sunscreen, new underwear, white socks, white T-shirts and prepackaged snack items that will be distributed to the homeless. Tax-deductible donations may be delivered to the city’s four Family Services Centers: Travis L. Williams, 4732 S. Central Ave., 602-534-4732; John F. Long, 3454 N. 51st Ave., 602-262-6510; Central Phoenix, 1250 S. Seventh Ave., 602-534-1250; and Sunnyslope, 914 W. Hatcher Road, 602-495-5229. The centers are open from 8 a.m. to 5 p.m. Monday – Friday.
The city partners with 10 local homeless outreach teams to distribute these items. They include Tumbleweed Center for Youth Development, Stand Up for Kids, Community Bridges, HomeBase Youth Services, Connection to Care Team, The Salvation Army Project HOPE, Health Care for the Homeless, TERROS, Southwest Behavioral Health Service PATH Outreach and US Vets.City staff is working with faith-based organizations in the metropolitan area to provide heat assistance in the areas of hydration and respite efforts and wellness checks. They will help collect, store and distribute bottled water; provide a cool, safe place for people to escape the heat; and check on the elderly and disabled to make sure they have access to cool and safe places. City staff is providing training and information to these volunteers. Any faith-based organizations interested in assisting can call 602-262-4520.
St. Mary’s Food Bank also will assist the city in storing large quantities of water during the summer months. Any company or group interested in donating water or contributing funds to buy water can call the Human Services Department at 602-262-4520.The Human Services Campus Day Resource Center will provide services and respite for homeless individuals in downtown Phoenix. The Phoenix Rescue Mission will offer day respite, meals and shelter at its 35th Avenue location and United Methodist Outreach Ministries will provide additional day and night shelter for women and families. Residents needing further information about these services can call Community Information and Referral at 602-263-8856.
Tips to keep cool and healthy during times of extreme heatEven healthy people should take it easy during extremely high temperatures, and those with respiratory and other health problems must be especially careful. Stay out of the sun as much as possible. Drink extra fluids, but avoid alcoholic beverages. Alcohol can cause dehydration. The best ways to prevent a sun stress emergency are:
- Drink before you’re thirsty and drink often.Eat a healthy diet.
- Wear a hat or cap, keep the neck covered and wear loose fitting clothing. The greatest amount of heat loss from the body occurs at the head. This is why it is important to wear a hat or cap in the sun.
- If you can, work in the cool hours of the day or evening.
According to the Phoenix Fire Department, heat-related injuries fall into three major categories:
- Heat cramps are muscular pains and spasms that occur when the body loses electrolytes during profuse sweating or when inadequate electrolytes are taken into the body. They usually begin in the arms, legs or abdomen, and often precede heat exhaustion. Treatment for heat cramps is to rest in the shade, get near a fan, spray the person with water and massage the cramp.
- Heat exhaustion is a medical emergency. When a person is suffering from heat exhaustion, they will perspire profusely and most likely will be pale. It is best treated by taking the patient to a cool place, applying cool compresses, elevating the feet and giving the patient fluids.
- Heatstroke is the worst heat-related injury. The brain has lost its ability to regulate body temperature. The patient will be hot, reddish and warm to the touch. Their temperature will be markedly high and there will be no perspiration. This is a medical emergency: call 9-1-1. The emergency care of heatstroke is to cool the body as quickly as possible. One of the best methods for cooling the body during a heat emergency is to wrap the patient in cool, wet sheets.
- Heat exhaustion is a medical emergency. When a person is suffering from heat exhaustion, they will perspire profusely and most likely will be pale. It is best treated by taking the patient to a cool place, applying cool compresses, elevating the feet and giving the patient fluids.
Tips to avoid heat related illness:
- Never leave infants, children or pets inside a parked vehicle.
- Increase fluid intake, regardless of activity level. Don’t wait until thirsty to drink fluids; drink more liquid than one’s thirst indicates.
- Avoid “heat hangover.” Continue to drink fluids even after strenuous activity. This will enable the body to maintain optimum hydration, and help prevent the after effects of heat exposure such as headaches and fatigue.
- Avoid beverages containing alcohol, caffeine or large amounts of sugar as they dehydrate the body.
- Avoid very cold beverages as they cause stomach cramps.
- Limit exercise or outdoor activity between the hours of 11 a.m. and 3 p.m. when the sun is at its peak intensity. If active during this time frame, drink a minimum of 16 to 32 ounces of water each hour.
- Some medications, both prescription and over-the-counter, may increase the risk of heat related illness. Consult your physician if you have questions.
- Take advantage of free air conditioning! Visit shopping malls, movie theaters or the library to escape the heat for a few hours.
- Increase fluid intake, regardless of activity level. Don’t wait until thirsty to drink fluids; drink more liquid than one’s thirst indicates.
Outdoor protection:
- When outdoors, wear a sunscreen with a minimum SPF15. Apply at least 30 minutes prior to going outdoors and re-apply as necessary.
- Rest frequently in shady areas so that the body’s temperature has a chance to recover.
- If unaccustomed to working or exercising in a hot environment, gradually increase the pace and limit exercise or work time.
- Rest frequently in shady areas so that the body’s temperature has a chance to recover.
Clothing:
- Wear lightweight, loose-fitting clothing.
- Wear sunglasses to protect the eyes.
- Use a wide-brimmed hat to provide shade and keep the head cool.
- Take special precaution with infants and young children by dressing them in loose, cool clothing and shading their heads
- Wear sunglasses to protect the eyes.
Cars and HeatWhen temperatures reach 100 degrees Fahrenheit, even with a window partially open, the temperature inside a car can reach 138 degrees in five minutes and up to 150 degrees in 15 minutes. In these conditions, children can die very quickly – in a matter of minutes. Infants and small children are particularly vulnerable due to their body configurations. The younger the child, the faster the onset of heatstroke and dehydration.
- 75 percent of the temperature rise occurs within five minutes of closing and leaving the car.
- 90 percent of the temperature rise occurs within 15 minutes.
- Dark colored cars reach slightly higher temperatures than light colored cars.
- The greater the amount of glass in the car (hatchbacks, etc.) the faster the rise in temperature.
- Larger cars heat up just as fast as smaller cars.
- Having the windows down even one inch causes only a slight temperature drop.
- 90 percent of the temperature rise occurs within 15 minutes.
Additional Information
- Personal Cool – Tips for Public Transit Riders
- State of Arizona – az211.gov
- National Weather Service Forecast Office
- Arizona Department of Health Services (AZDHS)
- Maricopa Association of Governments
- State of Arizona – az211.gov
Filed under: City of Phoenix, City of Phoenix News, Health, Health Care, Phoenix, Phoenix Arizona, US - AZ (Phoenix) | Tags: Health and Safety, Hospice
Chemed Announces
VITAS Exiting
Phoenix Hospice Market
Chemed Corporation (Chemed) (NYSE:CHE), which operates VITAS Healthcare Corporation (VITAS), the nation’s largest provider of end-of-life care, and Roto-Rooter, the nation’s largest commercial and residential plumbing and drain cleaning services provider, today reported on several issues impacting operating results for the third quarter of 2006.
The Company announced VITAS is exiting the hospice market in Phoenix, Arizona. VITAS has been successful in growing admissions of terminally ill patients who reside primarily in assisted living settings within the Phoenix community. Patients residing in these types of facilities tend to exit curative care and enter into hospice relatively early into their terminal illness diagnosis. The current Medicare hospice reimbursement program limits payment for hospice care when a significant portion of the patient census enters into hospice early into their terminal diagnosis. Although VITAS, on average, has relatively short average and median lengths-of-stay in the majority of its programs, each program is measured separately and cannot be considered in aggregate of its hospice programs under common control and ownership.
The Phoenix program currently provides hospice care to approximately 200 terminally ill patients per day. Revenue and operating losses for Phoenix in the first six months of 2006 aggregated $3.0 million and $0.9 million, respectively, including $1.7 million of revenue reduction for Medicare billing limitations, or Medicare Cap. Full-year revenue and operating loss projections for Phoenix are estimated at $3.7 million and $4.3 million, including $6.3 million in revenue reductions for Medicare Cap. The after-tax cost to exit the Phoenix market, excluding the operating losses noted above, is estimated to range from $4.5 to $5.5 million.
VITAS announced in the second quarter of 2006 that two programs, excluding Phoenix, were anticipated to be in contractual billing limitations with Medicare in calendar year 2006. Based upon current trends, the total Medicare Cap for these two programs in calendar year 2006 is estimated to range between $4.7 and $7.6 million, with $0.6 million being recorded in the second quarter of 2006, $2.0 million to $3.0 million estimated to be recorded in the third quarter of 2006 and $2.1 million to $4.0 million to be recorded in the fourth quarter of the year. These estimates assume a modest deterioration in admission and discharge metrics in these two programs through the end of 2006. These two programs are estimated to generate over $3 million in operating profit in 2006.
The third-quarter 2006 Medicare Cap accrual will also include an additional $1.0 million for estimated prior-year billing limitations resulting from the Fiscal Intermediary reallocating admissions for deceased Medicare patients who received hospice care from multiple providers. Of this prior-year billing, $0.5 million is for one of the programs noted above and $0.5 million is estimated for a program not anticipated to have a billing restriction in calendar year 2006.
VITAS also released interim third quarter operating metrics. Through July and August 2006, VITAS had an Average Daily Census of 11,194, an increase of 9.7%, and admissions growth of 4.2%, when compared to the equivalent prior year period. August 2006 year-to-date ADC and admissions, excluding Phoenix, have increased 10.6% and 5.3%, respectively.
Chemed announced that it has reached a preliminary agreement in regard to litigation related to the divestiture of its Patient Care business segment. As part of this agreement, the company will convert $2.6 million of the current receivable due from Patient Care into a promissory note due October 2007. This note will bear interest quarterly at a 9.5% annual interest rate. The company will take an after-tax charge of $1.7 million representing a write-off of the remaining receivable balance as well as costs associated with certain contingent insurance claims and other items related to the Patient Care business. Chemed received Patient Care warrants with a value of $1.4 million at the time of the divestiture. The company has determined the valuation of these warrants is impaired. This impairment will result in a third quarter 2006 after-tax charge of $0.9 million.
Guidance for 2006
VITAS is estimated to generate full-year revenue growth from continuing operations, prior to Medicare Cap, of 14.0% to 14.5%, increased admissions of 5.0% to 5.5%, increased ADC of 10.0% to 11.0% and adjusted EBITDA margins, prior to Medicare Cap, of 12.9% to 13.2%. This guidance assumes a Medicare price increase that will average 3.8% in the fourth quarter of 2006.
Full-year Medicare contractual billing limitations, excluding Phoenix, which is anticipated to be classified as a discontinued operation in 2006, are estimated to range from $5.7 million to $8.6 million, which equates to revenue reduction of 80 to 120 basis points.
Roto-Rooter is estimated to generate a 6.0% to 7.0% increase in revenue in 2006, job count growth between 0.5% and 1.0% and adjusted EBITDA margins averaging between 16.5% and 17.0%.
Based upon these factors, an effective tax rate of 39% and average diluted share count of 26.7 million in the second half of 2006, our expectation is that full-year 2006 earnings per diluted share from continuing operations, excluding any charges or credits not indicative of ongoing operations, and excluding expense for stock options, will be in the range of $2.00 to $2.10. This earnings per share guidance includes $.13 to $.20 for the after-tax impact of Medicare Cap related to continuing operations.
Conference Call
Chemed will host a conference call and webcast at 9:00 a.m., ET, on Friday, September 29, 2006, to discuss this press release and provide an update on its business. The dial-in number for the conference call is (800) 561-2601 for U.S. and Canadian participants and (617) 614-3518 for international participants. The participant pass code is 50409048. A live webcast of the call can be accessed on Chemed’s website at www.chemed.com by clicking on Investor Relations Home.
A taped replay of the conference call will be available beginning approximately two hours after the call’s conclusion. It can be accessed by dialing (888) 286-8010 for U.S. and Canadian callers and (617) 801-6888 for international callers and will be available for one week following the live call. The replay pass code is 79291237. An archived webcast will also be available at www.chemed.com and will remain available for 14 days following the live call.
Chemed Corporation operates in the healthcare field through its VITAS Healthcare Corporation subsidiary. VITAS provides daily hospice services to over 11,000 patients with severe, life-limiting illnesses. This type of care is focused on making the terminally ill patient’s final days as comfortable and pain-free as possible.
Chemed operates in the residential and commercial plumbing and drain cleaning industry under the brand name Roto-Rooter. Roto-Rooter provides plumbing and drain service through company-owned branches, independent contractors and franchisees in the United States and Canada. Roto-Rooter also has licensed master franchisees in Indonesia, Singapore, Japan, Mexico, and the Philippines.
Forward-Looking Statements
Certain statements contained in this press release and the accompanying tables are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. The words “believe,” “expect,” “hope,” “anticipate,” “plan” and similar expressions identify forward-looking statements, which speak only as of the date the statement was made. Chemed does not undertake and specifically disclaims any obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. These statements are based on current expectations and assumptions and involve various risks and uncertainties, which could cause Chemed’s actual results to differ from those expressed in such forward-looking statements. These risks and uncertainties arise from, among other things, possible changes in regulations governing the hospice care or plumbing and drain cleaning industries; periodic changes in reimbursement levels and procedures under Medicare and Medicaid programs; difficulties predicting patient length of stay and estimating potential Medicare reimbursement obligations; challenges inherent in Chemed’s growth strategy; the current shortage of qualified nurses, other healthcare professionals and licensed plumbing and drain cleaning technicians; Chemed’s dependence on patient referral sources; and other factors detailed under the caption “Description of Business by Segment” or “Risk Factors” in Chemed’s most recent report on form 10-Q or 10-K and its other filings with the Securities and Exchange Commission. You are cautioned not to place undue reliance on such forward-looking statements and there are no assurances that the matters contained in such statements will be achieved.
Filed under: City of Mesa, Family, Health Care, Homeless, Human Services, Mesa | Tags: Assistance, Grants, Health and Safety, Homeless Shelters
MesaCAN receives community action agency designation
Mesa Community Action Network, Inc. (MesaCAN) has been awarded the Community Action Agency (CAA) designation by the Arizona Department of Economic Security (DES). When the CAA designation becomes effective on Oct. 1, MesaCAN will directly receive Federal and State funding to provide services that assist low-income individuals and families in Mesa to move out of poverty toward economic self-sufficiency. Previously, services and funds were provided to MesaCAN through the City of Mesa.
“This is one of the agency’s most significant milestones,” according to Pat Gilbert, MesaCAN Executive Director. “MesaCAN is excited about the opportunities ahead as it moves forward as the community action agency. Without the help of city staff in this achievement, MesaCAN could not have accomplished this goal.”
The City of Mesa has been the CAA since 1996, however the Mesa City Council voted to relinquish that designation in Aug. 2005 in order to allow a private nonprofit organization the opportunity to obtain the designation.
“The City has long recognized that nonprofit agencies are vital community partners that provide invaluable services to Mesa residents and we are very pleased that MesaCAN received this designation,” said Kit Kelly, Community Revitalization Director.
MesaCAN brings significant knowledge and expertise in serving low-income individuals and families, and presently provides an array of services including case management services, emergency services, and utility assistance, transitional living facility for homeless men, tax preparation assistance, individual development account programs, emergency food box services, clothing bank and a thrift store.
Filed under: Arizona, City of Mesa, City of Phoenix News, Education, K-12 Schools, Mesa, Phoenix, Police, Schools, Services, State of Arizona, Youth | Tags: Back to School, Bicycle Safety, Bike Safety, Children, Health and Safety, Police Department, Safety, School Safety
Back To School – It’s time to start thinking about school zone safety
The start and end of each school day are the busiest times on local school campuses. Children are taught safe walking rules, but are easily distracted and impulsive. Do not assume if the children see the car, that the driver of the car can see them, because this is not always true. A few simple tips will help keep our children safe. Practice these safe-walking behaviors with your children:
— Walk children in grades k-3rd to school. Do not allow them to cross the street alone.
— Cross streets at corners, using traffic signals and crosswalks when available. Do not cross mid-block!
— Look for traffic before crossing — look left, then right, then left again.
— Do not play around or push friends while waiting to cross.
— Prohibit children from playing near driveways, streets and parking lots.
— Wear bright colors. Drivers will see the children better.
If your child rides a school bus, talk with them about:
— Be at the bus stop on time. Never run to or from a bus.
— Wait at the designated stop in a safe place well away from the street.
— Stay out of the danger zone. The driver cannot see you if you are standing closer than 10 ft. to the bus.
— If something falls under or near the school bus, tell the driver. Never try to pick it up yourself.
— Hold the handrail as you get on and off the bus. Do not push or shove.
— Keep your head and arms inside the bus. Do not throw anything outside the windows.
— Always follow the bus driver’s instructions. Be familiar with the rules for emergencies.
If your child will be riding a bike to and from school, remember:
— Make sure the bike is in good working condition.
— Wearing a bike helmet can reduce injuries up to 85%. Let your child pick out one that fits them now, not one that they will grow into. Purchase a bright color so your child will be easily seen.
— Leave your helmet with your bike, scooter, or roller blades. That way you will more likely remember to put it on.
— Always ride on the right side of the road. Obey all other traffic rules.
— Watch out for cars coming out of driveways and alleys, or pulling away from the curb.
— Walk your bike across the crosswalk.
If you have questions regarding school zone safety, please contact Jean DeStories Transportation Safety Educator at 480.644.3398, or jean.destories@cityofmesa.org.
Filed under: Arizona, City of Phoenix, City of Phoenix News, Homeless, Human Services, Phoenix, Services, Summer | Tags: Donations, Health and Safety, Homeless Shelters, Weather
Homeless Need Help Staying Cool in the Summer
Homeless Hotline (602) 263-8845
When the temperatures soar and the hot summer days are upon us, many homeless people who live on the streets do not have their basic needs met.
The city of Phoenix is asking people to donate only the following items – unopened water bottles, sunscreen, new underwear, white socks, white T-shirts and prepackaged snack items such as individually wrapped cookies and crackers – that will be distributed to the homeless. Cash or check donations to supplement the donated items also are welcomed. The program runs until Aug. 31.
Tax-deductible donations may be delivered to the city’s four Family Services Centers: Travis L. Williams, 4732 S. Central Ave., 602-534-4732; John F. Long, 3454 N. 51st Ave., 602-262-6510; Central Phoenix, 1250 S. Seventh Ave., 602-534-1250; and Sunnyslope, 914 W. Hatcher Road, 602-495-5229. The centers are open from 8 a.m. to 5 p.m. Monday to Friday.
The donated items are distributed by local homeless outreach teams from Tumbleweed Center for Youth Development, HomeBase Youth Services, The Salvation Army Project HOPE, Health Care for the Homeless, Terros and Southwest Behavioral Health Service PATH Outreach.
Filed under: Arizona, City of Phoenix, City of Phoenix News, Events, Family, Health, Health Care, Human Services, Medical, Parks and Recreation, Phoenix, Services, Youth | Tags: Adult Center, CPR, Health and Safety, Healthy Lifestyles, Lifestyles, Senior Centers, Summer Fun, Water Safety
Healthy Lifestyles Promoted at Phoenix’s Brindar a tu Salud (Cheers to Your Health)The city of Phoenix Parks and Recreation Department’s Washington Adult Center will be hosting a free family health and safety fair titled Brindar a tu Salud (Cheers to Your Health) on Aug. 5 from 9:30 to 11:30 a.m. The Washington Adult Center is located at 2240 W. Citrus Way (near the intersection of Glendale and 21st avenues).
Brindar a tu Salud will feature free medical screenings and information booths with nutritional fun facts and summer survival techniques. Individuals attending the event also will be able to get free immunizations, refreshments and learn CPR and water safety.
The event also will feature fun activities that will get children involved in, and excited about their own health and nutrition including fingerprinting, safety tips, and fun food games involving gelatos, Jell-O eating, a gigantic food pyramid game, and fruit faces.
Event participants will receive free raffle tickets that are good for free visits to the Walk-In Medical Clinic and discount coupons that may be used at the clinic for school and sports physicals. The entire family is invited to come out and learn the easy steps to having a happy, healthy summer.
Those interested can call 602-262-6971 for more information.