FORT PIERCE — A trauma surgeon and nurse on their way to work at Lawnwood Regional Medical Center & Heart Institute on Saturday became first responders at an accident scene.

Dr. Alex Funicello, who was returning from a Hutchinson Island condo to finish rounds at Lawnwood, found the base of South Bridge blocked with police cars and accident tape.

Raymond Chew, 47, lay in the intersection of Seaway and Indian River drives, his motorcycle nearby and his helmet loose but still on. No emergency medical crews had arrived when Funicello arrived.

So, the trauma surgeon went to work, assessing the patient.
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ST. LUCIE COUNTY — After weeks of police officer training in a classroom, Indian River State College students move on to a small platform that provides a high-tech simulation of how they react in a real-life situation.

They’re given a weapon that only emits lasers and equipped with a belt that zaps them if they put themselves in danger.

“It teaches consequences if they make bad decisions,” Stephen Huntsberger, associate dean of Public Service Education for IRSC, said of the VirTra Systems simulator at the complex.

The simulator is one of the planned demonstrations at Friday’s public open house at the new Indian River State College Public Safety Complex.
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TREASURE COAST — The number of Treasure Coast medical equipment suppliers for Blue Cross/Blue Shield patients will dwindle to three starting Nov. 1.

The cutbacks follow a competitive bidding process by regional suppliers who provide products from diabetes testing strips to oxygen machines statewide to remain in the Blue Cross/Blue Shield of Florida network.

Liberty Medical Supply and Physician’s Choice Respiratory Services, Inc., both in Port St. Lucie, and Rotech Oxygen & Medical Equipment in Stuart remain as the lone Treasure Coast suppliers after the bidding, according to a Blue Cross/Blue Shield list sent to Oxygen Plus in Vero Beach.
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TREASURE COAST — Two Treasure Coast hospitals have made a national list of poorly performing health facilities near travel hot spots.

USA Today included Indian River and St. Lucie medical centers on a list of hospitals with greater-than-average mortality rates near vacation spots. The national newspaper used statistics from Hospital Compare, a government-run Web site, to look at the mortality rates for heart attack, heart failure and pneumonia and singled out hospitals whose rates were worse than the national average.

Heart failure put Indian River Medical Center on USA Today’s list. St. Lucie Medical Center made the list with higher-than-average rates for heart failure and heart attack.
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STUART — More than a century ago, shipwrecked sailors who washed up on the Treasure Coast immediately looked for mile markers nailed to trees and posts to direct them to safety.

These markers were designed to be easily understood by men from every country and education level. Over time they were lost to history, but replicas are currently on display at the House of Refuge at Gilbert’s Bar. (more…)

INDIAN RIVER COUNTY — The attorney for County Administrator Joe Baird says the police traffic stop that led to Baird’s arrest on DUI and speeding charges was illegal.

And on Wednesday, attorney Bobby Guttridge plans to ask County Judge David Morgan to throw out the case, according to court documents. (more…)

New Medicare payment rules are starting to strangle local small oxygen suppliers by forcing them to turn away business.

In the process, patients who live here part-time, travel, move or want to switch suppliers locally are left struggling to find new options for oxygen.

“This is going to dramatically affect patients’ lifestyles, how they move and their freedom,” said Mark Hassett, general manager of Stuart-based OxyPros Inc., which also has a Port St. Lucie office “Patients need to speak up.”

In the new rules for 2009, Medicare pays suppliers about $164 monthly for three years for patients renting respiratory equipment. In the following two years, suppliers continue providing oxygen and services, but only receive negligible reimbursement. After the fifth year, the payment cycle begins again and patients are entitled to new equipment.

Now, it’s become a losing proposition, suppliers said, to take a patient who has been on oxygen even for a year or two, because two years of providing essentially free oxygen and services follow.

And close to three full years is necessary to cover the costs of the impending two-year period with little reimbursement, said Kathie Rovella of Oxygen Plus in Vero Beach.

So suppliers are often forced to reject patients who are a few years into their oxygen use. Oxygen Plus has turned away 12-15 patients this year because of the new billing cycle, including two in the last week, Rovella said.

Because much of Florida’s population doesn’t live in the state year-round that can make it difficult because patients have to find a supplier in two locations. And patients a few years into the cycle who move are often left confused and without coverage.

Travel cane be even more difficult.

Patients either have to lug their equipment around with them, or search diligently for willing suppliers wherever they are going, Rovella said.

The rule is part of a large-scale effort to cut Medicare costs and eliminate fraud in the oxygen industry, which long lacked sufficient regulation, said Zane Morgan, a manufacturers representative for several Florida oxygen suppliers.

Dorothy McGrath is approaching four years using oxygen. She decided that carrying her 30-pound concentrator to Kentucky to see her daughter last month was unreasonable.

So McGrath, of Hobe Sound, rented from a local supplier, and was handed a $150 bill, which OxyPros luckily paid for her.

Because McGrath was in the middle of her third year, the Kentucky supplier wouldn’t accept her Medicare.

“You’re really bound to your house, and that’s not fair,” said McGrath, 63.

Patients like McGrath, who travel, move across the state, live seasonally up North, or look to move closer to family simply are getting turned away, Hassett said.

Meanwhile, the loss in customers and reimbursement could be debilitating for small suppliers in the long run.

Medicare reimbursement hardly accounts for labor costs, like providing 24/7 on-call services, and equipment set-up, maintenance and refills, which in reality are the prime expenses for suppliers, Hassett said.

OxyPros and Oxygen Plus have both added smaller health-care items to their inventories to help make up for profit losses. And OxyPros is in a hiring freeze, while Oxygen Plus staff members have taken pay cuts.

But neither company is confident small suppliers will be able to continue the same services without a large-scale change.

“Oxygen Plus is a mom-and-pop store,” Rovella said. “And trust me, we won’t be able to sustain this much longer.”

In the end, however, it’s the patients like those who come in for portable oxygen so they can move and be active who suffer — and who become confined to one area in an effort to be mobile.

“They’re not thinking about the person’s life,” McGrath said. “It’s important when you’re disabled to be near your friends and family.

“Everybody has to breathe.”

OXYGEN BREAKDOWN

In years one to three, suppliers receive an average of $200 per month – 80 percent from Medicare, and a 20 percent copay from the patient or secondary insurer – for renting, installing and maintaining rented oxygen equipment

In years four and five, Medicare offers minimal reimbursement to oxygen suppliers, who are required to continue offering the same equipment and services

After five years, the payment cycle restarts, and patients are entitled to new equipment

By Jonathan Mattise, TCPalm.com

PORT ST. LUCIE — Thousands of festival-goers might not be able to enjoy the next annual Oktoberfest, St. Patrick’s Day Festival, and Art and All That Jazz because of city budget cuts.

The city’s Community Redevelopment Area staff is recommending the City Council cut the $10,000 sponsorship it gives to each festival. Assistant City Manager Greg Oravec, who also serves as the agency’s director, sent letters earlier this month giving the bad news to the organizers.

He said last week he doesn’t know how long the cuts will last, and the festivals will have to raise more money privately.
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Motorists preparing for the July 4 weekend should take precautions while driving through St. Lucie and Martin counties on Interstate 95 this week.

Travelers should expect several lane closures on I-95 Monday through Thursday. Here’s a look at what will be closed and when to help avoid traffic:

Between State Road 70 to Midway Road: Two southbound lanes will be closed overnight, 8 p.m. to 6 a.m., Monday through Thursday between the two roads. The reason: A repaving project in St. Lucie County.

Southbound exit to St. Lucie West (Exit 121): Will be closed to all traffic from 9 p.m. Tuesday to 6 a.m. Wednesday. Continue to the Gatlin Boulevard interchange, turn around and travel north to the St. Lucie West interchange to exit.

Gatlin Boulevard interchange: One northbound lane in the area will be closed Thursday 9 a.m. to 4 p.m. as part of the installation of overhead electronic message signs. The same project will require a northbound lane to be closed north of the High Meadows Avenue interchange and in the area of Bridge Road 9 a.m. to 4 p.m. Monday, as well as closure of a lane at the Kanner Highway interchange Tuesday and a lane at the State Road 714 interchange on Wednesday.

South Martin County: One northbound lane will be closed 7 a.m. to 4:30 p.m. Monday through Thursday as part of the construction of a truck weigh station.

By Eric Pfahler, TCPalm.com

STUART — A constitutional challenge is prompting the Martin County commissioners to rethink a strict noise ordinance they enacted in February to crack down on loud music at bars and other businesses.

Deanna Kernan, the owner of the Martin Downs Sports Resort in Palm City, and Susan Masterson, the resort’s manager, have asked a county judge to declare the noise ordinance unconstitutional because it is “overbroad.”

Kernan, 42, of Palm City, and Masterson, 39, of Stuart, also have asked Judge Stewart Hershey to dismiss the misdemeanor charge they violated the county’s noise ordinance because music from the resort could be heard more than 150 feet away. (more…)