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At least six children have died this year of invasive infections with community strains of methicillin-resistant Staphylococcus aureus (MRSA) after acquiring influenza, Hospital Infection Control has learned.
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While annual respirator fit-testing has proven to be the most controversial element of the recent federal action on TB, a new requirement for medical evaluation of employees also will affect infection control and employee health programs.
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The Occupational Safety and Health Administrations (OSHA) 1998 respiratory protection standard, which now applies to tuberculosis exposures in health care settings, includes the following general requirements for respirator fit-testing:
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Its not unusual for members covered by Blue Cross Blue Shield of Arkansas to drop by the office and visit their case manager in person.
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When Blue Cross Blue Shield of Michigan decided to create a proactive case management and disease management program, the Detroit-based insurer turned to predictive modeling to identify which of its members were eligible for the BlueHealthConnection program.
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Before Blue Cross Blue Shield of Michigan launched its BlueHealthConnection program, disease management nurses and case management nurses were in separate departments and never talked.
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When Blue Cross Blue Shield of Michigan created its proactive case management and disease management program, the Detroit-based insurer looked for every opportunity to interact with members, in addition to maximizing the traditional disease management and case management strategies.
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Studies of terminally ill patients indicate that a small number of them want the option of physician-assisted suicide (PAS) or other means of controlling the manner in which they die. Yet with PAS legal in only one state, most will not have that option.
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Rather than age or severity of illness, the strongest determinants of the withdrawal of ventilation in critically ill patients are often the physicians perception that the patient preferred not to use life support or had a low chance of survival in the intensive care unit, a recent study1 by the Canadian Critical Care Trials Group and the Level of Care Study Investigators has found.
