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Every year, Colorado Medicaid spends $20 million on hospital readmissions that occur within 30 days. This fact was brought to light as a result of a comprehensive data analysis done a year ago. It is one of the reasons that readmissions have become a key priority for the program.
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With Medicaid enrollment increases of 3,000 a month showing no signs of slowing, having already made virtually all possible cuts to the program, and facing a projected $3 billion shortfall in the state, Charles Duarte, administrator for Nevada's Division of Health Care Financing and Policy, describes the process of planning for an estimated 150,000 more people coming onto the program as one of "cognitive fiscal dissonance."
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Providing seamless enrollment procedures is still a work in progress for state Medicaid programs under the current eligibility system, but doing so under health care reform is a health information technology (HIT) challenge of epic proportions.
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Add current data to your clinical knowledge base: the Advisory Committee on Immunization Practices (ACIP) has issued updated recommendations for routine and catch-up vaccination of females with the bivalent or quadrivalent human papillomavirus vaccines (HPV2, HPV4), as well as published its policy statement and summarized background data on use of the HPV4 vaccine in males.
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Imagine being an occupational health nurse at a plant that had 10% of its workforce off work, because of work-related injuries or illnesses.
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You might imagine that employees consider occupational health to be a valuable resource, and a tireless advocate for their health and safety. However, you won't really know for sure unless you ask.
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For emergency room nurse Rita Anderson, RN, CEN, the assault was as sudden and unpredictable as a stroke of lightning.
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"Two dead in Tennessee Hospital Shooting" New York Times, April 19, 2010
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The unprotected exposure of a respiratory therapist who later developed bacterial meningitis triggered the first citations under California's new Aerosol Transmissible Disease Standard with fines of $101,485, including two "willful" violations, the strongest possible penalty, against Alta Bates Summit Medical Center in Oakland, CA.