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The problem of "churning," when individuals cycle on and off Medicaid rolls, is expected to increase after the Medicaid expansion, according to a study published in the February 2011 issue of Health Affairs, "Issues In Health Reform: How Changes In Eligibility May Move Millions Back And Forth Between Medicaid And Insurance Exchanges."
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The National Quality Forum has a time-limited (pilot) measurement of influenza vaccination coverage of healthcare personnel.
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At Virginia Mason Medical Center in Seattle, every health care worker, contractor, vendor, and volunteer needs to be tracked for the hospital's strict mandatory influenza vaccination policy.
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The California regulation, which became effective in 1991, includes the following provisions:
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Hospitals should provide pertussis vaccines to their health care workers free of charge, but should still treat employees with antibiotics if they have unprotected exposure to patients with pertussis and work with patients at high risk, such as young infants, a federal vaccine advisory panel says.
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The carrot and the stick have worked in Washington state to reduce the number and severity of safe patient handling injuries.
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Even when health care workers return to work after being ill with influenza, they still may be shedding viable virus. That is a finding from an analysis of a small outbreak of pandemic H1N1 in the fall of 2009.
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As this issue went to press, more stringent standards for influenza immunization of hospital workers were under consideration by the Joint Commission.
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Everyone wants to have high rates of health care worker influenza immunization, but just who gets counted in their numbers?
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Identify hazards. Take steps to address them. Train employees in safety measures. Evaluate your program and make improvements.
