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Laura Sellers, director of operations at Skyland Trail, an 80-bed behavioral health hospital in Atlanta, has gone through 10 Joint Commission surveys.
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The proposed rules for accountable care organizations (ACOs) were released at the end of March, and Donald Berwick, MD, administrator for the Centers For Medicare & Medicaid Services, lost no time writing about their potential import in the New England Journal of Medicine.
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In today's healthcare environment, as patients are being discharged from the hospital sicker and quicker than ever before, some patients are in and out of the hospital as if they are going through a revolving door, says Catherine M. Mullahy, RN, BS, CRRN, CCM, president and founder of Mullahy & Associates, a case management training and consulting company based in Huntington, NY.
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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.
