This document discusses healthcare quality initiatives at the U.S. Department of Health and Human Services (HHS) related to reducing hospital-acquired infections and improving patient safety. It outlines the Partnership for Patients program which aims to reduce preventable hospital conditions by 40% and readmissions by 20% by 2013. It also describes HHS efforts to prevent healthcare-associated infections through state reporting requirements, research funding, and linking Medicare payments to quality measures.
This document summarizes a workshop on patient safety hosted by the European Patients' Forum (EPF). It defines key terms like patient safety, medical errors, and system failures. It outlines the EU legislative framework and opportunities for patient involvement. Survey results from EPF members showed low awareness of recommendations but a role for patient organizations in developing safety information. Members saw informing citizens, prioritizing safety, and involving patients and health professionals as important to better implement recommendations.
Universal precautions is the practice of treating all human blood and bodily fluids as if they were known to be infectious for HIV, HBV, and other bloodborne pathogens.
– What are the three bloodborne pathogens covered by the standard?
The document provides an overview of regulatory training on national patient safety goals. It discusses the Joint Commission's role in developing patient safety standards and how facilities are reviewed. It then summarizes several key national patient safety goals, including: accurately identifying patients; preventing transfusion errors; timely reporting of critical test results; safe medication use; preventing healthcare-associated infections; medication reconciliation; minimizing suicide risk; and using a universal protocol for surgeries.
This document discusses infection prevention strategies in cardiac surgery patients. It covers several topics:
1. Intensive care unit-acquired infections account for substantial morbidity, mortality, and costs, with infections and sepsis as a leading cause of death. Proper infection control practices can help reduce these infections.
2. Common strategies to prevent healthcare-associated infections include proper hand hygiene, surgical site infection prevention, central line-associated bloodstream infection prevention, and ventilator-associated pneumonia prevention.
3. The most prevalent healthcare-associated infections are urinary tract infections, surgical site infections, bloodstream infections, and pneumonia - together accounting for 80% of cases. Catheter-associated urinary tract infections are
This document discusses patient safety and the World Health Organization's (WHO) efforts to promote it. It notes that 1 in 10 hospital patients are harmed, medical errors cost billions annually, and the chances of being harmed during healthcare (1 in 300) are much higher than during air travel (1 in 1,000,000). The WHO works to improve patient safety through research, public campaigns on hand hygiene and safe surgery, education and training, implementing solutions, and engaging patients. Its goals are to make healthcare delivery safe for all patients by strengthening health systems and addressing this serious public health issue.
This document discusses bloodborne pathogens and occupational exposure. It defines bloodborne pathogens as pathogenic organisms present in human blood that can cause disease. The three major bloodborne pathogens are HIV, Hepatitis B, and Hepatitis C. The document outlines the Bloodborne Pathogens Standard which requires employers to implement exposure control plans, engineering controls, personal protective equipment, training, vaccination, and other measures to protect employees from exposure to bloodborne pathogens. It provides information about each bloodborne disease, symptoms, treatment, and prevention through vaccination. The goal of the standard is to prevent occupational transmission of bloodborne infections like HIV and hepatitis.
This document provides an overview of bloodborne pathogens and awareness training. It discusses the risks posed by bloodborne pathogens like hepatitis B, hepatitis C, and HIV. The training covers regulations from OSHA, exposure prevention methods, vaccination requirements, and recordkeeping responsibilities. The goal is to minimize health risks for workers who may be exposed to blood and infectious materials.
This document discusses patient safety management and programs. It begins by distinguishing between patient safety programs, which focus on safety during medical management, and safe hospital initiatives, which focus on safety during disasters. Both ultimately aim to ensure patient safety. It then reviews the status of patient safety practices in the Philippines, including the national policy from 2008. While all hospitals have some patient safety programs to maintain licensure, the extent of development varies, with a few being well-developed and most being underdeveloped. International standards provide more comprehensive requirements that better-developed hospitals have met through accreditation.
This document summarizes a workshop on patient safety hosted by the European Patients' Forum (EPF). It defines key terms like patient safety, medical errors, and system failures. It outlines the EU legislative framework and opportunities for patient involvement. Survey results from EPF members showed low awareness of recommendations but a role for patient organizations in developing safety information. Members saw informing citizens, prioritizing safety, and involving patients and health professionals as important to better implement recommendations.
Universal precautions is the practice of treating all human blood and bodily fluids as if they were known to be infectious for HIV, HBV, and other bloodborne pathogens.
– What are the three bloodborne pathogens covered by the standard?
The document provides an overview of regulatory training on national patient safety goals. It discusses the Joint Commission's role in developing patient safety standards and how facilities are reviewed. It then summarizes several key national patient safety goals, including: accurately identifying patients; preventing transfusion errors; timely reporting of critical test results; safe medication use; preventing healthcare-associated infections; medication reconciliation; minimizing suicide risk; and using a universal protocol for surgeries.
This document discusses infection prevention strategies in cardiac surgery patients. It covers several topics:
1. Intensive care unit-acquired infections account for substantial morbidity, mortality, and costs, with infections and sepsis as a leading cause of death. Proper infection control practices can help reduce these infections.
2. Common strategies to prevent healthcare-associated infections include proper hand hygiene, surgical site infection prevention, central line-associated bloodstream infection prevention, and ventilator-associated pneumonia prevention.
3. The most prevalent healthcare-associated infections are urinary tract infections, surgical site infections, bloodstream infections, and pneumonia - together accounting for 80% of cases. Catheter-associated urinary tract infections are
This document discusses patient safety and the World Health Organization's (WHO) efforts to promote it. It notes that 1 in 10 hospital patients are harmed, medical errors cost billions annually, and the chances of being harmed during healthcare (1 in 300) are much higher than during air travel (1 in 1,000,000). The WHO works to improve patient safety through research, public campaigns on hand hygiene and safe surgery, education and training, implementing solutions, and engaging patients. Its goals are to make healthcare delivery safe for all patients by strengthening health systems and addressing this serious public health issue.
This document discusses bloodborne pathogens and occupational exposure. It defines bloodborne pathogens as pathogenic organisms present in human blood that can cause disease. The three major bloodborne pathogens are HIV, Hepatitis B, and Hepatitis C. The document outlines the Bloodborne Pathogens Standard which requires employers to implement exposure control plans, engineering controls, personal protective equipment, training, vaccination, and other measures to protect employees from exposure to bloodborne pathogens. It provides information about each bloodborne disease, symptoms, treatment, and prevention through vaccination. The goal of the standard is to prevent occupational transmission of bloodborne infections like HIV and hepatitis.
This document provides an overview of bloodborne pathogens and awareness training. It discusses the risks posed by bloodborne pathogens like hepatitis B, hepatitis C, and HIV. The training covers regulations from OSHA, exposure prevention methods, vaccination requirements, and recordkeeping responsibilities. The goal is to minimize health risks for workers who may be exposed to blood and infectious materials.
This document discusses patient safety management and programs. It begins by distinguishing between patient safety programs, which focus on safety during medical management, and safe hospital initiatives, which focus on safety during disasters. Both ultimately aim to ensure patient safety. It then reviews the status of patient safety practices in the Philippines, including the national policy from 2008. While all hospitals have some patient safety programs to maintain licensure, the extent of development varies, with a few being well-developed and most being underdeveloped. International standards provide more comprehensive requirements that better-developed hospitals have met through accreditation.
Introductory on Patient Safety, magnitude of problem, common causes, strategy...Abdalla Ibrahim
The document discusses patient safety and medical errors. It provides statistics showing that medical errors are a leading cause of death and injury. Between 44,000 to 98,000 people in the US die each year due to preventable medical errors. The document examines types of medical errors and their costs. It analyzes strategies to improve patient safety, including establishing mandatory reporting systems, implementing a culture of safety, and meeting quality standards to prevent harm. The overarching message is that focusing on system improvements, rather than blame, can help reduce medical errors and enhance patient outcomes.
This document discusses 10 key facts about patient safety:
1) Patient safety is a global public health issue recognized by WHO.
2) As many as 1 in 10 patients are harmed while receiving hospital care in developed countries.
3) Developing countries have an even higher risk of patient harm from issues like healthcare-associated infections which are 20 times more common than in developed nations.
4) WHO and its World Alliance for Patient Safety are working with countries to improve safety practices and reduce risks to patients worldwide.
1) This training covers bloodborne pathogens and how to protect oneself from exposure in the workplace. It defines bloodborne pathogens and diseases of primary concern such as hepatitis B, hepatitis C, and HIV/AIDS.
2) The training discusses an employer's Exposure Control Plan which aims to eliminate or minimize risk of exposure through universal precautions, personal protective equipment, safe work practices, housekeeping procedures, and other controls.
3) Employees must receive training on bloodborne pathogens and the employer's Exposure Control Plan in order to be aware of exposure risks and prevention methods specific to their job duties and worksite.
This document discusses patient safety and medical errors. It notes that medical errors impact about 1 in 10 patients worldwide according to the WHO. The rates of death from medical errors in healthcare exceed those of other high-risk industries like commercial airlines or nuclear power. The document outlines some of the common causes of medical errors, including systemic flaws, communication issues, and patient ignorance. It emphasizes that a culture of safety and teamwork is needed to effectively address patient safety issues and prevent future errors.
Surveillance of healthcare associated infectionsTHL
This document discusses the role of nurses in healthcare-associated infection (HAI) surveillance in Finland. It describes how HAI surveillance is conducted nationally through several programs coordinated by the Finnish Hospital Infection Program. Nurses, particularly infection control nurses, play a key role in HAI data collection, reporting, and feedback. They work with link nurses and other staff to identify HAI cases using standardized protocols. The data are used to monitor HAI rates and prevent infections by informing guidelines. Nurses receive training to build their competencies in infection control and HAI surveillance.
New standards of care have emerged in response to the COVID-19 pandemic. Healthcare facilities and professionals have had to rapidly adopt new protocols for treating COVID patients, including guidelines for management, vaccines, telemedicine, and increased use of personal protective equipment. Some key new standards include wearing face masks, social distancing, treatment guidelines, mobile health apps, limiting gatherings and travel, and increasing sanitization and hygiene practices. As the pandemic evolves, precision medicine approaches may drive new standards, with a focus on using the right tests and treatments tailored for individual patients.
This document introduces the concept of patient safety and discusses occurrence variance reporting (OVR) and international patient safety goals. It notes that medical errors injure 1 in 25 hospital patients and kill 44,000-98,000 people per year in the US. The goals of patient safety are to detect safety issues, implement preventive actions, and reduce risks. OVR involves voluntary reporting of process variations to improve quality and prevent recurrences. It identifies adverse events, near misses, and sentinel events. The six international patient safety goals focus on correctly identifying patients, improving communication, increasing medication safety, ensuring correct surgical procedures, reducing healthcare-associated infections, and decreasing falls.
This document discusses patient safety and medical errors. It notes that around 1 in 10 hospitalized patients experience harm from medical errors, with at least 50% being preventable. Common causes of errors include inadequate assessment, communication issues, training deficiencies, and environmental factors like understaffing. The document advocates for strategies like checklists, reporting systems, and process redesign to promote patient safety and minimize harm from errors. It also discusses the psychological impact on healthcare workers who make errors and the importance of a supportive learning environment.
Strategic priorities in Patient Safety. Philip Hassen. IV International Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Infection prevention and control (IPC) aims to prevent the spread of infections in healthcare facilities through various methods. IPC requires an understanding of how diseases spread and increasing patient susceptibility. Healthcare workers must be vaccinated, use proper hand hygiene like washing hands for 20 seconds, follow IPC guidelines, wear gloves and protective equipment, regularly disinfect surfaces, and receive IPC education and training. Developing an IPC policy and practicing antibiotic stewardship can also help control infections. When implemented together, these seven methods form a comprehensive IPC program.
The document outlines 6 international patient safety goals related to improving safety in healthcare facilities. The goals are to: 1) correctly identify patients to prevent wrong-patient errors, 2) improve communication among staff to minimize errors, 3) safely manage high-risk medications like concentrated electrolytes, 4) ensure correct surgical procedures and sites to prevent wrong-site surgeries, 5) reduce healthcare-associated infections through proper hand hygiene, and 6) assess and mitigate patient fall risks. The document provides details on requirements for each goal around developing policies and checklists.
The document discusses the importance of training nurses on infectious disease prevention and care. It notes that nurses are on the front lines of healthcare and can be at high risk of infection. The training of nurses needs to be revised to include more practical education on infection control practices like proper use of personal protective equipment, isolation techniques, hand hygiene, and identifying infectious patients. Regular handwashing is emphasized as one of the most important ways to reduce transmission. The role of infection control nurses in educating others and responding to outbreaks is also highlighted.
Postexposure prophylaxis after needle sticks injuryVedica Sethi
Needle stick injury is defined as penetration of skin by a needle or other sharp object that has been in contact with blood products, tissue or any other body fluids before exposure. Even though the effect is negligible, it predisposes the patient to occupational exposure of human immunodeficiency virus (HIV), hepatitis B virus (HVB), and hepatitis C Virus (HVC). ( ) The most common population to be affected is health care workers and lab personnel. The occupational exposure of such viruses is not only transmission via needle stick injury but also via contamination of mucous membranes e.g. eyes, blood or body fluids, even though needle stick injuries make up the majority of all percutaneous exposure cases. Other occupations with increased risk of needle stick injury are tattoo artists, agriculture workers, law enforcement workers, and laborers. ( )
Recognizing the occupational hazard posed by needle stick injury and the long term effect it could have on a health care worker is the most important need, with developing interventions to minimize it.
Patient safety and Risk Management in hospitalsAvanti Kulkarni
The presentation is about ensuring the safety of patients by installing controls, preventive techniques and assuring optimal quality of care in the hospital setting.
This document discusses patient safety, including definitions, terms, reasons errors occur, and strategies to improve safety. It defines patient safety as working to avoid, manage, and treat unsafe acts within healthcare to lead to optimal outcomes. Key aspects of a safety culture discussed include commitment to safety, openness about errors, and a just culture with zero tolerance for reckless behavior. The document also outlines related safety programs around the environment, equipment, and employees. Finally, it presents the International Patient Safety Goals, which include correctly identifying patients, improving communication through techniques like SBAR, improving safety of high-alert medications, ensuring correct procedures, reducing healthcare-associated infections through hand hygiene, and reducing falls.
This document provides an overview of Catherine T. Yu's background and credentials. It then summarizes her presentation on infectious hazards and occupational exposures for healthcare workers. The key points discussed include:
- Common infectious agents that pose risks to healthcare workers through blood or bodily fluid exposure
- Groups of healthcare workers at highest risk of acquiring bloodborne pathogens
- Modes of transmission for bloodborne pathogens like HIV, HBV, and HCV
- Post-exposure management protocols for exposures, including recommended prophylaxis and follow-up testing
Comparing the Coronavirus pandemic in New Zealand and Iraq: A Preventive Medi...Vedica Sethi
The first cases of COVID-19 pandemic were identified in people with pneumonia in Wuhan, China, in late December 2019. It is first and foremost the most publicized pandemic, which has taken the lives of many people. It has thrown everyone into doubt and has created a collective moment of contemplation about the future. The clinical enlistment organization MedWorld of New Zealand offered for resigned and low maintenance specialists to help endeavors by the health care division and Government to battle the spread of COVID-19, in New Zealand. ( ) Starting in April, more than 20,000 tests have been done in Iraq in general (counting the Kurdistan Region), with 1202 of them turning out positive. Of those tests, half of the,m were finished by the Kurdish Ministry of Health, which implies that the other tests were finished by the Iraqi Ministry of Health. ( ) While KRG populace has been tried, just 0.05% of the remainder of the nation has been tried, along these lines featuring the conceivable difference between absolute positive case numbers between locales. Iraq is considered "particularly powerless against the plague due to being desolated" – by war and United Nations sanctions, and by partisan clash in the course of recent decades.
This paper primarily focuses on analyzing the accessible information through research papers, peer- reviewed and non-peer reviewed to understand the pandemic affecting two different countries like New Zealand- a developed country and Iraq- a developing country.
Infection Prevention and Control in Hospitals by Dr DeleKemi Dele-Ijagbulu
Infection prevention and control is everybody's business! It is an essential, though often under-recognised and under supported part of the infrastructure of health care. However it saves lives and prevents avoidable morbidity and mortality. This presentation highlights the importance and the practical components of infection prevention and control in the hospital setting.
The presentation will last 25 minutes followed by a 5 minute question and answer session. The presentation will discuss establishing a safety culture at the hospital by overseeing various aspects of safety including patient safety, employee safety, radiation safety, environmental safety, and disaster management. It will review incident reports and analyze staff injuries to identify issues and promote a culture of reporting near misses. The presentation will also discuss risk management programs in hospitals and identify common safety issues like patient identification, medication safety, healthcare-associated infections, and falls. [END SUMMARY]
This document discusses patient safety indicators (PSIs) as a way to measure and improve healthcare quality. It defines PSIs as a subset of quality indicators focused on preventable complications during or after hospitalization. The document then provides details on 20 specific PSIs, including definitions, calculation methods, and sample results for Portugal between 2000-2005. It analyzes PSI rates by gender, economic hospital group, administrative hospital group, and year to identify safety trends and differences between hospital types. The goal is to understand PSI prevalence, evaluate hospital safety over time, and identify opportunities to enhance patient safety.
This document summarizes a workshop on patient safety held by the European Patients' Forum. It defines key terms like patient safety, medical errors, and the roles of patients and systems in ensuring safety. It outlines the EU legislative framework on safety and patients' rights. It also summarizes a survey of EPF members which found uneven implementation of recommendations on patient involvement across countries, but strong support for better informing and engaging patients and the public on safety issues.
Introductory on Patient Safety, magnitude of problem, common causes, strategy...Abdalla Ibrahim
The document discusses patient safety and medical errors. It provides statistics showing that medical errors are a leading cause of death and injury. Between 44,000 to 98,000 people in the US die each year due to preventable medical errors. The document examines types of medical errors and their costs. It analyzes strategies to improve patient safety, including establishing mandatory reporting systems, implementing a culture of safety, and meeting quality standards to prevent harm. The overarching message is that focusing on system improvements, rather than blame, can help reduce medical errors and enhance patient outcomes.
This document discusses 10 key facts about patient safety:
1) Patient safety is a global public health issue recognized by WHO.
2) As many as 1 in 10 patients are harmed while receiving hospital care in developed countries.
3) Developing countries have an even higher risk of patient harm from issues like healthcare-associated infections which are 20 times more common than in developed nations.
4) WHO and its World Alliance for Patient Safety are working with countries to improve safety practices and reduce risks to patients worldwide.
1) This training covers bloodborne pathogens and how to protect oneself from exposure in the workplace. It defines bloodborne pathogens and diseases of primary concern such as hepatitis B, hepatitis C, and HIV/AIDS.
2) The training discusses an employer's Exposure Control Plan which aims to eliminate or minimize risk of exposure through universal precautions, personal protective equipment, safe work practices, housekeeping procedures, and other controls.
3) Employees must receive training on bloodborne pathogens and the employer's Exposure Control Plan in order to be aware of exposure risks and prevention methods specific to their job duties and worksite.
This document discusses patient safety and medical errors. It notes that medical errors impact about 1 in 10 patients worldwide according to the WHO. The rates of death from medical errors in healthcare exceed those of other high-risk industries like commercial airlines or nuclear power. The document outlines some of the common causes of medical errors, including systemic flaws, communication issues, and patient ignorance. It emphasizes that a culture of safety and teamwork is needed to effectively address patient safety issues and prevent future errors.
Surveillance of healthcare associated infectionsTHL
This document discusses the role of nurses in healthcare-associated infection (HAI) surveillance in Finland. It describes how HAI surveillance is conducted nationally through several programs coordinated by the Finnish Hospital Infection Program. Nurses, particularly infection control nurses, play a key role in HAI data collection, reporting, and feedback. They work with link nurses and other staff to identify HAI cases using standardized protocols. The data are used to monitor HAI rates and prevent infections by informing guidelines. Nurses receive training to build their competencies in infection control and HAI surveillance.
New standards of care have emerged in response to the COVID-19 pandemic. Healthcare facilities and professionals have had to rapidly adopt new protocols for treating COVID patients, including guidelines for management, vaccines, telemedicine, and increased use of personal protective equipment. Some key new standards include wearing face masks, social distancing, treatment guidelines, mobile health apps, limiting gatherings and travel, and increasing sanitization and hygiene practices. As the pandemic evolves, precision medicine approaches may drive new standards, with a focus on using the right tests and treatments tailored for individual patients.
This document introduces the concept of patient safety and discusses occurrence variance reporting (OVR) and international patient safety goals. It notes that medical errors injure 1 in 25 hospital patients and kill 44,000-98,000 people per year in the US. The goals of patient safety are to detect safety issues, implement preventive actions, and reduce risks. OVR involves voluntary reporting of process variations to improve quality and prevent recurrences. It identifies adverse events, near misses, and sentinel events. The six international patient safety goals focus on correctly identifying patients, improving communication, increasing medication safety, ensuring correct surgical procedures, reducing healthcare-associated infections, and decreasing falls.
This document discusses patient safety and medical errors. It notes that around 1 in 10 hospitalized patients experience harm from medical errors, with at least 50% being preventable. Common causes of errors include inadequate assessment, communication issues, training deficiencies, and environmental factors like understaffing. The document advocates for strategies like checklists, reporting systems, and process redesign to promote patient safety and minimize harm from errors. It also discusses the psychological impact on healthcare workers who make errors and the importance of a supportive learning environment.
Strategic priorities in Patient Safety. Philip Hassen. IV International Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Infection prevention and control (IPC) aims to prevent the spread of infections in healthcare facilities through various methods. IPC requires an understanding of how diseases spread and increasing patient susceptibility. Healthcare workers must be vaccinated, use proper hand hygiene like washing hands for 20 seconds, follow IPC guidelines, wear gloves and protective equipment, regularly disinfect surfaces, and receive IPC education and training. Developing an IPC policy and practicing antibiotic stewardship can also help control infections. When implemented together, these seven methods form a comprehensive IPC program.
The document outlines 6 international patient safety goals related to improving safety in healthcare facilities. The goals are to: 1) correctly identify patients to prevent wrong-patient errors, 2) improve communication among staff to minimize errors, 3) safely manage high-risk medications like concentrated electrolytes, 4) ensure correct surgical procedures and sites to prevent wrong-site surgeries, 5) reduce healthcare-associated infections through proper hand hygiene, and 6) assess and mitigate patient fall risks. The document provides details on requirements for each goal around developing policies and checklists.
The document discusses the importance of training nurses on infectious disease prevention and care. It notes that nurses are on the front lines of healthcare and can be at high risk of infection. The training of nurses needs to be revised to include more practical education on infection control practices like proper use of personal protective equipment, isolation techniques, hand hygiene, and identifying infectious patients. Regular handwashing is emphasized as one of the most important ways to reduce transmission. The role of infection control nurses in educating others and responding to outbreaks is also highlighted.
Postexposure prophylaxis after needle sticks injuryVedica Sethi
Needle stick injury is defined as penetration of skin by a needle or other sharp object that has been in contact with blood products, tissue or any other body fluids before exposure. Even though the effect is negligible, it predisposes the patient to occupational exposure of human immunodeficiency virus (HIV), hepatitis B virus (HVB), and hepatitis C Virus (HVC). ( ) The most common population to be affected is health care workers and lab personnel. The occupational exposure of such viruses is not only transmission via needle stick injury but also via contamination of mucous membranes e.g. eyes, blood or body fluids, even though needle stick injuries make up the majority of all percutaneous exposure cases. Other occupations with increased risk of needle stick injury are tattoo artists, agriculture workers, law enforcement workers, and laborers. ( )
Recognizing the occupational hazard posed by needle stick injury and the long term effect it could have on a health care worker is the most important need, with developing interventions to minimize it.
Patient safety and Risk Management in hospitalsAvanti Kulkarni
The presentation is about ensuring the safety of patients by installing controls, preventive techniques and assuring optimal quality of care in the hospital setting.
This document discusses patient safety, including definitions, terms, reasons errors occur, and strategies to improve safety. It defines patient safety as working to avoid, manage, and treat unsafe acts within healthcare to lead to optimal outcomes. Key aspects of a safety culture discussed include commitment to safety, openness about errors, and a just culture with zero tolerance for reckless behavior. The document also outlines related safety programs around the environment, equipment, and employees. Finally, it presents the International Patient Safety Goals, which include correctly identifying patients, improving communication through techniques like SBAR, improving safety of high-alert medications, ensuring correct procedures, reducing healthcare-associated infections through hand hygiene, and reducing falls.
This document provides an overview of Catherine T. Yu's background and credentials. It then summarizes her presentation on infectious hazards and occupational exposures for healthcare workers. The key points discussed include:
- Common infectious agents that pose risks to healthcare workers through blood or bodily fluid exposure
- Groups of healthcare workers at highest risk of acquiring bloodborne pathogens
- Modes of transmission for bloodborne pathogens like HIV, HBV, and HCV
- Post-exposure management protocols for exposures, including recommended prophylaxis and follow-up testing
Comparing the Coronavirus pandemic in New Zealand and Iraq: A Preventive Medi...Vedica Sethi
The first cases of COVID-19 pandemic were identified in people with pneumonia in Wuhan, China, in late December 2019. It is first and foremost the most publicized pandemic, which has taken the lives of many people. It has thrown everyone into doubt and has created a collective moment of contemplation about the future. The clinical enlistment organization MedWorld of New Zealand offered for resigned and low maintenance specialists to help endeavors by the health care division and Government to battle the spread of COVID-19, in New Zealand. ( ) Starting in April, more than 20,000 tests have been done in Iraq in general (counting the Kurdistan Region), with 1202 of them turning out positive. Of those tests, half of the,m were finished by the Kurdish Ministry of Health, which implies that the other tests were finished by the Iraqi Ministry of Health. ( ) While KRG populace has been tried, just 0.05% of the remainder of the nation has been tried, along these lines featuring the conceivable difference between absolute positive case numbers between locales. Iraq is considered "particularly powerless against the plague due to being desolated" – by war and United Nations sanctions, and by partisan clash in the course of recent decades.
This paper primarily focuses on analyzing the accessible information through research papers, peer- reviewed and non-peer reviewed to understand the pandemic affecting two different countries like New Zealand- a developed country and Iraq- a developing country.
Infection Prevention and Control in Hospitals by Dr DeleKemi Dele-Ijagbulu
Infection prevention and control is everybody's business! It is an essential, though often under-recognised and under supported part of the infrastructure of health care. However it saves lives and prevents avoidable morbidity and mortality. This presentation highlights the importance and the practical components of infection prevention and control in the hospital setting.
The presentation will last 25 minutes followed by a 5 minute question and answer session. The presentation will discuss establishing a safety culture at the hospital by overseeing various aspects of safety including patient safety, employee safety, radiation safety, environmental safety, and disaster management. It will review incident reports and analyze staff injuries to identify issues and promote a culture of reporting near misses. The presentation will also discuss risk management programs in hospitals and identify common safety issues like patient identification, medication safety, healthcare-associated infections, and falls. [END SUMMARY]
This document discusses patient safety indicators (PSIs) as a way to measure and improve healthcare quality. It defines PSIs as a subset of quality indicators focused on preventable complications during or after hospitalization. The document then provides details on 20 specific PSIs, including definitions, calculation methods, and sample results for Portugal between 2000-2005. It analyzes PSI rates by gender, economic hospital group, administrative hospital group, and year to identify safety trends and differences between hospital types. The goal is to understand PSI prevalence, evaluate hospital safety over time, and identify opportunities to enhance patient safety.
This document summarizes a workshop on patient safety held by the European Patients' Forum. It defines key terms like patient safety, medical errors, and the roles of patients and systems in ensuring safety. It outlines the EU legislative framework on safety and patients' rights. It also summarizes a survey of EPF members which found uneven implementation of recommendations on patient involvement across countries, but strong support for better informing and engaging patients and the public on safety issues.
Patient Safety, Culture of Safety and Just Culture by Tennessee Center for Pa...Atlantic Training, LLC.
This document discusses patient safety culture and just culture in healthcare. It defines patient safety, adverse events, and medical errors. It discusses important patient safety studies that found most errors are due to systemic issues rather than individual blame. The document introduces the concept of a just culture, which balances accountability for reckless behaviors with a non-punitive approach for errors. It also discusses measuring and improving a culture of safety through initiatives, surveys, and training to promote safety and teamwork.
HIPAA Workforce Training by Wayne-Holmes Mental Health Recovery BoardAtlantic Training, LLC.
This document provides an overview and summary of HIPAA privacy and security training for board members. It begins by stating that completion of HIPAA training is mandatory. It then defines what HIPAA is and its two primary purposes of providing continuous health insurance and reducing costs through electronic data transmission. The document outlines what HIPAA requires of covered entities like the MHRB, including creating policies and procedures. It provides questions the training will answer about HIPAA and what it does. The rest of the document summarizes key HIPAA concepts like what is protected health information, who must follow HIPAA, how it impacts transactions and privacy, and rules around use and disclosure of PHI.
This document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) for employees at Central Michigan University who have access to protected health information (PHI). It explains that HIPAA training is required to familiarize employees with regulations, policies, and procedures regarding PHI to ensure compliance. Key points covered include what information is considered PHI and protected under HIPAA, who is subject to HIPAA requirements, how PHI may be used and disclosed, and safeguards for handling PHI. Non-compliance with HIPAA can result in penalties including disciplinary action, civil penalties up to $1.5 million per violation, and criminal penalties up to $250,000 and imprisonment.
HIPAA 101 Privacy and Security Training by University of Californa San FranciscoAtlantic Training, LLC.
This document provides an overview of privacy and security training at the University of California, San Francisco (UCSF). It explains that the training covers requirements under laws like HIPAA, HITECH, and California state privacy laws to protect patient information. The training is required for faculty, staff, students and other workforce members at UCSF. It aims to educate about protecting confidential data, permissible uses of information, computer security practices, and how to report any privacy breaches. Failure to comply with these privacy rules and policies can result in civil and criminal penalties including large fines and imprisonment.
The document provides an overview of GBMC's HIPAA compliance program and training. It discusses the HIPAA privacy rule's requirements regarding protected health information, patient rights, notice of privacy practices, privacy policies, and the privacy officer. It also covers the HIPAA security rule and topics that will be addressed in the training, including electronic protected health information, user identity, password management, security policies, and the security officer.
The document provides an introduction to the Health Insurance Portability and Accountability Act (HIPAA) for health care professionals. It discusses key aspects of HIPAA including protecting patient health information, permitted uses and disclosures of protected health information, and patients' rights to control their health information. The document emphasizes the importance of keeping patient information private and only accessing it when necessary to perform one's job. Violations can result in civil and criminal penalties.
The document provides training on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. It discusses what protected health information (PHI) is and the rules around using and disclosing PHI. Key points include:
- PHI is individually identifiable health information that is protected by HIPAA.
- PHI can generally be used or disclosed for treatment, payment, and healthcare operations without patient authorization. Other uses require authorization or fall under other exceptions.
- The Privacy Rule establishes patient rights regarding access to and restrictions on use of their PHI, and requires covered entities to implement privacy protections and provide privacy training to staff. Non-compliance can result in civil and criminal penalties.
Welding and Cutting Safety Training by the University of Southern MississippiAtlantic Training, LLC.
This document discusses welding safety hazards and controls. It covers health hazards from welding fumes and gases, which can cause lung diseases and cancer. Engineering controls like ventilation and personal protective equipment like respirators are recommended to reduce exposure. Other safety topics addressed include electrical, fire, ergonomic, and compressed gas cylinder hazards, as well as general safe work practices for welding.
This document summarizes welding and cutting safety regulations from OSHA's Subpart J, including requirements for:
- Protecting and securing compressed gas cylinders
- Using the proper regulators, hoses, and torches for different gases
- Inspecting equipment at the start of each shift
- Storing cylinders properly
- Potential health hazards from fumes, noise, radiation exposure during welding and cutting work
- Fire hazards involved in welding and cutting
This document discusses welding hazards and safety regulations. It outlines fire, electric shock, explosion, and other hazards of welding operations. It describes three main types of welding - gas, arc, and oxygen/arc cutting. Regulations require fire prevention safeguards, special precautions for combustible materials, ventilation, protective equipment, and cylinder storage. Operators must be trained and supervisors responsible for fire watches, combustible removal, and authorizing safe work areas.
This document provides an overview of an IAQ (indoor air quality) course. The course covers standards and codes, the respiratory system, HVAC systems, contaminants, how to conduct IAQ investigations, and case studies. Typical IAQ complaints include respiratory irritation, coughing, headaches, and dizziness. Causes can include actual problems like bacteria in HVAC systems or non-verifiable issues like mass psychogenic illness. Standards from organizations like OSHA, ASHRAE, ACGIH, EPA, and HUD are discussed. Maintaining good IAQ is important for productivity, health, and limiting liability.
This document outlines a workshop on coping with workplace stress. The workshop will address the nature and effects of stress, causes of excess workplace stress, symptoms of stress, reasons stress must be addressed, and methods for dealing with stress. It discusses how some stress is necessary but excess stress can impact work through increased absenteeism, attrition, and accidents. The workshop covers stress factors, managing emotions, cognitive restructuring, assertiveness, relaxation techniques, diet, exercise, sleep, and social support networks to help lower stress levels.
This document provides information on stress management techniques. It discusses common job stressors like excessive workloads and interruptions. It then outlines various stress management strategies like improving time management, communication skills, exercising, and using humor. The effects of stress management are also presented, including increased productivity, better teamwork, improved morale, and reduced errors.
Stress in the workplace is a significant issue, impacting employee health, productivity, and costs for employers. According to statistics provided, 44% of Americans feel more stressed than 5 years ago, and stress-related issues cost $300 billion annually in medical bills and lost productivity. High levels of stress can negatively impact employee absenteeism, health, safety, engagement, and performance. Employers are addressing stress through employee assistance programs, wellness initiatives, leadership training, and flexible work policies. Effective stress management techniques for employees include cognitive behavioral therapy, mindfulness, relaxation, and cultivating gratitude and optimism.
Indoor air quality (IAQ) and occupational health and safety legislation in Alberta requires employers to ensure a safe and healthy work environment for employees. The Occupational Health and Safety Act and Code address exposure limits for various chemicals and particles, requiring employers to assess workplace hazards and keep exposures as low as reasonably achievable. While the legislation provides minimum standards, exceeding these can benefit employees through improved morale and productivity. Addressing IAQ issues may require consideration of multiple factors beyond just chemical levels.
This document discusses managing psychosocial risks and work-related stress in European workplaces. It defines psychosocial risks as aspects of work design, organization, and management that can negatively impact workers' emotional, cognitive, and physical health. Common psychosocial risk factors include excessive demands, lack of control or support, poor relationships, and violence. Left unaddressed, these risks can lead to increased stress, anxiety, depression, and physical health problems for workers as well as higher costs and lost productivity for businesses. The document provides an overview of EU-OSHA's efforts to raise awareness of psychosocial risks and promote prevention strategies, such as conducting risk assessments, developing action plans, implementing organizational changes, and monitoring outcomes.
This document discusses welding safety hazards and recommendations. It covers the health hazards of gases and fumes from welding, including both short-term effects like metal fume fever and long-term effects like increased cancer risks. It also addresses other safety issues such as burns, fires, explosions, confined space hazards, noise, electricity, and proper personal protective equipment. The document provides guidance on engineering controls, work practices, and PPE to reduce welding hazards.
This document outlines a training session for healthcare workers on setting healthy boundaries to reduce work-related stress. The goals are to describe sources of stress, define stress and its effects, and explain strategies for handling stress, including setting boundaries between work and personal life. Topics discussed include what constitutes job stress, how stress affects the body and behavior, tips for speaking up about workplace issues, and strategies for managing stress through self-care. Resources on home healthcare safety and hazards are also provided.
The Flex Program provides cost-based reimbursement for critical access hospitals (CAHs) through two components: state rural health plans and CAH certification. Originally, the program aimed to develop rural health networks and improve quality of care. Over time, more hospitals were certified as CAHs. Currently, CAHs make up 26% of community hospitals and 66% of rural hospitals. Quality reporting through measures like pneumonia and heart failure processes of care is increasing for CAHs.
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
IHI LAUNCHES NATIONAL CAMPAIGN TO REDUCE MEDICAL HARM IN U.S. HOSPITALS, BUIL...abimorg
The Institute for Healthcare Improvement (IHI) is launching a national campaign called the 5 Million Lives Campaign to reduce medical harm in U.S. hospitals. The campaign aims to prevent 5 million incidents of patient harm over 24 months by encouraging hospitals to adopt 12 evidence-based practices and interventions. IHI estimates that 15 million incidents of patient harm occur in U.S. hospitals each year based on studies showing 40-50 incidents of harm occur per 100 admissions. The campaign has the support of several leading healthcare organizations and aims to enroll 4,000 hospitals to participate.
The Society of Hospital Medicine wrote a letter to Congressional leaders urging further action to address challenges posed by the COVID-19 pandemic. They requested that policymakers: 1) increase the supply and production of PPE and ventilators, as shortages are limiting the ability to respond; 2) dramatically increase access to COVID-19 testing to enable self-isolation and curb the spread; and 3) ensure adequate provider availability by expanding visa programs and reimbursing providers facing financial hardship from canceled procedures. The letter emphasized that hospitalists are on the frontlines of caring for COVID-19 patients and need support to safely and effectively respond to this public health crisis.
This document summarizes trends and strategies for preventing healthcare-associated infections (HAIs). It discusses that HAIs are a major problem, causing 1.7 million infections and 99,000 deaths annually in US hospitals alone. While most focus has been on acute care settings, HAIs also significantly burden long-term care facilities and outpatient settings. The document reviews strategies that have shown success in reducing certain HAIs, like central line-associated bloodstream infections, but notes that compliance with best practices remains suboptimal. It argues that robust data, policymaker attention, prevention incentives, and national frameworks could help accelerate progress in reducing HAIs.
Trend & Strategies for Prevention of Healthcare-associated Infectionsunitkawalaninfeksihi
This document summarizes trends and strategies for preventing healthcare-associated infections (HAIs). It discusses how HAIs occur in various healthcare settings, including hospitals, long-term care facilities, and outpatient settings. The document outlines the burden of HAIs, including estimated infections, costs, and deaths in acute care settings. It also notes that HAIs are a substantial problem outside of hospitals but our understanding is limited. The document discusses the need for improved HAI prevention through collaborative efforts, data collection, incentives for facilities to implement best practices, and extending successful regional programs nationally.
Peter L. Slavin, M.D., 2015 Leadership in Academic Medicine Lectureuabsom
Peter L. Slavin, M.D., president of Massachusetts General Hospital, presented “The Future of Academic Medicine” on Thursday, Aug. 6 as the featured speaker for the 2015 Leadership in Academic Medicine Lecture, sponsored by UAB Medicine.
This document provides information on syringe access services as a harm reduction and disease prevention intervention. It discusses the benefits of syringe access programs in reducing HIV and HCV transmission as well as their cost effectiveness. The document outlines different models of syringe access programs and considerations for starting a new program, including conducting a needs assessment, recommended equipment, and the importance of practicing drug user cultural competency. Contact information is provided for technical assistance from The Harm Reduction Coalition.
In 2014, US healthcare spending exceeded $3.0 trillion with nearly 1/3 spent on hospitalizations. Informed by real-world data from an Electronic Health Record (EHR) database of clinical and administrative records spanning 273 million encounters for 60 million patients in 600+ hospitals across the US, Boston Strategic Partners (BSP) Clinical Insights report, Hospital-Treated Pneumonia Part 1: Diagnosis, estimates 30% of all hospital discharges involve treatment of infectious organisms. Pneumonia is responsible for an estimated 12% of all hospital stays. At an average cost of $15,500 per occurrence, we estimate that hospitalizations for severe infections account for around $212 billion in annual spending or 7% of total healthcare expenditure. In this report, we conduct an in-depth analysis of pneumonia patient characteristics, costs, and laboratory testing.
The Hospital-Treated Pneumonia Diagnosis Report is available at www.bostonsp.com/reports.
Gram-negative bacteria are the likely causative agents of most pneumonia infections. From 2010-2015, drug resistant organisms caused a surprising 20% of bacterial pneumonia infections.
Hospital-Treated Pneumonia Part 1: Diagnosis is part one of a two-part series on hospital-treated pneumonia. This report provides quantitative, objective data focused on the diagnosis of pneumonia captured by hospitals contributing to Cerner Health Facts. This data provides real-world patient encounters and reflects real physician diagnostic decisions and encounter characteristics (e.g. admissions and lab testing) in key areas, such as antibiotic resistant pathogens.
White Paper - Infection Preventionists: Healthcare’s Guardians at the Gate Ne...Q-Centrix
This white paper examines a key player at the front lines of hospitals’ never-ending battles against HAIs –Infection Preventionists (IPs). It briefly explains their varied roles, responsibilities and new challenges, the difficulty in recruiting these highly sought-after experts, and why and how hospitals should be doing more to help overworked and understaffed IPs be successful. Lastly, it covers new technologies and IP support services that can be integrated into hospitals’ infection control practices.
The article discusses guidelines for providing chronic pain treatment during the COVID-19 pandemic. It summarizes the responses taken by federal, state, and international governments to limit non-essential procedures and care in order to reduce virus transmission. It then provides recommendations for how chronic pain specialists can begin resuming elective and urgent procedures, including defining different levels of procedure urgency and outlining screening protocols to minimize COVID-19 risk to patients and healthcare workers. The goal is to outline an approach to restart essential chronic pain care while continuing to combat the pandemic.
NPSF Seminar
Patient Safety Awareness Week
Patient Safety Is a Public Health Issue
Distributed by NPSF for attendees of this web seminar.
I do not own any rights to the content of this presentation and am sharing it for educational purposes only.
Speaker information and credentials are included in the presentation.
This document provides a summary of a two-part report on hospital-treated sepsis. It analyzes data from over 680,000 hospital discharges for sepsis from 2009 to 2015. Some of the key findings include: sepsis accounts for about 12% of all hospital stays and costs an average of $15,500 per occurrence, totaling around $212 billion annually; gram-positive bacteria cause most sepsis infections and drug-resistant organisms cause 40% of bacterial sepsis; and it examines patient demographics, diagnostic testing, costs, lengths of stay, and increases in antibiotic-resistant infections for sepsis patients.
The document discusses WHO and working for WHO. It begins by outlining that the views expressed are those of the individual presenter and not necessarily WHO's official views. It then provides an overview of WHO as an organization, including that it is a UN agency established in 1948 with 194 member states and headquarters in Geneva. The rest of the document discusses Universal Health Coverage (UHC), what it means to achieve UHC, and advice for those interested in global health careers.
The Impact of Systems Improvements: A Progress Review of Healthcare-Associated Infections & Blood Disorders and Blood Safety Howard K. Koh, MD, MPH Assistant Secretary for HealthU.S. Department of Health and Human Services
This guidance from the WHO provides recommendations for countries to maintain essential health services during the COVID-19 outbreak. It suggests establishing simplified governance mechanisms to coordinate the response while continuing essential services. Countries should identify which services are most critical to prioritize, and may need to optimize service delivery locations and platforms. It also emphasizes the importance of effective patient screening, triage, and referral processes. Finally, the document recommends rapidly redistributing health workers through task sharing and reassignment to help address shortages caused by the increased demands of the outbreak.
This document discusses healthcare-associated infections (HAIs) and presents information from AdvaMed. It notes that HAIs occur worldwide and affect hundreds of millions annually, increasing morbidity, mortality, and costs. Up to 90% of HAI deaths in the US are caused by multi-drug resistant organisms. Surveillance shows HAI incidence is 3 times higher in developing economies compared to EU/US. HAIs lead to prolonged hospital stays and increased costs. Prevention through evidence-based interventions could reduce HAIs by 65-70% and save resources. Strong infection control including surveillance is needed to combat HAIs and antimicrobial resistance.
Florida Blue Health Care Policy Overview: Agent CEU CourseFlorida Blue
The document provides an overview of health care policy in the United States, covering the history and development of the system, current issues around costs, access, and quality, and various proposals for reform. It discusses how the system has transformed over time, with growing roles for the government, employers, and health insurers. It outlines key stakeholders and examines trends in health care expenditures, costs drivers, and international comparisons. The summary also looks at challenges around access and quality, opportunities for improvement, and various proposals to expand coverage while improving efficiency and outcomes.
Weitzman ECHO: Adapting Patient Care for Rural Populations During COVID-19CHC Connecticut
This document provides information on adapting patient care for rural populations during the COVID-19 pandemic. It begins by outlining CME credit information for physicians. It then provides statistics on COVID-19 cases and testing rates in the US. Good news discussed includes evidence that physical distancing, masks, and eye protection can reduce virus transmission. Resources for COVID-19 information from organizations like the CDC, WHO, and Johns Hopkins are also listed. The document concludes by discussing a free COVID-19 eConsult portal available to safety net primary care practices to obtain consultations from infectious disease specialists and public health nurses without sharing protected health information.
The document discusses wellness and promoting a healthy lifestyle and culture at work. It describes wellness as involving 7 dimensions of wellness: emotional, environmental, intellectual, social, physical, spiritual, and occupational. It outlines benefits to employees and the organization of promoting wellness, including improved health, productivity and morale. It encourages making healthy choices by focusing on diet, exercise and avoiding smoking. Finally, it provides suggestions for integrating wellness at work, such as healthy meetings and events, physical activity breaks, and stress management resources.
This document discusses the intersection of workplace wellness and policy. It outlines how establishing policies can support a healthy workplace environment and successful wellness program. The HEAL model promotes nutrition, physical activity, breastfeeding, and stress reduction. Policies are more sustainable than practices or programs alone and should focus on areas like wellness, physical activity, nutrition standards, and mental wellness. Examples of effective policies provided include stretch breaks, healthy meetings guidelines, flexible work schedules, active transportation, and lactation accommodation. The presentation emphasizes gaining leadership support and using data to inform simple policies that make healthy choices easy.
This document discusses managing stress in the workplace. It raises awareness about the growing problem of stress and provides guidance on assessing and preventing psychosocial risks. Successful management of psychosocial risks can improve worker well-being, productivity and compliance with legal requirements while reducing costs from absenteeism and staff turnover. The document outlines practical support for stress management, including engaging employees in the risk assessment process, and focusing on positive effects like a healthier and more motivated workforce.
Stress can be triggered by environmental, social, physiological, and thought-related factors. The body responds to stress through the fight or flight response, which is controlled by the brain and hypothalamus activating the sympathetic nervous system. This increases heart rate, blood pressure, breathing, and muscle tension while impairing judgment. Chronic stress can negatively impact cognitive function, mood, health, relationships and quality of life. Managing stress requires identifying its sources, setting goals to respond more effectively, using cognitive rehabilitation techniques, emotional defusing activities, physical interaction, and healthy behaviors.
The document discusses various topics related to stress and worker safety. It defines stress and provides examples of both bad and good stressors. It also discusses daily stressors workers may face and various causes of stress. The document lists warning signs of stress, as well as checklists of potential stress symptoms. It covers the effects of stress, including burnout, and discusses studies that examined stressful occupations and common coping methods for dealing with stress. Finally, it proposes strategies for reducing stress, including stress management programs and developing a healthy lifestyle.
This situation requires sensitivity and care. Jessica and Joe should be reminded that maintaining a respectful workplace is important for all. Their supervisor could speak to each privately, explain that while personal relationships may form, certain behaviors make others uncomfortable during work hours and could be perceived as harassment. The supervisor should listen without judgment, help them understand other perspectives, and request they keep private matters private at work. If issues continue, mediation may help address underlying concerns in a constructive way.
This document summarizes updates to a workplace harassment policy and procedures based on Bill 132 legislation. It expands the definition of workplace harassment to include sexual harassment. It outlines new requirements for employers including developing a written policy in consultation with employees, conducting annual reviews, investigating all complaints, allowing external investigations, and informing parties of investigation outcomes. It discusses employee rights and duties such as reporting harassment and participating in investigations. It provides examples of harassment including yelling, threats, unwanted sexual advances, name calling and isolating behaviors.
This presentation discusses workplace harassment policies and training. It defines harassment and reviews examples of inappropriate workplace behavior. Employers are liable for harassment that occurs in the workplace and must take steps to prevent harassment and respond promptly to complaints in order to avoid legal liability. The presentation provides an overview of harassment laws and emphasizes the importance of following organizational policies prohibiting harassment.
This document provides an overview of welding safety regulations and guidelines. It summarizes OSHA regulations on gas welding (1926.350), arc welding (1926.351), fire prevention (1926.352), ventilation (1926.353), and preservative coatings (1926.354). Key safety topics covered include proper handling and storage of gas cylinders, use of protective equipment, fire hazards, ventilation requirements, and training on welding equipment and processes. The document aims to educate welders on health and safety risks and how to work safely according to OSHA standards.
Slips, trips, and falls are a major cause of workplace injuries. Proper prevention techniques include good housekeeping to clean spills and remove obstacles, using the right footwear for the environment, and practicing safe behaviors like not running or carrying items that block your view. Employers are responsible for providing a safe work environment, while all employees should take responsibility for working safely, such as using handrails and following ladder safety procedures to avoid falls.
This document discusses preventing falls, slips, and trips (FSTs) in the workplace. It notes that FSTs accounted for over $5 million in workers' compensation costs in Georgia in 2011 and were the leading cause of injuries. It identifies common causes of FSTs like wet or slippery surfaces, uneven walking areas, clutter, and poor lighting. The document provides guidance on prevention strategies like maintaining good housekeeping, wearing appropriate footwear, fixing hazards, and paying attention while walking. It emphasizes that FSTs can often be prevented through awareness of risks and applying basic safety practices.
The document discusses preventing workplace harassment. It defines harassment and outlines employers' and employees' responsibilities. Harassment includes unwelcome conduct based on characteristics like race, sex, or disability. It becomes unlawful if it creates a hostile work environment or is a condition of employment. The document describes types of harassment like sexual harassment, quid pro quo harassment, hostile work environment, and third-party harassment. It provides guidance on reporting harassment, protecting yourself, and supervisors' responsibilities to address harassment complaints.
This document discusses the function of warehouses and operational support equipment in emergencies. Warehouses serve as transhipment points and to store and protect humanitarian cargo. Key criteria for assessing warehouse sites include structure, access, security, conditions, facilities, and location. Emergency storage options include existing buildings, mobile storage units, and constructing new warehouses. Support equipment requirements depend on the operational set-up and may include mobile storage units, office/accommodation prefabs, generators, and forklifts.
This document discusses the prevention of sexual harassment (POSH) in the military. It defines sexual harassment and outlines inappropriate behaviors like lewd comments and unwanted touching that create a hostile work environment. Service members are expected to treat each other with dignity and respect. The Uniform Code of Military Justice establishes penalties for sexual harassment and retaliation. Leaders are responsible for addressing issues and complaints, whether through informal resolution or formal procedures.
This training document covers sexual harassment, defining it as unwelcome sexual advances, requests for favors, and other verbal or physical harassment of a sexual nature. It outlines two types - quid pro quo, where submission is required for a job or benefit, and hostile environment. Examples of verbal, non-verbal and physical behaviors are provided. The document also discusses the individual, organizational and economic effects of sexual harassment, and strategies for prevention and response, including training, assessments and addressing issues before escalation. Resources for assistance are listed.
This document provides a summary of a company's sexual harassment training for employees. It defines sexual harassment, outlines the company's anti-harassment policy, and explains employees' obligations to avoid inappropriate conduct and report any instances of harassment. The training defines quid pro quo and hostile work environment harassment, provides examples of inappropriate verbal, visual and physical conduct, and instructs employees to promptly report any harassment to the appropriate parties.
The document summarizes the key findings and recommendations of a National Academies of Sciences, Engineering, and Medicine report on sexual harassment of women in academic sciences, engineering and medicine. The committee found that sexual harassment is common, negatively impacts women's careers and health, and is associated with male-dominated environments and climates that tolerate harassment. It recommends that institutions address gender harassment, move beyond legal compliance to change culture, and that professional societies help drive cultural changes. A system-wide effort is needed to create inclusive environments and prevent all forms of harassment.
1) A scaffold is a temporary elevated work platform used in construction. There are three main types: supported, suspended, and aerial lifts.
2) Scaffolds must be designed by a qualified person to support at least four times the intended load. They must have a sound footing and be properly inspected before each use.
3) Scaffold safety requires fall protection such as guardrails if a fall could be over 10 feet, and the supervision of a competent person during erection, alteration or dismantling. Hazard prevention includes securing scaffolds in high winds and keeping them clear of ice and snow.
The document discusses the role and qualities of a supervisor. It defines a supervisor as someone primarily in charge of a section and its employees, who is responsible for production quantity and quality. A supervisor derives authority from department heads to direct employees' work and ensure tasks are completed according to instructions. Effective supervision requires leadership, motivation, and communication skills. The supervisor acts as a link between management and workers, communicating policies and opinions in both directions. To be effective, a supervisor must have technical competence, managerial qualities, leadership skills, instruction skills, human orientation, decision-making abilities, and knowledge of rules and regulations.
Oregon State University provides a safety orientation for new employees that covers the following key points:
1) OSU is committed to ensuring a safe work environment and holds supervisors accountable for safety responsibilities. Disregard of safety policies may result in discipline.
2) The Office of Environmental Health and Safety (EH&S) oversees compliance with regulations from agencies like OSHA and ensures expertise in areas such as radiation, biological, and chemical safety.
3) New employees must review materials on hazard communication and complete any required job-specific safety training with their supervisors. Documentation of all training is mandatory.
Taurus Zodiac Sign: Unveiling the Traits, Dates, and Horoscope Insights of th...my Pandit
Dive into the steadfast world of the Taurus Zodiac Sign. Discover the grounded, stable, and logical nature of Taurus individuals, and explore their key personality traits, important dates, and horoscope insights. Learn how the determination and patience of the Taurus sign make them the rock-steady achievers and anchors of the zodiac.
Anny Serafina Love - Letter of Recommendation by Kellen Harkins, MS.AnnySerafinaLove
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Digital Marketing with a Focus on Sustainabilitysssourabhsharma
Digital Marketing best practices including influencer marketing, content creators, and omnichannel marketing for Sustainable Brands at the Sustainable Cosmetics Summit 2024 in New York
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Easily Verify Compliance and Security with Binance KYCAny kyc Account
Use our simple KYC verification guide to make sure your Binance account is safe and compliant. Discover the fundamentals, appreciate the significance of KYC, and trade on one of the biggest cryptocurrency exchanges with confidence.
𝐔𝐧𝐯𝐞𝐢𝐥 𝐭𝐡𝐞 𝐅𝐮𝐭𝐮𝐫𝐞 𝐨𝐟 𝐄𝐧𝐞𝐫𝐠𝐲 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐰𝐢𝐭𝐡 𝐍𝐄𝐖𝐍𝐓𝐈𝐃𝐄’𝐬 𝐋𝐚𝐭𝐞𝐬𝐭 𝐎𝐟𝐟𝐞𝐫𝐢𝐧𝐠𝐬
Explore the details in our newly released product manual, which showcases NEWNTIDE's advanced heat pump technologies. Delve into our energy-efficient and eco-friendly solutions tailored for diverse global markets.
How to Implement a Strategy: Transform Your Strategy with BSC Designer's Comp...Aleksey Savkin
The Strategy Implementation System offers a structured approach to translating stakeholder needs into actionable strategies using high-level and low-level scorecards. It involves stakeholder analysis, strategy decomposition, adoption of strategic frameworks like Balanced Scorecard or OKR, and alignment of goals, initiatives, and KPIs.
Key Components:
- Stakeholder Analysis
- Strategy Decomposition
- Adoption of Business Frameworks
- Goal Setting
- Initiatives and Action Plans
- KPIs and Performance Metrics
- Learning and Adaptation
- Alignment and Cascading of Scorecards
Benefits:
- Systematic strategy formulation and execution.
- Framework flexibility and automation.
- Enhanced alignment and strategic focus across the organization.
The APCO Geopolitical Radar - Q3 2024 The Global Operating Environment for Bu...APCO
The Radar reflects input from APCO’s teams located around the world. It distils a host of interconnected events and trends into insights to inform operational and strategic decisions. Issues covered in this edition include:
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Top mailing list providers in the USA.pptxJeremyPeirce1
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The 10 Most Influential Leaders Guiding Corporate Evolution, 2024.pdfthesiliconleaders
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Unveiling the Dynamic Personalities, Key Dates, and Horoscope Insights: Gemin...
Healthcare Quality by DHHS
1. Healthcare Quality: DHHS
Don Wright, MD MPH
Deputy Assistant Secretary for Healthcare Quality
Office of Healthcare Quality
Office of the Assistant Secretary for Health
Office of the Secretary
U.S. Department of Health and Human Services
Washington, DC
2. Presentation OverviewPresentation Overview
1. Partnership for Patients1. Partnership for Patients
2. Initiative to Prevent Healthcare-Associated2. Initiative to Prevent Healthcare-Associated
InfectionsInfections
3. Changing Landscape3. Changing Landscape
3. Linking Payment to Quality3. Linking Payment to Quality
4. What’s Ahead for HAI Elimination4. What’s Ahead for HAI Elimination
3.
4. Current State of Patient SafetyCurrent State of Patient Safety
••Massive variation in the quality of careMassive variation in the quality of care
••No appreciable change in rates of all-cause harmNo appreciable change in rates of all-cause harm
and preventable readmissionsand preventable readmissions
••A decade of hard work yielding pockets of successA decade of hard work yielding pockets of success
(targeted interventions, isolated settings)(targeted interventions, isolated settings)
••System-wide frustration and poorly coordinatedSystem-wide frustration and poorly coordinated
efforts in responseefforts in response
••Opportunity with the Affordable Care Act to moveOpportunity with the Affordable Care Act to move
from insurance reform to reform the deliveryfrom insurance reform to reform the delivery
systemsystem
5. Partnership for Patients:Partnership for Patients:
Better Care, Lower CostsBetter Care, Lower Costs
Objectives:Objectives:
Keep patients from getting injured or sicker.Keep patients from getting injured or sicker.
By the end of 2013, preventable hospital-acquired conditions wouldBy the end of 2013, preventable hospital-acquired conditions would decrease bydecrease by
40%40% compared to 2010. Achieving this goal would mean approximately 1.8compared to 2010. Achieving this goal would mean approximately 1.8
million fewer injuries to patients with more thanmillion fewer injuries to patients with more than 60,000 lives saved60,000 lives saved overover
three years.three years.
Help patients heal without complication.Help patients heal without complication.
By the end of 2013, preventable complications during a transition from one careBy the end of 2013, preventable complications during a transition from one care
setting to another would be decreased so that all hospital readmissions wouldsetting to another would be decreased so that all hospital readmissions would
bebe reduced by 20%reduced by 20% compared to 2010. Achieving this goal would meancompared to 2010. Achieving this goal would mean
more thanmore than 1.6 million patients would recover1.6 million patients would recover from illness without sufferingfrom illness without suffering
a preventable complication requiring re-hospitalization within 30 days ofa preventable complication requiring re-hospitalization within 30 days of
discharge.discharge.
6. Area of focus: Hospital-Acquired ConditionsArea of focus: Hospital-Acquired Conditions
1. Adverse Drug Events (ADE)1. Adverse Drug Events (ADE)
2. Catheter-Associated Urinary Tract Infections (CAUTI)2. Catheter-Associated Urinary Tract Infections (CAUTI)
3. Central Line-Associated Blood Stream Infections3. Central Line-Associated Blood Stream Infections
(CLABSI)(CLABSI)
4. Injuries from Falls and Immobility4. Injuries from Falls and Immobility
5. Obstetrical Adverse Events5. Obstetrical Adverse Events
6. Pressure Ulcers6. Pressure Ulcers
7. Surgical Site Infections7. Surgical Site Infections
8. Venous Thromboembolism (VTE)8. Venous Thromboembolism (VTE)
9. Ventilator-Associated Pneumonia (VAP)9. Ventilator-Associated Pneumonia (VAP)
10. All Other Hospital-Acquired Conditions10. All Other Hospital-Acquired Conditions
7. Next StepsNext Steps
To learn more about the Partnership for Patients &To learn more about the Partnership for Patients &
related events, activities and materials:related events, activities and materials:
http://www.healthcare.gov/center/programs/partnershttp://www.healthcare.gov/center/programs/partners
hip/index.html.hip/index.html.
To sign the pledge:To sign the pledge:
http://partnershippledge.healthcare.gov/http://partnershippledge.healthcare.gov/
9. The BurdenThe Burden
Each year, 1 in 20 U.S. hospital patients acquires an
HAI
This is 1.7million infections, and 100,000 lives
lost every year
Hospital-acquired HAIs alone are responsible for $28
to $33 billion dollars in preventable healthcare
expenditures every year.
The vast majority of these infections can be
eliminated by implementing known prevention
practices.
10. 10
2009 HHS Action Plan created in response to GAO2009 HHS Action Plan created in response to GAO
11. Incentives and Oversight
Lead: Centers for Medicare and
Medicaid Services (CMS)
Phase I (2008-Present)
Phase II (2009-Present)
Phase III Working Group (2011)
Federal
Steering Committee
for the Prevention of
Healthcare-Associated
Infections
Long-Term Care
Lead: CMS
Prevention & Implementation
Lead: Centers for Disease Control
and Prevention (CDC)
Research
Lead: Agency for Healthcare
Research and Quality
Information Systems & Technology
Co-Leads: Office of the National
Coordinator for Health IT & CDC
Evaluation
Lead: Office of
Healthcare Quality
Outreach & Messaging
Lead: Office of
Healthcare Quality
Ambulatory Surgical Centers
Co-Leads: Indian Health Service
& CDC
End-Stage Renal
Disease Facilities
Lead: CMS
Influenza Vaccination of
Healthcare Personnel
Co-Leads: CDC &
National Vaccine Program Office
Working Group Structure of the HAI Steering Committee
12. HHS Action Plan for the Prevention ofHHS Action Plan for the Prevention of
Healthcare-Associated InfectionsHealthcare-Associated Infections
Phase 1Phase 1
Original focus on acute care hospitalsOriginal focus on acute care hospitals
Targeted CAUTI, SSI, VAP, CLABSI, MRSA &Targeted CAUTI, SSI, VAP, CLABSI, MRSA & C.C.
difficiledifficile
Phase 2 (under development):Phase 2 (under development):
Ambulatory Surgical CentersAmbulatory Surgical Centers
End-Stage Renal Disease Facilities (Hemodialysis Centers)End-Stage Renal Disease Facilities (Hemodialysis Centers)
Flu Vaccination of Healthcare PersonnelFlu Vaccination of Healthcare Personnel
Phase 3 (under development) – Long-Term CarePhase 3 (under development) – Long-Term Care
Phase 4 (to be determined) – Ambulatory?Phase 4 (to be determined) – Ambulatory?
13. Measuring Progress Toward Action Plan Goals
Metric
Source
National 5-year Prevention Target
On Track to Meet 2013 Targets?
Bloodstream infections
NHSN
50% reduction
Adherence to central-line insertion practices
NHSN
100% adherence
Data not yet available*
Clostridium difficile (hospitalizations)
HCUP
30% reduction
Clostridium difficile infections
NHSN
30% reduction
Data not yet available*
Urinary tract infections
NHSN
25% reduction
Data not yet available*
MRSA invasive infections (population)
EIP
50% reduction
MRSA bacteremia (hospital)
NHSN
25% reduction
Data not yet available*
Surgical site infections
NHSN
25% reduction
Surgical Care Improvement Project Measures
SCIP
95% adherence
Metric Source
National 5-year
Prevention
Target
On Track to Meet
2013 Targets?
Bloodstream infections NHSN 50% reduction
Adherence to central-line insertion
practices
NHSN 100% adherence Data not yet available*
Clostridium difficile (hospitalizations) HCUP 30% reduction
Clostridium difficile infections NHSN 30% reduction Data not yet available*
Urinary tract infections NHSN 25% reduction Data not yet available*
MRSA invasive infections (population) EIP 50% reduction
MRSA bacteremia (hospital) NHSN 25% reduction Data not yet available*
Surgical site infections NHSN 25% reduction
Surgical Care Improvement Project
Measures
SCIP 95% adherence
*2009 or 2009 – 2010 is the baseline period.
14. Each state identified at least 2 priority prevention measures for surveillance in supportEach state identified at least 2 priority prevention measures for surveillance in support
of the HHS HAI Action Planof the HHS HAI Action Plan
State Prevention Plan PrioritiesState Prevention Plan Priorities
31
22
19
10
4
7
11
12
13
17
13
7
42
34
32
27
17
14
0
5
10
15
20
25
30
35
40
45
CLABSI SSI MRSA C. Diff CAUTI VAP
NumberofStates
Underway Planned Total
15. Changing LandscapeChanging Landscape
of HAI Preventionof HAI Prevention
1. State Reporting1. State Reporting
2. Research2. Research
3. Incentives3. Incentives
16. Disclosures of HAI
rates required
DC*
State-level Public Reporting HAI Legislation, 2004State-level Public Reporting HAI Legislation, 2004
18. Changing Landscape of HAI PreventionChanging Landscape of HAI Prevention
Over 4,500 healthcare facilities have enrolled inOver 4,500 healthcare facilities have enrolled in
CDC’s National Healthcare Safety NetworkCDC’s National Healthcare Safety Network
(NHSN) as of April 2011. NHSN is providing(NHSN) as of April 2011. NHSN is providing
CLABSI data for the CMS Hospital InpatientCLABSI data for the CMS Hospital Inpatient
Prospective Payment Systems for Acute CareProspective Payment Systems for Acute Care
Hospitals as a first step in implementing theHospitals as a first step in implementing the
Affordable Care Act.Affordable Care Act.
19. Changing Landscape of HAI PreventionChanging Landscape of HAI Prevention
$34 Million to Expand Fight$34 Million to Expand Fight
AgainstAgainst
Healthcare-Associated InfectionsHealthcare-Associated Infections
Goal:Goal: To help expand efforts to fightTo help expand efforts to fight
HAIs in hospitals, ambulatory careHAIs in hospitals, ambulatory care
settings, end-stage renal diseasesettings, end-stage renal disease
facilities, and long-term care facilities.facilities, and long-term care facilities.
AHRQ has collaborated with CDC,AHRQ has collaborated with CDC,
CMS, and NIH to identify researchCMS, and NIH to identify research
gaps to improve HAI prevention.gaps to improve HAI prevention.
Complete list of institutions andComplete list of institutions and
projects funded available at:projects funded available at:
www.ahrq.gov/qual/haify10.htmwww.ahrq.gov/qual/haify10.htm
20. Positive Incentives for ExcellencePositive Incentives for Excellence
National Awards ProgramNational Awards Program
Cleveland Clinic Cardiovascular ICU recognized lastCleveland Clinic Cardiovascular ICU recognized last
week withweek with The Sustained Improvement Award (CLABSI)The Sustained Improvement Award (CLABSI)
recognizes progress in implementing systems showing sustained andrecognizes progress in implementing systems showing sustained and
consistent reductions over a period of 18 to 24 monthsconsistent reductions over a period of 18 to 24 months
21. Changing Landscape of HAI PreventionChanging Landscape of HAI Prevention
AHRQ recently awarded $5.8M to Health ResearchAHRQ recently awarded $5.8M to Health Research
& Educational Trust& Educational Trust
Funds will help States support staffing needs atFunds will help States support staffing needs at
hospitals participating inhospitals participating in On the CUSP: Stop BSIOn the CUSP: Stop BSI
CUSP is aCUSP is a comprehensive unit-based safetycomprehensive unit-based safety
programprogram to reduce central line-associatedto reduce central line-associated
bloodstream infections and catheter-associated UTIsbloodstream infections and catheter-associated UTIs
Builds on the foundation of the Michigan KeystoneBuilds on the foundation of the Michigan Keystone
ProjectProject
22. Changing Landscape of HAI PreventionChanging Landscape of HAI Prevention
American Recovery and Reinvestment Act of 2009American Recovery and Reinvestment Act of 2009
(ARRA)(ARRA)
Created opportunities for building the state-levelCreated opportunities for building the state-level
infrastructure for HAI prevention.infrastructure for HAI prevention.
Administered by CDC and CMSAdministered by CDC and CMS
enhanced state capacity to reduce and prevent HAIs,enhanced state capacity to reduce and prevent HAIs,
focusing on thefocusing on the Action PlanAction Plan goals,goals,
enhanced state capacity to inspect ambulatory surgicalenhanced state capacity to inspect ambulatory surgical
centers.centers.
24. CMS Programs Planning to LinkCMS Programs Planning to Link
Payment to QualityPayment to Quality
Value Based Purchasing and Accountable Care Organizations are two
important steps to revamping payment for care and services are paid
Rewarding better value, outcomes, and innovations instead of merely
volume
Measures should rely on a mix of the following:
– Standards
– Process measures
– Outcomes
– Patient experience measures
Care Transitions and Changes in Patient Functional Status
Goal is to quickly move to using primarily outcome and patient
experience measures using risk adjustment as appropriate
25. CMS Programs Planning toCMS Programs Planning to
Link Payment to QualityLink Payment to Quality
–Hospital Value-Based Purchasing (HVBP)
–End Stage Renal Disease Quality Incentive
Program (ESRD QIP)
–Accountable Care Organizations (ACO)
26.
27. Introduction: Proposed HospitalIntroduction: Proposed Hospital
Value-Based Purchasing (VBP) ProgramValue-Based Purchasing (VBP) Program
Required by Congress under Section 1886(o) of the Social
Security Act
Next step in promoting higher quality care for Medicare
beneficiaries
CMS views value-based purchasing as an important driver in
revamping how care and services are paid for, moving
increasingly toward rewarding better value, outcomes, and
innovations instead of volume
Note: Details presented here are proposals and are subject
to change in the Final Rule. Comment period ended on
March 8, 2011
28. Proposed HospitalProposed Hospital
Value-Based Purchasing (VBP)Value-Based Purchasing (VBP)
Measure TopicsMeasure Topics
Acute Myocardial Infarction (AMI)
Heart Failure (HF)
Pneumonia (PN)
Surgical Care Improvement Project (SCIP)
Healthcare-Associated Infections, as defined by the
Secretary’s HAI Action Plan
Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS) Survey
30. Measures Proposed for FY 2014Measures Proposed for FY 2014
Hospital VBP Program (1 of 3)Hospital VBP Program (1 of 3)
Proposed Hospital -Acquired Condition Measures:
1. Foreign Object Retained After Surgery
2. Air Embolism
3. Blood Incompatibility
4. Pressure Ulcer Stages III & IV
5. Falls and Trauma: includes Fracture, Dislocation,
Intracranial Injury, Crushing Injury, Burn, Electric Shock
6. Vascular Catheter-Associated Infections
7. Catheter-Associated Urinary Tract Infection (CAUTI)
8. Manifestations of Poor Glycemic Control
Proposed Hospital -Acquired Condition Measures:
1. Foreign Object Retained After Surgery
2. Air Embolism
3. Blood Incompatibility
4. Pressure Ulcer Stages III & IV
5. Falls and Trauma: includes Fracture, Dislocation,
Intracranial Injury, Crushing Injury, Burn, Electric Shock
6. Vascular Catheter-Associated Infections
7. Catheter-Associated Urinary Tract Infection (CAUTI)
8. Manifestations of Poor Glycemic Control
31. Proposed Hospital VBP MeasuresProposed Hospital VBP Measures
for FY 2014 (2 of 3)for FY 2014 (2 of 3)
Agency for Healthcare Research and Quality (AHRQ) Patient Safety
Indicators (PSI), Inpatient Quality Indicators (IQI), and Composite Measures:
1. PSI 06 – Iatrogenic Pneumothorax, adult
2. PSI 11 – Post-Operative Respiratory Failure
3. PSI 12 – Post-Operative Pulmonary Emboli (PE) or Deep Vein Thrombosis (DVT)
4. PSI 14 – Postoperative Wound Dehiscence
5. PSI 15 – Accidental Puncture or Laceration
6. IQI 11 – Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate
(with or without volume)
7. IQI 19 – Hip Fracture Mortality Rate
8. Complication/Patient Safety for Selected Indicators (composite)
9. Mortality for Selected Medical Conditions (composite)
Agency for Healthcare Research and Quality (AHRQ) Patient Safety
Indicators (PSI), Inpatient Quality Indicators (IQI), and Composite Measures:
1. PSI 06 – Iatrogenic Pneumothorax, adult
2. PSI 11 – Post-Operative Respiratory Failure
3. PSI 12 – Post-Operative Pulmonary Emboli (PE) or Deep Vein
Thrombosis (DVT)
4. PSI 14 – Postoperative Wound Dehiscence
5. PSI 15 – Accidental Puncture or Laceration
6. IQI 11 – Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate
(with or without volume)
7. IQI 19 – Hip Fracture Mortality Rate
8. Complication/Patient Safety for Selected Indicators (composite)
9. Mortality for Selected Medical Conditions (composite)
32. Measures Proposed for FY 2014Measures Proposed for FY 2014
Hospital VBP Program (3 of 3)Hospital VBP Program (3 of 3)
MORT-30-HF: Heart Failure (HF) 30-Day Mortality Rate
MORT-30-PN: Pneumonia (PN) 30-Day Mortality Rate
Proposed Mortality Measures
MORT-30-AMI: Acute Myocardial Infarction (AMI) 30-Day Mortality Rate
MORT-30-HF: Heart Failure (HF) 30-Day Mortality Rate
MORT-30-PN: Pneumonia (PN) 30-Day Mortality Rate
33. Anticipated HAI Expansion in FutureAnticipated HAI Expansion in Future
Years (subject to regulation proposal)Years (subject to regulation proposal)
–Central Line-Associated Blood Stream
Infection (CLABSI)
–Surgical Site Infection
–MRSA
–Clostridium Difficile
–Catheter -Associated Urinary Tract
Infection
–Central Line Insertion Protocol (CLIP)
34.
35. ESRD QualityESRD Quality
Incentive Program is….Incentive Program is….
A program designed to improve the quality of care for beneficiaries
by changing the way dialysis facilities in the ESRD Program are
reimbursed
Designed to monitor and improve the quality of care furnished to
ESRD beneficiaries
The first pay-for-performance program in a Medicare prospective
payment system
A program that continues a long history of work by CMS to
improve the quality of care for beneficiaries with ESRD
Efforts to improve beneficiary quality of care include:
– Dialysis Facility Compare
– Fistula First Breakthrough Initiative
36. ESRD QIP Future MeasuresESRD QIP Future Measures
Under ConsiderationUnder Consideration
Committed to adding quality measures that will look at additional
aspects of an individual’s health in dialysis
Some areas under consideration include:
– Bone and mineral metabolism
– Access infection rates (including healthcare acquired infections)
– Dialysis adequacy –(Kt/V instead of URR)
– Vascular access rates
Committed to developing additional quality measures for future
years to better assess the quality of care provided by dialysis
facilities
– Kt/V = (dialyzer clearance of urea X dialysis time) / volume of
distribution of urea
37.
38. Role of Accountable CareRole of Accountable Care
OrganizationsOrganizations
Another key delivery system reform is the
encouragement of Accountable Care
Organizations (ACOs).
ACOs facilitate coordination and cooperation
among providers to improve the quality of
care for Medicare beneficiaries and reduce
unnecessary costs.
39. What is an Accountable CareWhat is an Accountable Care
Organization?Organization?
An organization of health care providers that agrees to be
accountable for the quality, cost, and overall care of Medicare
beneficiaries who are enrolled in the traditional fee-for-service
program who are assigned to it
For ACO purposes, “assigned” means those beneficiaries for whom
the professionals in the ACO provide the bulk of primary care
services.
Assignment will be invisible to the beneficiary, and will not affect
their guaranteed benefits or choice of doctor.
A beneficiary may continue to seek services from the physicians
and other providers of their choice, whether or not the physician or
provider is a part of an ACO.
40. What forms of organizations mayWhat forms of organizations may
become an ACO?become an ACO?
The statute specifies the following:
1) Physicians and other professionals in group practices
2) Physicians and other professionals in networks of practices
3) Partnerships or joint venture arrangements between hospitals and
physicians/professionals
4) Hospitals employing physicians/professionals
5) Other forms that the Secretary of Health and Human Services
may determine appropriate.
An organization of health care providers that agrees to be
accountable for the quality, cost, and overall care of Medicare
beneficiaries who are enrolled in the traditional fee-for-service
program who are assigned to it.
41. What quality measures willWhat quality measures will
ACOs be assessed on?ACOs be assessed on?
Subject to the proposed program’s regulations,
they will include measures in such categories
as clinical processes and outcomes of care,
patient experience, and utilization (amounts
and rates) of services.
42. How would an ACO qualifyHow would an ACO qualify
for shared savings?for shared savings?
For each 12-month period, participating ACOs
that meet specified quality performance
standards will be eligible to receive a share of
any savings if the actual per capita
expenditures of their assigned Medicare
beneficiaries are a sufficient percentage below
their specified benchmark amount.
43. ACO Current StatusACO Current Status
– CMS plans to hold a listening session to hear stakeholder
ideas on ACOs this summer. Further details about this
listening session, to be held as a special open door forum,
will be posted by June 11.
– We plan to establish the program by January 1, 2012.
Agreements will begin for performance periods, to be at
least three years, on or after that date.
– Further details for the shared savings program will be
provided in a Notice of Proposed Rulemaking which CMS
expects to publish this fall.
44. Looking Ahead
IPPS rule
CMS to use NHSN data for Hospital Compare
Affordable Care Act
$500 million for care transitions
Release of 2011 Action Plan
Development of Phase III – Long-Term Care
Partnering to Heal: Teaming Up Against
Healthcare Associated Infections
Consumer Media Campaign
45. For more information
Office of Healthcare Quality
200 Independence Ave, SW
Room 716G
Washington, DC 20201
Telephone (202) 401-8006
ohq@hhs.gov
Subscribe to the HAI listserv
https://service.govdelivery.com/service/subscribe.html?code=USHHS_234
Editor's Notes
At the national level, Congress has been very interested in HAIs and commissioned a GAO investigation to ascertain what HHS as a department is doing and can do to prevent HAIs. The GAO findings focused on better data, especially across agencies and in prioritizing prevention practices.
The resulting HHS Action Plan to Prevent HAIs has provided a good forum for interagency efforts to improve data and prevention implementation.
The Federal Steering Committee for the Prevention of Healthcare-Associated Infections was developed in response to the GAO Report and consists of the ten working groups listed on the slide.
Decreases in the national incidence rates of some HAIs:
18% decrease in central line-associated bloodstream infections;
13% decrease in invasive methicillin-resistant Staphylococcus aureus (MRSA) infections; and,
5% decrease in surgical site infections.
Variability in level of activity between States, some had resources to support more than 2 prevention measures
Due to the variability in State’s level of activity, some already had activities underway for surveillance of certain HAIs and others indicated that they were planning activities in these areas.
On approach to improving data for action, especially publicly available data has been mandated public reporting, which has been primarily led by consumer movements in states.
In 2004, only 3 states required public reporting of HAIs, one state had pending legislation.
On approach to improving data for action, especially publicly available data has been mandated public reporting, which has been primarily led by consumer movements in states.
In 2004, only 3 states required public reporting of HAIs, one state had pending legislation. Now, there are 28 states with public reporting laws.
Changing Landscape of HAI Prevention
This section highlights some of the accomplishments and successes in the field of HAI prevention seen over the last few years. Particularly notable items:
Decreases in the national incidence rates of some HAIs:
18% decrease in central line-associated bloodstream infections;
13% decrease in invasive methicillin-resistant Staphylococcus aureus (MRSA) infections; and,
5% decrease in surgical site infections.
Increased investment in HAI research has been seen, particularly in the field of implementation science. In addition, CDC’s Prevention Epicenter research network addressed priority gaps in prevention knowledge.
Over 4,100 healthcare facilities have enrolled in the CDC’s National Healthcare Safety Network (NHSN) as of January 2011. NHSN is providing CLABSI data for the CMS Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals as a first step in implementing the Affordable Care Act (ACA).
The Comprehensive Unit Based Safety Program (CUSP) demonstrates how a structured strategic framework for safety can result in dramatic improvements in patient care. The approach was designed to improve the culture of safety and help clinical teams learn from mistakes by integrating safety practices into the daily work of a unit or clinical area. Hospitals adopting this approach have achieved significant reductions in central line-associated bloodstream infections. AHRQ is currently expanding this effort to the prevention of other forms of HAIs, as well as to non-acute care hospital facilities.
To ensure that the Action Plan is truly representative of the needs of the many partners and participants in the national effort to prevent HAIs, each of HHS’ component agencies along with the Office of Healthcare Quality sponsored and/or conducted numerous activities to ensure an on-going and vibrant dialogue with the many sectors within public health and healthcare, as well as consumers.
Funding made available by Congress through American Recovery and Reinvestment Act of 2009 (ARRA) created opportunities for strengthening and building the state-level infrastructure for HAI prevention. The ARRA program was administered by CDC and CMS and enhanced state capacity to reduce and prevent HAIs, focusing on the Action Plan goals, as well as enhanced state capacity to inspect ambulatory surgical centers.
A three-year independent evaluation of the HAI effort is underway regarding the impact of the Action Plan. The iterative, longitudinal, and comprehensive evaluation uses context, input, process, and product evaluations to measure all effectiveness of the initiative in reducing HAIs nationwide. A report summarizing initial recommendations is available: Longitudinal Program Evaluation of the Healthcare-Associated Infections (HAI) HHS Action Plan Year 1 Report (September 2009).
First is our expanded activities to continue to prevent HAIs
In November of last year, AHRQ announced the award of $34 million towards 22 new projects aimed at preventing one of the top 10 leading causes of death in the United States--healthcare-associated infections, or HAIs.
These projects will help improve the quality of care delivered to patients and expand the fight against HAIs within hospitals, ambulatory care settings, end-stage renal disease facilities, and long-term care facilities. Due to the dramatic growth in surgery being performed in ambulatory surgical centers and the fact that these populations are vulnerable to infections, ensuring safe practices within these settings has become more critical.
In order to maximize the impact of this work, AHRQ worked with experts from CDC, CMS and NIH to help identify research gaps to improve HAI prevention. These awards build on AHRQ’s investment of $27 million for projects awarded since 2007.
Preventing these infections is a national priority, and over the last several years AHRQ has demonstrated a sustained commitment to supporting this priority through many projects, including those on the use of standardized procedures, including a checklist of proven safety practices based on CDC recommendations, staff training and tools for improving teamwork among health care providers.
With this additional $34 million in funding, AHRQ is significantly expanding this important work. Some of the projects will examine the effect of the use of universal glove and gowning on HAI Rates and antimicrobial resistant bacteria; evaluate Clostridium difficile infection in hospitalized patients; examine multidrug-resistant urinary tract infections in ambulatory settings, and look at emergency department best practices to reduce HAIs.
In addition, some of the funds will be used to expand the Keystone project, which we initially funded several years ago with the University of Michigan and Johns Hopkins.
All of these activities support a Department-wide effort to prevent HAIs.
Cleland Clinic Cardiovascular ICU
Will be recognized on May 2, 2011 during AACN’s National Teaching Institute & Critical Care Exposition, Chicago
Will receive the Sustained Improvement Award in Achievement in Eliminating Central Line-Associated Bloodstream Infections
Award is conferred by HHS and the Critical Care Societies Collaborative (American Association of Critical-Care Nurses, American Thoracic Society, American College of Chest Physicians, and the Society of Critical Care Medicine)
Sustained Improvement Award- recognizes progress in implementing systems of excellence that, while perhaps not yet mature, have resulted in consistent and sustained reductions in infection rates over at least 18 to 24 months.
Changing Landscape of HAI Prevention
This section highlights some of the accomplishments and successes in the field of HAI prevention seen over the last few years. Particularly notable items:
Decreases in the national incidence rates of some HAIs:
18% decrease in central line-associated bloodstream infections;
13% decrease in invasive methicillin-resistant Staphylococcus aureus (MRSA) infections; and,
5% decrease in surgical site infections.
Increased investment in HAI research has been seen, particularly in the field of implementation science. In addition, CDC’s Prevention Epicenter research network addressed priority gaps in prevention knowledge.
Over 4,100 healthcare facilities have enrolled in the CDC’s National Healthcare Safety Network (NHSN) as of January 2011. NHSN is providing CLABSI data for the CMS Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals as a first step in implementing the Affordable Care Act (ACA).
The Comprehensive Unit Based Safety Program (CUSP) demonstrates how a structured strategic framework for safety can result in dramatic improvements in patient care. The approach was designed to improve the culture of safety and help clinical teams learn from mistakes by integrating safety practices into the daily work of a unit or clinical area. Hospitals adopting this approach have achieved significant reductions in central line-associated bloodstream infections. AHRQ is currently expanding this effort to the prevention of other forms of HAIs, as well as to non-acute care hospital facilities.
To ensure that the Action Plan is truly representative of the needs of the many partners and participants in the national effort to prevent HAIs, each of HHS’ component agencies along with the Office of Healthcare Quality sponsored and/or conducted numerous activities to ensure an on-going and vibrant dialogue with the many sectors within public health and healthcare, as well as consumers.
Funding made available by Congress through American Recovery and Reinvestment Act of 2009 (ARRA) created opportunities for strengthening and building the state-level infrastructure for HAI prevention. The ARRA program was administered by CDC and CMS and enhanced state capacity to reduce and prevent HAIs, focusing on the Action Plan goals, as well as enhanced state capacity to inspect ambulatory surgical centers.
A three-year independent evaluation of the HAI effort is underway regarding the impact of the Action Plan. The iterative, longitudinal, and comprehensive evaluation uses context, input, process, and product evaluations to measure all effectiveness of the initiative in reducing HAIs nationwide. A report summarizing initial recommendations is available: Longitudinal Program Evaluation of the Healthcare-Associated Infections (HAI) HHS Action Plan Year 1 Report (September 2009).