Posts Tagged ‘patient’

Hospital Bloodstream Infection Rates Go Online

February 23rd, 2012

Bloodstream infections that start because of a “central line” in a person’s body are among the most serious of all healthcare-associated infections- causing thousands of deaths each year and about $700M in added costs.  The CDC estimates that there were about 41,000 infections like these U.S. hospitals last year…  and 25% percent of patients who get a central line associated bloodstream infection will die from it.  Each patient with an infection like this costs about $17K extra to boot. 

As is the case with everything in public health, measuring and reporting rates of central line associated bloodstream infections (called CLABSIs) is a key ingredient in developing effective interventions to reduce these deadly and expensive (and often preventable) infections.  To that end, this week Centers for Medicare & Medicaid Services added data about how often these preventable infections occur in hospital intensive care units across the country to their Hospital Compare website.  Providing data that will help hospitals and the public health system to bring down these rates, saving thousands of lives and millions of dollars each year.  

The data on the website comes from data reported from hospital ICUs to CDC’s National Healthcare Safety Network (NHSN).  In many places, this is the first time consumers can see how well their local hospitals prevent CLABSIs, one of the most deadly healthcare-associated infections.  You can also read more and join the conversation at http://blogs.cdc.gov/safehealthcare/

Hospital Compare also provides a host of additional indicators about the quality of care provided in over 4,700 of America’s acute-care, critical access and children’s hospitals.  The website features free, easy-to-use information about these hospitals, including mortality and readmission rates for each, along with 10 measures that capture patient experience with hospital care, 17 measures that assess patient safety at each hospital, 25 process-of-care measures and three children’s asthma care measures.

AZ Smallpox Outbreak

February 6th, 2012

Smallpox broke out in southeast Arizona almost exactly 100 years ago last week (co-incident with the Statehood activities).  The first cases were in Tucson and Douglas with a few dozen cases and several deaths… and there were a few additional cases in Nogales and Globe.  Of course, all the cases were among folks that hadn’t been vaccinated.  The public health interventions of the time were much like what we would do today- case contact follow up with targeted vaccinations of folks that had contact with cases. 

For example, Dr. Chenoweth (Santa Cruz County Superintendent of Health) implemented an aggressive targeted vaccination effort following the Nogales case.  From the 1912 records, we know that Dr. Chenoweth immediately began a “house-to-house vaccination campaign, vaccinating every person within a radius of six or seven miles of the case under quarantine, except one person who secreted herself and escaped vaccination, but developed smallpox instead.”  These two cases were the only ones reported from Santa Cruz County. 

As the outbreak progressed in the following months, the State Board of Health weighed in on the public health response that had been undertaken in the various counties.  The 1912 State Board of Health minutes stated that: “In our opinion this (contact and ring vaccination campaigns) is not sufficient, as there is no one to keep check on the patient or guardian to see that vaccination is done.  Our public health law should be amended to read:  In addition to the above stated section, no principal, teacher or superintendent shall permit any person to attend school, unless they have been vaccinated.  A large per cent of the children of Arizona have not been vaccinated and will not as long as they are allowed to attend school without first having been vaccinated. 

So, the February 1912 Smallpox outbreak in SE AZ was that spark that triggered the debate about whether and how to require vaccination as a prerequisite for attending school.  You can check out our pre-school and school resource page to find out more about today’s school vaccination requirements.

Hospital Visitation Refresh

November 18th, 2011

Over the last few weeks, we’ve been working on ways to engage family members in the treatment of patients- as part of our continuing efforts to promote a culture of care at the hospital that reflects recovery and resilience.  One of those ways is to make sure that our policies make it easier for family members to visit the hospital… and our teams have been working on a new visitation policy for the last few weeks.  It may sound like an easy task to just change a policy- but there are actually lots of details that need to be worked out before the changes can occur.  Things like…  Do we have the right number of staff on at the right time?  How do we make it work so that family members can enjoy a meal at the hospital?  Are there any new safety and security issues we need to take into consideration? 

Our hospital team worked through those kinds of questions- and Monday we’ll be rolling out our new expanded visitation hours including a more friendly visitation protocol with more flexible criteria for food and gifts.  We think it’ll help create a more therapeutic environment for the patients and will make it easier for family members to participate in the Recovery process.  Here are some answers to frequently asked questions about the new visitation policy and hours.

Health Centers- a Key Hub for Primary Care

August 23rd, 2011

We’re proud to join in the celebration of National Health Center Week by highlighting Health Centers throughout our State and the vital services they provide. Community Health Centers are community-based, patient directed organizations that provide services to medically underserved areas.  These valuable safety net providers offer full-time comprehensive primary and preventative care to patients regardless of their ability to pay or their insurance status. 

Today there are 16 federally qualified health center organizations in Arizona with over 100 physical locations statewide.  They provide increased access to care to Arizona’s 46 federally designated medically underserved areas and populations.   The services provided by each center are adapted to address the major health care needs of their target population and to ensure the availability and accessibility of essential primary and preventive health services, including, oral health, mental health, and substance abuse services.  By maximizing the availability, access, and continuity of primary care services, health centers play a critical role in improving the health care status of medically underserved and vulnerable populations.    

One of the many ways that the ADHS supports health centers is through our Bureau of Health Systems Development.  Our team provides technical assistance, data, reports, maps and other tools to established health centers as well as facilities applying to become health centers through its Community Development Program.  We’re working closely with the U of A’s Rural Health Office to provide a free webinar series covering Issues in Rural Health Planning.  To find a health center near your home, check out HRSA’s electronic search engine.