Over the next couple of weeks I’ll continue reflecting about some of the innovative strategies that we’ve implemented with our behavioral health community partners over the last several years to improve the health status of folks with a serious mental illness. Last week I wrote about the Integrated Health Homes initiative. Another success has been [...]
Those of you in Public Health Licensing have heard me talk about the difference between compliance and enforcement more than once. They’re 2 different things. Compliance means that a licensed healthcare, residential or childcare facility meets our standards and expectations. Enforcement is an action that we occasionally take in order to get a facility into [...]
Three years ago we made the commitment to overhaul the way we regulate Arizona’s 5,500 licensed healthcare facilities. Our goal was to move from the existing prescriptive regulations to a new set of outcome-based rules. The idea was to shift from the former 2-dimensional standards to a deeper set of 3-dimensional regulations. The final regulations that [...]
Last week the ASH Pharmacy began having problems with the computer system that the medical staff use to order prescriptions for patients. Orders weren’t consistently showing up on the pharmacy computer screen or printing out. We implemented our back-up system right away, but the temporary work-around was time consuming. Our Information Technology team made this their [...]
People with a serious mental illness die more than 30 years earlier than people without those challenges. Over the next few weeks, I’ll be reflecting about some of the innovative strategies that we’ve implemented with our behavioral health community partners over the last several years to improve the health status of folks with a serious [...]
It’s no secret that misuse and abuse of opiate painkillers like OxyContin and Vicodin are a large and growing public health threat in Arizona- misuse and abuse of these medicines are now killing more Arizonans than car crashes. Last week the FDA approved a prescription treatment called Evzio that can be used in medical emergencies caused by prescription [...]
As I mentioned in a blog post last year, more AZ parents are choosing not to vaccinate their kids- using “personal exemptions” when they enroll their kids in school. This has jeopardized our immunization rates enough that this week’s measles case in Maricopa County could spread. We’ll know in a couple of weeks. Vaccinating yourself and [...]
Like a hotshot team, a rapid response by public health is essential to stopping the spread of measles in unvaccinated persons… and disease detectives in Maricopa County are currently working to squash a measles outbreak right now. Last week a person with measles visited a restaurant, church and airport in Arizona, exposing over a thousand [...]
Colorectal cancer is the second leading cause of cancer-related deaths in Arizona. Across men and women, all age groups, races, and ethnicities, about ½ of all colorectal cancer diagnoses in Arizona are late-stage, which are more difficult to treat. Our Fit at Fifty HealthCheck Program screens about 1,500 Arizonans per year by providing Fecal Immunochemical Tests [...]
I’ve always believed that transparency improves the efficiency of any system. Health care costs are no exception- and health care reimbursement costs are probably at the top of the list of systems that could be improved by applying a healthy dose of cost transparency. Today the federal government took a giant step forward when they [...]
