Disease Follows Conflict
Throughout human history, war and political unrest have been associated with the spread of disease, often called the “third army”. During the Napoleonic wars, 8 times more people in the British army died from disease than from battle wounds. In our Civil War, 66% of the 660,000 deaths among soldiers were caused by pneumonia, typhoid, dysentery, and malaria. Up to [...]
Behavioral Health Quality Service Review
Objective evaluation is critical to assessing and improving the performance of any public health system- including the behavioral health system that we manage. One of the ways we assess our behavioral health system is to conduct a “Quality Services Review”, which identifies strengths, service capacity gaps, and areas for improvement at a system-wide level. A couple of weeks ago a [...]
UA to Offer MPH in Health Services Administration
To help meet the growing demand for health care administrators the Mel and Enid Zuckerman College of Public Health at the U of A (in Phoenix) will begin offering a new accredited Master of Public Health in Health Services Administration program in fall 2014. The health services administration program will provide students with the knowledge of how health care services [...]
Trauma System Part 3
A couple of weeks ago I wrote about the basics of evaluating a trauma system and last week I posted about over & under triage. This week is about a tool we use to measure whether we’re striking the right balance- the “Z Statistic”. Back in 1990, there was a famous study published (Major Trauma Outcomes Study) that reviewed thousands [...]
Another Reason to Get a Flu Shot
Investigators of a new study published this week in the Journal of the American Medical Association discovered another reason that some people may benefit from getting the flu shot. The study found that getting an annual flu vaccine puts the person at lower risk of having a heart attack, stroke, heart failure, or death from a heart-related event. The [...]
Ambulance Service Enhanced Surveillance
This past summer I blogged about Rural Metro failing to meet a bond payment and having some issues with an ambulance service contract in California. They subsequently filed for bankruptcy and are in the process of negotiating with their creditors. This is important- because they’re a big provider of 9-1-1 and hospital to hospital ambulance service in Arizona and [...]