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Smallpox preparedness needs to take a broader focus, with a registry of health care workers and others who have been previously vaccinated, an Institute of Medicine (IOM) panel has advised.1
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Been there; done that; got stuck. Sometimes the most convincing argument for using safer needles comes from someone who didnt.
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Figuring out how to save money is a lot easier than actually doing it. That is the lesson that Delynn Lamott, RN, MS, COHN-S, learned when she went to work for a small community hospital in Michigan.
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Drug screening rarely comes out positive in new hires, but the screening itself may dissuade drug users from applying for jobs. The University Health Systems of Eastern Carolina in Greenville, NC, was able to make the process more cost-effective by implementing random drug screening.
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The risk of acquiring HIV infection from occupational exposures may be even lower than the three in 1,000 rate that is commonly cited.
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As the debate over the malpractice insurance crisis continues with little sign of agreement on causes or cures, there is little definitive that can be said about the impact of malpractice insurance pressures on access to and utilization of care.
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Pennsylvanias 2002 comprehensive malpractice reform legislation is a model for states to consider, according to a 2002 paper by National Academy for State Health Policy (NASHP) senior analyst Mimi Marchev.
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What impact would there be if the federal government carries out its Medicaid reform strategy by making the program a block grant? The Bazelon Center for Mental Health Law says the results could include making more people with mental illness homeless; denying early mental health treatment for children; and increasing the number of adults and juveniles with serious mental illnesses who are in jails, juvenile detention centers, and prisons because of lack of access to community mental health care.
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The nations mental health system is in a shambles and needs a major overhaul rather than incremental improvements. Thats the assessment of the New Freedom Commission on Mental Health appointed by President Bush.
