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A Georgetown University Center for Children and Families analysis says West Virginia's Medicaid redesign that stresses personal responsibility for wellness has led to limiting benefits primarily for children and hasn't had a significant impact on the stated goals of improving beneficiaries' health and increasing healthy behavior.
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The latest Fiscal Survey of States by the National Association of State Budget Officers (NASBO) says FY 2008 "marked a turning point for state finances with a significant increase in states seeing fiscal difficulties, in stark contrast to the preceding several years."
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Lapses in personal protective equipment and training could soon become a lot more costly. The U.S. Occupational Safety and Health Administration has proposed a "clarification" of rules, including the respirator protection and bloodborne pathogen standards, that give it authority to magnify fines for hospitals and other employers.
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Many hospitals would be happy to lift their rate of health care worker influenza immunization past 60% or 70%, but in Iowa, the bar is quite a bit higher than that. In fact, it is near perfection.
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It just takes an evening of viewing the television drama E.R. to know that hospital work is stressful. But the stress that evolves into an occupational hazard isn't from treating trauma victims or mysterious illnesses.
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OSHA has proposed wording changes to the following sections of standards that related to the health care industry:
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No more needlesticks. That sounds like a laudable goal that could prevent health care workers from being exposed to deadly diseases. But, in tandem, hospitals need to maintain another important message that could actually cause their numbers to rise: Report all needlesticks.
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Imagine a disposable respirator that fits well right out of the box. Or perhaps even a respirator that's inexpensive and requires no annual fit-test.
