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As this issue of State Health Watch was finalized, some members of Congress were working behind the scenes to hammer out a compromise that could gain enough Republican votes to overcome a presidential veto. And President Bush signaled a willingness to accept some program expansion.
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The pilot Medicaid Value Program that drew the most attention from the Center for Health Care Strategies and Mathematica was the Washington Medicaid Integration Partnership (WMIP), which brings together primary care, mental health, substance abuse, and long-term care services for categorically needy aged, blind, and disabled (ABD) Medicaid beneficiaries in Snohomish County, north of Seattle.
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Infection control professionals at the Cleveland VA Medical Center took several additional prevention measures because they suspected asymptomatic Clostridium difficile carriers were fueling an outbreak in their long-term care facility.
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Investigators have found that asymptomatic carriers of Clostridium difficile "have the potential to contribute significantly to disease transmission," including causing infections with the highly toxigenic strain that has plagued hospitals with severe outbreaks.
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Investigators are trying to verify or refute the lingering suspicion that an undefined level of Clostridium difficile is being transmitted to humans through meat in the food supply.
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Clinicians have been traditionally skittish about the long arm of the law reaching into the realm of medicine, but no one is curbing their enthusiasm about the potential benefits of a proposed federal law targeting the serious problem of antibiotic resistance.
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A norovirus outbreak can be notoriously difficult to control in a long-term care setting before it exacts a huge toll on residents and staff.
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Infection control professionals are killing two birds with one shot, administering annual flu vaccine in rapid-fire fashion to simulate immunizing health care workers against an emerging influenza pandemic.
