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The Joint Commission targets central lineassociated bloodstream infections in its 2011 national patient safety goals, with NPSG.07.04.01 calling for hospitals to "implement evidence-based practices to prevent (CLABSIs)."
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[Editor's note: In this issue we continue with the second part of Patti Grant's IP Newbie column that was featured in our September issue. As you may recall, she described an all too common situation: How various professionals in healthcare are expected to participate in activities beyond their original area of expertise. This expectation does not seem so much a direct consequence of the struggling economy as a reflection of the attempt by various specialties to move from "silos" to a team approach to problem solving, Grant noted, observing that "Patient safety will most likely be less precarious in this multi-disciplinary improvement environment, but it can come with hefty growing pains." Of course, as an IP Newbie, you're often the one growing.]
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The Joint Commission's new National Patient Safety Goal (NPSG) on preventing indwelling catheter-associated urinary tract infections which emphasizes prompt removal of unnecessary devices and surveillance for CAUTIs is effective January 1, 2012 for hospitals.
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With the increasing reliance on computer tools and electronic records, infection preventionists may reasonably assume patients flagged for isolation on admission end up under the appropriate precautions.
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The elements of performance for the CAUTI prevention safety goal are as follows:
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Would you expect a New York Medicaid client to be able to access mental health service equally well, regardless of where he or she lived within the state?
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As a general rule, courts have upheld limitations on Medicaid reimbursements for services, as long as the services are "sufficient in amount, duration, and scope to reasonably achieve their purpose," according to Laura Hermer, JD, LLM, an assistant professor of health policy and bioethics at the University of Texas Medical Branch in Galveston.
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A new Medicaid recovery audit contractor (RAC) program will help strengthen the integrity of the Medicaid program, according to Xiaoyi Huang, JD, assistant vice president for policy at the National Association of Public Hospitals and Health Systems in Washington, DC. "That being said, we need to be cognizant of program integrity efforts that places undue burden on providers," she cautions.
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A state plan amendment submitted by North Carolina Medicaid to the Centers for Medicare & Medicaid Services (CMS) to participate with the Medicaid recovery audit contractor (RAC) program has already been approved, and a request for proposal will be released shortly, reports Brad Deen, a spokesperson for North Carolina Division of Medical Assistance (NCDMA).
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The Affordable Care Act (ACA) requires that state Medicaid agencies reimburse primary care providers at 100% of the Medicare fee schedule for two years, notes Donald Ross, manager of the policy and planning section at the Oregon Health Authority's Division of Medical Assistance Programs.