The world shared a collective sigh of relief as word spread that the last of the trapped Thai soccer team was rescued from their 17-day underground ordeal. After international efforts to find the lost team, the immediate tasks centered on providing the malnourished and weak group with immediate medical care. While plans for their extraction were going full-force, the twelve boys and their coach received food, clean water, and most importantly, oxygen to the tiny rock shelf that had provided shelter as monsoon flood waters rose around them. With the entire group now safely above-ground, it appears the worst of the ordeal is behind them. As the boys recover under quarantine, medical specialists now have the task of determining what, if any, pathogens followed them out of this nightmare. Today’s post will explore some of the infection risks faced by this group as the rescue efforts continue at the patient bedside.
In our previous posts about the Case-Mix Index (CMI), we explored what it conveys and how it is calculated. Today we will look who looks that the CMI and how they use it, including both clinical and financial entities.
Two ingredients make for a perfect environment for pathogens: Warmth and moisture. No season better provides this environment than summer. Just think: Warm days keep our bodies sweaty, swimming in pools or oceans keeps our clothes and skin damp, and outdoor activities expose us to pests, sun, and unrefrigerated food. It's a recipe for happy pathogens and miserable hosts. Read today's post to find out the top summer pathogens and what you can do to avoid them.
In hospitals across the nation, adenosine triphosphate (ATP) monitors are used to test surfaces for the presence of biological contamination. Armed with a swab and a hand-held device, anyone from an Infection Preventionist to an Environmental Services employee can easily sample a surface and quickly get feedback on the presence of organic matter. What many of these thousands of users may not realize, however, is that their ATP monitor works thanks to summer’s favorite insect, the firefly.
Up until recently, the medical community has assumed that the infection rates in endoscopy centers was around 1:1,000,000 - a tiny risk for a beneficial procedure. However, recent research published in the journal Gut reveals that the risk of infection is actually 1-3:1,000, that is, 100x more likely than previously thought. This number goes up to 45-59:1,000 for patients with a recent hospitalization. In today's post, we'll explore what is known about the risk of infection associated with endoscopic procedures, recent outbreaks, and what needs to be done to prevent infections in the future.
In our last post, we looked at Diagnosis-Related Groups and how they receive codes based on cost and complexity. These numbers play a key role in the Case-Mix Index, and today we will look at how those MS-DRGs form the basis of the CMI.
The Case-Mix Index (CMI) has been defined in many ways. One definition might read "a relative value assigned to a diagnostic-related group." Another may be "a rough estimate of how sick a hospital's patients are." Yet another could be "an indicator of how much reimbursement is expected by the hospital." All these definitions point to one fact: The CMI is a measure used by a variety of healthcare personnel in a variety of ways. Today we will begin our exploration of this multi-faceted number.
Last week, we celebrated Infection Preventionists, the multi-faceted professionals who keep us safe from hospital-acquired infections. This week, we will explore the various pathways individuals can take to become one of these vital healthcare workers, including degrees and certifications.
In the 1970s, infection control and prevention became a specialty in it's own right. Since then, the role and expertise of the individual tasked with preventing and controlling infections has grown and evolved. Originally, individuals charged with hospital infection control typically had a nursing background and executed tasks closely related to a clinical nurse specialist - supervision, education, reporting, and clinical expertise. However, recent changes in accountability and hospital finance management have spurred an expansion of duties for this individual, now more appropriately called an "Infection Preventionist." What do these individuals do in a hospital? What are their job expectations and core competencies? Join us as we explore this vital profession within the field of healthcare.
There is no health care professional more engaged in infection control than a nurse. While the nursing profession offers many levels of responsibility and mastery, every nurse bears the responsibility of controlling and preventing healthcare-acquired infections. In today's post, in honor of National Nurses Week, we will explore the many ways that nurses help keep us safe from healthcare-associated infections (HAIs).