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).
No one could question the positive impact vaccines and the immunization they provide have had on global health. The World Health Organization estimates that immunizations prevent the deaths of between 2-3 million people each year - and could prevent an additional 1.5 million deaths if vaccination efforts were more globally available and accepted. Despite being one of the most cost-effective medical interventions, vaccines are still not universally available, especially in the developing world. And yet, even in those countries where vaccines are readily available, many individuals still choose not to be vaccinated. Who is impacted by this choice?
April 11th is National Pet Day! Let's take a moment to focus on the intersection between infection and household pets. There are many sides to this issue: The health of the pet owners, the health of the pets, and the overall household environment. Today we will explore some important information and tips to help everyone stay safe and healthy.
Since the inception of the Hospital-Acquired Condition Reduction Program (HACRP) in 2015, those of us involved in the world of hospital infection control have become used to looking at HAC scores. For a few years, these hospital scores have been expressed as a number between 1 and 10. Now, HAC scores look different: They can be positive or negative, and only seem to be between -3 and +3. What gives?
Read any hospital design article or walk the floors of any healthcare trade show and you will see these three words: "Easy to Clean." With the growing awareness of the role of the environment in infection control, it's no surprise that furniture and equipment designers are looking to make their products easy to clean. What what does that really mean? Today, we take a look at some ways furniture and related products are designed to be "easy to clean." (We'll look at medical devices and equipment in a future post.)