Health. Care. | An Educational Blog

Probably no other organizational entity has the human resources complexity of a hospital. Healthcare facilities bring together not just medical professions, but also administration, marketing, financial, and social work professionals. This convergence results in a complex hierarchy which is difficult to nail down, varies by the facility, and can change based on difficult-to-pinpoint scenarios. As a result, a post about the hierarchy of a hospital has to be broad, but we will attempt to lay out the general levels of responsibility by focusing on decision-making areas at private care facilities. 

About a quarter of American hospitals are for-profit, that is, they are operated to generate profit for owners and stakeholders. A subsection of those hospitals, about 3%, have been acquired through private equity (PE) buyouts, whereby a PE firm raises funds to purchase a hospital. These PE transactions, also called "takeovers," are characteristically funded through leveraged debt - the firm takes out a loan secured by the purchased entity (the hospital), adding the burden of that debt to the balance sheet (and monthly expenses) of that facility. As a result, hospitals acquired by PE firms face additional pressures; they are operated not only to generate profit but also must repay large amounts of debt, used to fund the acquisition and now added to their balance sheet. A recent study looked into this subsection of hospitals to see how this added financial pressure impacted patient outcomes. The results? Patients are 25% more likely to be harmed by medical care at a private-equity acquired facility.

Over the past years, and with an uptick since COVID, the acronym "ESG" has been popping up in discussions related to investing, corporate values, and public accountability. Is a focus on "Environment, Social, and Governance" a new idea? How has the increased scrutiny affected the healthcare industry? And most specifically, how does it apply to the field of infection control and prevention?

Ever since the COVID pandemic, hospitals have become more adept at thinking outside the box, or rather, outside the patient room. For some hospitals, the pandemic meant converting waiting rooms into treatment rooms, while for others, it meant finding ways to access shared spaces without sharing germs. This experience, plus the added financial pressures faced by healthcare, is accelerating a trend for more cross-functional, multipurpose rooms in healthcare facilities. How will this trend intersect with infection control protocols? Let's try to foresee some potential benefits and risks.

The weeks between mid-September and mid-October has been National Hispanic Heritage Month since the late 1980s. During this month, the nation takes time to recognize the important role played by American citizens whose ancestors came from Spain, Mexico, the Caribbean and Central/South America. The 2023 theme is "Todos Somos, Somos Unos: We Are All, We Are One!" capturing the idea that in spite of our unique backgrounds, we are all intertwined and united by our shared humanity. In today's post, we'll share 5 resources you can use to explore or share the many contributions from Hispanic/Latino individuals in the fields of healthcare, infection prevention, and epidemiology.

With a few words, a family's life is forever changed: "It's cancer." For any patient, these words bring anxiety and fear. When that patient is a child, however, no words can express the emotions that send shock waves through a family, friends, and community. Today's post begins a three-part story of one such young patient, a little boy named Jack. (Best of all, Jack's story has a happy ending.) During Childhood Cancer Awareness Month join us as we see the challenges of pediatric cancer treatment and infection control through the eyes of a boy and his mother.

The Centers for Disease Control's Global Safe Healthcare division refers to infection prevention and control as "the cornerstone of a resilient healthcare system and protects health workers, patients, and the surrounding community." This quote got us thinking about the role of a cornerstone, and how it does indeed reflect the critical position IC plays in community health. In today's post, we'll see just how far this metaphor goes in capturing the many ways infection control and prevention impacts quality healthcare.

Germ theory, the idea that infection is caused by microscopic organisms unseen to the naked eye, is only a few hundred years old. This theory focuses on three main components.

1. The reservoir: The person, animal, or surface that carries the infection.
2. The mode of transmission: Via direct contact, a droplet of liquid, airborne, a vector (such as an insect), or a vehicle (food or surface)
3. The susceptible host: A person and his/her ports of entry (nose, mouth, incision, medical device, wound)

But the paths from the reservoir to the susceptible host seem infinite. To narrow down the steps needed to prove this relationship between contaminated rooms and infected patients, researchers have proposed routes of transmission that could account for a relationship. Here are two proposals, both of which demonstrate the critical role played by surfaces in the transmission of pathogens.

The Veterans Health Administration has long been at the forefront of progress in reducing hospital-associated infections. Through adherence to best practices, investment in effective interventions, and thorough educational opportunities for staff, the VHA has been able to reduce the most common HAIs. Even during the COVID-19 pandemic, the VHA was able to protect residents of long-term care facilities at levels unmatched outside of the federal agency. A huge part of this success is due to the multi-faceted Environmental Programs Service, which ensures that every aspect of the patient's environment is safe. In today's post, we will look at these facets, and how they come together to protect our honored veterans.

Twitter brought brevity and global outreach to social media. Founded in 2007, Twitter stood out from its competitors as a quick way to reach and follow anyone on the platform without having to be officially linked. The use of hashtags revolutionized social media, allowing users to categorize their tweets and search for others talking about the same topics (across all platforms). These same features elevated Twitter to rank as one of the top social networks, while recent changes and rebranding efforts make it the slowest-growing platform. We don't know what the future holds for Twitter/X, but while it is still being used by almost a quarter of Americans, here is a brief guide to ways it can enhance your career as an infection preventionist!