Hotline for Exposure to Occupational Hazards

Author(s):  
Ken Bleakley

Health care providers, first responders and law enforcement professionals face serious safety issues when they find themselves exposed to health-threatening incidents on the job. Rapid, reliable and documented guidance by specially-trained medical personnel is essential to the safety of the exposed person and their contacts. Florida Hospital Centra Care and FONEMED, an accredited medical call center, offer a 24X7 hotline to provide counseling to employees who sustain an occupational exposure. Paper - based systems proved inadequate to handle sophisticated protocols using the compliance guidelines of the U.S. Department of Health & Human Services and Centers for Disease Control. Therefore, they developed advanced information technology for registered nurses to process the protocols, obtain source information, fully document all calls and transmit the reports immediately to the treating health care provider and other concerned parties. Nurses also have immediate access to advice from on-call occupational medicine physicians for unusual environmental exposures, pandemics such as H1N1 Flu, or bioterrorism issues. The Exposure Hotline has since become the backbone of a Swine Flu Hotline now serving the general public

Author(s):  
Pauline A. Mashima

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.


1996 ◽  
Vol 1 (3) ◽  
pp. 179-182 ◽  
Author(s):  
Peggy Foster

Health promotion activities are actively encouraged in most countries, including the UK. Meanwhile many health care providers and health experts are becoming increasingly concerned about the growing evidence of significant health inequalities between social groups in the UK, and in particular the strong association between relative deprivation and poor health. In 1995, a report for the British government entitled ‘Variations in health: What can the Department of Health and the NHS do?’, identified the need for the Department of Health and the NHS to play a key role in coordinating and implementing public health programmes intended to reduce inequalities in health. Examination of existing evidence on the effectiveness of health promotion and prevention programmes designed to improve the health status of the most vulnerable groups in society reveals very little evidence to support current enthusiasm for adopting public health strategies in order to reduce variations in health status between the affluent and the poor. Alternative and potentially more effective health care responses to inequalities in health status need to be considered.


2002 ◽  
Vol 30 (2) ◽  
pp. 309-312
Author(s):  
Curly Kelly

In 1996, Congress passed the Health Insurance Portability and Accountability Act (HIPAA), which required the enactment of new regulations to protect confidential patient health information. In December 2000, the U.S. Department of Health and Human Services (DHHS) published the agency's final rule on patient privacy and the proper use of privileged health information. The HIPAA privacy regulations cover all health-care providers that handle medical records or other identifiable patient health information. Most health-care organizations have until April 14,2003, to comply with HIPPA.


Author(s):  
Bradford D. Winters ◽  
Peter J. Pronovost

While patient safety and quality have become a major focus of health care providers, policy makers, and customers over the last decade and a half, progress has been limited and wide quality gaps, where patient do not receive the care they should, remain. While technical improvements have gone a long way in these efforts, adaptive improvements in the culture of safety need to be more vigorously addressed. Likewise, quality metrics and a scientific approach to patient safety is necessary to ensure that interventions actually work. The Comprehensive Unit Safety Program (CUSP) strategy and its embedded Learning from Defects (LFD) process are central to creating a sustainable improvement in the culture of patient safety and quality, and in real outcomes and process improvements. CUSP is a bottom-up approach that relies on the wisdom and efforts of front-line providers who best know the safety issues in their immediate environment. The LFD process seeks to translate evidence into practice (TRiP model) building interventions and tools to improve safety and close the quality gap. The development of these interventions and tools are guided by the principles of safe design and the application of the four E’s (engagement, education, execution, and evaluation) can be successfully implemented into the health care environment with substantial improvements in safety and quality.


2021 ◽  
pp. 003335492199916
Author(s):  
Sarah M. Labuda ◽  
Clinton McDaniel ◽  
Amish Talwar ◽  
Anthwan Braumuller ◽  
Sarah Parker ◽  
...  

Objectives During 2010-2018, the Arkansas Department of Health reported 21 genotype-matched cases of tuberculosis (TB) among residents of a rural county in Arkansas with a low incidence of TB and in nearby counties. The Arkansas Department of Health and the Centers for Disease Control and Prevention investigated to determine the extent of TB transmission and provide recommendations for TB control. Methods We reviewed medical and public health records, interviewed patients, and reviewed patients’ social media posts to describe patient characteristics, identify epidemiologic links, and establish likely chains of transmission. Results We identified 21 cases; 11 reported during 2010-2013 and 10 during 2016-2018. All case patients were US-born non-Hispanic Black people. Eighteen case patients had the outbreak genotype, and 3 clinically diagnosed (non–culture-confirmed) case patients had epidemiologic links to patients with the outbreak genotype. Social media reviews revealed epidemiologic links among 10 case patients not previously disclosed during interviews. Eight case patients (38%) had ≥1 health care visit during their infectious period, and 7 patients had estimated infectious periods of >12 months. Conclusions Delayed diagnoses and prolonged infectiousness led to TB transmission in this rural community. TB education and awareness is critical to reducing transmission, morbidity, and mortality, especially in areas where health care providers have limited TB experience. Use of social media can help elucidate people at risk, especially when traditional TB investigation techniques are insufficient.


2002 ◽  
Vol 3 (3) ◽  
pp. 4-9
Author(s):  
Eric Whitehurst

ABSTRACTAs health care providers our philosophy is to deliver the very highest quality of care to our patients. However within many hospitals there are not firm policies to allow family members to see their loved ones in the immediate postoperative period. Thus parents are routinely not being encouraged to comfort and support their children within the Post Anaesthetic Care Unit. The evolution of ‘family centred’ care should result in parents being encouraged to be with and care for their children during hospitalisation. This has been found to be beneficial to all parties. Whilst parental presence in the anaesthetic room has become more accepted practice the same cannot be said of Post Anaesthetic Care Units despite the recommendations made by the Department of Health [1991] and ‘The Patients’ Charter [1996]. Why does this situation exist? Is it due to preconceived attitudes of the staff involved, parental ignorance or historical reasons? This article will examine available research and attempt to identify possible reasons why such situations exist within many Post Anaesthetic Care Units and suggest possible solutions.


2021 ◽  
Vol 2 (1) ◽  
pp. 289-299
Author(s):  
Ontran Sumantri Riyanto ◽  
David Maharya Ardyantara ◽  
Raditya Sri Krisnha Wardhana ◽  
Laurensius Lungan

Doctors and paramedics  as health resources are the main component of health care providers to the public to achieve health development goals by national goals. Doctors and paramedics  are the vanguard of treating Covid-19 patients with a very high risk of transmission of the virus. Legal protections for Doctors and paramedics  are often overlooked as if society is apathetic and opinionated that it is already a duty and responsibility as medical personnel. Legal protections for the safety of Doctors and paramedics  are less noticed, even though medical personnel are the vanguard in the handling of the Covid-19 pandemic. Speaking of legal protections certainly cannot be released from rights and obligations. Unprotected health workers, in this case, the profession of health workers. Violation of the rights of Doctors and paramedics related to covid-19 patient services that often occur is that the patient does not provide honest information on his condition as a Person in supervision or Patient In Supervision, so the more prone to the transmission of the Covid-19 virus that certainly has a domino effect on both doctors, Doctors and paramedics, other patients and also their families. Legal protection of Doctors and paramedics  should be a serious concern of governments and hospitals. The patient must need and trained to be honest with what he feels and does. Legal protections that will surely make Doctors and paramedics  feel protected in carrying out their humanitarian duties. All good measures of the assessment until evaluation will be carried out properly. Synergy together is the way to be done for all to realize quality health care.


Author(s):  
Sulaiman Sulaiman ◽  
Emy Rosnawati

BPJS health is a government program to guarantee the health of the people. In fact there are still health-care providers who do not perform their functions properly because they refuse patients participating BPJS health. This study aims to determine the legal protection for patients participating BJPS health and find out whether the hospital in bekasi violate. This research uses normative method with approach of regulation of law. Patient's legal protection of health BPJS that is rejected by the hospital ie the patient can sue through general court or special authorized institution. The rejection of the patient by the hospital home is the responsibility of BPJS Health and the hospital is responsible for the negligence of his medical personnel. This research is useful for writers and readers to increase knowledge about legal protection of BPJS participants' patients, for legal practitioner is expected to give input about solving problem of patient protection of patient health BPJS for hospital rejection to give health service. 


1988 ◽  
Vol 12 (1) ◽  
pp. 22-24 ◽  
Author(s):  
Isaac Marks ◽  
Joe Connolly ◽  
Mattijs Muijen

This paper outlines a three-year controlled study, funded by the Department of Health and Social Security, which started at the Maudsley Hospital in October 1987. The research will compare seriously mentally ill patients maintained outside hospital on the daily living programme (DLP) with standard hospital-based care, and devise a multi-disciplinary training course in DLP for mental health care providers. It will be the first UK attempt at controlled replication of successful controlled studies from North America and Australia, and the first anywhere to devise systematic training in the approach.


1981 ◽  
Vol 11 (4) ◽  
pp. 573-581 ◽  
Author(s):  
Barry Checkoway ◽  
Thomas O'Rourke ◽  
David M. Macrina

PL 93-641, The National Health Planning and Resources Development Act of 1974, called for broad representation of health care providers, in addition to consumers, on Health Systems Agency (HSA) governing boards. Analysis of data submitted to the U.S. Department of Health, Education, and Welfare by the HSAs indicates that HSA provider board members are not representative of the overall provider work force or general population. Direct providers outnumber indirect providers by roughly seven to one. Physicians and hospital-nursing administrators are overrepresented, and nurses and other provider groups underrepresented, in relation to their numbers in the work force. Evidence also shows that HSA provider board members are mostly white males, although nonwhites and females are significantly represented in the work force and population.


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