Saturday, December 15, 2012

HAI Prevention, your input will save lives!


December 15, 2012

Jan Patterson, MD, MS, FSHEA

President of the Board of Trustees

Society of Healthcare Epidemiology of America

 

Re: Prevention of Healthcare Associated Infections in our Veteran’s Hospitals

 

Dear Dr. Patterson,

 

 Please allow me to thank you for the work you are doing concerning patient safety, I really appreciate it! Due to my lack of knowledge concerning healthcare my advocacy for the prevention of healthcare associated infections(HAI) in our Veteran’s hospitals is dedicated to “supporting those who help others”, much like yourself!

 Currently I am advocating for the establishment of some form of “Database of Best Practices for the prevention of HAI” at the California Department of Public Health(CDPH), it is covered by the freedom of information act and will be available to our Veteran’s hospitals and any professional interested in the state of the art science concerning the prevention of HAI.

 Any input from your organization would be most appreciated, this week I will be adding:

 

1.      Proper gauge of gloves operations to avoid micro cracks in the glove.

2.      Wireless, disposable contact leads, just 5s in general.  

3.      No name badge cords

4.       Proper water supply monitoring.

 

 

Email your response to:  Jorge.Palacios@cdph.ca.gov

 

Anthem Blue Cross recently partnered with the University of California concerning patient safety, good things should come from this, hopefully adding to the database,

 Healthcare facilities that implement these best practices should be easy to identify in California’s surveillance system, the public and big businesses will flock to these safe and efficient facilities.

 Constantly improving a known process will result in saved lives of mothers, fathers, sisters, brothers and Veteran’s. Using the current system to do little more than identify poorly performing facilities is a tragic waste of taxpayers’ money, developing thousands of individual processes is beyond comprehension, the statistics prove it in my opinion.

 Once again, thank you so much for your efforts!

 

Sincerely,

Michael H. Slavinski                                http://h-a-i-5.blogspot.com/

 

  

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”

 

Ps: this effort will not be without cost, your support would be critical, the database already exists but your input and support will change the modern healthcare industry, management is already heading back the “innovation” camp, time is not on our side.
 
The Picture, food security youth camp via U.S. Peace Corps!

Sunday, December 9, 2012

The price of not having a "Database of Best Practices for the Prevention of Healthcare Associated Infections"!


December 9, 2012    

Jorge Palacios

   California Department of Public Health (CDPH-CHCQ-HAI)

Re: “Database of Best Practices for the Prevention of Healthcare Associated Infections(HAI)”!

Dear Mr. Palacious,

 Once again please allow me to thank you and the entire staff at the California Department of Public Health for the work you do to improve patient safety. After the recent report of the case of five Healthcare Associated Infections(HAI) due to, according to the media, a “lack of a national standard” concerning the prevention of HAI as the root cause allows my advocacy to “rest my case” in the creation of some form of “Database of Best Practices for the prevention of HAI” at the CDPH, “just kidding”, I want to make sure proper glove usage is added to the database, hopefully your office is way ahead of me. This week I made my first call to Assemblymenber Achadjian office, I will keep your office informed.

 Below is my comments to a new hand hygiene video put out by Jefferson University Hospitals, pretty cool. My wife makes me watch everything “Jackson”!  


Not only wash your hands but just as important dry them as well. What did we do to ensure the entire medical community benefits from this profound knowledge, post it on line, make a video and forget all about it in a month or two.

 How about micro cracks in surgical gloves being used by a doctor with an active infection on his or her hands? Spend a few hundred grand repairing the damage(patients) and blame the medical system for not having a national standardized process, you can rule out a video but hiding the evidence is much more complicated via the law requiring the California Department of Public Health’s(CDPH) state of the art monitoring system, no credit in the media, report and the freedom of information act!

 Ok, we only use our state of the art monitoring system to penalizing healthcare facilities with poor statistics(mothers, fathers, sisters, brothers and veterans), great! Anthem Blue Cross has partnered with the University of California Medical system to improve patient safety and efficiency, how about the CDPH developing some form of “Database of Best Practices for the Prevention of HAI” to be constantly improved by all and verified by the current(funded) surveillance system and actually benefiting the medical system worldwide.

 Yes, in my opinion it would save billions of dollars in California in addition to saving tens of thousands of lives annually, do you think underwriters might buy into the concept, "oh yea, they are driving the process"!
 


"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”



http://latimesblogs.latimes.com/lanow/2012/12/cedars-sinai-doctor-infected-5-patients-during-surgery.html

 

 

“hai-five” and “have fun”, just be sure and wash and dry your hands first!

 

Sincerely,

Michael H. Slavinski                         http://h-a-i-5.blogspot.com/

 

Ps: Happy holidays, here is something I ran across in my research, the colors are relevant for the season, the message is for all of those who will not be with their families for the holidays, fortunately, our kid will be home with us, mom is pretty excited!

 


 

Semper Fi!

 

The picture, our kid and other P.C.V.s organized a “food security youth camp”. The chief, in a show of his appreciation for her efforts, gave her a chicken, a high honor in that area, mom asked her today “what happened to the chicken, “I ate it”!
She is coming home for Christmas, I have to be careful, she is probably going to see all this stuff!
 
 
 
 

Saturday, November 17, 2012

”Evidence based medicine” is becoming a tidal wave out here in California!


November 17, 2012,  

Jorge Palacios

California Department of Public Health (CDPH-CHCQ-HAI)

Re: "Database of Best Practices for the Prevention of Healthcare Associated infections"

Dear Mr. Palacious,

 Once again allow me to say “thank you” to you and the entire staff at the CDPH for the effort you put forward concerning patient safety. 

Here is where my advocacy for the Prevention of Healthcare Associated Infections(HAI) in our Veteran’s Hospitals started, please note the participation of Hoag Memorial Hospital:


This article came out today:


This came out  on November 17, 2012


The collaboration of the U.C. Medical system and Anthem Blue Cross will, in my opinion, create tremendous improvements in the prevention of HAI, perhaps the “best practices” on the planet. If the process improvements could be posted in something like a “Database of Best Practices for the Prevention of HAI”, made available worldwide via the freedom of information act with the goal of continuously improving the process may well create the opportunity to actually “prevent” HAI. You can do the math of how your state of the art surveillance system can be used for more than just penalizing poorly performing facilities, a true “closed loop process”!

 Why have most government run healthcare systems failed to create a safe and efficient healthcare system, they do not have this:

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”

With any luck our Veteran’s will gain form this spirit as well, “thank you”!

Sincerely,

Michael H. Slavinski                                                         http://h-a-i-5.blogspot.com/

 

Ps: What can be accomplished with process improvement, “The Cheese Cake Factory”?

 http://www.youtube.com/watch?v=WIdy65VQcQo&feature=plcp


I guess this is the “Cheese Cake Factory”!


According to my physics teacher, these are the apex of human creation, far beyond airplanes and computers but compared to the complexity of a human, 1 being a cheese cake and 10 being a patient, probably a score of 1.002. “hai-five” and have fun, just be sure and wash and dry your hands first!

http://www.youtube.com/watch?v=2eAk2rWjGrE
 
You people at in the U.C. system, "thanks a bunch", she actually gets this stuff from her mom but good luck with the new medical program at U.C.R., that community really needs your efforts!

Tuesday, November 6, 2012

"Super Hospital", not only possible but needed!


 

 

November 4, 2012,  

Jorge Palacios

California Department of Public Health (CDPH-CHCQ-HAI)

Re: "Database of Best Practices for the Prevention of Healthcare Associated infections"

Dear Mr. Palacious,

 

 Once again allow me to say “thank you” to you and the entire staff at the CDPH for the effort you put forward concerning patient safety.  My advocacy for the Prevention of Healthcare Associated Infections(HAI) in our Veteran’s Hospitals has led me to the good work of the CareFusion Foundation which, in my opinion, would further support the development of some form of “Database of Best Practices for the Prevention of HAI”.

 In the past I have been critical of private support for “innovative” development due to what appeared to me to be abandonment of the attempt to improve the culture currently residing in our medical system, without a quality culture, little will be gained regardless of hardware. But to counter my misguided critique of the effort, I do support the creation of a “super hospital”, HAI free from the ground up, perhaps even just a virtual version, just like most physical items are developed in industry, constantly being improved in a collaboration, perhaps worldwide, providing further input to the database of best practices for the prevention of HAI, also known as “Super Hospital”! 

 The CareFusion Foundation grant, I like it because the first one on board, Dr. Carrico, clearly identified the existence of “best practice sharing as one of the three pillars to reduce preventable infections”!


 What I do not like is that it is another redundant effort to develop “best practices”. Little do I know about the selection criteria but as with tradition, the money will go where it is needed the most, poorly performing facilities with the intent to improve their statistics to socially acceptable levels. The best practices already exist, the CDPH has a few of them and I did announce that they are available via the freedom of information act, why, the CDPH is the only vehicle with the potential to run a true database available to all, has access to the UC medical system and in possession of a state of the art surveillance system for real-time feedback.       

 At some point support is needed to support the top healthcare facilities that have a proven and consistent HAI prevention program and get them to the next level, actually preventing HAI, facility wide. Much like the automobile, to get the next few extra miles per gallon will take something like the development of a twelve speed transmission, perhaps a “super hospital” is not that far out of the box as you might think, Paul Revere may well save us all again!

 Once again thank you for your valuable time and patience as I develop my advocacy in support of our Veteran’s facilities, the CDPH serves a critical role in saving the lives of those who have given so much for the great country we live!
 

 
Sincerely,

Michael H .Slavinski                                  http://h-a-i-5.blogspot.com/

 

 

Ps: I think I mentioned before that I am learning what the locals do so I have something to say as we communicate with our kid. This is not a tourist part of the country and I am going to give it a PG-13 rating, “you will figure it out”!


If you are interested in attending in person below is the trip up there, note, you go from poverty to the stone age in a few miles, once you get to Mole Park you still have another nine hours to get to where out kid is, I guess somebody figure out our kid was raised by wolves so they sent her up to paradise, she claims the video is down in the ‘Posch Corps”! “hai-five” and “have fun”!

 

 
 

 

 

Thursday, November 1, 2012

Database of Best Practices for the Prevention of Healthcare Associated Infections


October 14, 2012    

Jorge Palacios

   California Department of Public Health (CDPH-CHCQ-HAI)

Re: “Database of Best Practices for the Prevention of Healthcare Associated Infections(HAI)”!

Dear Mr. Palacious,

 Once again thank you and the entire staff at the California Department of Public Health(CDPH) for your continued good work concerning patient safety!

 This month there are a couple of articles in the Quality Progress magazine, American Society for Quality, October 12, 2012, that clearly describe the need and description of leadership concerning patient safety and could also be regarded as support for some sort of “Database of Best Practices for the Prevention of Healthcare Associated Infections(HAI). One is “U.S. Healthcare Systems sorely Needs Quality” by Ricardo Alonso-Zaldivar and another “Team Effort, 6 critical success factors for process management teams” by Victor Cascella.

 The positive response and interest by the C.D.P.H. has been most encouraging concerning the development of some form of “Database of Best Practices for the Prevention of HAI”, the input from group members on Linked In demonstrating need and the lack of criticism at all published levels begs the question “why not”!

 One element that has come forth is that the Database might be a sizeable undertaking, the liability alone may well be why the public sector has not developed a sizeable database to date. The size, hopefully some of the connections my advocacy has developed over the past year might be of assistance. The liability, we have to overcome that, perhaps reduced liability for certified participating elements, I do believe that concept is already underway in another part of the country, your current surveillance system should provide the background for underwriters.  

 Once again, thank you for your valuable time and it is an honor to “support those who help others”!

Sincerely,                                          http://h-a-i-5.blogspot.com/

Michael H. Slavinski

 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”

 

Ps: for those of you who work too much and have not quite figured out Xmass, check out a “Bolga-Basket”! Ok, child labor, my kid say’s all the kids in Bolgatanga have money to buy the things that make them happy, many women are widowed due to disease, the widow can re-marry and move to another house but the kids stay at deceased fathers house or farm, they do not go to school and there are little or no social assistance, say a prayer and buy a basket, For those of you who like textiles, I added another link, they actually tell a story! I need things to talk to our kid about when we Skype, the mud huts, the whole community builds them together, much like a barn raising in the Midwest, they totally disintegrate in five years. All via the United States Peace Corps, “hai-five” and “have fun”! 


http://www.mybolgabaskets.com/

 
Tipy-Tap handwashing station courtesy Untied States Peace Corps!

 

Sunday, October 7, 2012

"What are you learning from all of the rejects"?


What is a “best practice” for the prevention of Healthcare Associated Infections(HAI)? The following link should be a good “start” in my opinion. As emphasized in the past, programs like “Patient Safety First” developed by Anthem Blue Cross are changing healthcare both in safety and efficiencies and in this case actually reducing elective deliveries, do not ask me to explain, I am just the messenger!


 Why start here, in my opinion, because it is a proven process, to improve upon these gains will be exponentially more challenging, perhaps requiring the resources of a much larger group, the “low lying fruit has been picked”! But even at the current success rates the slight variation between, say, two hundred different programs across the nation, could yield a large body of data concerning prevention of HAI right out of the gate!

 The California Department of Public Health has expressed interest in exploring the feasibility of developing something like a “Database of Best Practices for the Prevention of HAI” so all healthcare facilities can “start” where programs like Anthem Blue Cross’s “Patient Safety First” left off, from all that I have learned this may well have to be a very robust program, add elective deliveries to the list. Perhaps the greatest gain will be to maximize the return on investment on the current surveillance system. The first thing a good quality engineer will ask, as in our shop, is “what are you learning from all of the rejects”, I am not sure penalizing for a better outcome is going to get you off the list, constantly improving a standard process just might help you land some more work!   

 Please let us hope that the good science finds its way to help out our Veteran’s!

 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”

                                                                    http://h-a-i-5.blogspot.com/

“hai-five” and “have fun” wash and dry your hands first please!

 

Michael H. Slavinski

ps: the caliber of professional that I have been exposed to over the past year concerning the development of the advocacy for the prevention of Healthcare Associated Infections in our Veteran’s Hospitals “hai-five” has been most overwhelming! O.K., this link is no exception, “congratulations”!


 

The picture, another parade, “Pioneer Days” here in Paso Robles, CA this weekend!

Sunday, September 23, 2012

HAI, process improvement = Best Practice


 

September 23, 2012   

Jorge Palacios

   California Department of Public Health (CDPH-CHCQ-HAI)

Re: Prevention of Healthcare Associated Infections in our Veteran’s Hospitals

Dear Mr. Palacious,

 Once again thank you and the staff for your interest in our advocacy for the prevention in Healthcare Associated Infections (HAI) in our Veteran’s Hospitals and most recently the development of the concept of a “Database of Best Practices for the Prevention of HAI”.

 Below you will see one of my recent responses to an online forum. This group is attempting to implement “Lean” and Toyota quality teachings to the healthcare industry. The reason for my engagement in this forum as well as others was to challenge the concept of a database of best practices for the prevention of HAI.

 In my opinion, the reason why none of these healthcare quality professionals are having any luck on the issue is because currently the healthcare industry is monitoring “patient outcomes”, much as the CDPH is currently doing, modern manufacturing is focused on “process control”, final output is little more than verification of a good process. The concept of monitoring thousands of independent processes state wide is hard for me to comprehend, using you current monitoring process to monitoring one “best practice” state wide with the opportunity to improve that “best practice” would not only be efficient but would also save the lives of our mothers, fathers, daughters, brothers and Veteran’s in my opinion, let alone the cost of developing thousands of processes!

 My advocacy is dedicated to “supporting those who help others” so I left these professionals on a positive, “evidence based medicine” is a product developed by the medical community, specifically for the medical community and it is very impressive, even Deming would have been impressed, what he would not be impressed with, correct me if I am wrong, is that management seems to be a “no show” in the debate and seem to be headed back to the “innovation” world, some of it I have read about before in a book about the auto industry recent collapse, it is a quick read but our healthcare leadership may soon be there: OVERHALL by Steve Rattner.

 The attached video, I did not identify for the healthcare quality professionals, they should know this stuff, the project is more than likely a masters project for a Process Engineer, the process itself actually predates the Greeks, I do believe it is bronze, so I am going the “bronze age”, the significance of making 10 parts is to verify process repeatability and reliability, if you do get comments on the issue that has trouble identifying what they are looking at I would suggest a reference check! This young man in the video will return to his day job making engine castings the size of a house, just my call, I have trouble reading English let alone the title and there is no way those were Mil-spec threads but the attempt was most impressive!

 Once again, thank you for your valuable time and interst in helping others!

“hai-five” and “have fun”, just be sure and wash your hands first!

Michael H. Slavinski

Start: there was no need to post the preceding posts of title, “trust me”!

http://www.medicalofficetoday.com/article/should-medical-offices-embrace-auto-manufacturing-strategies
"5s", Monitoring spots a spike in C.DIFF, limited variables in the process due to limited amounts of cleaners available, EPA bans the best one, mystery solved, 5s on it's best day, would not have countered the spike in my opinion!


Start to responce:
 

Good point Mr. XXX, perhaps we are even past the whole "Cheese Cake Factory" process and the short lived "Taylorism" reinvention!

 More than likely they are posting these “low lying fruit” topics due to the entertainment value of my posts, obviously, little do I know about a Hospital other than that we have been making parts for ventilators for the past decade and I had no idea these things were killing so many people, some of the motivation to get out there and make a fool out of myself!

 Lean and waste, monitoring thousands of uncontrolled processes, you do not have to be a rocket scientist to figure out we are going to solve the unemployment problem long before we make any tangible and sustainable progress in the prevention of Hospital Associated Infections, "database of Best Practices for the Prevention of Healthcare Associated Infections", "evidence based medicine", the "creation" of the Medical System, you in the healthcare quality programs should be proud of the achievement and start evangelizing today!

  Oh well, now that I have totally ended this link, my work is done, so much for the fun, most of my stuff from here on out will start “Dear Honorable”, time to go to the "action" part, you guys are going to miss me so I will leave you with a small part of our culture, bear in mind I use my dad's tool box and some tools my grandfather made while building Baldwin locomotives! This is not me but how many of you healthcare professionals made the “hammer” in high school shop class complete with the sand cast aluminum handle, mine is in my dad’s toolbox, Walter Chyrsler’s office on top of the Chyrsler Building, adorned with the tools he made, no fooling! Thank you for your valuable time and our advocacy is dedicated to supporting those who help others, just like everyone on this site!

 


 

"hai-five" and "have fun" but be sure and wash your hands first!           

 


 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”
 
PS, a happy customer at the tree nuserey, they chopped all ot theirs down for fire wood but today it is a "smile" via U.S. Peace Corps!

Tuesday, September 11, 2012

"Best Practices for the Prevention of HAI"


“9/11/12”

 

 “Best Practices Database for the Prevention of HAI”

                              

 

Today the Advocacy for the prevention of Hospital Associated Infections(HAI) in our Veteran’s Hospitals  are going to begin the process of supporting the development of the  “Best Practices Database for the Prevention of Hospital Associated Infections” in support of those who help others and to be made available, free of charge, to all Hospitals in the United States. The Great State of California is where I live and the California Department of Public Health is in the best position to make this database happen with the results ultimately giving our veterans access to the very best practices currently underway in our private hospitals.

 The following is a letter addressed the United Sates Secretary of Veteran’s Affairs from one year ago which identifies the motivation behind the effort. Many positive things have happened over the past year, the United States Department of Health and Human Services declaring HAI a “preventable disease” being the most profound, “thank you”!

 

“hia-five”

 
 

Michael H. Slavinski

_______________________________________________________________________ 

 
To: General Eric Ken Shinseki

       United States Secretary of Veteran’s Affairs

 

Date: 11/6/11

 

Re: Infection prevention in ventilators at V.A. hospitals, page 1 of 2.

 

Dear General Shinseki,

 

 At this time I will humbly ask your office to investigate the opportunity to implement a  cost and life saving innovation currently underway in the private sector.

 





http://articles.latimes.com/2011/aug/23/business/la-fi-hospital-infections-20110823
 

 Following the teachings of  W. Edwards Demming, “quality must start from the top”, the reason for my request to your office and my enthusiasm for the effort.

 The L.A. Times did an outstanding job of identifying all of the stake holders and the benefits to society, identifying the entrepreneurial spirit from the “top”, Ms. Pam Kehaly, President, Anthem Blue Cross, Blue Shield.

 The L.A. Times has also in the recent past highlighted the great strides the Veterans hospitals have made in inpatient care, giving me the confidence that the Veteran’s hospitals are either ahead of the curve or open to improvement. 

 This program would fit well within the parameters of President Barack Obama’s current cost cutting efforts, one of his current "key initiatives"!

Although not involved in the medical field, A.S.Q. allowed me to have some insight into the complexities of the workings of hospitals, in the 90’s several nurses gave our local chapter presentations on how to implement quality programs from the “middle down” and the less than desirable results. Dissecting the space shuttle disaster was the work of the decade, keeping a few people alive for a week in space was far less complicated than running a hospital. Personally, I struggled to figure out what motivated these nurses to go to work every day during that period for the consensus was that it was far safer in the space shuttle than it was in our local hospitals. Recently a nurse auditor at Anthem Blue Cross helped me resolve the issue, “ I strive to help at least one person every day”, our veterans deserve nothing less, even in these challenging times, in my opinion.

 

Semper Fi

 

Michael H. Slavinski  

 

Continued on next page!

 

 

Re: Infection prevention in ventilators at V.A. hospitals, page 2 of 2.

 

 

Cc:                                                                                                              

 

The Honorable United States President Barack Obama

      

 The Honorable United States Senator Barbara Boxer

 

The Honorable United States Senator Dianne Feinstein

 

The Honorable Majority Whip Congressman Kevin McCarthy

 

The Honorable United States Secretary of the Navy Ray Mabus

 

General James A. Amos

Commandant of the United States Marine Corps

 

Ms. Pam Kehaly

President, Anthem Blue Cross, Blue Shield

 

Mr. Eddy W. Hartenstrin

Publisher and Chief Executive Officer, Los Angeles Times

President and Chief Executive Officer, Tribune Company

 

Staff

Anthem Blue Cross, Blue Shield

 

 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars."
 
 


___________________________________________________________

Ps: the movie, as my knowledge develops concerning the advocacy, in the private sector, “culture” seems to be the key to preventing HAI. Thinking of our veterans , at some point someone sits down and say’s “ I want to spend over a billion dollars on training in the next three months”, no fooling! This process has been developed over the past couple of hundred years. No, the film did not cost a billion but you can clearly identify what is of value but to learn from this movie, watch the “eyes”, it is the small things that make it all work in my opinion and I really appreciate the Marine who took the time to document the complete process.

The “drowning tank”at the beginning, “train like you fight, fight like you train”, due to gravity and high temperature alloys, most things you fight in, without warning, head the bottom of the ocean upside down and on fire, from what I hear, in wartime, things do not improve very much!

Give a Veteran a break, a job and perhaps your support, think of the families of these volunteers, ten years of continuous wars, they deserve the best in my opinion and with any luck, that will happen!




http://www.youtube.com/watch?v=YxtCaGqiScI
 
The picture, baby weighing in Africa, courtesy U.S. Peace Corps!
 
 




 

 

Saturday, August 25, 2012

HAI "Best Practices" database?


August 26, 2012   

Jorge Palacios

   California Department of Public Health (CDPH-CHCQ-HAI)

Re: Prevention of Hospital Associated Infections in our Veteran’s Hospitals

Dear Mr. Palacious,

 Once again, thank you and the staff of the California Department of Public Health (CDPH) for the work being done concerning patient safety.

 My advocacy for the prevention of Hospital Associated Infection (HAI) in our Veteran’s Hospitals and my review of the revised CDPH web site has led me to a few basic questions. Perhaps these questions should be directed to the Healthcare-Associated Infection Advisory Committee (HAI-AC), please let me know for future inquires.

1.      There is no reference to either accepted, planned or surveillance of “best practices” in the State of California concerning HAI on your website, do you agree with this statement?

2.      Is the CDPH monitoring developments concerning “best practices” concerning the prevention of HAI programs being funded by the U.S. Department of Health and Human Services in other states?

3.      Would the CDPH or the HAI-AC object to my advocacy, “hai-five”, soliciting California elected officials concerning the development of a “best practices database” for the prevention of HAI in the State of California to be followed  by the solicitation of our United State’s Federal elected officials to locate granting opportunities to establish and operate a pilot program.

4.      Could this database be offered “free of charge” combined with an initial “voluntary” participation to all California Medical Facilities, perhaps categorized System, Hospital, ACS?

 

Please understand my request does not ask for the “development” of the “best practices”, they already exist, in my opinion, some in the Government sector but most in the private sector but I would imagine the private sector HAI programs would be, if accepted, purchased at fare market value.

 Good or bad “practices” to start would not matter, your current “surveillance” system would be an excellent method to drive continuous improvements and drive the entire process to the level of “evidence based medicine” our Veteran’s deserve in my opinion!

 No response to this e-mail by September 11, 2012 would be considered a “no-comment” and would give my advocacy the direction to elevate my enquires to my State of California elected officials.  

 Do bare in mind that our  advocacy, “hai-five”, is dedicated to “supporting those who help others”, including all of the staff at the CDPH and hopefully the CDPH will consider our activities as an asset in the long term goal of “preventing” HAI in our medical facilities!

 

Sincerely,

Michael H. Slavinski 

 


 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”

 

Ps The attached picture is another U.S. Peace Corps project, a community incinerator. It is actually part of a “food security” project, not what you might think! It starts with a “micro bank” for the farmers, next teaching women groups how to process “shea” in the dry season to generate income to procure food in the non-productive seasons and the incinerator, if the pigs eat the plastic bags they “die”, you can understand the exemption of the “carbon footprint”, it also takes out a lot of mosquito breeding containers.

How important is “food security”, they are farmers, not enough land or anything else and the “rainy season” was three months late this year, “thank you global warming”!

 Sometimes I think my advocacy for the prevention of HAI in our Veteran’s Hospitals is just a bit too much but just watching what our kids are doing on the other side of the world makes my efforts seem quite humble!