”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:

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

This article came out today:

http://www.latimes.com/business/la-fi-bargain-surgery-20121117,0,7716044.story

This came out  on November 17, 2012

http://www.bizjournals.com/sacramento/news/2012/11/14/uc-anthem-blue-cross-health-care-focus.html

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”!

http://www.youtube.com/watch?v=MM1xKxGxLJs&feature=related

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!

"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”!

http://www.equities.com/news/headline-story?dt=2012-10-15&val=593704&cat=hcare

 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”!

http://www.youtube.com/watch?v=ZyyT2_8U2TM&feature=related

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”!

 

http://www.youtube.com/watch?v=Syin6-9VGWg&feature=related

 

 

 

 

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.youtube.com/watch?v=0RIXmjxczJA

http://www.mybolgabaskets.com/

http://www.youtube.com/watch?v=eIUsETpChHA

 

Tipy-Tap handwashing station courtesy Untied States Peace Corps!