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!
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”!
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