February 23, 2014
Jorge Palacios
California
Department of Public Health (CDPH-CHCQ-HAI)
Re: "Database of
Best Practices for the Prevention of Healthcare Associated infections"
according to
OSHA
Dear Mr. Palacios,
Once again, please allow me to thank you and the
entire staff at the California Department of Public Health for your efforts
concerning patient safety, I really appreciate it.
The concept of a “Database of Best Practices
for the prevention of Healthcare Associated Infections(HAI)” is now in stone:
Who knew the U. S. Department of Labor and the
good work of the American Association of Critical- Care Nurses(AACCN) would dramatically
improve patient and healthcare efficiency and safety in our state by defining HAI
as a workplace safety issue.
More than likely OSHA has no idea what they
have done and the CDPH has no choice but to adapt “best practices for the
prevention of HAI” or risk becoming irrelevant in HAI prevention.
These ”best practices” should be based on evidence
based medicine, introduces to all teaching schools in California as mandatory
training and should be monitored by the current monitoring for opportunities for
improvement in addition to being made available to be challenged world-wide.
Advantages, the burden of every “silo “
creating their own “best practices” is a tremendous and unnecessary burden traditionally
producing marginal gains only to be lost with turnover and marketplace changes.
The words “best practices” will force the US
Department of Health and Human Services(USDHHS) to adapt them, currently they
are awaiting and sometimes funding “best practices” to be developed at the state level, California has been avoiding
calling anything a “best practice” for far too long and thousands of lives have
been needlessly lost and billions in fiscal waste from a very dysfunctional plan
of action are well documented.
How do our Veteran’s gain from the posting of “best
practices”, the US Veterans Affairs are waiting for the USDHHS to deliver “best
practices for the Prevention of HAI” and have been for the past few years
according to my research.
The value of standardized processes delivered
by empowered healthcare staff members assuming a leadership role, up, down, 360
degrees around has proven to be able to combat HAI and the CDPH should demand
nothing less from all healthcare facilities in California, perhaps the “bright
future” of healthcare.
The interesting part of OSHA getting involved,
you usually do not see OSHA in your facility until a life is lost, this is
going to be very interesting but their resources are limited and I would
appreciate the CDPH HAI program to make your “Database of Best Practices for
the Prevention of HAI” available to OSAHA to give them a head start and
direction as to where best invest their resources. Needless to say, I will be
sending the Honorable President of the United States a warm thank you as a very
much appreciated investment in improving the safety and efficiencies of
healthcare.
Once again, thank
you and the entire staff at the C.D.P.H. for all that you do concerning patient
safety.
Sincerely,
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