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National health care reform may provide the state with additional tools to address these issues medication 3 checks generic 5ml betoptic, but whether Congress will act is unclear at this time treatment restless leg syndrome safe betoptic 5 ml. In any case symptoms whiplash trusted 5 ml betoptic, the nation will surely be watching Massachusetts in its continued efforts to reform its health care system treatment 3rd nerve palsy purchase 5ml betoptic. Asians are excluded from this analysis due to the small numbers of respondents and the high variability of the data. Lawrence, Lowell, and New Bedford have significantly higher percentages of uninsured than the State does in 2008 (p 0. Percentages are not adjusted for age of other sociodemographic population differences. From the licensing of health care professionals such as nurses and pharmacists, to the regulation and monitoring of pre-hospital ambulance services and licensure of hospital and long-term care facilities, the bureau works to assure that safe and appropriate care is provided to Massachusetts residents. The Bureau licenses nearly 1,700 facilities, including 120 hospitals (acute and non-acute), nearly 450 nursing homes, and nearly 300 clinics. It also monitors more than 200 home health agencies and works to ensure that safe care is provided in all of these locations. In addition to facility licensure, the bureau licenses more than 200,000 health care professionals throughout the state. More than 300 ambulance services with more than 1,700 vehicles are also licensed by the bureau. The Bureau also licenses over 1,500 pharmacies and wholesale druggists and issues Massachusetts Controlled Substances Registrations to over 44,500 health care professionals, facilities, and community programs. The following sections highlight activities that the Bureau performs to assure the safety and quality of the health care that the residents of Massachusetts receive. Monitoring Adverse Events and Infections in Hospitals the Division of Health Care Quality monitors many aspects of hospital care, including events and infections that should not occur. The preliminary report of the first four months of data was released in April 2009. These collaborative efforts include the dissemination of evidence-based preventive best practices, identification of specific process and outcome measures for monitoring, promoting transparency and accountability through public reporting, increasing community education and awareness, and professional education. Investigating incidents and complaints is a key way in which the Bureau protects the health and safety of patients. In addition to the incident and complaint investigation, the Bureau conducted more than 1,400 certification and licensure inspections and follow-ups in the last fiscal year. The Department has worked collaboratively with a wide variety of stakeholders to reduce falls. Utilization of Nursing Homes the Bureau periodically assesses nursing home utilization rates in order to project future need for nursing home beds in the state. These assessments, along with national statistics, show that utilization of nursing homes by people ages 85+ has declined significantly. Health Care Quality 67 movement away from nursing homes to new models of care or could also reflect a healthier older population. As of February 2010, eight community hospitals and seven tertiary hospitals are participating in the trial. Massachusetts enacted legislation in 2000 establishing that a Cardiac Care Quality Advisory Group develop standards for collecting cardiac data. Regulations passed in April 2002 required all Massachusetts hospitals providing cardiac surgery and/or angioplasty to collect patient data. Data are reported annually and allows the monitoring of outcomes for cardiac surgery and angioplasty. Patients could also have been diverted away from hospitals where their doctors practiced or where they habitually sought care. In the months since the policy has been enacted, data collected indicate that wait times at emergency departments have not increased, even without diversion as an option. Hospitals have worked to address patient flow issues in order to reduce overcrowding and boarding in the emergency department. Summary the activities discussed are examples of some of the vital work done by the Bureau and the Department to protect the health of patients and communities. The Bureau of Health Care Safety and Quality is committed to protecting, preserving and promoting the health of all residents in the Commonwealth through strategic health planning, and by assuring the delivery of safe, high quality, person-centered health care for all. Locally, the Massachusetts Healthcare Quality and Cost Council went so far as to set the ambitious goals of eliminating hospital-acquired infections in Massachusetts by 2012, and serious patient safety events. Nationally, Consumer Reports has repeatedly advocated public reporting of infection rates by hospital, encouraging subscribers to support state and national legislation.

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