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Health Care Research (AIHce EXP 2020 OnDemand)

Course Description:
Recorded at Virtual AIHce EXP 2020


Progress on Legionellosis in New York Since the Implementation of Regulations

Legionnaires' disease is a preventable, serious illness. The rising incidence in cases over the last two decades is a wholly avertible public health crisis. The state of New York and New York City were the first in the United States to implement legislation regarding the prevention of Legionellosis in building water systems. These regulations focus primarily on cooling towers as the highest risk for community exposure to Legionella bacteria. Despite implementation of these regulations, reported cases of illness in NYC and the surrounding state are increasing and large-scale outbreaks continue to occur. To address the continued rise of Legionellosis, the authors suggest that the implementation regulation requirements for building-wide water systems should include comprehensive risk assessments and management programs. This presentation will review: a) the epidemiology of Legionnaires' disease in New York and New York City since the implementation of regulations; b) discuss challenges and successes related to implementation and enforcement of the regulations; c) the impact that the regulations have had on Legionellosis cases; and d) recommendations for future regulatory consideration. Presenter: Megan Canright, MPH, CIH, Forensic Analytical Consulting Services San Diego, CA

Hospital Case Studies of Good Water Going Bad

Hospitals and health care facilities face special challenges with managing water quality in buildings. Legionnaires' disease has been the focal point of water quality issues in health care settings, but other microorganisms also present challenges (Pseudomonas aeruginosa, nontuberculous mycobacteria). This presentation will discuss three hospitals with microbiological contamination issues from water quality degradation: 1) a hospital experienced total coliform contamination that led to a do-not-use order; 2) Legionella was discovered in the on-site investigation of a new hospital with a degrading infrastructure due to poor design and operation of the water system; and 3) a hospital needed to develop a water management plan to comply with the Centers for Medicare and Medicaid Services Directive SC-17-30 (2017). None of the hospitals experienced an outbreak or sporadic cases but recognized that there was water quality degradation that had to be addressed. Each hospital developed a water management plan to fix the problems and prevent future water quality degradation. Presenter: Dr. Jennifer Clancy, Ph.D, M.S. Law, ESPRI Swanton, VT, United States of America

One Organization's USP 800 Implementation Journey

USP General Chapter 800 Hazardous Drugs – Handling in Health care Settings became effective December 1, 2019. The standard required health care facilities to determine the scope of implementation and apply procedural and engineering changes for compliance. This presentation will provide an overview of Mayo Clinic's enterprise wide implementation of USP 800 and discuss the challenges and successes encountered along the journey. Presenter: Mr. Russel Sinor, CIH, CSP, Mayo Clinic Rochester, MN, United States of America

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