The SBOH seems set to proceed with mandatory HIV reporting by name. That alternative is presently used by 30 other states. It is presently used by Washington for the other 52 infectious diseases with mandatory reporting. In that regard, it is an easy option to implement. Moreover, because name reporting is done already with AIDS, there is little room to justify different treatment for HIV than is already being given the full-blown version of the disease. There are concerns about privacy, given that unlike AIDS patients, HIV patients can live for decades. Reporting by name would have implementation issues for doctors and would give Public Health the most accurate and timely information possible to help them combat the spread of the disease. The privacy concerns stem largely from a distrust within the most afflicted communities of authorities, in particular the state government. There is the possibility that a significant portion of patients would avoid seeking medical care if they were to be reported by name, and that this would counteract any gains made by getting Public Health the best and most timely information. Moreover, some of these constituents may avoid anonymous testing, since members of the public are not seen to differentiate between losing their anonymity at one stage of the process or another.
Mandatory reporting by UI has the advantage of building an extra layer of privacy into the system. It better meets the needs of patients and advocacy groups. The groups in particular feel that it would remove some of the distrust in the community, since their views would finally be taken seriously by health authorities. However, UI has several drawbacks. First, it will be difficult to implement. Doctors are unlikely to respond favorably to the additional paperwork and may ultimately balk at doing it. This has proven the case in Maryland, a state that uses UI reporting. The other state that uses UI reporting, Texas, has deemed it a failure and is moving towards name reporting. However, other states are moving in the other direction, towards UI reporting. But there remains risk in that no state has successfully implemented UI reporting. Further, there are questions surrounding the code itself. Proponents view it as being an extra layer of security, and not easily cracked. Others believe it is fairly easy to crack, and is not as strong a safeguard as the present system already offers, with the information being held on a non-networked computer with tightly controlled access.
To oppose mandatory reporting altogether is another option, though not an enticing one. It works against Public Health in terms of controlling the spread of HIV / AIDS, in that they would have to rely on information either from their own AIDS figures or data from other jurisdictions. Further, there is no strong support for opposing mandatory reporting. The Northwest AIDS Foundation does not oppose mandatory reporting, and the CDC is undertaking a program that may demand it. So there is little traction for this alternative.
Letting the State Board of Health decide the issue is plausible, given that they appear set to do so. To not provide them with a recommendation could be seen as tantamount to an abstention. However, in representing the county with the highest number of AIDS/HIV patients, KCBOH is a source of valued knowledge and a key influencer of policy. Moreover, if KCBOH did have anything close to a presentable opinion on the issue, they would have a duty to the public they represent to make the SBOH aware of that opinion.
The divisiveness of the issue invites further study. At the last meeting, the questions about the issue ranged from neophyte to in-depth, indicating that there is a still a degree of misunderstanding regarding the issue.
There has been very little information presented. For the 30 states that have implemented name reporting, some would have faced the same issues that KCBOH is currently facing, and a few of these must have studied the issue. There should be more information available. However, the State is meeting later this month to decide the issue. Moreover, they seem keen to push the issue through quickly. The process involves a...
Sarbanes-Oxley Act of 2002 in reducing fraudulent financial reporting Introduction to Fraudulent Financial Reporting Available research on financial statement fraud relies mostly on anecdotal evidence (for example, Wells, 2001, 2002, 2004a, and 2004b; Rezaee, 2003). This evidence offers advice on how mechanisms related to the fraud triangle can be curtailed. It leads to theoretical sense to reduce factors which lead to more instances of fraud. However, deterrence and established deterrence methods
Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are: Lack of a common understanding about errors among health care professionals Physicians generally think of errors as individual that resulted from patient morbidity or mortality. Physicians report errors in medical records that have in turn been ignored by researchers. Interestingly errors in medication occur in almost 1 of every 5 doses
126). Although there are an increasing number of elderly in the United States today with many more expected in the future, the study of elder abuse is of fairly recent origin. During the last three decades of the 20th century, following the "discovery" of child abuse and domestic violence, scholars and professionals started taking an active interest in the subject of elder abuse. This increased attention from the academic
sentinel event is reported to JCAHO through a root cause analysis and an action plan according to set timetables and procedures. In addition, a sentinel event can have numerous civil and criminal implications. Fortunately, through the methodical reporting and root cause analysis established by JCAHO, hospital administrators can develop highly effective risk management programs. The Basics Of Sentinel Event Reporting A reviewable sentinel event may be self-reported or reported after notification
Workplace Demands Influences Patient Safety PICOT Question PICOT Question: How can the implementation of accurate safety standards reduce errors that hamper patients' safety in healthcare facilities in the short and long run? P -- Patients in healthcare facilities Recognition of Errors Procedural and Human Errors O -- Implementation of Safety Standards and Systems to improve Caretaker Efficiency and Patient Security different interventions take different times, but results should be seen with a year from all interventions
Even if he hints around in a non-direct way that his friends should sell their stock without coming out and saying it, he may be guilty of insider trading because the information on the merger has not yet been made known to the public. This is unethical and what the corporate officer should steer the conversation in a different direction and if his friends insist on continuing to ask questions
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