e-book Virginia Advance Sheet January 2012

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The strategy has not been publicly posted as it outlines the process by which the separate HHS infrastructure providers can identify their internal risk posture based on mission need. We are drafting guidance that will formalize current HHS approach to mobile Web and apps.

This will be based on our significant experience with creating mobile sites.

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To date, we have 32 API-enabled data sets and 39 mobile websites and apps. We expect to complete this in days. The HHS-level mobile technology acceptable use agreement, modeled on the Digital Government Strategy, will be finalized in December NIH and the office of the secretary are currently piloting programs and are in the process of moving carefully toward implementation. A parallel process is underway to develop the necessary policy documents and personnel agreements.

Encryption compliance, PIV compatibility and personnel re-imbursement continue to be the primary challenges. Listen Live Sports.

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The Virginia Health Care Landscape | The Henry J. Kaiser Family Foundation

Amtower Off Center. Business of Government Hour. Essentials of Healthy Living. Executive Leaders Radio. Fed Access. Federal Executive Forum. Federal Tech Talk. The Health Resources and Services Administration projects that more than 1 million registered nurses will reach retirement age within the next 10 to 15 years.

Issued in May , the U. With larger numbers of older adults, there will be an increased need for geriatric care, including care for individuals with chronic diseases and comorbidities. Linda Aiken and her colleagues released findings from a study of acute care hospitals in Belgium, England, Finland, Ireland, Spain, and Switzerland, which found that a greater proportion of professional nurses at the bedside is associated with better outcomes for patients and nurses.

Reducing nursing skill mix by adding assistive personnel without professional nurse qualifications may contribute to preventable deaths, erode care quality, and contribute to nurse shortages. Meanwhile, the dramatic growth in nursing school enrollment over the last 15 years has begun to level off. Christine T. Impact of Nurse Staffing on Patient Care.

Tubbs-Cooley and colleagues observed that higher patient loads were associated with higher hospital readmission rates. The study found that when more than four patients were assigned to an RN in pediatric hospitals, the likelihood of hospital readmissions increased significantly. Jeannie Cimiotti and colleagues identified a significant association between high patient-to-nurse ratios and nurse burnout with increased urinary tract and surgical site infections. The authors conclude that reducing burnout can improve the well-being of nurses and the quality of patient care.

In a study publishing in the April issue of Medical Care , Dr. Mary Blegen and her colleagues from the University of California, San Francisco found that higher nurse staffing levels were associated with fewer deaths, lower failure-to-rescue incidents, lower rates of infection, and shorter hospital stays. In March , Dr. Jack Needleman published findings in the New England Journal of Medicine , which indicate that insufficient nurse staffing was related to higher patient mortality rates. These researchers analyzed the records of nearly , admitted patients and , eight-hour nursing shifts across 43 patient-care units at academic health centers.

Linda Aiken and colleagues found that lower patient-nurse ratios on medical and surgical units were associated with significantly lower patient mortality rates. Koen Van den Heede found a significant association between the number of baccalaureate-prepared RNs on cardiac care units and in-hospital mortality. Data analyzed by this international team of researcher that included representatives from Belgium, Canada, the Netherlands, and the United States showed that there were 4. A growing body of research clearly links baccalaureate-prepared nurses to lower mortality and failure-to-rescue rates.

Studies published in the journals Health Services Research in August and the Journal of Nursing Administration in May confirm the findings of several previous studies which link education level and patient outcomes.

Nurse Multi-State Licensure Compact

Efforts to address the nursing shortage must focus on preparing more baccalaureate-prepared nurses in order to ensure access to high quality, safe patient care. Through this meta-analysis, the authors found that the shortage of registered nurses, in combination with an increased workload, poses a potential threat to quality.

Increases in registered nurse staffing was associated with reductions in hospital-related mortality and failure to rescue as well as reduced length of stays. In settings with inadequate staffing, patient safety was compromised. A shortage of nurses prepared at the baccalaureate level is affecting health care quality and patient outcomes. Linda Aiken and her colleagues at the University of Pennsylvania identified a clear link between higher levels of nursing education and better patient outcomes. This extensive study found that surgical patients have a "substantial survival advantage" if treated in hospitals with higher proportions of nurses educated at the baccalaureate or higher degree level.

Efforts to Address the Nursing Shortage. Many statewide initiatives are underway to address both the shortage of RNs and nurse educators.

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