Health Watch Home
   
Health Care Value
 
Transparency Costs
 
Transparency Quality
 
Health Care Competition
 
Freedom of Information
  
Editorials
 
Publications
 
Presentations
     
  Report an Incident
  Join Health Watch
 Search Health Watch
 

To contact Health Watch USA please  use the following E-Mail Address


Content in this website may be linked to, as long as the linking webpage and passage has a known and clearly stated author.

The following presentations were given on SB 183 at the Kentucky State Senate Health and Welfare Committee meeting on March 6, 2008.  The videos are unedited and the viewer should verify all statements and opinions made on this website and in these presentations.     View MRSA News

MRSA and Mandatory Reporting of Health Care Acquired Infections
Senator Vernie McGaha

Kentucky State Senator Vernie McGaha
256 Kbps 6 mins 47 secs

Video of Presentation


Kevin Kavanagh, MD
Kevin Kavanagh, MD
- Board Chairman of Health Watch USA discusses healthcare transparency for quality and costs.
256 Kbps 6 mins 44 secs
   

Video of Presentation


Senator Vernie McGaha and Dr Kevin T Kavanagh, MD
Senator McGaha and Dr. Kavanagh
- Answer questions regarding mandatory screening for MRSA and public reporting of health care acquired infections.
256 Kbps 9 mins 47 secs

Video of Presentation



The Videos Below are Kentucky Hospitals Association Presentations in Opposition to SB 183

Sarah Nicholson Kentucky Hospital Association

Sarah Nicholson from Kentucky Hospitals Association
256 Kbps 1 mins 44 secs

Video of Presentation


Ruth Carrrico, PHD

Ruth Carrico, PhD,  University of Louisville College of Public Health
256 Kbps 6 mins 40 secs

Video of Presentation

 
Marth Evans, MDMarty Evans, MD,  Infectious Disease Medical Director VA Hospital, Lexington and the University of Kentucky
256 Kbps 8 mins 21 secs

Key Points.  Screening of all admissions (N=3500) found 10% of patients were positive for MRSA.  Cost of PCR (Polymerase Chain Reaction) Screening is $30)

Video of Presentation

 
Fonaine Sands, PhD

Fontaine Sands, PhD, Lexington Ky.
256 Kbps 3 mins 41 secs



Key Points:
 1)  Not enough private beds to isolate MRSA positive patients.  A large tertiary hospital in Lexington would loose 1/3 to 1/2 of its bed capacity.    (Editor's note.  This statistic refers to a situation of using standard cultures which take 2 to 3 days for results.  The statistic may not be valid if a rapid MRSA test which takes hours for the results is used.)  This relates to the issue of CON --  see letter to editor from Mayor John Martin
2)  Patients who are admitted after transfer from another hospital where they were hospitalized for three days are at risk for developing MRSA. 




Video of Presentation


Sands, Evans, Carrico
Doctors Sands, Evans and Carrico answer questions regarding MRSA and health care acquired infections.
256 Kbps 13 mins 23 secs


Key Points:  1)  Dr. Marty Evans affirms the key points in the preamble of SB 183.  2) At the Veterans Administration Hospital in Lexington, KY,  admitted patients have a 0.8% chance of developing an infection if they are surveillance culture negative, but a 17% chance of developing an infection if they are surveillance culture positive. 




Video of Presentation