Lessons learned in real time at rural hospitals during pandemic

Washing hands in between contact with patients is one of the most important things a healthcare worker can do to prevent the spread of disease and reduce the rise of superbugs like MRSA. A new technology is increasing rates of hand washing by displaying, via a sensor in an employee's badge, whether the healthcare provider has washed their hands recently.

There is a mental-health capacity crisis gripping Washington state. The area’s response approach, crafted over two decades, centers on a set of intensive outpatient and early-intervention programs aimed at preventing hospitalizations.

Although patients go to hospitals to receive medical care, many Americans will acquire infections that did not already have them. The United States as a whole has made modest progress at reducing the rates of hospital-acquired infections. Spearheading the efforts, the Veterans Affairs Medical Centers have devised anti-MRSA strategies to keep patients safe.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

The rate of Cesarean sections is on the rise in the United States, despite the higher risks of hysterectomy, hemorrhage, and infection, as well as the elevated expense. San Francisco General’s maternity ward, however, stands as an outlier by following evidence-based medicine that suggests decreasing C-sections and has also shifted from a pay-per-service incentive for the doctors to a salary or shift position.

Many African American women are reluctant to breastfeed their babies. The Mother Nuture Project at Detroit’s St. John Hospital and Medical Center offers peer counseling to educate women (mostly African American) and encourage breastfeeding. Mother Nurture’s program has helped boost breastfeeding rates from 46 percent to 64 percent.

The Patient Support Corps at UC San Francisco Medical Center pairs interns with patients to provide support during visits. The program, which now acts as a model for other hospitals, encourages patients to speak up and offers them the information needed to make decisions about their care, rather than having the doctors make the decision for them.

In a country of limited resources — and perhaps for that very reason — preparing for natural disasters is top of the agenda in Bangladesh. Various grassroots, collaborative programs have been put in place over the years to help address many facets of the calamities caused by cyclones, from improved emergency shelters to long-term support for those who lose their livelihoods in the storms.

Summer in the Northwest presents a great risk of wildfires. A pile burning operation, just one facet of the strategy that Oregon has enacted to conserve its forests, clears undergrowth to lessen the risk of mega-fire. The work stimulates the local economy and provides employment, but it's also a very small part of what needs to be done.

After the drought hit Australia in the early 2000s, city officials had to start thinking seriously about ways to conserve and creatively store their water. External tanks became the solution, storing rain runoff to create an available source of water for Melbourne residents. This solution may not fit every location, but there are other teachable lessons such as taking radically shorter showers.