Legislature(2005 - 2006)BUTROVICH 205

02/27/2006 01:30 PM Senate HEALTH, EDUCATION & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 251 POSTSEC. STUDENT MENINGITIS IMMUNIZATION TELECONFERENCED
Moved SB 251 Out of Committee
+ SB 244 NO DISCRIMINATION AGAINST ACUPUNCTURIST TELECONFERENCED
Heard & Held
*+ SJR 19 TASK FORCE ON HOSPITAL INFECTIONS TELECONFERENCED
Moved SJR 19 Out of Committee
*+ SB 242 STATUTORY REFERENCES TO DISABILITIES TELECONFERENCED
Heard & Held
+ HB 357 STATUTORY REFERENCES TO DISABILITIES TELECONFERENCED
Moved CSHB 357(FIN) Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
            SJR 19-TASK FORCE ON HOSPITAL INFECTIONS                                                                        
                                                                                                                              
2:55:15 PM                                                                                                                    
                                                                                                                                
CHAIR FRED DYSON announced SJR 19 to be up for consideration.                                                                   
                                                                                                                                
SENATOR GARY  STEVENS, Sponsor of  Senate Joint  Resolution (SJR)                                                               
19,  said every  year two  million infections  are acquired  each                                                               
year in  hospitals.  These  infections cost between  $4.5 billion                                                               
and $11 billion and cause some  90,000 deaths each year. He added                                                               
that hospital  infection is the  sixth leading cause of  death in                                                               
the country.                                                                                                                    
                                                                                                                                
It  is important  for consumers  to know  how medical  facilities                                                               
fare  with infection  rates.   SJR  19 creates  a  task force  to                                                               
assess  public reporting  of health  care associated  infections.                                                               
It will have 11 members who  work during the interim to determine                                                               
what experience  hospitals across the  nation have in  the public                                                               
reporting  of hospital  associated  infections,  develop a  white                                                               
paper to be used in  future legislation and create legislation to                                                               
assist in  the collection of  data from all hospitals  across the                                                               
state on their infection rates.                                                                                                 
                                                                                                                                
2:56:54 PM                                                                                                                    
                                                                                                                                
SENATOR  ELTON expressed  concern that  public members  would not                                                               
receive reimbursement for  travel and other expenses  and that it                                                               
would also create an unfair burden on rural members.                                                                            
                                                                                                                                
SENATOR  GARY  STEVENS  replied  that  the  cost  burden  is  not                                                               
expected to  be prohibitively  high because  the panel  will only                                                               
meet three or four times in Anchorage each year.                                                                                
                                                                                                                                
SENATOR ELTON asked  if a rural consumer lives in  a remote town,                                                               
like  Dutch Harbor,  he would  incur  significant expenses  while                                                               
traveling to the Anchorage meetings.                                                                                            
                                                                                                                                
SENATOR  GARY STEVENS  replied that  since this  is an  appointed                                                               
position, he  could insure that  the rural member lives  close to                                                               
Anchorage.                                                                                                                      
                                                                                                                                
CHAIR  DYSON said  he recently  spoke to  a public  health doctor                                                               
supported the  resolution because it  would be an  important step                                                               
towards establishing  a comprehensive  web-based list of  all the                                                               
providers around the state, their costs, and their track record.                                                                
                                                                                                                                
SENATOR  WILKEN suggested  that it  would be  most convenient  to                                                               
address Senator Elton's concern in the Finance Committee.                                                                       
                                                                                                                                
3:02:52 PM                                                                                                                    
                                                                                                                                
ROD  BETIT,   President,  Alaska  State  Hospital   Nursing  Home                                                               
Association (ASHNA),  testified in  support of SJR  19.   He said                                                               
that the  control of  infections in a  hospital environment  is a                                                               
complex, difficult task.   SJR 19 would  create valuable dialogue                                                               
between the  public, the legislature,  and the  medical community                                                               
concerning the  way that infection  is reported.   Hopefully this                                                               
would lead  to useful,  collaborative conclusions  regarding what                                                               
the state should be doing to improve things.                                                                                    
                                                                                                                                
CHAIR  DYSON  asked  the witness  whether  his  organization  had                                                               
expressed support for the resolution.                                                                                           
                                                                                                                                
MR. BETIT  answered he  is confident that  they will  support it,                                                               
but they have not yet had a chance to discuss it.                                                                               
                                                                                                                                
SENATOR OLSON remarked that some  of the statistics are startling                                                               
and  asked  whether there  has  been  a significant  increase  in                                                               
infections in the recent past.                                                                                                  
                                                                                                                                
MR. BETIT answered  there has not been a  significant increase in                                                               
the  recent past.  The  problem  has never  been  addressed in  a                                                               
systemic way  and the apparent urgency  of the problem is  due to                                                               
the significant increase in effort in the last three years.                                                                     
                                                                                                                                
SENATOR OLSON  said most of  the hospitals  in which he  has been                                                               
granted   privilege  have   had   boards   to  address   hospital                                                               
infections.    He  asked  whether   the  boards  are  effectively                                                               
addressing the  problem, and if  not, whether  their inefficiency                                                               
is a reason for the resolution.                                                                                                 
                                                                                                                                
MR. BETIT  replied that they  are not  as effective as  one would                                                               
hope because  there are  so many different  places in  a hospital                                                               
where measures must  be implemented and monitored.   He said that                                                               
the establishment of a task  force would augment their efficiency                                                               
by consolidating data and comparing ideas.                                                                                      
                                                                                                                                
LORI  HERMAN, Providence  Hospital, testified  in support  of SJR
19.                                                                                                                             
                                                                                                                                
3:09:01 PM                                                                                                                    
                                                                                                                                
JAY  BUTLER,  Acting  Chief, Epidemiology  Section,  Division  of                                                               
Public Health  Department of Health &  Social Services, supported                                                               
SJR 19.                                                                                                                         
                                                                                                                                
CHAIR  DYSON  asked Senator  Elton  if  he would  be  comfortable                                                               
addressing  his  aforementioned  concern in  the  Senate  Finance                                                               
Committee.                                                                                                                      
                                                                                                                                
SENATOR ELTON replied that he would be comfortable with that.                                                                   
                                                                                                                                
3:09:30 PM                                                                                                                    
                                                                                                                                
                                                                                                                                
SENATOR  ELTON  moved  SJR  19 and  attached  fiscal  notes  from                                                               
committee  with   individual  recommendations.  There   being  no                                                               
objection it was so ordered.                                                                                                    

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