Welcome to Ellenville: How a Rural New York Village Became a Model for Opioid Administration

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.

New York City black tar roofs cause a number of environmental problems, including air pollution, heat absorption that raises energy consumption, and storm water runoff in the sewer system. Efforts to turn these old roofs into green spaces cool the buildings, enable the containment of more rainfall, reduce sewer discharge, generate energy, and absorb carbon emissions. New York City has a pilot program offering financial help for green roofs.

*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.

In war zones, people have a difficult time finding clean water and safe areas to inhabit. Social media, smart phones, and technology applications are aiding in people’s survival. In Aleppo, Syria, the International Committee of the Red Cross posted a map on Facebook to show alternative sources of clean drinking water that reached approximately 140,000 people.

In India, 620 million people openly defecate outdoors, causing harm to hygiene, sanitation, food, and water resources. The president of India funded an initiative to build public toilets for the people in his country, but the people did not use them because of traditions and behaviors. The Total Sanitation Campaign is starting to change villagers’ minds by having local leadership persuade those who resist the toilets by holding community activities and creating special committees to maintain the sanitation.

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.