care workers to get flu shot or wear masks upheld An arbitrator appointed by the provincial Labour Relations Board ruled the policy is reasonable, mlb jerseys and a valid exercise of the employer s management rights."Health care workers do not have to immunize; they have a choice to immunize or mask during the influenza season," Robert Diebolt wrote in his decision, dated Wednesday."As to the mask, I am unable to characterize it as an invasive procedure. The union also characterizes a mask as stigmatizing. Health Sciences Association.The chairman of the Council of Chief Medical Officers of Health, Dr. policy roll out closely."I think today s events."Evidence is very clear that with a more persuasive education approach maybe 60 per cent (acceptance) seems to be the kind of ceiling that you hit. Health Sciences moncler nantes coat Association said that for the time being, the union will recommend members obey the rule."Do one of the two: Either get immunized or put the mask on. And if there s any other follow up process we ll see where it takes us. But comply with the policy and don t put your occupation at risk," Val Avery said in an interview.She said the moncler ski jackets uk union will consult with its lawyers and with its membership and a decision will be made in the coming days about whether to continue to pursue the union s objection to the policy. Court of Appeals," said Avery, who acknowledged the union is disappointed with the ruling.The policy, which came into effect last fall, states that health care moncler outlet italy workers who don t get a flu shot must wear a surgical mask while doing duties that bring them into contact with patients for the duration of flu season, which could run from late November until late March.The policy includes provisions for progressively escalating disciplinary actions up to and including dismissal for employees who refuse to comply Moncler nible Womens Glossy Casual tall purple Boots with its requirements. The province Moncler Women goose coats chanvre Butterfly Collar Dark gray did not apply the teeth of the policy last year, while it was waiting for the grievance to be heard and ruled on.The arbitrator s decision was applauded by Dr. Perry Kendall, the province s chief medical officer of health."I think that this is good news because I think it s actually a win for patients moncler jeans and residents of long term care facilities," Kendall said in an interview. health care workers were vaccinated against influenza.The union had raised concerns about the requirement for unvaccinated staff to wear masks, suggesting it would impinge on the privacy of workers because it would be interpreted as a visible declaration Moncler marine Womens jackets Zip dark blue that they had forgone flu shots.As well, the union raised concerns that some workers covered by the policy might not be able to do their jobs while wearing a mask speech therapists, for instance. And others staff on psychiatric wards working with psychotic patients might find their safety jeopardized if they wore a mask.Kendall said Moncler down jackets Women long Down Coats deep red employers are required to make accommodations in special circumstances and that would likely be done on a case by case basis. But Avery said with the provincial flu shot program starting and flu season perhaps only weeks away, it s unclear how this will work.In his ruling, Diebolt noted that there is a duty under law to accommodate and he accepted the evidence produced by lawyers for the employers that this would happen. He suggested individual grievances could be filed if justified requests for accommodation are not granted.He also noted that British Columbia is not alone in instituting a flu shot policy for health care workers

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care workforce for the era of health reform Today post, nhl jerseys by Matt O is one in a series of contributions by members of an expert panel intended to expand the breadth of The Public Health. O a primary care physician, is an assistant professor of medicine and public health at Temple University and a founder of Puentes de Salud ( of Health a health center serving the South Philadelphia Latino immigrant community. By Matt O the early moncler vanoise 1990s, when airline companies were competing fiercely for high paying, first class customers, Southwest Airlines developed a radical model that alarmed competitors. Southwest service model was based on a very simple strategy the many millions of travelers interested only in finding a cheap and reliable flight. In so doing, Southwest reached a huge segment of customers that the airline giants ignored. By delivering cheaper and more reliable flights to the majority Moncler Bady quilted hooded down jacket Orange of air travelers, Southwest introduced a innovation that revolutionized the industry. The current American health care system, with its focus on delivering expensive treatments to well insured individuals, is ripe for a similar revolution. There is a largely untapped workforce with the potential to lead such a revolution in the health care market the too often unheralded community health workers. Community health workers are moncler price lay people trained by medical and public health professionals to provide a range of health related services in their communities, and who help patients live better by supporting behaviors that impact their health. Community health workers can, for example, help patients navigate our fragmented health care system by making appointments and accompanying patients to their visits. They can educate community groups about the importance of preventive health services like vaccines and moncler mens jackets discount cancer screening tests. Community health workers can recommend ways to improve diets and increase exercise that are based on knowledge of an individual unique personal situation. Doctors and nurse are cloistered in clinics are given 10 minute visits to address patients complex health problems and treatments. Anyone who has seen a doctor, or who works as a physician like I do, knows that providing in depth, tailored guidance about lifestyle behaviors rarely fits into an office visit. This is a problem because these lifestyle behaviors smoking, physical inactivity, and unhealthy diets are in fact the leading causes of death in the United States. A growing body of research demonstrates that community health workers can also help improve control of chronic diseases and promote preventive services, as they have. Many of these small programs have targeted the medically underserved, who are largely ignored by hospital executives like travelers were largely ignored by airline executives before Southwest. Rather than providing much needed health education and support to individuals at the bottom of the market, health systems instead promote lucrative robotic surgeries and valve replacements moncler junior to the small segment of the population that needs such specialized care and has insurance to pay for it. Health care executives in 2012 are doing exactly what their counterparts in the airline industry did 20 years ago; and they may eventually lose significant market share by focusing primarily on their customers. Last week, 2,217 hospitals were docked millions of dollars under President Obama Affordable Care Act for having high rates of readmissions patients who leave the hospital and return soon thereafter because of infections or other complications from their hospital stays. Obamacare has created other incentives and penalties that challenge our health care system to keep people healthy, rather than provide unnecessary or unsuccessful treatments. With future payment reforms, hospitals will be rewarded moncler cardigan for keeping their beds empty. Health systems will get bonuses for preventing expensive procedures. Perhaps in this brave new world of health care reform, health executives will recognize the value of community health workers as cheap and effective foot soldiers of the health care system, combating the major cause of illness and death individual health behaviors. There is a small but growing movement to use community health workers at health centers in Philadelphia. My colleagues and I developed a Monlcer waistcoat-Women Vest blue program at Puentes de Salud in 2007 that has tackled women health issues, and more recently obesity and diabetes prevention. In the past year, the University of Pennsylvania and Temple University health systems, among others, have also started small community health worker programs. As such programs are brought to scale nationally, they will help create a high quality service in health care that may eventually transform the public health. Like the airline giants 20 years ago, many hospital executives and doctors may be left wondering what happened to their customers who no longer need those lucrative procedures that have Moncler leon with hooded Men down jackets zip dominated the health care market for generations

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