What happens in Vegas...
...stays in Vegas? Always a good catchphrase, although not necessarily a good movie. I do often wonder if we should adopt a slogan in infection prevention such as "What happens in the ICU, stays in the ICU," where the happens part is MRSA or MDR-Acinetobacter acquisition.
It looks like there is a move afoot in Nevada to mandate universal MRSA screening. Sheila Leslie, D-Reno, whose otherwise healthy cousin recently died from MRSA infection at a California hospital, is considering drafting a bill on the subject. A recently posted Las Vegas Sun piece focused on the MRSA surveillance mandate in the VA system and quoted from the usual and also unusual subjects in the never ending debate around MRSA control.
Some of the more interesting quotes from the article:
“You get paid and paid and paid for doing the wrong thing in medicine. You don’t get paid for keeping people well,” said Phillip Longman, author of “Best Care Anywhere: Why VA Health Care Is Better Than Yours.”
“I know the bundled approach works, but I don’t know which component of the bundle is the most essential component of success.” Dr. Rajiv Jain, who leads the VA’s MRSA prevention program.
It appears that Nevada will look to the VA's data and experience in MRSA control. What isn't clear is if states or hospitals or even local health systems should try to apply data from a federal system with >150 acute-care hospitals. I do welcome the VA publishing their results and hope we see some nice VA-based interrupted time series data analyzed soon. When it comes to the results of the VA's MRSA mandate, what happens in the VA shouldn't stay in the VA.
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