Advocacy
An advocacy team of volunteer MSIC members, provides key liaison representations to MIOSHA, MDCH, MDCIS, Bioterrorism State Task Force, and other regulatory agencies and task forces as needed.
The team monitors regulatory and legislative action on a national and state level. It engages and collaborates with other professional organizations to actively promote public health and improve health care quality and safety in all settings.
To learn more about advocacy contact the Advocacy Chair by visiting our Leadership page.
MIOSHA Revised TB Directive based on CDC 2005 TB Guidelines
In June 2007, MIOSHA posted a revised TB enforcement directive adhering closely to the CDC 2005 TB Guideline. It recognizes flexibility in TB testing based on risk assessment. However, the checklist also includes the requirement for initial and annual fit-testing, following federal OSHA directives. This change applies to FY2008 since the federal budget was approved December 2007 and no longer contains language that prohibited enforcement of annual fit-testing. MIOSHA is now enforcing the OSHA's revised Respiratory Protection Standard Respiratory Protection. - 1910.134.
MIOSHA TB directive PDF, 38pgs, 384kb
APIC provides a full page of other TB resources by clicking on this link
The New 2007 Michigan Minimum Design Standards are now available on the MDCH web site:
http://www.michigan.gov/documents/mdch/ bhs_2007_Minimum_Design_Standards_Final_PDF_Doc._198958_7.pdf
CMS Interpretive Guideline draft document:
http://www.apic.org/Content/NavigationMenu/GovernmentAdvocacy/ CMS/cms_intro_page.htm
Centers for Medicare & Medicaid Services (CMS) Issues Guidance on Use of Alcohol-based skin products:
i) CMS directive A letter to all state surveyors supporting the use of alcohol-based
skin preps in all surgical settings, based on NFPA fire prevention
strategies has been issued by CMS. For details click here
ii) Alcohol-Based Hand Rub (ABHR) gel and foam Updates. CMS considers
gel and foam hand rub dispensers in the corridors in healthcare
facilities as equivalent and allowable as long as these comply with
their final rule. For details see:
http://www.ashe.org/ashe/codes/handrub/index.html
iii) ABHR Update - Changes permit gel and foam by all May, 2007
- Installation Criteria for Hand Rub Dispensers (JC and CMS) Michigan Bureau of Fire Safety - ABHR Policy
- 2006 International Fire Code Allows Alcohol Based Hand Rubs - GEL and FOAM
http://www.ashe.org/ashe/codes/handrub/
Please note: Michigan has revised its policy on the distance between dispensers and electrical outlets - the distance is not defined but fire marshals will judge safe distances based on evidence of splashing newar the outlets. Michigan is aligned with CMS on this issue.
Fire Safety and Alcohol-based Hand Rub Issues
A computer fire modeling study of consequences of a ignition of typical dispensers of ABHRs and summary of the National Stakeholders Meeting on Alcohol-based Hand-Rubs and Fire Safety in Health Care Facilities held 22 July 2003 are now available from the American Society for Healthcare Engineering (ASHE) web site at:
http://www.ashe.org/ashe/codes/handrub/index.html
CMS Rule for placement of hand-rub dispensers - March 25, 2005
http://www.cdc.gov/handhygiene/firesafety/cmsRuling.htm
New Resources related to Fire Safety Issues & Alcohol-based Hand Rubs Now available.
Click here for a pdf of the FINAL SEPT. 22 2006 Federal Register that provides the critieria on installation of dispensers in corridors.
Model Legislation on Public Reporting of Healthcare-Associated Infections
Model Legislation (APIC IDSA SHEA) PDF, 5 pgs, 23KB
Immunization
To learn more about how the ICP can assist with promoting immunization for populations at risk contact the Advocacy Chair on our Leadership page.
MDCH Immunization Information
Click here for MDCH Immunization Information
Public Health
ICPs have long been a key element in promoting public health and preventing transmission of infectious diseases in the community. To learn more contact the MI Dept. of Community Health (MDCH) Liaison from the Leadership page or the Advocacy Chair
MI Dept of Community Health Home page www.michigan.gov/mdch
Emerging Infectious Diseases Info www.michigan.gov/emergingdiseases

Safety & Occupational Health
Protecting those who provide health care against exposure to disease has always been a key initiative of ICPs. For assistance on regulations and programs to improve occupational health of personnel contact the MIOSHA Liaison from the Leadership page.

Bioterrorism
Recent tragic events in the U.S. have reinforced the need to be prepared against use of bioterrorism. There are several resources available for ICPs to make sure all facilities in Michigan are prepared to respond should this become a reality. For more details contact the Advocacy Chair.
Anthrax and Bioterrorism 2 pgs, 158k
Botulism and Bioterrorism 2 pgs, 116k
The Plague and Bioterrorism 2 pgs, 119k
Smallpox and Bioterrorism 2 pgs, 122k
To help your family in preparing for any type of emergency go to http://www.michigan.gov/michiganprepares
For health professionals and others interested in volunteering, in the event of a disaster information can be found at www.mivolunteerregistry.org
CDC BT Information web site
http://www.bt.cdc.gov
Michigan Office of Public Health Preparedness

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