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Immune Responses To Flu Vaccine Are Diminished In Lupus Patients
Patients with the autoimmune disease systemic lupus erythematosus (SLE) have an increased risk of infection, due to both disturbances in their immune responses and treatment with immunosuppressive drugs. Because morbidity and mortality related to influenza are increased in immunocompromised patients, it is recommended that patients with SLE get annual flu shots, which are safe and do not increase disease activity. Both antibody and cell-mediated responses are involved in the immune response to influenza; in SLE, antibody responses to the vaccine are diminished, but it is not known if the same effect is seen in cell-mediated responses. A new study was the first to examine cell-mediated responses in SLE patients prior to and following influenza vaccination. The study was published in the August issue of Arthritis & Rheumatism .

California Cuts Back On Kids Insurance While New Hampshire Expands
California cuts back on health insurance for children, while New Hampshire expands state insurance to young adults. Meanwhile, a regional health commission in Missouri hopes to help the uninsured, and an Iowa report concludes that minorities face discrimination in the health care system.
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Physicians Can Lead Health Care Reform Through Payment And Delivery System Reforms
Physicians can and should play a leading role in achieving health care reform by working towards comprehensive reform of the way health care is paid for and delivered, helping achieve a guaranteed 1.5 percent annual savings in health care costs that would pay for covering all Americans, according to a New England Journal of Medicine Perspective piece published online.
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Centers For Medicare & Medicaid Services Recognizes The Joint Commission's Critical Access Hospital Accreditation

The Department of Health and Human Services" Centers for Medicare & Medicaid Services (CMS) has again granted The Joint Commission deeming authority for the accreditation of critical access hospitals. The CMS designation means that critical access hospitals accredited by The Joint Commission may choose to be "deemed" as meeting Medicare and Medicaid certification requirements. CMS found that The Joint Commission"s standards for critical access hospitals meet or exceed those established by the Medicare and Medicaid program. CMS" notice of approval is effective through November 21, 2011. "Critical access hospitals are an important safety net, providing Medicare beneficiaries living in rural areas with the care that they need," says Mark Pelletier, R.N., M.S., executive director, Accreditation and Certification Services, The Joint Commission. "The Joint Commission is pleased to collaborate with CMS to provide quality oversight for these important providers of rural health care." Critical access hospitals have no more than 25 acute care beds and have an average length of stay of no more than 96 hours. These hospitals, which are typically located more than 35 miles from another hospital, receive cost-based reimbursement from Medicare. Accreditation is voluntary and seeking deemed status through accreditation is an option, not a requirement. Organizations seeking Medicare approval may choose to be surveyed either by an accrediting body, such as The Joint Commission, or by state surveyors on behalf of CMS. All deemed status surveys are unannounced. In addition to critical access hospitals, The Joint Commission has federal deeming authority for ambulatory surgery centers, durable medical equipment suppliers, home health, hospice, hospitals and laboratories. The Joint Commission


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