One recommendation often found in guidance documents, including the NYDOH guidelines, is to "Remove showerheads and aerators monthly for cleaning with chlorine bleach.
The NYDOH went further and mandates quarterly monitoring for Legionella in transplant units.
13) The greater than five-minute flush is recommended in both the NYDOH guideline and current ASHRAE guideline.
Also included in the NYDOH guideline, as well as other guidance documents, is the removal of dead leg sections of pipe.
Accreditation bodies such as CAP and NYDOH
have recently added special accreditation requirements for molecular pathology and genetics to help ensure the quality of testing in these areas.
According to NYDOH (1986a), the goals of RUG-II were to match payment with intensity of care, to ensure placement of residents in the appropriate level of care, and to encourage restorative care.
The analyses done for this study were based on financial and other data derived from NYDOH LTC facility Cost Report data for the years 1983 and 1986-90.
Many providers feel that the current NYDOH version of RUG-II (1993) fails to recognize the resource needs of this category of individuals because of its reliance on impairments in activities of daily living.
Our evaluation of the correlation from various cost centers and case mix confirmed a prior NYDOH finding that dietary and laundry services do not vary according to case mix.