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1.21.2011
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health-Healthcare-Associated Infections
Guest Post: Healthcare-Associated Infections
--
Scott's Contracting
scottscontracting@gmail.com
http://www.stlouisrenewableenergy.blogspot.com
http://scottscontracting.wordpress.com
When someone develops an infection at a hospital or other patient care facility that they did not have prior to treatment, this is referred to as a Healthcare-Associated (sometimes hospital-acquired) Infection (HAI).
Healthcare-Associated Infections (HAIs) are a global crisis affecting both patients and healthcare workers.
According to the World Health Organization (WHO), at any point in time, 1.4 million people worldwide suffer from infections acquired in hospitals.
A Centers for Disease Control (CDC) report published in March-April 2007 estimated the number of U.S. deaths from healthcare associated infections in 2002 at 98,987.
The risk of acquiring Healthcare-Associated Infections in developing countries is 2-20 times higher than in developed countries.
Afflicting thousands of patients every year, HAI often leads to lengthened hospital stays, increasing the likelihood of readmission, and adding sizably to the cost of care per patient.
Financially, HAIs represent an estimated annual impact of $6.7 billion to healthcare facilities, but the human cost is even higher.
About Not on My Watch Prevention Campaign
To protect patients by reducing the risk of HAI, healthcare professionals must continually update their knowledge of infection management.
As part of an ongoing commitment to quality care and infection prevention, nationwide doctors and hospitals are partnering with Kimberly-Clark to deliver continuing education programs on Healthcare-Associated Infection (HAI) prevention to staff and management. As simple as education sounds, busy doctors and nurses on the front lines of delivering care can find it difficult to find the time to take advantage of scheduled programs within their hospitals.
The HAI Education Program is part of a national infection awareness campaign for healthcare professionals called "Not on My Watch" and will provide the facility with a toolkit that contains informational flyers, patient safety tips and posters.
The "Not on My Watch" campaign provides accredited continuing education (CE) programs based on best practices and guidelines as well as research available on reducing the incidence of Healthcare-Associated Infections.
For details about the "Not On My Watch" campaign, and the HAI Education Bus please visit www.HAIwatch.com.
Join the community of healthcare professionals concerned with preventing Healthcare-Associated Infections (HAIs), which at any given moment seriously affect 1.4 million hospitalized patients worldwide. The HAI WATCHDOG* Community forums are intended to provide a place for healthcare providers to discuss issues and best practices related to Healthcare-Associated Infections (HAIs).
Kimberly-Clark is committed to helping win the battle to prevent HAIs. As part of that effort, we are pleased to sponsor this community site for healthcare providers to discuss HAIs without mention of product-specific information.
Barbara Dunn
guest post: provided by Scotty, Scotts Contracting who wishes everyone: Health, Wealth, and Wisdom.
--
Scott's Contracting
scottscontracting@gmail.com
http://www.stlouisrenewableenergy.blogspot.com
http://scottscontracting.wordpress.com
Re: Missouri Solar Resources- Jan 2011 Update
On Fri, Jan 21, 2011 at 10:39 AM, Scott's Contracting <scottscontracting@gmail.com> wrote:
Missouri Clean Energy Resource Links
Net Metering and the Easy Connection Act- Down Load PDF here:
http://adminmoseia.hypermart.net/pub2238.pdf
This fact sheet answers frequently asked questions on the
current status of net metering
Missouri under the "Net Metering and Easy Connection Act" (Section
386.890; TAFP HCS SCS
SB 54. The full text of the portion of the bill related to Net
Metering and the Easy Connection Act
can be found at: http://www.senate.mo.gov/07info/pdf-bill/tat/SB54.pdf
on pages 36-41.)
Ameren UE: http://www.ameren.com/sites/aue/Rates/Documents/umbe1Mrtppo.pdf
More Ameren UE Resources: Ameren Missouri offers net metering to our
customers. Use the links below to learn more about the Missouri Net
Metering process.
http://www.ameren.com/sites/aue/Environment/Renewables/Pages/MissouriPropositionC.aspx
* Net metering application process flow
* Customer information letter
* Ameren Missouri buyback tariff
* Net metering two-step application process
* "Sample" Net metering application supporting documentation
A Guide to Photovoltaic and Wind Generator Systems offered by Ameren UE:
http://www.ameren.com/sites/aue/source/Environment/Pages/ADC_EV_WindSystemsFactors.aspx
For more information on Ameren Missouri's net metering, contact
lcosgrove@ameren.com.
State of Missouri Resources
Title 10—DEPARTMENT OF NATURAL RESOURCES
Division 140—Division of Energy
Chapter 8—Certification of Renewable Energy and
Renewable Energy Standard Compliance Account
PROPOSED RULE
10 CSR 140-8.010 Certification of Renewable Energy and Renewable
Energy Standard Compliance Account
PURPOSE: This rule implements provisions of the Proposition C initiative
petition passed by Missouri voters on November 4, 2008, collectively
known as the "Renewable Energy Standard," found in section
393.1025, RSMo et seq.
PUBLISHER'S NOTE: The secretary of state has determined that the
publication of the entire text of the material which is incorporated by
reference as a portion of this rule would be unduly cumbersome or
expensive. This material as incorporated by reference in this rule
shall be maintained by the agency at its headquarters and shall be
made available to the public for inspection and copying at no more
than the actual cost of reproduction. This note applies only to the reference
material. The entire text of the rule is printed here.
(1) Definitions. For the purpose of this rule—
(A) Commission—the Missouri Public Service Commission;
(B) Department—the Missouri Department of Natural Resources;
(C) Electric utility—a regulated Missouri electrical corporation as
defined in section 386.020, RSMo;
(D) Renewable energy credit or "REC"—a tradable certificate as
defined by section 393.1025(5), RSMo, that one (1) megawatt-hour
of electricity has been generated from eligible renewable energy
sources;
(E) Renewable energy generation facility or "facility"—the facility
where electrical energy was generated by an eligible renewable
energy resource; and
(F) Renewable energy resources—electrical energy as defined by
section 393.1025(5), RSMo, and which is eligible to be issued a
renewable energy credit (REC).
(2) Eligible Renewable Energy Resources.
(A) Eligible Renewable Energy Resources. The electricity must be
derived from one (1) of the following types of renewable energy
resources or technologies, as defined in section 393.1025(5), RSMo:
1. Wind;
2. Solar thermal sources or solar photovoltaic cells and panels;
3. Dedicated crops grown for energy production—herbaceous
and woody crops that are harvested specifically for energy production
in a sustainable manner;
4. Cellulosic agricultural residues—organic matter remaining
after the harvesting and processing of agricultural crops. They
include—
A. Field residues, which are organic materials left on agricultural
lands after the crops have been harvested, such as stalks,
stubble, leaves, and seed pods; and
B. Process residues, which are organic materials left after the
crops have been processed into a usable resource, such as husks,
seeds, and roots;
5. Plant residues—the residues of plants that would be converted
into energy, that otherwise would be waste material;
6. Clean and untreated wood—non-hazardous wood 1) that has
not been chemically treated with chemical preservatives such as creosote,
pentachlorophenol, or chromated copper arsenate; and 2) that
does not contain resins, glues, laminates, paints, preservatives, or
other treatments that would combust or off-gas, or mixed with any
other material that would burn, melt, or create other residue aside
from wood ash.
A. Eligible clean and untreated wood may include, but is not
necessarily limited to, the following sources:
(I) Forest-related resources, such as pre-commercial thinnings
waste, slash (tree tops, branches, bark, or other residue left on
the ground after logging or other forestry operations), brush, shrubs,
stumps, lumber ends, trimmings, yard waste, dead and downed forest
products, and small diameter forest thinnings (twelve inches (12")
in diameter or less);
(II) Non-chemically treated wood and paper manufacturing
Page 1022 Proposed Rules
July 15, 2010
Vol. 35, No. 14
waste, such as bark, trim slabs, scrap, shavings, sawdust, sander
dust, and pulverized scraps;
(III) Vegetation waste, such as landscape waste or right-ofway
trimmings;
(IV) Wood chips, pellets, or briquettes derived from nontoxic
and unadulterated wood wastes or woody energy crops;
(V) Municipal solid waste, construction and demolition
waste, urban wood waste, and other similar sources only if wood
wastes are segregated from other solid wastes or inorganic wastes;
and
(VI) Other miscellaneous waste, such as waste pellets, pallets,
crates, dunnage, scrap wood, tree debris left after a natural catastrophe,
and recycled paper fibers that are no longer suitable for
recycled paper production.
B. Ineligible clean and untreated wood may include, but is not
necessarily limited to, the following sources:
(I) Post-consumer wastepaper;
(II) Wood from old growth forests (one hundred fifty (150)
years old or older); and
(III) Unsegregated solid waste;
7. Methane from landfills or from wastewater treatment.
Wastewater treatment is defined as physical, chemical, biological,
and mechanical procedures applied to an industrial or municipal discharge
or to any other sources of contaminated water to remove,
reduce, or neutralize contaminants;
8. Hydropower, not including pumped storage, that does not
require a new diversion or impoundment of water and that each generator
has a nameplate rating of ten megawatts (10 MW) or less. If
an improvement to an existing hydropower facility does not require a
new diversion or impoundment of water and incrementally increases
the nameplate rating of each generator, up to ten megawatts (10 MW)
per generator of the incremental capacity, the improvement may qualify
as an eligible renewable energy resource;
9. Fuel cells using hydrogen produced by one (1) of the abovenamed
renewable energy resources. RECs based on generating electricity
in fuel cells from hydrogen derived from an eligible energy
resource are eligible for compliance purposes only to the extent that
the energy used to generate the hydrogen did not create RECs; or
10. Other sources of energy, not including nuclear, that may
become available after November 4, 2008, and are certified as eligible
renewable energy resources as provided in section (3) of this rule.
(3) Additions to Eligible Renewable Energy Resources.
(A) The department may certify new types of renewable energy
resources in addition to those listed as eligible in section
393.1025(5), RSMo, if the department determines the following to
be true:
1. The generation technology under review was not commercially
available in Missouri prior to November 4, 2008;
2. The generation technology is not based on nuclear fission or
nuclear fusion; and
3. There is no undue adverse air, water, or land use impacts,
including impacts associated with the gathering of generation feedstocks.
(B) The department will publish in the Missouri Register new
types of renewable resources it certifies as eligible pursuant to section
393.1025(5), RSMo.
(4) Certification of Renewable Energy Generation Facilities and
Environmental Impact.
(A) The department shall publish and maintain a list of certified
renewable energy generation facilities.
(B) Utilities that either own, or have contracted with, renewable
energy generation facilities included on the list shall be required to
provide a copy to the department of the completed Annual RES
Compliance Report filed with the commission, pursuant to section
393.1030, RSMo, to verify the validity of information gathered during
the certification review process. The copy will be provided to
the department concurrent with the filing of the Annual RES
Compliance Report with the commission.
(C) Certification Review Process.
1. Certification reviews will be conducted by the department for
renewable energy generation facilities upon application.
2. The certification review shall consider the eligibility of energy
sources used by the facility to generate electricity. A determination
will be made by the department as to whether the generation has
caused undue adverse air, water, or land use impacts, including
impacts associated with the gathering of generation feedstocks.
3. The certification review process may be initiated by an electric
utility or by a facility by submitting an application for certification
to the department. The department shall consider all such applications
for certification and shall conduct a certification review
process in response to all properly completed petitions. An application
for certification must include:
A. A detailed technical description of energy sources, including
fuel type, technology, and expected operating specifications, used
by the facility to generate electricity and their conformity with the
eligible renewable energy resources listed in section (2) and additional
renewable energy resources certified by the department pursuant
to section (3);
B. If any amount of fossil fuel is used in the generation
process, a description of agreements or systems in place that assure
sufficient data will be available to determine the portion of electrical
output attributable to only the renewable energy resource;
C. An assessment of the facility's air, water, or land use
impacts, including impacts associated with the gathering of generation
feedstocks. An assessment shall include, but is not limited to,
demonstrating compliance with permits and agricultural and forestry
best management practices, such as the "Missouri Woody Biomass
Harvesting – Best Management Practices Manual" guidelines published
by the Missouri Department of Conservation, found online at:
http://mdc4.mdc.mo.gov/Documents/18043.pdf, if applicable, and
verification of compliance from a Missouri professional forester, if
applicable. This assessment shall also include information concerning
any applications for approvals or permits, or reviews or investigations
by governmental entities with regard to environmental
impacts;
D. The application for certification shall also state the following:
(I) That the electric utility or facility will obtain and/or
maintain all applicable environmental permits required by the department;
(II) That the facility is and will remain in substantial compliance
with all federal and state air, water, and land environmental
laws, regulations, and rules, and that the applicant will report to the
department any instance in which the applicant or any member of its
board of directors or principals is determined by any administrative
agency or any court in connection with any judicial proceeding to be
in noncompliance with any federal or state air, water, and land environmental
laws, regulations, and rules, such report to be submitted
within ten (10) working days following such determination;
(III) That the electric utility applicant will timely file its
Annual RES Compliance Report with the commission pursuant to
section 393.1030.2(3), RSMo;
(IV) That the utility will submit additional information that
the department may require for its review of the facility's energy
sources and environmental impact with appropriate provision for
confidentiality of sensitive information; i.e., protection of energy
information pursuant to section 640.155, RSMo;
(V) That contracts for the acquisition of renewable energy
resources shall provide for release of information to the department
with appropriate provision for confidential treatment of any sensitive
information, such as pursuant to section 641.155, RSMo; and
(VI) To grant or obtain for the department access to facility
sites and records for the purpose of verifying statements made in
the petition; and
E. A statement signed by a designated official of the electric
utility or renewable energy generation facility attesting that "I have
Page 1023
July 15, 2010
Vol. 35, No. 14 Missouri Register
personally examined the information submitted herein by [name of
electric utility or renewable energy generation facility], I attest that
this information is accurate and complete and that I am authorized to
make this statement on behalf of [name of utility or facility]."
4. On completion of its review, the department shall certify the
facility if all requirements herein have been met. The department
may deny certifying the facility if those requirements are not met or
for reasons stated in subparagraph (4)(C)4.A. The department may
revoke certification as provided in subparagraph (4)(C)4.B.
A. The department may deny certification if the application
is deficient or if the department finds—
(I) That the energy sources and technologies used to generate
electricity are not eligible renewable energy resources as set
forth in section (2) or additional renewable energy resources certified
by the department pursuant to section (3); or
(II) That the facility has significant and unresolved violations
of existing federal or state air, water, or land environmental regulations;
or
(III) That the facility has not adhered to forestry or agricultural
best management practices consequently resulting in undue
adverse air, water, or land use impacts, and that agreement cannot be
reached on actions that the utility or generation facility will undertake
that are sufficient to offset or mitigate the adverse impacts.
B. Any of the following actions may result in revocation of
certification as an eligible renewable energy generation facility:
(I) The electric utility's failure to file with the department
a copy of its Annual RES Compliance Report to the commission;
(II) Falsification of or failure to disclose any required
information in the application for certification;
(III) Failure to remain in substantial compliance with all
federal and state laws, regulations, and rules for the protection of the
environment;
(IV) A significant increase in adverse environmental
impacts resulting from electric generation at the renewable energy
generation facility;
(V) Failure to disclose information on a confidential basis
that is essential for verifying the facility's compliance with requirements
for certification as an eligible renewable generation facility;
(VI) Re-marketing or reselling of REC(s) after it has been
sold to an electric utility; or
(VII) Failure to obtain and/or maintain all applicable environmental
permits required by the department.
5. A renewable energy generation facility which is denied certification
or whose certification is revoked by the department shall
not be eligible for use to meet the Renewable Energy Standard
requirements in section 393.1030, RSMo, until such time as the
facility has been certified or recertified by the department.
6. The public may file a complaint asking the department to
conduct a revocation review of a certified renewable energy generation
facility. The complaint must list alleged violations by the facility,
the facility's name, date of violations, types of violation(s), and
the address of the facility.
(5) Renewable Energy Standard Compliance Account.
(A) The department shall establish a Renewable Energy Standard
Compliance Account (compliance account) whose funds shall be disposed
as set forth in this section.
(B) Funds remitted to the department as a result of utilities' failure
to comply with the Renewable Energy Standard as provided in
subsection 393.1030.2.(2), RSMo, shall be deposited into the compliance
account and shall be used to purchase a sufficient number of
renewable energy credits to offset the deficit in RECs. Funds
deposited in the compliance account in excess of the funds required
for the purchase of RECs to offset the deficit in RECs shall be used
by the department solely for administration of renewable energy and
energy efficiency projects.
(C) Beginning in 2012, the department shall prepare an annual
report on the transfer and disposition of funds in the compliance
account. The report shall include a listing of RECs purchased using
compliance account funds and the electric utilities on whose behalf
the RECs were purchased using compliance account funds. The
report shall be completed by June 30 and shall cover activities of the
preceding calendar year. If any pertinent information is considered
confidential, a version of the report disclosing the confidential information
shall be submitted to the commission and a report without the
confidential information shall be made available to the public.
AUTHORITY: section 393.1030, RSMo Supp. 2009. Original rule
filed June 14, 2010.
PUBLIC COST: This proposed rule is estimated to cost state agencies
or political subdivisions fifty-seven thousand four hundred ninety-
nine dollars ($57,499) in the aggregate.
PRIVATE COST: This proposed rule is estimated to cost private entities
$1,410,000 in the aggregate.
NOTICE TO SUBMIT COMMENTS: Anyone may file a statement in
support of or in opposition to this proposed rule with the Missouri
Department of Natural Resources, Division of Energy, PO Box 176,
Jefferson City, MO 65102. To be considered, comments must be
received within thirty (30) days after publication of this notice in the
Missouri Register. No public hearing is (continue reading:
http://www.sos.mo.gov/adrules/moreg/previous/2010/v35n14/v35n14a.pdf)
--
Scott's Contracting
scottscontracting@gmail.com
http://www.stlouisrenewableenergy.blogspot.com
http://scottscontracting.wordpress.com
Missouri Energy Initiative-Jan 2011
Missouri Energy Initiative is new think tank on energy
Jan 21, 2011 St. Louis Post-Dispatch
Jan 21, 2011 St. Louis Post-Dispatch
Jeffrey Tomich
Jan. 21, 2011 (McClatchy-Tribune Regional News delivered by Newstex)
-- Two years ago, environmental and consumer lobbyists clashed with
utility advocates over state legislation that would have furthered
Ameren Missouri's plans to develop a second nuclear plant in Callaway
County.
The bill ultimately died. And the St. Louis utility suspended efforts
to get a permit for a second nuclear reactor. But the months of
television ads, harsh rhetoric and political jockeying that
characterized the debate did make a mark, providing the impetus for
the Missouri Energy Initiative, a new statewide think tank for energy
issues.
Roger Walker -- a part-time attorney for Clayton's Armstrong Teasdale
and executive director of Regform, a statewide business association
focused on environmental policy -- became frustrated with the tenor of
the nuclear debate. The squabbling "became a catalyst for wanting to
have an honest debate on energy issues," he said.
The group emerges as Missouri faces thorny questions regarding its
energy future. The Legislature will again debate legislation that
would further development of a second Callaway nuclear plant. The
state will also grapple with how to increase energy efficient and
renewable energy, while reducing dependence on fossil fuels and
maintaining relatively low electricity rates, a competitive advantage
for businesses.
Walker and co-founder Gary Stacy, a University of Missouri plant
sciences professor, have worked deliberately to sketch out MEI's
goals, recruit board members and raise funds. (Stacy had been
organizing a separate organization focused on Missouri energy research
and education when he and Walker decided to combine their efforts.)
"We've been moving slowly on purpose," Walker said. "These issues are
going to be here for a long time."
The group's 14 current board members include former Gov. Bob Holden;
Washington University Chancellor Mark S. Wrighton; Ron Wood, the
retired chief executive of Kansas City-based energy consultancy Black
and Veatch; former Congressman Kenny Hulshof; and Stanley R. Bull of
the Midwest Research Institute.
Another board member, James R. Fischer of Columbia, Mo., a former
university researcher, professor and dean who now runs an energy
consulting firm, sees MEI as an opportunity to attract jobs and
investment to Missouri by playing a part in helping shape the state's
energy future.
"People won't invest in a state unless they understand the energy
scenario," he said.
The group plans to issue its first white paper later this spring, an
outgrowth of a Nov. 2 roundtable discussion that focused on a wide
range of topics. The invitation-only gathering included
representatives from energy producers and users, academia, government
and labor, consumer and environmental groups.
Walker, MEI's current chairman, intends the group to be visible on key
issues. The group's primary mission will be fact finding, educating
the public, promoting dialogue and searching for ways to leverage
energy research at Missouri institutions to benefit the state, he
said.
But don't look for the organization to take a stand on controversial
issues or lobby. MEI will be more than nonpartisan; it will be
apolitical.
"We're not going to walk the halls" of the Capitol, Walker said. "We
don't want to be seen as a special interest group for anyone."
Most operating funds will come from dues, and the group will probably
seek out state and federal grants and perhaps funding from private
foundations. So far, it has cash and financial commitments totaling
$150,000 -- enough to hire a full-time executive director for the
group's office in Jefferson City, Walker said.
MEI will interact with the public by issuing white papers, host
meetings and discuss key issues and be a sounding board for state
leaders on energy issues, he said. Eventually, he hopes that MEI is
known well enough that state leaders will seek out its advice.
The group won't stake out positions on controversial issues, but it
also won't hesitate to promote frank discussion and call out
misinformation -- no matter the source, Walker said.
"Someone's got to shave off the extreme positions and establish what's
real and what's factual."
Newstex ID: KRTB-0187-100023969
--
Scott's Contracting
scottscontracting@gmail.com
http://www.stlouisrenewableenergy.blogspot.com
http://scottscontracting.wordpress.com
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