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Attorney-General and Minister for Justice, Minister for Women and Minister for the Prevention of Domestic and Family ViolenceThe Honourable Shannon Fentiman

The Palaszczuk Government has released the final report following the review of the Queensland operations of The Star Entertainment Group, along with its response.

Attorney-General and Minister for Justice Shannon Fentiman said the independent expert review conducted by the Honourable Robert Gotterson AO KC made 12 recommendations to enhance the integrity, minimise the potential for harm, ensure probity and restore public confidence in the operations of Queensland casinos.

Making sure Queensland casinos operate lawfully is a priority for the Government, the Attorney said.

Thats why I am pleased to announce that the Palaszczuk Government supports in principle all recommendations of this review.

I would like to thank Mr Gotterson andCounsel Assisting Dr Jonathon Horton KC and Ms Angela Hellewellfor their work in conducting this important review.

The Government instigated the review in June 2022 to examine serious issues with the operation and governance arrangements of the Star Group.

Mr Gottersons inquiries were informed by public hearings, the findings of the independent review of The Star Pty Ltd conducted by Mr Bell SC in NSW, and the Queensland regulators investigations and compliance work.

The Attorney said the review examined a broad range of issues, and highlights major failings and concerns, including:

As a result of these findings, and the findings of Mr Bell SCs Inquiry in NSW, Mr Gotterson found that the actions of The Star left open a finding of unsuitability to hold a casino licence in Queensland.

Considering the serious and concerning findings of the Gotterson Review and his advice regarding suitability, I have formed the view that The Star is unsuitable to hold a licence in Queensland, the Attorney said.

In accordance with the legislation, once aformal determination of unsuitability is made, The Star will be given the opportunity to respond to that finding through a show cause process.

Following the show cause process, a range of remedial actions will be available to Government, including fines, suspending or cancelling licenses, and as recommended by Mr Gotterson, appointing a special manager, as has been done in Victoria.

The Queensland Government supports in principle all 12 recommendations of the Gotterson review, these include:

The Government has also determined to raise the maximum penalty that can be imposed on a casino to a proposed $100 million.

Mr Gotterson found no suggestion of any inappropriate interference by the Minister of the day or Government in regulatory decisions relating to The Star. Similarly, Mr Gotterson did not find sufficient justification to change fundamentally the structure of the Queensland regulator.

However, in regard to the Queens Wharf Financial Commitment Agreement regulatory restrictions and compensation clauses, he noted that the State legislature should not be fettered in its capacity to impose controls on casinos or compensate them in any way for having done so.

Government has agreed with Mr Gottersons advice and will act accordingly.

The report can be found online here: https://www.justice.qld.gov.au/initiatives/external-review-qld-operations-star-entertainment-group

ENDS

Media contact: Phoenix Campbell 0439 949 719

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Government responds to The Star review - Ministerial Media Statements - Media Statements

Guo, X., Chen, B. & Wu, X. Utilization of cinnamaldehyde and zinc oxide nanoparticles in a carboxymethylcellulose-based composite coating to improve the postharvest quality of cherry tomatoes. Int. J. Biol. Macromol. 160, 175182 (2020).

CAS PubMed Article Google Scholar

Mansoori, S., Davarnejad, R., Matsuura, T. & Ismail, A. F. Membranes based on non-synthetic (natural) polymers for wastewater treatment. Polym. Test. 84, 106381 (2020).

CAS Article Google Scholar

MaderaSantana, T.J., FreilePelegrin, Y., Encinas, J.C., RiosSoberanis, C.R., QuintanaOwen, P. Biocomposites based on poly(lactic acid) and seaweed wastes from agar extraction: Evaluation of physicochemical properties. J. Appl. Polym. Sci. 132, 31 (2015).

Cheng, H. et al. Starch-based biodegradable packaging materials: A review of their preparation, characterization and diverse applications in the food industry. Trends Food Sci. Technol. 114, 7082 (2021).

CAS Article Google Scholar

Azmana, M. et al. A review on chitosan and chitosan-based bio nanocomposites: Promising material for combatting global issues and its applications. Int. J Biol. Macromol. 185, 832848 (2021).

CAS PubMed Article Google Scholar

de Carvalho, A. P. A. & Conte-Junior, C. A. Food-derived biopolymer kefiran composites, nanocomposites, and nanofibers: Emerging alternatives to food packaging and potentials in nanomedicine. Trends Food Sci. Technol. 116, 370386 (2021).

CAS Article Google Scholar

Pateiro, M. et al. Nanoencapsulation of promising bioactive compounds to improve their absorption, stability, functionality and the appearance of the final food products. Molecules 26(6), 1547 (2021).

CAS PubMed PubMed Central Article Google Scholar

Moghaddam, M. & Mehdizadeh, L. Chemical composition and antifungal activity of essential oil of Thymus vulgaris grown in Iran against some plant pathogenic fungi. J. Essent. Oil-Bear. Plants 23(5), 10721083 (2020).

CAS Article Google Scholar

Milenkovic, L. et al. Modification of light intensity influence essential oils content, composition and antioxidant activity of thyme, marjoram and oregano. Saudi J. Biol. Sci. 28(11), 65326543 (2021).

CAS PubMed PubMed Central Article Google Scholar

Valerio, F. et al. Characterization and antimicrobial properties of essential oils from four wild taxa of Lamiaceae family growing in Apulia. Agron. J. 11(7), 1431 (2021).

CAS Google Scholar

Ahmad, M., Benjakul, S., Prodpran, T. & Agustini, T. W. Physico-mechanical and antimicrobial properties of gelatin film from the skin of unicorn leatherjacket incorporated with essential oils. Food Hydrocoll. 28(1), 189199 (2012).

CAS Article Google Scholar

Ahmed, J., Mulla, M. Z. & Arfat, Y. A. Thermo-mechanical, structural characterization and antibacterial performance of solvent casted polylactide/cinnamon oil composite films. Food Control 69, 196204 (2016).

CAS Article Google Scholar

Arfat, Y. A., Ahmed, J., Hiremath, N., Auras, R. & Joseph, A. Thermo-mechanical, rheological, structural and antimicrobial properties of bionanocomposite films based on fish skin gelatin and silver-copper nanoparticles. Food Hydrocoll. 62, 191202 (2017).

CAS Article Google Scholar

Al-Tayyar, N. A., Youssef, A. M. & Al-Hindi, R. Antimicrobial food packaging based on sustainable bio-based materials for reducing foodborne pathogens: A review. Food Chem. 310, 125915 (2020).

CAS PubMed Article Google Scholar

Hari, K. D., Garcia, C. V., Shin, G. H. & Kim, J. T. Improvement of the UV barrier and antibacterial properties of crosslinked pectin/zinc oxide bio nanocomposite films. Polymers 13(15), 2403 (2021).

CAS PubMed PubMed Central Article Google Scholar

Yadav, T. C., Saxena, P., Srivastava, A. K., Singh, A. K., Yadav, R. K., Prasad, R., & Pruthi, V. Potential applications of chitosan nanocomposites: recent trends and challenges. Adv. Funct. Text. Poly Fabric Process. Appl. 21, 365403. (2019).

Kumar, P., Huo, P., Zhang, R. & Liu, B. Antibacterial properties of graphene-based nanomaterials. Nanomaterials 9(5), 737 (2019).

CAS PubMed Central Article Google Scholar

Singh, S., Pandey, S. K., & Vishwakarma, N. Functional nanomaterials for the cosmetics industry. inHandbook of Functionalized Nanomaterials for Industrial Applications. 717730. (Elsevier, 2020).

Foulkes, R. et al. The regulation of nanomaterials and nanomedicines for clinical application: Current and future perspectives. Biomater. Sci. 8(17), 46534664 (2020).

CAS PubMed Article Google Scholar

Wongpanit, P. et al. Preparation and characterization of microwave-treated carboxymethyl chitin and carboxymethyl chitosan films for potential use in wound care application. Macromol. Biosci. 5, 10011012 (2005).

CAS PubMed Article Google Scholar

ASTM-D-882-91. Standard test methods for tensile properties of thin plastic sheeting. in Annual Book of ASTM. (American Society for Testing & Materials, 1991).

Sarojini, K. S., Indumathi, M. P. & Rajarajeswari, G. R. Mahua oil-based polyurethane/chitosan/nano ZnO composite films for biodegradable food packaging applications. Int. J. Biol. Macromol. 124, 163174 (2019).

Article Google Scholar

ASTM. Standard test method for water vapour transmission of materials. E 9600. in: Annual Book of ASTM Standards. 907914. (ASTM International, 2000).

Rubilar, J. F. et al. Physico-mechanical properties of chitosan films with carvacrol and grape seed extract. J. Food Eng. 115(4), 466474 (2013).

CAS Article Google Scholar

Schvambach, M. I., Andriolli, V. B., Souza, P. F., Oliveira, J. L. B. & Pescado, R. Conservation of crisp lettuce in different post-harvest storage conditions. Ceres Vicosa 67(4), 247250 (2020).

Google Scholar

Gu, D. D. et al. Nondestructive determination of total chlorophyll content in maize using three-wavelength diffuse reflectance. J. Appl. Spectrosc. 83, 541547 (2018).

ADS Article Google Scholar

AOAC. Official Methods of Analysis. 18th edn. (Association of Official Analytical Chemists, 2005).

Basaglia, R. R. et al. Effect of edible chitosan and cinnamon essential oil coatings on the shelf life of minimally processed pineapple (Smooth cayenne). Food Biosci. 41, 100966 (2021).

CAS Article Google Scholar

Tokatlha, K., & Demirdoven, A. Effects of chitosan edible film coatings on the physicochemical and microbiological qualities of sweet cherry (Prunus avium L.) Sci. Hortic. (2020).

Moalla, S. et al. Development and characterization of chitosan films carrying Artemisia campestris antioxidants for potential use as active food packaging materials. Int. J. Biol. Macromol. 183, 254266 (2021).

CAS PubMed Article Google Scholar

Sanchez-Gonzalez, L., Vargas, M., Gonzalez-Martinez, C., Chiralt, A. & Chafer, M. Characterization of edible films based on hydroxypropylmethylcellulose and tea tree essential oil. Food Hydrocoll. 23(8), 21022109 (2009).

CAS Article Google Scholar

Peroval, C., Debeaufort, F., Despre, D. & Voilley, A. Edible arabinoxylan based films. 1. Effects of lipid type on water vapor permeability, film structure, and other physical characteristics. J. Agric. Food Chem. 50, 39773983 (2002).

CAS PubMed Article Google Scholar

Moradi, M. et al. Characterization of antioxidant chitosan film incorporated with Zataria multiflora Boiss essential oil and grape seed extract. LWT-Food Sci. Technol. 46, 477484 (2012).

CAS Article Google Scholar

Hiremani, V., Gasti, T., Satareddi, S., Vanjeri, V.N., Goudar, N., Masti, S., & Chougale, R. Characterization of mechanical and thermal properties of glycerol mixed oxidized maize starch/polyvinyl alcohol blend films. Chem. Data Collect. (2020).

Heng, Z., Chen, Y., Zou, H. & Liang, M. Investigations of environmental stress cracking resistance of LDPE/UHMWPE and LDPE/EVA blends. Plast. Rubber Compos. 44, 218225 (2015).

CAS Article Google Scholar

Meera, K. M. S., Sankar, R. M., Paul, J. S. N. & Jaisankar Mandal, A. B. The influence of applied silica nanoparticles on a bio-renewable castor oil-based polyurethane nanocomposite and its physicochemical properties. Phys. Chem. Chem. Phys. 16, 92769288 (2014).

Article Google Scholar

Lee, M. H., Kim, S. Y. & Park, H. J. Effect of halloysite nanoclay on the physical, mechanical, and antioxidant properties of chitosan films incorporated with clove essential oil. Food Hydrocoll. 84, 5867 (2018).

CAS Article Google Scholar

Rahman, P. M., Mujeeb, V. A., Muraleedharan, K. & Thomas, S. K. Chitosan/nano ZnO composite films: Enhanced mechanical, antimicrobial and dielectric properties. Arab. J. Chem. 11, 120127 (2018).

Article Google Scholar

de Melo Fiori, A. P. S., Camani, P. H., dos Santos Rosa, D. & Carastan, D. J. Combined effects of clay minerals and polyethylene glycol in the mechanical and water barrier properties of carboxymethylcellulose films. Ind. Crop. Prod. 140, 111644 (2019).

Article Google Scholar

Rambabu, K. et al. Effective treatment of dye polluted wastewater using nanoporous CaCl2 modified polyethersulfone membrane. Process Saf. Environ. Prot. 124, 266278 (2019).

CAS Article Google Scholar

Bourtoom, T. & Chinnan, S. M. Preparation and properties of rice starch-chitosan blend biodegradable film. LWT Food Sci Technol. 132, 31 (2008).

Google Scholar

Cano, A. I., Chafer, M., Chiralt, A. & Martinez, C. G. Physical and microstructural properties of biodegradable films based on pea starch and PVA. J Food Eng. 167, 59 (2015).

CAS Article Google Scholar

Vilvert, J. C. et al. Chitosan and graphene oxide-based biodegradable bags: An eco-friendly and effective packaging alternative to maintain postharvest quality of Palmer mango. LWT-Food Sci. Technol. 154, 112741 (2022).

CAS Article Google Scholar

Quintero, R. I., Rodriguez, F., Bruna, J., Guarda, A. & Galotto, M. J. Cellulose acetate butyrate nanocomposites with antimicrobial properties for food packaging. Packag. Technol. Sci. 26(5), 249265 (2013).

CAS Article Google Scholar

Giannakas, E. A. & Leontion, A. Montmorillonite composite materials and food packaging. Compos. Mater. Food Packag. 4, 171 (2018).

Google Scholar

Rhim, J. W., Hong, S. I., Park, H. M. & Ng, P. K. W. Preparation and characterization of chitosan-based nanocomposite films with antimicrobial activity. J. Agric. Food Chem. 54(16), 58145822 (2006).

CAS PubMed Article Google Scholar

La, D. D. et al. Effects of antibacterial ZnO nanoparticles on the performance of a chitosan/gum arabic edible coating for post-harvest banana preservation. Prog. Org. Coat. 151, 106057 (2021).

CAS Article Google Scholar

Owolabi, I. O., Songsamoe, S., Khunjan, K. & Matan, N. Effect of tapioca starch coated-rubberwood box incorporated with essential oils on the postharvest ripening and quality control of mangosteen during transportation. Food Cont. 126, 108007 (2021).

CAS Article Google Scholar

Brandelero, R. P. H., Brandelero, E. M., & Almeida, F. M. Biodegradable films of starch/PVOH/alginate in packaging systems for minimally processed lettuce (Lactuca sativa L.). Cienc. Agrotecnol. 40(5), 510521 (2016).

Rai, D. R., Narsaiah, K., Bharati, D. K., Reddy, P. M. K. & Brar, S. S. Modified atmosphere packaging of minimal processing and storage of shredded cabbage. J. Food Sci. Technol. 46(5), 436439 (2009).

CAS Google Scholar

Lee, J. S. & Chandra, D. Effects of different packaging materials and methods on the physical, biochemical and sensory qualities of lettuce. J. Food Sci. Technol. 55(5), 16851694 (2018).

CAS PubMed PubMed Central Article Google Scholar

Manolopoulou, E. & Varzakas, T. Effect of temperature in color changes of green vegetables. Curr. Res. Nutr. Food Sci. 4(SI2), 1017 (2016).

Article Google Scholar

Cheng, P., Yun. X., Xu. C., Yang. Y., Han. Y., & Dong, T. Use of poly(-caprolactone)- based films for equilibrium-modified atmosphere packaging to extend the postharvest shelf life of garland chrysanthemum. Food Sci. Nutr. 7, 111 (2019).

Vlacha, M. et al. On the efficiency of oleic acid as plasticizer of chitosan/clay nanocomposites and its role on thermo-mechanical, barrier and antimicrobial propertiesComparison with glycerol. Food Hydrocoll. 57, 1019 (2016).

CAS Article Google Scholar

Kumar, N., Ojha, A., Upadhyay, A., Singh, R. & Kumar, S. Effect of active chitosan-pullulan composite edible coating enrich with pomegranate peel extract on the storage quality of green bell pepper. LWT 138, 110435 (2021).

CAS Article Google Scholar

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Development of chitosan-based biodegradable films enriched with thyme essential oil and additives for potential applications in packaging of fresh...

As one of the most famous athletes in the world,LeBron Jamesis used to having his every move scrutinized by the media. But after years of feeling misrepresented, the NBA star decided to take matters into his own hands by launching his own media company.

With over$300 million earned from the NBAalone, the business-savvy athlete has used his platform and influence to create content that tells his story in his own words.

James is not new to the business world. The NBA star has committed to numerous endorsement deals and business ventures. However, James entrance into the media world is perhaps his most impressive.

In 2014, the 37-year-old teamed up with business partner Maverick Carter to launch Uninterrupted, a digital media company that produces content focused on athletes and their stories. The multimedia platform allows athletes to connect with their fans by giving testimonials regarding their experiences without the interference of traditional media.

James and Carter chose the name Uninterrupted because they wanted to create a space where athletes could connect with their fans and uninterruptedly tell their stories and experiences.

In an interview withSports Illustrated, James explains that he wants to be able to tell his story, in his own words, not just for himself but for his family too. I got tired of media altering the narrative or picking whatever suits their narrative regarding what I was doing, James explained. He feels that if the public and the media will fashion an image for you and your family, it is best to control it rather than watch it play out.

This sentiment is echoed in his statement about wanting to play in the NBA with his sons. After James floated the idea, most people began speculating about his future. However, with Uninterrupted, the media had no chance to miss coverage or provide false narratives about what he said.

Instead, LeBron was able to tell his story on his terms. In addition to providing athletes with a platform to share their stories, Uninterrupted has produced various content. The company has released severaldocumentariesand web series.

In addition to Uninterrupted, James also has five other notable business ventures. These include a Beats by Dre partnership, production company SpringHill Entertainment, and investments in various companies likeBlaze PizzaandLiverpool Football Club. Hes also invested in Boston Red Sox and Fenway Sports Group. Recently, James added anew Pepsi Productto his ever-expanding business portfolio.

While some may see the Ohio natives business ventures as another way to make money, its clear the NBA star is using his platform and influence to create opportunities for himself and others. With Uninterrupted, hes enabled the production of various projects, including The Shop. Initially available on HBO, LeBron and his team have moved the unscripted series to YouTube to reach a wider audience. Other projects produced through Uninterrupted includeFate of a Sport, Road to Discovery, HBCUs Rising and more.

With multiple successful ventures under James belt, there is no telling what he will do next. But one thing is for sure: He will continue to tell his story on his terms.

RELATED: Ray Allen Completely Dismisses LeBron James as the GOAT: He Aint Even Great In All Those Categories

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LeBron James Launched His Own Media Company When the NBA Star Realized He Needs to Control His Own Narrative - Sportscasting

Social media use exploded with COVID-19s lockdowns and contact restrictions. Millions turned to Facebook, TikTok, Twitter, and other platforms to escape feelings of isolation, anxiety, and hopelessness.

However, excessive screen time has led to addictive behaviors, stronger emotional attachment to social media, and deeper mental anguish for many people.

Researchers at the Ruhr-Universittt in Bochum, Germany investigated the effects of reducing social media use (SMU) and increasing physical activity, or both, on emotional well-being and tobacco consumption.

Julia Brailosvskaia, Ph.D., an assistant professor at the universitys Mental Health Research and Treatment Center, led the two-week experiment.

Brailosvskaia and her team observed that the interventions they suggested may have helped enhance participants satisfaction with life. At a 6-month follow-up, the subjects continued to report spending less time on social media, maintaining physical activity, feeling happier, and smoking fewer cigarettes.

The Journal of Public Health recently published these findings.

The studys authors noted that mental health consists of two interrelated but separate dimensions: positive and negative.

With this paradigm, they hypothesized that the positive dimension of their intervention would increase life satisfaction and subjective happiness. The negative dimension would decrease depression symptoms and addictive tendencies of SMU.

Medical News Today discussed this study with Dr.Sheldon Zablow, an author and nutritional psychiatrist. He was not involved in the research.

When asked about the effects of social media on mental health, Dr. Zablow asserted:

If activities interfere with customary basic age-appropriate milestones of economic self-sufficiency, socialization, or health maintenance, then they are detrimental. The activities could be alcohol use, substance use, dietary choices, exercise choices, or entertainment choicesspecifically social media.

Dr. Zablow warned that excessive social media use weakens social interpersonal bonds, which can negatively impact mental health.

MNT also spoke with Dr. David A. Merrill, adult and geriatric psychiatrist and director of the Pacific Neuroscience Institutes Pacific Brain Health Center at Providence Saint Johns Health Center in Santa Monica, CA, regarding the present study. He was not involved in the research.

Dr. Merrill argued that the term social media is a misnomer thats almost like a bait and switch, designed to increase user engagement.

Too much social media use, he said, could end up exacerbating mental issues for people with behavioral health conditions or addictive vulnerabilities.

Theres the brain reward system that you get from clicking or scrolling or maintaining the use of the social media, Dr. Merrill said.

I think [that the authors are] demonstrating causally that you both need to have a conscious awareness of the need to limit the self-soothing aspect of social media use, and you also need to have alternatives, so you need to have some other way to bring joy into your life, and especially during the pandemic.

As a psychiatrist, Dr. Zablow emphasized that the essential part of any treatment program recommended is exercise. Psychotherapy and, when indicated, medication, will not work well if a person does not exercise.

Dr. Zablow added that exercise increases the production of neurotransmitters, the brains natural antidepressants and antianxiety molecules.

Consequently, more exercise can build mental health, while less activity due to social media overuse can curtail healthy brain chemistry.

Dr. Brailosvskaia and her colleagues reasoned that a conscious and controlled reduction of time spent on SMU as well as an increase of time spent on physical activity could causally reduce negative mental health consequences of the COVID-19 situation. They also believed that combining both interventions might amplify this effect.

The professor mentioned that the methods can easily fit into everyday life with little cost, effort, or risk of violating COVID-19 protocols.

Further, the scientists expected their experiment to reduce stress caused by COVID-19 and diminish smoking behavior.

The researchers recruited 642 healthy adult social media users and placed them in 4 experimental groups.

The social media (SM) group had 162 individuals, the physical activity (PA) group of 161, a combination group of 159, and a control group of 160.

Over 2 weeks, the SM subjects reduced their daily SMU time by 30 minutes and the PA group increased their daily physical activity by 30 minutes. The combination group applied both interventions, while the control did not change their behaviors.

Following the World Health Organizations physical activity recommendations for adults, the first three groups increased their exercise time by 30 minutes.

The participants completed online surveys and daily compliance diaries at the start of the trial, 1 week later, and after the 2-week period. They also submitted follow-up surveys at 1, 3, and 6 months post-experiment.

Dr. Brailosvskaia and her team concluded that their interventions helped people decrease the time they spend with SM.

Even 6 months after the experiment, the participants had reduced their daily initial SM time by about 37 minutes in the SM group, by about 33 minutes in the PA group, and by about 46 minutes in the combination group.

Moreover, participants reported having a decreased emotional bond with social media.

All the interventions encouraged more physical activity as well. Six months later, our participants had enhanced their initial weekly physical activity time for 26 minutes in the SM group, for 40 minutes in the PA group, and for 1 hour 39 minutes in the combination group, the authors wrote.

Even the control group increased their activity by 20 minutes.

Dr. Merrill was impressed with the studys striking findings with the combination of reducing social media with increasing physical activity. He agreed with the notion that SMU restrictions need a complementing activity that brings joy or a sense of achievement.

According to the studys authors, the experimental longitudinal design of their present research allowed them to establish causality.

However, the study population lacked diversity. All the participants were young, female, German, Caucasian, and highly educated.

Dr. Merrill felt that, while it would be interesting to replicate this investigation in the United States with a more diverse group, the results would likely be similar.

The study did not consider which form of SMU the subjects were using or specify which type of physical activity the participants engaged in. The researchers hope that future work will focus more on these factors.

Dr. Brailosvskaias research suggests that modest changes in SMU and physical activity could help protect and enhance mental health conveniently and affordably.

The professor and her team recognize how SMU can minimize isolation and help spread information.

From time to time, it is important to consciously limit ones online accessibility and to go back to the human roots [] a physically active lifestyle to stay happy and healthy in the age of digitalization, the researchers wrote.

Excerpt from:
Mental health benefits of replacing social media with exercise - Medical News Today

Infection control tended to be part of a list of responsibilities in most nursing homes, but now that the Centers for Medicare & Medicaid Services (CMS) is requiring facilities to have at least a part-time infection preventionist on-site, that focus on patient safety will make a difference, an industry leader said.

"Prior to COVID, I would venture to say there were some types of plans in place. Some places probably had better plans than others, and I know that there are places that reached out and got external expertise to try and guide their plans," said Linda Dickey, president of the Association for Professionals in Infection Control and Epidemiology (APIC). "But having someone on site, at a facility, watching practices, is really important."

Before the CMS requirement, if someone was in charge of infection prevention, it was one of many responsibilities they carried, without any dedicated time or expertise, Dickey said, adding that an infection preventionist increases the focus on patient safety.

Duties of an on-site infection preventionist would include gathering and reporting data on different infections to the state and the U.S. Centers for Disease Control and Prevention and doing rounds through the facility to observe direct care practices, providing coaching and feedback if necessary. If a resident had previously been treated for an infection, the preventionist would follow up with them.

They also are charged with trainingstaff to ensure they understand the importance of basic practices, such as getting flu shots, not just for their own safety but for the residents safety as well.

If there is an outbreak, the infection preventionist is responsible for coordinating with public health investigations on how those transmissions occurred, as well as performance improvement to change practices and behaviors.

Adding an infection preventionist to a facility's staff won't be a quick or easy fix. The post-acute sector is struggling alongside other parts of the industry to hire during a staffing shortage, further exacerbated by the pandemic. Dickey noted that a large number of infection preventionists have begun retiring, and because it isn't a well-known profession, there's not a large pipeline from which to choose.

"Of the infection preventionists that are out there, there's not a huge number that specialize in long-term care," she added. "That may be part of what they know, but it isn't their sole focus."

There is currently no job code for the role of infection preventionist, and APIC is reaching out the nation's department of labor to correct that. A job code will help with salary benchmarking so that facilities can begin to market the role and its responsibilities.

To help with the lack of qualified talent, APIC has developed an internship program that would give healthcare professionals an introduction into what infection preventionists do. The program framework APIC provides has the worker reviewing topics and information over the course of 10 weeks, with the organization able to lay it out in a way that best suits their employees.

APIC also plans to partner with colleges and universities, and begin reaching out to high schools to introduce students to the career path. They're also developing academic pathways focusing on infection prevention that can be imbedded in nursing, public health, lab, or microbiology programs.

"There are programs out there and internship programs for infection prevention," Dickey said. "But they're not, I don't think, widely known. And there aren't a lot of degree programs where you can specialize in infection prevention, so that's what we're trying to bolster."

Typically, an individual has a degree in nursing, public health, or laboratory discipline prior to getting the infection prevention and control certificate (CIC) and must have at least two years of experience. While there's no specific medical degree required to pursue the certification, Dickey notes that most facilities won't hire someone unless they have a background in some sort of health-related degree.

"I don't think its just a money thing for these organizations. They want to do a good job and I think that they will see that there's value in infection prevention and doing it well," Dickey said. "It will save money, it will improve care, it will help care, and it will help people move more gracefully toward the end of life."

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Tighter Focus on Nursing Home Infection Control Offers More Effective Patient Safety - HealthLeaders Media