The Nation's acute care hospitals represent a significant source of employment. Like other communities, most traditional environmental concerns require attention, but because of the unique combination of an evolving and increasingly complex technology with an at-risk resident population, special environmental services are also required. Recognizing these facts, various agencies with the responsibility of overseeing the health and safety of the total population have developed rigorous standards to assure the safety of hospital employees, patients and visitors. There is need for improved organization of environmental services to reduce the inefficiencies so often present where responsibilities for environmental management are fragmented. The University of Michigan Hospital organizational system illustrates an attempt to comprehensively address environmental health issues, including the management of regulatory liaison functions.
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