13 Best Health Care Administration

List Updated May 2020

Bestselling Health Care Administration in 2020


Health Care Administration: Managing Organized Delivery Systems, 5th Edition

Health Care Administration: Managing Organized Delivery Systems, 5th Edition
BESTSELLER NO. 1 in 2020
  • Used Book in Good Condition

Health Care Administration: Planning, Implementing, and Managing Organized Delivery Systems

Health Care Administration: Planning, Implementing, and Managing Organized Delivery Systems
BESTSELLER NO. 2 in 2020
  • Used Book in Good Condition

Legal Aspects of Health Care Administration

Legal Aspects of Health Care Administration
BESTSELLER NO. 3 in 2020

Fundamentals of Health Care Administration

Fundamentals of Health Care Administration
BESTSELLER NO. 4 in 2020
  • Used Book in Good Condition

Legal and Ethical Essentials of Health Care Administration

Legal and Ethical Essentials of Health Care Administration
BESTSELLER NO. 5 in 2020
  • Used Book in Good Condition

Introduction to Health Care Management

Introduction to Health Care Management
BESTSELLER NO. 6 in 2020
  • No writing, minimal cover wear

Legal Aspects Of Health Care Administration

Legal Aspects Of Health Care Administration
BESTSELLER NO. 7 in 2020

Human Resources in Healthcare: Managing for Success, Fourth Edition

Human Resources in Healthcare: Managing for Success, Fourth Edition
BESTSELLER NO. 8 in 2020

Handbook of Home Health Care Administration

Handbook of Home Health Care Administration
BESTSELLER NO. 9 in 2020

Statistics for Health Care Management and Administration: Working with Excel (Public Health/Epidemiology and Biostatistics)

Statistics for Health Care Management and Administration: Working with Excel (Public Health/Epidemiology and Biostatistics)
BESTSELLER NO. 10 in 2020

The Effective Health Care Supervisor

The Effective Health Care Supervisor
BESTSELLER NO. 11 in 2020
  • Jones Bartlett Publishers

Legal Aspects Of Health Care Administration [ Includes Access Code ]

Legal Aspects Of Health Care Administration [ Includes Access Code ]
BESTSELLER NO. 12 in 2020

Healthcare Economics Made Easy, second edition

Healthcare Economics Made Easy, second edition
BESTSELLER NO. 13 in 2020

EPA and OSHA Actions Impact Exide Technologies in Frisco, Texas

The Environmental Protection Agency (EPA) issues an administrative order and Occupational Safety and Health Administration (OSHA) imposes a $77,000 penalty on the Exide Technologies battery recycling facility in Frisco, Texas.

Exide Technologies, the battery recycling facility in Frisco, received penalties and additional tasking as inspection results spurred federal agencies into action. The Environmental Protection Agency (EPA) issued an administrative order. In a separate action, Occupational Safety and Health Administration (OSHA) imposed a $77,000 penalty, citing Exide for violations.

Exide Technologies' issues stem from the 2020 revision to the lead National Ambient Air Quality Standard (NAAQS). Based on extensive research and need to protect vulnerable populations like children, the EPA reduced lead NAAQS from 1.5 to .15 micrograms per cubic meter. Air monitors around Exide Technologies routinely measured lead levels above the new standard and a 1.3 mile area around the facility was declared a lead non-attainment area in December 2020.

The lead nonattainment designation focused state and federal agencies' attention on Exide. Over 125 workers are employed at the facility and the plant property is in the center of Frisco, one of the fastest growing cities in the nation.

EPA administrative order
In 2020 and 2020, a multi-disciplined EPA team inspected the Exide facility finding several problems with plant equipment condition, exposed battery chips and slag in disposal areas, and a historical record that suggested possible groundwater contamination. Some soil samples taken during the inspection returned lead levels far in excess of federal standards. In one instance a soil sample contained lead at 5,610 parts per million (ppm). The federal standard for an industrial area is less than 800 ppm. The newly issued EPA administrative order follows from the inspection.

The focus, until now, had been on air emissions from the facility. The EPA administrative order expands scrutiny of Exide to possible groundwater, soil and water contamination. In its findings, the EPA administrative order states the Exide facility handled hazardous wastes in a manner that allowed their release into the environment and that the release may present a substantial hazard to human health and/or the environment. Lead, cadmium, and selenium are specifically listed as constituents of concern.

Exide, in its written response to EPA, suggested there was an absence of documentation relating to exposure risks off-site. The Exide correspondence included a copy of the EPA Frisco Neighborhood Soil Survey Summary released earlier this year. Exide highlighted EPA's conclusion that further soil testing at the neighborhood locations wasn't indicated.

It's surprising that Exide included the Neighborhood Soil Survey to challenge the EPA administrative order as the study examined potential surface soil contamination from Exide air emissions.

In contrast, the EPA administrative order tasks Exide to assess potential community exposure from hazardous waste discharges into soil, water and groundwater. The conduit for community exposure would be through contamination of nearby Stewart creek and the underlying aquifer. Stewart Creek runs through the Exide plant property and eventually empties into Lake Lewisville. The surficial aquifer is approximately 30 to 35 feet beneath the surface and vulnerable to heavy metal contamination.

The administrative order requires Exide to submit to EPA a plan that will include sampling vertical and horizontal soil layers, water and sediment from Stewart Creek, and groundwater. Under the administrative order, Exide bears the cost for the testing and would be required to remediate contamination if found.

OSHA Violation
OSHA violations stem from an inspection of the Exide Technologies Frisco facility in February. In a press release OSHA states, "The serious violation was cited for failing to ensure that employees who worked more than eight hours during a workday were not exposed to lead at concentrations greater than the reduced permissible exposure limit."

A serious violation is considered one where death or serious physical harm can result from the hazard. OSHA also cited Exide for a repeat violation for failure to prevent workers' exposure to lead air concentrations greater than 50 micrograms per cubic meter in an eight-hour period.

What's Next
August may get even hotter for Exide when the Texas Department of State Health Services (DSHS) presents the results of its Frisco blood lead testing. The DSHS hosted meeting will be held in Frisco council chambers August 30, 2020, beginning at 7 p.m. DSHS tested over 600 residents, children and adults, and did not find any unusual community-wide exposure to lead.

However, a DSHS community fact sheet released in July included 2020 Texas statewide blood lead testing results for children: "Of the 485,274 children under the age of 15 tested in 2020, 85% had blood lead levels less than or equal to 2 micrograms of lead per deciliter. The 2020 test results for Texas include 711 children from Frisco, 76% of whom had blood lead levels less than or equal to 2 micrograms of lead per deciliter."

The Frisco children tested had a statistically significant, higher probability of having 2 micrograms of lead per deciliter or more lead in their blood. If that finding holds true for other years, it will provide important empirical evidence on lead exposure within the community.

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