Interesting outsourcing:

At North Shore University Hospital on Long Island, motion sensors, like those used for burglar alarms, go off every time someone enters an intensive care room. The sensor triggers a video camera, which transmits its images halfway around the world to India, where workers are checking to see if doctors and nurses are performing a critical procedure: washing their hands.

 That is from here. Interesting to see NYT talking about big-brotherish approaches. This statement is buried deep in the article.

But the incentive to do something is strong: under new federal rules, hospitals will lose Medicare money when patients get preventable infections.

The trade-off is between monitoring workers or losing the medicare money.