implementing technologies for the reduction of hospital acquired
TRANSCRIPT
Implementing Technologies for the Reduction of
Hospital Acquired Infections
AHCA 2015October 12, 2015 / 1:00 – 2:00 pm
Learning Objectives• Identify the human and financial costs impacting healthcare facilities
• Review typical infection control challenges – the commonly‐recognized and the often‐overlooked
• Identify healthcare technologies that address infection control
• Compare the efficacy, cost and potential savings of various technology solutions
Ebola 2014
Dallas Ebola Patient IncidentTravel History – Outbreak Area Entered into EMR
Information was not easily accessible in
the record
1 in 25 Hospital Patients
32,479 People Died in Traffic Accidents
75,000 Hospital Patients Died from a Hospital Acquired Infection
75,000 Hospital Patients Died from a Hospital Acquired Infection in one Year
6,250 die each month
206 die each day
8 die each hour
Cost to Hospitals of HAIs:
$10 Billion
Cost Per EpisodeCentral Line
Infection
$45,000
Catheter-Related Urinary Tract
Infection
$9,000
C. diff.Infection
$11,000
Ventilator-Related
Pneumonia
$40,000Surgical Site
Infection
$21,000
New CMS Penalties as of Oct 2014
43% of hospitals in Florida scored in the range subject to payment reduction
Infection Control Challenges
Germ Survival
• Rotavirus: 60 days
• VRE: 4 months
• Acinetobacterspp: 5 months
• C.diffspores: 5 months
• MRSA: 7 months
• E. coli: 16 months
• S. typhimurium: 4.2 years
KRAMER, A., SCHWEBKE, I. & KAMPF, G. 2006. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis. 6:130.
Surfaces Re‐contaminate Quickly After Cleaning
“Intrinsic bacterial burden associated with intensive care unit hospital beds: Effects of disinfection on population recovery and mitigation of potential infection risk ” American Journal of Infection Control 40 (2012) 907‐12
Policy and Procedure Compliance
• Hand Hygiene Compliance
• Surgical site infection challenges
• Room cleaning issues
• Medical equipment cross contamination
• IT device cross contamination
Technologies Addressing HAIs
SimpleEffectiveProactive Patient Solution
Automated Compliance Protocol Support Ventilator Associated Infections
Automated Compliance Protocol Support Ventilator Associated Infections
CLEANING AND DISINFECTION APPLIANCES
Hospital stays from C. difficile infections tripled in the last decade and are linked to 14,000 deaths in the US each year – CDC Report 2012
Continuous Disinfection405nm visible light
fixtures
Antimicrobial Copper 2014 top 10 technology watch lists
Salgado et. al. Copper surfaces reduce the rate of healthcare-acquired infection in the intensive care unit. Infection Control and Hospital Epidemiology, Vol. 34, No. 5, May 2013, pp. 479-486
*HAI cost projections based on AHRQ estimates*Estimated $52,000 to “copperize” 8 ICU Rooms (prototype pricing)
Pedigo
Pedigo 7500 Stretcher with standard hand rails $3450
Pedigo 7500 Stretcher with CuVerro hand rails $3845
Pedigo IV Stand
P‐1080‐6 Stainless Steel IV Stand$331.50P‐10833‐6 CuVerro IV Stand $551.75
P‐3301 Stainless Steel Handle$ 98.25P‐3302‐BlK Black Handle $ 89.75P‐3303 CuVerro Handle $147.75
Pedigo Utility Table
SG‐80‐A‐SS $639.25CuVerro on drawer faces and handles $814.75
Just Manufacturing
Modular Services Corporation
Operator Interface Technology Products
CuVerro Keyboard $300Wrist Rest $ 60CuVerro Mouse $ 99
SteriDesign SteriHood Keyboard Cleaner
Single keyboard hood $49
“Seventy‐eight percent of doctors were aware that mobile phones could carry pathogenic bacteria, but only 8% cleaned their phones regularly” ‐ National Center for Biotechnology Information 2012
Hands Free Voice Activated Wireless Phones
Antimicrobial Coating
SteriDesign SteriBox
Disinfect cordless phones, remote controls,keys, badges, and mobile devices. Cycle time 10 minutes.
SteriBox $39
UV and UVC Disinfection Robots
• TruD• Xenex• ChlorDiSys• Steris Pathogon UV
Steris VaproQuip
• Hydrogen Peroxide Sterilant Decontamination Room
ANTIMICROBIAL PROTECTION
• Touch free – reducing cross‐contamination
“Bacteria in hospital ice machines blamed for patient death”Healthcare Facilities Today May 2014
PhotoPlasmaSolutions
Wave to Open Door Hardware
"microbiological analysis of swabs taken from the cuffs and pocket mouths of physicians' white coats in an acute care hospital showed that 91.3% of the coats had bacterial contamination." ‐World Health & Population 2010
“Mucormycosis outbreak associated with hospital linens” – 2014 CDC Report
Fabric Contamination – Cubical Curtains, Linens, Upholstery, Lab Coats
Antimicrobial Fabric Technology
Superbug CRE Outbreak
• Advocate Lutheran General‐44 infected, 0 deaths• Carolinas Health System, 18 people infected, 2 died• Virginia Mason, 32 patients infected, 11 died• UCLA 179 patients affected, 7 infected, 2 died• UPMC 18 patients infected, 0 deaths
ERCP
Olympus Scope Issue
What is being done to halt the spread?
• Revision of scope cleaning protocols• Implementation of culturing cleaned scopes before patient use
• Addition of ETO sterilization to the scope cleaning process
Technology Solutions‐Surgical Site Infections
• SURGICAL SITE INFECTION ISSUES
Infection Control and Surgical Lights
Modular Ceiling Solutions and HAIs
Modular Ceiling Solutions and HAIs
Surgical Instrument Tracking
Medical Device Barcoding Solutions
RFID Handwashing Compliance Solutions
HAIs and Real Time Locating Systems
Big Data Mining and HAI’s Using the baseline of EMR data, the system implemented three different plans for reducing infections, eventually finding a solution that could reduce those infections —generally affecting one in 20 hospital patients — by 40 percent.
"It would have taken one hospital 64 years" to achieve that result, Perlin said. But for a system of HCA's size with access to hundreds of hospitals' data, it took 43 hospitals in 18 months.‐ Dr. Jonathan Perlin CMO of HCA – Nashville Business Journal Aug 2015
Hospitals and Professionals That Have Demonstrated Meaningful Use of Certified EHR Technology 2014
80% 60%
FEDERAL HEALTH IT STRATEGIC PLAN 2015 – 2020
Potential of Future Antimicrobial Resistant Infection Outbreaks
Technology HAI Summary• Effective passive and active technologies available • From fixtures to fabrics to devices to data analytics• Federal mandates driving results• Quick ROI compared to average $25,000 HAI event cost
• 20 percent reduction ‐ Save 41 lives/ day• Together – Owners/Architects/Contractors can make real impact by properly implementing effective technologies
Ted Hood, BArch Senior Vice President / COO
GBA
[email protected]@gbainc.com
1‐800‐443‐1415
Jolene Lyons, RN, CNOR, CASCProject Manager
GBA