Implementing Technologies for the Reduction of Hospital Acquired Infections. AHCA 2015 October 12, 2015 / 1:00 2:00 pm

Transcription

1 Implementing Technologies for the Reduction of Hospital Acquired Infections AHCA 2015 October 12, 2015 / 1:00 2:00 pm

2 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

3 Ebola 2014

4 Dallas Ebola Patient Incident Travel History Outbreak Area Entered into EMR Information was not easily accessible in the record

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6 1 in 25 Hospital Patients

7 32,479 People Died in Traffic Accidents 75,000 Hospital Patients Died from a Hospital Acquired Infection

8 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

9 Cost to Hospitals of HAIs: $10 Billion

10 Cost Per Episode Central Line Infection $45,000 C. diff. Infection $11,000 Surgical Site Infection $21,000 Ventilator- Related Pneumonia $40,000 Catheter- Related Urinary Tract Infection $9,000

11 New CMS Penalties as of Oct % of hospitals in Florida scored in the range subject to payment reduction

12 Infection Control Challenges

13 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 How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis. 6:130.

14 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)

15 Policy and Procedure Compliance Hand Hygiene Compliance Surgical site infection challenges Room cleaning issues Medical equipment cross contamination IT device cross contamination

16 Technologies Addressing HAIs

17 Simple Effective Proactive Patient Solution

18 Automated Compliance Protocol Support Ventilator Associated Infections

19 Automated Compliance Protocol Support Ventilator Associated Infections

20 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

21 Continuous Disinfection 405nm visible light fixtures

22 Antimicrobial Copper 2014 top 10 technology watch lists

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26 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

27 *HAI cost projections based on AHRQ estimates *Estimated $52,000 to copperize 8 ICU Rooms (prototype pricing)

28 Pedigo Pedigo 7500 Stretcher with standard hand rails $3450 Pedigo 7500 Stretcher with CuVerro hand rails $3845

29 Pedigo IV Stand P Stainless Steel IV Stand $ P CuVerro IV Stand $ P 3301 Stainless Steel Handle$ P 3302 BlK Black Handle $ P 3303 CuVerro Handle $147.75

30 Pedigo Utility Table SG 80 A SS $ CuVerro on drawer faces and handles $814.75

31 Just Manufacturing

32 Modular Services Corporation

33 Operator Interface Technology Products CuVerro Keyboard $300 Wrist Rest $ 60 CuVerro Mouse $ 99

34 SteriDesign SteriHood Keyboard Cleaner Single keyboard hood $49

35 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

36 Hands Free Voice Activated Wireless Phones Antimicrobial Coating

37 SteriDesign SteriBox Disinfect cordless phones, remote controls, keys, badges, and mobile devices. Cycle time 10 minutes. SteriBox $39

38 UV and UVC Disinfection Robots TruD Xenex ChlorDiSys Steris Pathogon UV

39 Steris VaproQuip Hydrogen Peroxide Sterilant Decontamination Room

40 ANTIMICROBIAL PROTECTION Bacteria in hospital ice machines blamed for patient death Healthcare Facilities Today May 2014 Touch free reducing cross contamination

41 PhotoPlasma Solutions

42 Wave to Open Door Hardware

43 Fabric Contamination Cubical Curtains, Linens, Upholstery, Lab Coats "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

44 Antimicrobial Fabric Technology

45 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

46 ERCP

47 Olympus Scope Issue

48 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

49 Technology Solutions Surgical Site Infections SURGICAL SITE INFECTION ISSUES

50 Infection Control and Surgical Lights

51 Modular Ceiling Solutions and HAIs

52 Modular Ceiling Solutions and HAIs

53 Surgical Instrument Tracking

54 Medical Device Barcoding Solutions

55 RFID Handwashing Compliance Solutions

56 HAIs and Real Time Locating Systems

57 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

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60 Hospitals and Professionals That Have Demonstrated Meaningful Use of Certified EHR Technology % 60%

61 FEDERAL HEALTH IT STRATEGIC PLAN

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65 Potential of Future Antimicrobial Resistant Infection Outbreaks

66 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

67 Questions / Discussion Ted Hood ted.hood@gbainc.com Jolene Lyons jolene.lyons@gbainc.com Gene Burton & Associates

68 Ted Hood, BArch Senior Vice President / COO GBA Ted.Hood@gbainc.com Jolene.Lyons@gbainc.com Jolene Lyons, RN, CNOR, CASC Project Manager GBA