Minimizing Variability in process flow to prevent HAI Acquisition
1. Prevalence
2. Gap and Risk
3. Improvement Plan - Best Practice
4. Key Critical Questions
Current State and Prevalence
1 in 20 -25 admitted patients will develop a Hospital Acquired Infection (NEJM March 2014)
10-11% of those HAI patients will die (NEJM March 2014 Pub.)
Average cost to treat an HAI is approximately $8,500 (range $1,000 to >$35,000)
HAI's increase length of say, increase treatments costs
HAI's contribute to the physical deconditioning and health deterioration
C-Diff infections are now the #1 threat which replaced MRSA
Gap and Risk
Evidence validated "Risk Gap" of residual room Bio load presence post cleaning
Patients Staff and Visitors remain at significant infection acquisition risk
This unmitigated Risk contributes to complicating already high risk patients
Zero reimbursement, penalties and rate rebasing under PFP is significant
Infection rates are now public and patients and families are comparing facilities
Process Improvement Plan - Best Practice
Map current practice, identify root cause, propose gap mitigation to reach desired state
Improve the protocol to include a validated EPA tested total room six log kill strategy "no touch"
Proposed solution must resolve the evidence based variability gap causing the problem (HAI)
Must be evidence based, 3rd party validated and claim compliant for total room disinfection
Key Critical Questions
Is reducing HAC's via HAI reduction a actionable critical issue right now?
What negative issues would prevent us from moving forward.
What are the issues around why we shouldn't do it
Throughput Correction: Due to reduced HAI's and those lost days, Halo improves Throughput
Cash Flow: Halo offers a wide range of affordable lease/purchase options
Don't have time to prioritize this issue with all the other fires going on right now