Hospital Name or Logo
and
Simple Interventions . . . Extraordinary
Outcomes
Executive Summary
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Deliver the expected clinical outcomes
Compliance to protocol 75%
Utilization of product per benchmark
Patient satisfaction and nursing time favorable
Cost justification tool
Overall satisfaction
Hospital Name: Goals/ Expectations
• Reduce Pressure Ulcers by 10%
• Eliminate process variation between caregivers
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Implementation Goals
• Establish Protocol for implementation
• Initiate a Protocol Compliance Benchmark
• In Service all staff
• Complete Clinical Assessment Survey
• Achieve Protocol Compliance of 60%
• Reduce infection rate/PU rate by 10%
• Maintain patient and nurse satisfaction
Implementation Statistics
• # of Units Converted
____
• # of Hospital Personnel In-Services
____
• # of Hours Spent Educating
____
Hospital Name: Bath Usage
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Comfort Bath
Benchmark Utilization
1
120%
1
100%
80%
1
60%
0
40%
0
20%
0
0%
Oct-08
Nov-08
Dec-08
Jan-09
Feb-09
Benchmark
Mar-09
Apr-09
Actual Usage
May-09
Jun-09
Jul-09
Compliance %
Aug-09
Sep-09
Hospital Name: Shield Usage
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Comfort Shield®
Benchmark Utilization
1
100%
1
80%
1
60%
0
40%
0
20%
0
0%
Oct-08
Nov-08
Dec-08
Jan-09
Feb-09
Benchmark
Mar-09
Apr-09
Actual Usage
May-09
Jun-09
Jul-09
Compliance %
Aug-09
Sep-09
Hospital Name: Prevalon Usage
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Prevalon® Heel Protector
Benchmark Utilization
1
100%
1
80%
1
60%
0
40%
0
20%
0
0%
Oct-08
Nov-08
Dec-08
Jan-09
Feb-09
Benchmark
Mar-09
Apr-09
Actual Usage
May-09
Jun-09
Jul-09
Compliance %
Aug-09
Sep-09
Hospital Name: 2% CHG Cloth Usage
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2% CHG Preoperative Preparation
Benchmark Utilization
1
100%
1
80%
1
60%
0
40%
0
20%
0
0%
Oct-08
Nov-08
Dec-08
Jan-09
Feb-09
Benchmark
Mar-09
Apr-09
Actual Usage
May-09
Jun-09
Jul-09
Compliance %
Aug-09
Sep-09
Hospital Name: Clinical Outcomes
• Less skin breakdown due to incontinence and reduction in
consults!
• Prevention of IAD has lead to reduced FAPU’s!
• Improved compliance to policies/protocols!
• Increased patient and nursing satisfaction!
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Hospital Name: Oral Care Protocol Utilization
Product Code #
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100%
1
90%
0.9
80%
0.8
70%
0.7
60%
0.6
50%
0.5
40%
0.4
30%
0.3
20%
0.2
10%
0.1
0%
0
Oct-08
Nov-08
Dec-08
Jan-09
Feb-09
Mar-09
Apr-09
Compliance Rate %
May-09
# VAP
Jun-09
Jul-09
Aug-09
Sep-09
Hospital Name: Oral Care Cost Justification
• Cost to treat 1 VAP:
• Annual cost of Sage Kit #6804 :
• Breakeven Point:
$1
Cost in U.S. Dollars
$1
$1
$1
$1
$1
$0
$0
$0
$0
$0
$0
Annual Oral
Hygiene
Cost
0
1
0
0
0
2
3
4
Number of VAPs Avoided
0
5
0
0
6
7
Hospital Name: Prevalon Cost Justification
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Annual Cost of Prevalon:
Projected Treatment Cost Stage I or II Ulcers ($2K/each¹):
Projected Treatment Cost Stage III or IV Ulcers ($45K/each²):
Estimated Revenue Preservation:
$1
$1
Cost in U.S. Dollars
$1
$1
$1
$1
$0
$0
$0
$0
$0
$0
$0
Annual Cost of Prevalon
1Whittington
$0
Projected Treatment Cost of Stage I Projected Treatment Cost of Stage
and II
III and IV
KT, Briones R, Adv Skin Wound Care. Nov/Dec 2004; 17 (9):490-4; 2Young, ZF, Evans A, Davis J, J Nurs Admin (JONA).
Jul/Aug 2003; (33) 7/8; 380-3
Hospital Name : 2% CHG Cloth
Cost Justification
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Average cost to treat one Surgical Site Infection (SSI):
Sage 2% CHG cloth #9705 @ 2.25/pkg: annually*
Break even point:
$1
Cost in U.S. Dollars
$1
$1
$1
$1
$1
$0
$0
$0
$0
$0
$0
Annual Cost
Sage 2% CHG
Cloths
$0
1
$0
$0
$0
2
3
4
$0
5
$0
$0
6
7
Sage Commitment
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Always available for re-education of current products
Currently pulling together utilization data
Education/Posters
Clinical Outcomes
Commitment to (Hospital)
Time Spent with Interventional Patient Hygiene Products for Clarian Health
January 2009 – June 2009:
129 total business days
January 2009 – June 2009:
79 Sage visits to (Hospital)
May include: Observations, Recommendations, Call to Action
New Programs
• Compliance Alliance
– Clinicians monitor compliance and outcomes regularly
– Simple, fun way to empower clinicians to help
eliminate
HAIs
– Help increase compliance to protocol
– Free scrubs available for compliance team
• Do Not Flush Campaign
– www.DoNotFlush.com
– Free posters available for any facility
– Help prevent flushing of all potential products
Comfort Bath® Cleansing System
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Clinical proof
Skin assessment / monitoring tools
Customized training and in-service programs
Product options
– Three-cloth thicknesses
– Deodorant
– Three, five and eight packs
• Fully insulated packaging
• Hospital grade warmers and microwaves
Comfort Shield® Barrier Cloths
• All-in-one incontinence care product
– Soft washcloth reduces force and friction
– Cleanses, moisturizes, deodorizes, protects skin
• 3% Dimethicone applied to skin every time
– Thin, transparent barrier does not occlude skin
– Allows for easier, better skin assessment
– Tested Solution with Proven Outcomes!
• Cloth guarantees compliance to protocol
• Prevention vs. Treatment
• Increases patient satisfaction
• Standardize Practice
• Eliminate Process Variation
Prevalon® Pressure-Relieving
Heel Protector
• Off-loads the heels
• Provides effective pressure relief for the lateral
malleolus
• Reduces the risk of foot drop and lateral
rotation in the non-ambulatory patient
• Reduces pressure, friction and shear
• High Patient Compliance
Toothette® Oral Care
• 24 hr packaged kit for guaranteed compliance
- sequential packaging mirrors your protocol
• Addresses the risk factors of VAP/HAP (bacteria, plaque
and secretions) : Deep suction catheter, suction
toothbrush and suction swab
• Meets the IHI ventilator bundle, CDC recommendations,
and AACN guidelines
• Committed Programs: Evidenced Based Practice, Protocol
Support Tools, Education Website, Cost Justification Tool,
and Performance Improvement plans.
2% CHG Cloths
for Preoperative Skin Preparation
• Rinse-free & alcohol-free
• Fast-acting
• Broad spectrum killing power
• Effective against a wide range of microorganisms
including MRSA, VRE, & Acinetobacter
• Remains active in presence of blood &
organic matter
• Soft polyester cloth releases a uniform 500 mg dose
of CHG with no drips, runs, or pools.
• Cloth gently exfoliates and drives CHG into
sebaceous glands.
• Easy to apply in hard to reach areas.
Future Recommendations
• Continue to educate new nursing staff on the appropriate use
of the Sage products
• Conduct Quarterly Business Reviews
• Re-inservice each hospital focusing on:
– Appropriate use
– New Science
– New Technology
– New PU prevention Tools