Post on 10-Jul-2020
CONSTRUCTION SPECIALTIES – MAKING BUILDINGS BETTER
Annual Meeting Asheville, NC August 1, 2019
Deborah Ruriani, Sales Training Manager Construction Specialties
Marlins Park, Miami, FL
Construction Specialties is a specialty building product
manufacturer. CS provides solutions to challenges that
architects, designers, building owners, facility managers,
and contractors face every day. Our products can be
found on or in some of the most iconic buildings
around the world.
Making Buildings Better®
ABOUT CS
• Oculus Transportation Hub + One World Trade Center, CS Louvers
About CS
Manufactures and sells specialty architectural products internationally, with over 30 locations in 20 countries worldwide
HAI’s,HCHAPS,PRIVACY Curtains and MORE
Design for combatting HAI’s
Course Objectives
1. Understand the definition of healthcare associated infections (HAI)
2. Identify contributing factors to HAI’s and mortality rates
3. Take a look at the financial impact of HAI’s and the significance of HCAHP’s
4. Understanding preventions and solutions that can lessen the impact of HAI’s.
What Are HAI’s?
.
In the US alone… About 2 million people get healthcare associated infections -- 100,000 deaths each year
Devastating Effects of HAI’s
1 in 30 Hospital patients has anHAI
A Global Issue Effecting Million
In places we are supposed to feel safe
HAI STRAINS
MRSA
1993 – 2,000 cases 2005 – 94,000 cases
VRE
Discovered in 1985
C-Diff
Death can occur within 30 days of initial diagnosis
CRE
Discovered 2 decades ago and growing at an alarming rate
And Most Recently . . . C.Auris
New deadly fungus discovered in 2009
Not a New Problem
The first infection control committees and policies were formulated in the late 1950s and early 1960s
The Pandemic Continued
By the 90’s basically every hospital had an HAI Control Program in place
If It’s Preventable, Why Is It Spreading?
Contributing Factors
Research Proves: Privacy Curtains are Contaminated
Curtains Contaminated 42% VRE22% MRSA4% Cdiff
Director Of Infection ControlCleveland Veterans Affairs Medical Center
Burns/Plastic Unit Cultured Curtain Study
10 freshly laundered curtains – 8 surrounding patient beds – 2 in unoccupied room.
• By day 3, test curtains showed increased microbial contamination (mean colony-forming units )
• Between days 10 and 14 after being hung, 8 of the 10 curtains tested positive for MRSA
Am J Infect Control. 2018
Skilled Nursing Facility Study
• 1500 samples taken from privacy curtains in 625 skilled nursing facilities in Michigan -- after 14 days, 30 days then monthly for six months.
• Study showed that 22% of samples from privacy curtains tested positive for drug resistant organisms MRSA, VRE (1 in 5 cultures taken were contaminated)
Presented in 2019 @ European Congress of Clinical Microbiology & Infectious Diseases, in Amsterdam
The Government And HAI’s
More People Covered -- More Intense Focus on HAI’s
Financial Penalties for HAI’s
And Now Senior Living – long term care facilities are being held to the same standard
Hospitals Penalized Again and Again……..
In 2019: 110 Hospitals are being punished for the 5th straight time.
The Influence of HCAHPS
Hospital Consumer Assessment of Healthcare Providers and Systems
HCAHPS
HCAHPS Perception is
Reality
MRSA
Environmental Services: Delivering on the Patient-Centered Promise – Press Ganey white paper
HCAHPS Perception is
Reality
CDiff
Not All Gloom and Doom . . .
Hand Washing
Does Hand Washing Reduce HAI’s?
Voice Based Hand Hygiene Reminders
61.4% decrease in HAI’s across 10 hospitals?
Cleaning The Built Environment
CDC Guidelines
Establish a repeatable cleaning process
Maintain the Environment
Innovative Products to Help
UV Lights & Hydrogen Peroxide Vapor Systems-- Mainly for terminal cleaning
What About the Curtains?
Antimicrobials Help But Not a Fail Safe
Wash The Curtains
100% effective way to kill all bacteria on textile curtains is to wash them in 160 degree water.
…..But Curtain Changeouts are difficult
New Solutions Privacy Curtains and Tracks
Disposable Curtains
All chemicals of concern have been removed from the production of the polypropylene material
HAI’s We Are Making Progress
Some Good NewsNationally
Acute Care Hospitals
Some Good News
North Carolina Specific
AcuteCare Hospitals
Some Good NewsNationally
Acute Care Hospitals
Some Good News
North Carolina Specific
Acute Care Hospitals
Questions?