Transcript Document

OPPORTUNITIES IN THE
HEALTHCARE INDUSTRY
Rolyn Companies provides healthcare, commercial, and residential
fire, water and storm property damage recovery, cleanup and
reconstruction services nationwide.
A global decontamination and infectious disease control
company, providing green energy-efficient environmental
solutions for indoor surface decontamination through Hydrogen
Peroxide aerosols.
The oldest and largest non-profit, professional trade association
dedicated to providing leadership and promoting best practices
through advocacy, standards & professional qualifications for the
restoration industry.
Discussion Points:
• We all have the same certificates, dehues, fans, air scrubbers,
etc. How do we set ourselves apart?
• With climbing HAI and CAI numbers, there is a need!
• Being Proactive VS. Reactive.
• Remediators already have 80% of the required resources.
• Benefits of expanding into the Healthcare industry, including
the currently light competition in the industry and the fact
that your payment is not dependant on a 3rd party.
Healthcare Associated Infections (HAIs) - The Facts
• Reducing HAI is good for the patient, staff, and bottom line!
• HAIs are currently the fourth leading cause of death in the
United States, costing the healthcare system more than $40
billion a year.
• HAI causes more deaths a year than breast cancer, AIDS and
automotive accidents combined. This equates to the crash of a
commercial 747 airliner every day (271 a day).
Healthcare Associated Infections (HAIs) - The Facts
• 10% of inpatients contract infections from the hospital.
• 2 million(+) people suffer from HAI’s a year and over 103,000
of them die.
• 87% of the medical facilities do not take the recommended
steps to prevent infections.
• Hospitals are leaving between 30 - 60% of surface
microorganisms after their current cleaning procedures.
Community Acquired Infections (CAI) -The Facts
•The frequency of resistance to antibiotics among community acquired
infections and the number of drugs to which they are resistant is increasing.
•The boundaries between community and hospital environments are
becoming more blurred.
•Community-acquired pneumonia is responsible for an average of 4.5
million visits annually to physicians' offices, emergency departments, and
outpatient clinics.
•Infections are lurking in schools, shopping malls, public transportation,
hotels, etc.
Penalties for HAIs
The US congress and healthcare
lawmakers are focused on driving
down the rate of nosocomial
infections and have demonstrated this
remains a high priority.
The Patient Protection and Affordable
Care Act (Public Law 111-148)
provides ways to address healthcareassociated infections (HAIs).
Penalties for HAIs
• Beginning in 2015, the quartile of hospitals with the
highest rates of HAIs will be penalized one
percent of their Medicare payment. According to
the US Department of Health & Human Services,
this would result in an average penalty of
$208,6431.
• The new system essentially pits each hospital
against all others in a race to the top. Hospitals are
going to compete in lowering HAIs.
• Future reform by the U.S. Department of Health
Penalties for HAIs
• Medicaid will stop reimbursing facilities for preventable
infections acquired in the course of treatment.
• The federal government will also increase reporting
requirements that require HAI statistics be publically
available on the internet, creating further incentive for
hospitals to protect their good names and reputations in
their community.
Proactive VS Reactive
Infection Control Risk Assessment
Multi-disciplinary, documented process that assesses a construction
project’s location and its adjacent patient populations.
• Should be completed during the planning stages of a project
• Should be followed for all renovation and construction work
• Acknowledge there is potential risk in all projects
ICRA Considerations
• Type of Construction
• Risk Groups
• Determining Class of Each Project
• Determining the Required ICRA Precautions
• Infection Control Permit
Risk Group
Group 1- Lowest (green)
Group 2 - Medium (yellow)
Group 3 - Higher (orange)
Group 4 - (red)
CONSTRUCTION ACTIVITY
Type A
Type B
Type C
Class I
Class I
Class I
Class I-III
Contact IC to ensure
approprate classification
Type D
Class II
Class II Class III/IV
Class II
Class III
Class IV*
Class III* Class III/IV Class IV*
Class III/IV Class III/IV Class IV
* Note: For Class III and IV activities, notify and obtain approval from Infection Control (IC) and/or
Safety Department before construction or renovation activity begins.
Infection Control: Correct vs. Incorrect
Infection Control: Correct vs. Incorrect
Means and Methods
Establishing Negative Air:
Where will the HEPA filters vent?
• Recirculate
• Exhausted outside of the building.
• Window
• Existing duct work
• Exhausted outside of the project space but within the building.
• Not feasible to exhaust outside
• How will the filtration be monitored?
• How will this affect the HVAC system outside of the project?
Means and Methods
Establishing Negative Pressure:
• Negative pressure should be achieved before the first swing of the hammer.
• In the event a portable tent is being used, at least a HEPA vacuum should be running before
the ceiling grid is opened.
• There needs to be constant monitoring of negative air (digital reading and logging
manometer).
• HEPA filters  CLEAN!
• How do you know that your HEPA filters are functioning correctly?
• HEPA filters change logs
Means and Methods
Debris Removal:
• Plan a route ahead of time keeping away from highest risk patient areas.
• Covering and sealing of carts.
• Wiping down of carts, covers, and wheels.
• Dedicated hand off team that ferries full carts between the project and the
dumpster.
• Double bagging trash going into cart.
Three Types of Cleaning
Sanitiza
tion
Disinfec
tion
Decontami
nation
1,000,000
3 Log = Sanitation
5 Log = Disinfection
6 Log = Decontamination
Activated Hydrogen Peroxide
With the right control and
application UV energy can be used
for UV disinfection of water, purify
air and surfaces, cure adhesives and
coatings and sterilize tools.
QUESTIONS?
Thank you for your time.
Samuel J Bergman, CR
800.808.1553
[email protected]
www.rolyncompanies.com