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CENTRAL SOURCE JUNE 2014

3 3 4 5 6 7 Council Query: Err on side of caution with borrowed sets.

Ask the EXPERT

By Natalie Lind, IAHCSMM Education Director

Link of the Month: Standard noncompliance rampant.

Educator Update: The upside of nixing negative behavior.

Fellowship Focus: IAHCSMM’s newest Fellow shares tips for success.

Q: My staff and I are having an issue with moving warm

items from an autoclave rack to a cooling rack (lined with blankets). Because of lack of space, lack of autoclaves, and heavy workload, I have written a policy on premature release of instrumentation, packaging and implants that have not completed their full cooling process. All of my staff continually wash and sanitize their hands before entering the workroom; however, we have recently been told that we are contaminating the instruments by touching them while they are still warm. In fact, we were told that we cannot touch or move the trays off the autoclave racks for anywhere from 30 minutes to 2 hours. If this is true, this would cause delays in surgical cases. Is washing and sanitizing our hands an acceptable process for Central Service staff to handle and remove items from autoclave racks to cooling racks, while working in a controlled area?

The Survey Says: Check out our new column and cut citation risks.

WATCH YOUR MAILBOX FOR THE JULY/AUGUST ISSUE OF COMMUNIQUÉ. The June/July issue is filled with articles and news items that will boost your CS knowledge and professionalism. Here’s are just some of the many articles and features you’ll find inside: * Are Endoscope Processing Guidelines Adequate? * Decontamination Basics * Motivating through Quality Leadership * Making Positive Changes Stick * Cleaning Complex Instruments

A:

While washing and sanitizing your hands prior to touching sterile supplies is always a great idea, sterilized items should not be touched while they are warm. Cooling the trays ambient (room) temperature does take from 30 minutes to 2 hours (or longer), depending on the size, weight and composition of the tray. Touching warm trays can cause condensate, damage to wrappers, and offer a pathway for microbes to enter the tray.

WORTH REPEATING “Ninety-three percent of us are not [living or working] ‘in the now.’ We waste so much energy focusing on things that are out of our control or influence. To increase patient safety, we must be in the now. We must be present.” –  KATHY DEMSEY, President of Keep Shedding! Inc., during her opening Keynote address at the 2014 IAHCSMM Annual Conference & Expo

Certification Corner: Legislative success hinges on you! Learn how to help.

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LETTER from the EDITOR WHAT ARE YOU WILLING TO SHED? APPLICATIONS ARE NOW OPEN! IAHCSMM and 3M announce that applications are now being accepted for the 2014-2015 International Sister CSSD Educational Exchange Program. The program is designed to facilitate the learning and sharing of best practices between Central Sterile Supply Departments (CSSD) in different regions of the world. The program will pair three CSSD Managers from the United States with three CSSD Managers at sister facilities in either the Asia Pacific, Latin America or Central Eastern Europe/Middle East/Africa regions. The six selected ambassadors will: • P  articipate in monthly teleconferences to discuss critical issues and solutions, as well as regional best practices • T ravel to their sister hospital facility to engage in a week-long shadowing experience • S hare what they learn within their regional and national networks Education is a critical component to improving best practices in the Infection Prevention profession. By collaborating with and learning from, global colleagues, we believe this program can help everyone improve practices and, ultimately, enhance patient safety. Twelve hospitals have already shared this experience! If you’d like to be considered as a participant for 2014-2015, please review the FAQs, and fill out an application form.

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Julie Williamson, Editor

We all have things in our lives holding us back. It might be a fear of failure that’s keeping us from seeking a promotion, or earning a certification or degree. It might be our reliance on the status quo and the concern that rocking the proverbial boat will cause us to tumble overboard, gasp for breath…and sink. Maybe it’s a person who is holding us back—a negative coworker, militant manager or, perhaps even an unsupportive spouse who leaves you feeling diminished, depleted and despondent. Whatever it is, there’s no better time to cut free from what’s holding us back and truly embrace positive change. This was the powerful message expertly delivered by Kathy Dempsey, President of Keep Shedding! Inc, during her opening keynote address at the 2014 IAHCSMM Annual Conference & Expo. Dempsey, a former trauma nurse who was thrust into the spotlight in the 80s after being the first healthcare professional to test positive for HIV as a result of a workplace exposure, certainly knows what it’s like to feel as though a good, meaningful life is slipping through her fingers. Thankfully, additional blood tests later came back negative for HIV, but the gut-wrenching experience left her seeking a better existence by shedding the negative, life-draining elements that once confined her. She encourages everyone to do the same. The cornerstone of Keep Shedding! Inc. is the shedding philosophy, which is based on this powerful metaphor: lizards grow by shedding their skin; if they don’t shed, they die. The same is true of humans, she reasoned. Using her survival guide “Shed or You’re Dead” as a reference, she shared with attendees easy-to-apply tips for identifying obstacles that impede our ability to live our happiest, healthiest lives. Make no mistake, her books (and her keynote address) aren’t meant to imply that shedding is easy. In fact, she outwardly recognizes what many of us already know: change is one of the most difficult things to tackle. But it’s also one of the most critical and satisfying. I’m trying to take that message to heart. I’m contemplating night classes to attain my Master’s Degree. I’m distancing myself from energy-robbing friends who take far more than they give. I’m attempting to shed my sentimental attachment to material things and find joy in simpler, sparser surroundings (and newly-freed up closets and cabinets!). Above all, I’m working to shed my worry and “what if?” thinking that historically held me hostage. Some of my attempts have been successful. Others… notsomuch. Much like life itself, it’s a work in progress and I find comfort in knowing that Rome wasn’t built in a day. Speaking of the positive power of change, I’m happy to report that some new columns are making their way into the pages of Central Source. In this issue, you’ll find “The Survey Says,” a new feature that offers hands-on, user-friendly advice for rising above the challenges of surveys/inspections. We’ll also be unveiling a writing column soon to help budding and would-be authors improve their writing skills and get publication-ready (Fellowship, anyone?). Your job is ever-changing and so are your professional aspirations, so it’s important that Central Source evolves, as well. One of the most important steps in the shedding process is acknowledging that growth can only happen if we learn to let go, take a leap and actively steer our future. In the wise words of Dempsey, positive change is waiting for us, but it’s up to each of us to go and seize it!


LINK OF THE MONTH http://www.jointcommission.org/assets/1/23/Quick_Safety_ Issue_Two_May_2014.pdf The Joint Commission (TJC) surveyors are increasingly discovering non-compliance with standard IC.02.02.01, which requires organizations to reduce the risk of infections associated with medical equipment, devices and supplies. It’s not a new problem, either. In 2013, standard IC.02.02.01 was one of the top five non-compliant TJC requirements for hospitals, critical access hospitals, and ambulatory and office-based surgery facilities. Even more disturbing: of the 13 immediate threat to life (ITL) discoveries from TJC surveys conducted in 2013, seven were directly related to improperly sterilized or high-level disinfected equipment. In its May 2014 Quick Safety publication, TJC published the article “Improperly Sterilized or High-Level Disinfected Equipment,” which outlined the key areas of non-compliance, identified corrective actions that may be taken for compliance breaches, and addressed specific Office of Quality Monitoring findings from non-compliant healthcare organizations. Click here for the article.

COUNCIL QUERY Q:

We just received a set from one of our sister hospitals. It was sterilized in their facility and arrived in a plastic-wrapped container. Do we still need to reprocess the set in our facility before patient use?

A:

That is a great question. The IAHCSMM loaner template states, “Items loaned from an outside entity that is not part of a system [with] a policy in place to transport and share goods will be considered non-sterile.” What is important here is that you share with your sister hospital that you have a policy in place detailing what should be done in regard to borrowed sets. Never take a set from a non- affiliated system. Also, only accept a set if your policies for reprocessing and sterilization are the same—and you have access to the sterilization records for the device(s) from your sister facility.

Mark Duro, CRCST, FCS, IAHCSMM Orthopedic Council Chairman, CS Manager, New England Baptist Hospital

It is also important that a sterile set be transported in a timely fashion, keeping in mind that you must maintain a solid storage environment. Protecting the set is imperative. What I mean by this is if your sister facility is going to lend you a set, it will be important to eliminate the amount of time it stays in the transport vehicle. This is critical because we do not know the effects the elements may have on a set if it’s exposed to temperatures and humidity that fall are out of range for storage recommendations. This subject is not new and will likely become an even greater issue as more organizations move to off-site reprocessing plants. Some facilities may choose to move their Sterile Processing function off-site. This will also be an issue, however, as sterile instrument sets are loaded onto a case cart and then onto a climate-controlled panel van. This vehicle becomes the storage area and, in most cases, the temperature, humidity and air exchanges may not meet the recommendations for inhouse CS/Sterile Processing departments.

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Educator Update: Positive Exchanges Deliver Positive Outcomes

By Angela Lewellyn, LPN, CRCST

Recently, I was able to attend IAHCSMM’s 49th Annual Conference and Expo in Columbus, OH. As expected, the week was filled with informative educational offerings, but I also enjoyed the atmosphere of comradery that was evident during and after each session and event. Each event brought old friends and strangers together through a shared desire to learn and share as much as possible about sterile processing-related challenges and successes. By the end of a conversation, many attendees exchanged cards and parted ways as new friends and professional peers. Certainly, we’re not alone in our trials and tribulations in our departments, and openly communicating our stories, best practices (and, yes, even failures) is another terrific way to build better practices in our respective facilities. The power of such networking is that we leave the educational conference with a broader field of colleagues and comrades, and a stronger, more unified desire to improve our knowledge and professionalism in the name of quality and patient safety.

course, there are exceptions, too – those departments that lack that sense of positivity and passion, and adopt an “every man for himself” approach.

Each IAHCSMM Annual Conference that I have attended has always delivered at least one speaker or event that truly inspired me. This year, my most inspired moment was when I attended the Educators Forum Workshop. During this informative event, Sheryl Perry Eder, RN, MSN, CNOR, CRCST, SPD Nurse Educator/Training Specialist for Bay Pines Veterans Affairs Healthcare System, earned the prestigious Educator of the Year award. Upon receiving her award, she expressed her heartfelt appreciation for being acknowledged, and then imparted kind, supportive words of her staff, while referencing her positive experiences in working in the CS profession. I could feel her sincerity from the back of the room. Have you ever met someone or heard a speech that warms your heart and inspires you? This was that kind of moment for me. I left the Educators Forum that day knowing that I’d just heard from a sincere and authentic person -- an educator who was wholly appreciative of her staff and passionate about the profession.

At the end of one of my recent classes, questions were posed that not only exposed the errors made, but also the employees who made them. The questions underscored how certain technicians do some things one way and other do things another way. These questions were directed in an attempt to prompt public admonishment and outwardly expose the “wrongdoings” of fellow staff members. As I began answering the indicting questions, I recalled the gracious award recipient at the Educators Forum. I, too, wanted to convey passion for the process, but especially for the people in the department who are responsible for those processes. Instead of answering the questions directly, I responded to the intent of those questions. My reply went something like this: “We don’t know what others go home to after work or know what kind of morning they might have had. We also don’t know the worries that may linger in a coworker’s mind while they perform duties in the department. I would encourage everyone to consider others first. Above all, be kind.” I reminded them that a successful team is comprised of members who lift up one another, rather than go out of their way to point out another’s flaws. Being supportive and helping a coworker perform better by politely showing them the correct technique may be the only kindness that persons experiences that day. I explained how when

POWER OF OUR WORDS AND ACTIONS Fortunately, as I travel to different facilities to educate CS staff, I often see a similar unifying bond within the CS department. There’s a sense of teamwork and a “we’re all in this together” mentality that you feel when you walk through the door. Of

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Recently, I experienced a department that was rooted in the latter approach and, quite frankly, it was the worst example of negative, demoralizing behavior I’d ever experienced in my career. I witnessed how some staff relied on “cronyism” to gang up on others to expose weaknesses and lambast mistakes. Fingerpointing was rampant and served only to diminish a staff member who may have faltered somewhere in the process. Newer employees were especially vulnerable to this moraledeflating behavior.


we approach others with kindness and a spirit of giving, we have an opportunity to “speak life” into them, improve their morale and, often, improve outcomes. I’m pleased to report that this particular department has since begun taking a higher road. New management has made a significant time investment in educating its staff, and now sees challenges in the department as opportunities for improvement. This approach has permeated the department in a short time, and I’ve seen firsthand how the culture of cronyism is diminishing and how existing staff members are far more patient and supportive of new employees.

IN CONCLUSION Building a strong, unified and supportive team takes time and commitment, but the efforts pay off handsomely. The most effective teams are developed when management and staff work together to build a workplace culture that acknowledges successes, lends positive support in times of struggles, and stays committed to fostering an authentic team environment. Our words, actions and attitudes bear significant weight; therefore, we must choose them carefully. Angela Lewellyn, LPN, CRCST, serves as Nurse Educator/CSSD Director for Advantage Support Services Inc.

FELLOWSHIP FOCUS MEET IAHCSMM’S NEWEST FELLOW: KAREN OWENS, RN, BSN, CRCST, FCS

WILL YOU BE NEXT?

Karen Owens, RN, BSN, CRCST, CHL, CIS, FCS, System Director of Sterile Processing for Jewish Hospital & St. Mary’s HealthCare

Karen Owens, RN, BSN, CRCST, CHL, CIS, FCS, System Director of Sterile Processing for Jewish Hospital & St. Mary’s HealthCare in Louisville, KY, was awarded the prestigious IAHCSMM Fellowship distinction during the 2014 IAHCSMM Annual Conference.

Her Fellowship paper, “Reducing Immediate-Use Sterilization: SPD’s Role,” outlined some of the more pressing problems associated with IUSS, while providing a detailed glimpse into her organization’s myriad goals and strategies for reducing IUSS in the name of patient safety. She also shared her perspective on the IAHCSMM Fellowship process and why she recommends her fellow CS professionals embark upon Fellowship status.

Q: HOW DID YOU CHOOSE THE TOPIC OF IUSS REDUCTION. WHY WAS THIS TOPIC SO IMPORTANT TO YOU? A: Immediate-use steam sterilization is misused and misunderstood. Having worked in the OR for many years, I was aware of the need for more education and a systematic approach to solving the problems that perpetuate the [perceived] need for IUSS. Q: HOW LONG DID THE FELLOWSHIP PAPER PROCESS TAKE FROM START TO FINISH? WAS THIS PROCESS MORE LABOR-INTENSIVE THAN YOU ANTICIPATED? A: The entire process probably took 9 to 12 months. I worked on the facility IUSS project and the Fellowship paper simultaneously in an attempt to capture the process behind

the project. I fully expected the process to be labor-intensive, based on my recent experience with research during my Master’s program. It was an ambitious project, but the rewards have been so worth it. There has been a culture shift in the OR and we no longer hear anyone say, “Just flash it.” Now, everyone is searching for alternatives and communicating instrument needs to avoid IUSS.

Q: WHAT LED YOU TO SEEK FELLOWSHIP STATUS? WHAT ADVICE WOULD YOU OFFER YOUR CS/SPD PEERS WHO MAY BE CONSIDERING TAKING THAT NEXT STEP? A: I take leadership very seriously and cannot ask my staff to stretch themselves if I am not willing to do so myself. Now that I have achieved Fellowship status I will continue to empower and encourage my staff to do the same. We currently require CRCST certification within 15 months of hire, and we also highly encourage everyone to earn their CIS and CHL. It makes sense to encourage them with Fellowship, as well. My best advice for those considering taking the next step with Fellowship would be to do their homework. Learn all that you can by reaching out to others and finding out what types of papers have already been written. Find something that you are passionate about in sterile processing and do the research. I would encourage all of my peers to seek Fellowship status. Every journey begins with just one step! Click here to read Owens’s full Fellowship paper Editor’s Note: For more information on IAHCSMM’s Fellowship program, including a brochure on how to research, prepare and write a Fellowship paper, visit: http://www.iahcsmm.org/ Certification/Fellowship.html#pab1_2. Also, be sure to look for additional “Fellowship Focus” articles in future issues of Central Source and Communiqué. For additional guidance, contact IAHCSMM’s Communications Director at Julie@iahcsmm.org.

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Editor’s Note: Welcome to the new “The Survey Says” column. Recognizing our members’ growing survey-related challenges and concerns, we created this column to help CS professionals better navigate the ever-evolving landscape of inspections. Have a CS survey story you’d like to share with your peers? Email the Editor at julie@iahcsmm.org.

THE SURVEY SAYS By Julie E. Williamson

Surveyors coming? Read on to Cut Your Citation Risks Surveyors today are far more knowledgeable on sterile processing practices and standards. They’re also spending more time in the Central Service department and other areas of the hospital where instrument processing functions occur to ensure that those standards are being consistently followed. Because of this heightened focus, facilities are seeing their number of citations climb. According to John Eiland, a full-time surveyor with The Joint Commission (TJC), sterile processing ranked in the top five in 2013 in the number of observations from the agency, with 56% of TJC-accredited facilities cited for sterile processing-related functions. “I want to see SPD fall out of the Top 10 in number of observations,” he told a standing room-only crowd at the 2014 IAHCSMM Annual Conference in May. Last year, the majority of survey assignments were infection-control related and centered around sterile processing. Roughly half of TJC surveys were special survey “follow-up” visits, as opposed to regular triennial surveys, he added. “CS is a moving target now. I want to help you crack this code. It’s really about attention to detail and getting back to basics.”

TIGHTENING THE FOCUS Surveyors from CMS, AAAHC, TJC, and other agencies now receive formal training in infection control and sterilization, and have specifically undergone training on ANSI/AAMI ST79. Despite that training (and the fact that surveyors are being trained off the most current version of the standard—which includes Amendment 4) not all CS professionals have the latest edition on hand. This absence of current standards and recommendations is putting CS departments at risk for citations, not to mention, jeopardizing patient safety.

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“Surveyors are getting serious about instrument processing,” confirmed Chuck Hughes, VP of Infection Prevention Consulting Services for Cantel Medical, and lead educator for Crosstex/SPSmedical. Surveyors won’t just be asking CS professionals if they have the latest standards, they’ll be asking to see them, he stressed during his session, “Surviving Your Next Survey,” which was co-hosted with Bob Marrs, corporate director of consulting services & field operations for Aesculap, at the 2014 IAHCSMM Annual Conference. CS professionals must also have the most current manufacturer Instructions for Use (IFU) and policies and procedures readily available for all staff involved in sterile processing functions. “IFU, IFU, IFU. This is becoming the new mantra,” noted Eiland, adding that surveyors are not only seeking instructions for processing equipment, such as automated endoscope reprocessors (AERs), washer-disinfectors and sterilizers, but also rigid containers, instrumentation, and more. Processes are what TJC cite most frequently. “Facilities have [policies], but they’re not always being followed,” he continued, noting that performing quality control monitoring is just one area deserving of more focused attention by CS staff. With TJC, in particular, CS professionals should expect two surveyors: an engineer and clinician – both of whom have focused SPD training and a solid understanding of ST79 and Life Safety Code requirements. Environmental concerns will be a key focus for the engineer. Among other questions, the engineer surveyor may ask how the room behind the sterilizer is maintained, while also inquiring about temperature and humidity, and air exchanges/flow; water quality; and traffic patterns. Tracking practices to address recall situations, routine preventative maintenance, documentation/

logging for quarantine/implants, vendor servicing, and employee competency will also likely be on surveyors’ radar. Paying attention to valve gaskets is another prudent, yet oft-overlooked task, as is ensuring that products are not kept beyond their expiration dates, and that supplies are properly stored. Eiland referred to the “18-inch rule,” which refers to the need for at least 18 inches of space from the bottom of a sprinkler head to the top of supplies. Don’t overlook endoscopy areas, either, he warned. “Endoscopy has become highly visible in recent years and with lapses in processes, I can’t emphasize enough the importance of making sure all standards, policies and procedures are being followed.”

REDUCE THE RISKS Ongoing risk assessments that help CS departments identify their challenges, establish priorities and outline effective resolutions can greatly enhance survey readiness. The same is true of establishing and maintaining a year-round survey preparedness strategy instead of waiting until the last minute to get the department in order. “The goal is to put work into it once and then just keep up on it,” explained Karen Cataldo, an independent healthcare consultant who currently works for NYC’s Jamaica Hospital Medical Center. Cataldo also spoke on survey preparedness at the IAHCSMM Annual Conference. Adopting an “every day is [survey] day” approach and consistently following evidence-based practice will deliver success, she said. “Be ready. Be organized. When you get everything in order, save one day a week as a catch up and review day. This will help you be confident and prepared, no matter when the surveyors come.”


CERTIFICATION

CORNER

Government Affairs Director Josephine (Jo) Colacci, JD

By Government Affairs Director Josephine Colacci, JD

Q: What is the status of our certification bills?

Q: What is grassroots advocacy?

A: As you will recall, our Connecticut bill unanimously passed

A: Grassroots advocacy means actions taken by citizens to demonstrate support or opposition to a public policy issue. This means that you, a constituent to your elected officials, have to participate in the legislative process. More importantly, IAHCSMM cannot be successful in passing certification legislation without your help.

out of the Joint General Law Committee and Joint Public Health Committee in March. We were working on the language in the bill because when it was introduced it was introduced with incorrect language. It took until May 5 for us to get the language correct. The legislature adjourned for the year on May 7 and they did not bring our bill up for a vote; therefore, our bill will have to be reintroduced in January 2015. Even though our Connecticut bill failed to pass this year, we are in a great position to reintroduce this bill for next year. We finally have the language in the bill in the correct form – and with other organizations supporting it. In Massachusetts, our bill is being studied by the legislature. We have to pass out of three committees, pass the House and Senate, and have the Governor sign the bill. This is a lot to get completed by the end of this year. More than likely, our bill will not pass this year; however, we are building relationships with legislators, which will help us as we move into next year. In my previous column, I asked for help from members living in Massachusetts because we are going to start gearing up our grassroots advocacy there. Nobody emailed me. We will not be successful in Massachusetts unless you help me. What does grassroots advocacy mean? It means that I need members on the ground in Massachusetts helping us (see more in question 2). If you are willing to help us, please email me at jo@iahcsmm.org . Our bill in Pennsylvania is awaiting a vote by the House Health Committee. We have until November 30, 2014, to get the bill passed. This will be difficult to get accomplished by the legislature’s deadline. We do not have a lobbyist in Pennsylvania, which makes it even more difficult. My hope is to at least get a committee hearing on the bill. If the bill fails to pass by the Nov. 30, 2014, deadline, we have to reintroduce the bill in January 2015 and again embark upon a new two-year legislative cycle.

We understand that you are busy in your day-to-day life and do not have the time to think about how legislation affects you, or how you can influence public policy. Don’t sweat it! We will provide all the tools and information you need to influence your elected officials. Grassroots advocacy campaigns are a numbers game. The more individuals who write letters (via email) and place phone calls to their elected officials to express support or opposition to legislation will determine the effectiveness of our campaign. Your participation is vital to our campaign’s success. You, the voter, determine whether or not your elected official shall be re-elected to another term and that is why your opinion is so important. Another aspect of grassroots advocacy is meeting with your elected officials in person. When we introduce certification legislation in your state, I may ask you to join us in meeting with legislators to discuss our legislation. As professionals in your field, you are the expert and your technical knowledge is critical in passing our legislation. Don’t worry­‚I will make sure you are prepared for our meetings! However, I will caution you to meet with elected officials with me versus trying to do this on your own. Our grassroots advocacy campaign can wield considerable influence on the outcome of public policy decisions, even rivaling the biggest corporations or trade associations, BUT only if you help us.

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BREAKING NEWS You Can Use Hospital-acquired conditions and readmits on downswing The 30-day hospital readmission rate in Medicare — a key quality-of-care metric — continued to decline in 2013, and hospital-acquired conditions (HACs), such as infections, adverse drug events, and falls decreased 9% from 2010 to 2012, saving almost 15,000 lives, the US Department of Health and Human Services (HHS) announced. HHS credited the improvements to a number of public–private partnerships and federal initiatives, including a provision of the Affordable Care Act that penalizes hospitals for excessive readmission rates, which are considered indicative of poor discharge planning and follow-up care. The rate of readmissions for Medicare fee-for-service patients within 30 days of a previous hospital stay generally hovered between 19% and 19.5% from 2007 to 2011 and then dropped to 18.5% in 2012 and 17.5% in 2013, according to HHS. As a result, Medicare avoided an estimated 150,000 readmissions in 2012 and 2013 combined. Meanwhile, the same kind of success was playing out in reducing HACs. The rate of HACs per 1000 Medicare hospital discharges decreased 9%, going from 145 in 2010 to 132 in 2012. HHS estimates that safer hospital care translated into 560,000 fewer HACs, 15,000 fewer deaths, and savings of $4.1 billion in 2011 and 2012 combined. Preventing HACs and hospital readmissions is the focus of a program called Partnership for Patients that HHS launched in 2011. Its stated objective at the time was to reduce HACs by 40% and preventable 30-day readmissions by 20% by the end of 2013 compared with 2010 levels. A federal report on the recent declines in these 2 areas puts the time frame for the program’s goals as between 2010 and 2014. n

Sterilization equipment/disinfectants market expected to top $9 billion globally in 2019 According to the new report “Sterilization Equipment and Disinfectants Market—Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013-2019,” published by Transparency Market Research, the global Sterilization Equipment and Disinfectants market is forecasted to reach a market value of USD $9.15 billion, up from USD $5.13 billion in 2012. Rising geriatric population is one of the primary factors for the growth of this market. Additionally, increasing number of surgeries performed and per capita healthcare expenditure coupled with rising incidences of hospital-acquired infections will propel the demand of sterilization equipment and disinfectants market, researcher predict. The report describes the usage and types of sterilization equipment and disinfectants, amongst which sterilization equipment market accounted for the largest share (over 70%) of the total market in terms of revenue. Sterilization equipment market is expected to grow at the highest Compound Annual Growth Rate (CAGR) of 9.1% during the forecast period 2013 to 2019. The sterilization equipment market has been further segmented as heat sterilization equipment, low-temperature sterilization equipment, filtration sterilization, and radiation sterilization. The low-temperature sterilization equipment market is expected to grow at the highest CAGR of 10.9% during the forecast period 2013 to 2019.

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The market for disinfectants has been segmented as low-, intermediate- and high-level, and oxidizing and non-oxidizing disinfectants. The low-, intermediate- and high-level disinfectants market is expected to grow at the highest CAGR of 7.0% during the forecast period 2013 to 2019. The market for sterilization equipment and disinfectants in medical devices application accounted for the largest share (60.8%) of the total market in 2012 and is expected to grow at the highest CAGR during the forecast period. This growth is attributed due to rising incidences of hospital-acquired infections and an increase in the number of surgeries performed. n

WHO: Spread of polio now a world health emergency For the first time ever, the World Health Organization (WHO) declared the spread of polio an international public health emergency that could grow in the next few months and unravel the nearly three-decade effort to eradicate the crippling disease. The agency described current polio outbreaks across at least ten countries in Asia, Africa and the Middle East as an “extraordinary event” that required a coordinated international response. It identified Pakistan, Syria and Cameroon as having allowed the virus to spread beyond their borders, and recommended that those three governments require citizens to obtain a certificate proving they have been vaccinated for polio before traveling abroad. WHO has never before issued an international alert on polio, a disease that usually strikes children under age 5 and is most often spread through infected water. There is no specific cure, but several vaccines exist. Experts are particularly concerned that polio is re-emerging in countries previously free of the disease, such as Syria, Somalia and Iraq, where civil war or unrest now complicates efforts to contain the virus. It is happening during the traditionally low season for the spread of polio, leaving experts worried that cases could spike as the weather becomes warmer and wetter in the coming months across the northern hemisphere. At the end of April, there were 68 confirmed polio cases worldwide, compared with just 24 at the same time last year. In 2013, polio reappeared in Syria, sparking fears the civil war there could ignite a wider outbreak as refugees flee to other countries across the region. The virus has also been identified in the sewage system in Israel, the West Bank and Gaza, although no cases have been spotted. In February, the WHO found that polio had also returned to Iraq, where it spread from neighboring Syria. It is also circulating in Afghanistan (where it spread from Pakistan) and Equatorial Guinea (from neighboring Cameroon) as well as Nigeria, Ethiopia, Somalia and Kenya. Officials also worry countries torn by conflict, such as Ukraine, Sudan and the Central African Republic, are rife for polio reinfection. n


IAHCSMM Central Source June 2014