Think of your loved ones FAST FOREWARD

The most expedient policy covering validation of the twin compo- nents of sterile processing procedures — cleaning and disinfection/ sterilization — calls for good parenting skills. Actions lead to consequences.

When an auto racer fails to follow the rules and commits an error on the track — acci- dentally or fl agrantly — he or she earns a black fl ag. That driver then must leave the track, regardless of position, return to his or her pit, bring the car to a complete stop and then return to the track. The risk? The driver may lose hard-earned positioning and be taken out of contention for the win. But that’s the price you pay for violating a rule. Within the last few weeks, we’ve spotted several news reports shining a spotlight on breakdowns in the sterile processing fi eld. For one article, a reporter and her editor questioned whether bioburden left on a surgi-

cal instrument after the cleaning process poses any problems once the instrument exits the sterilization process. Certifi ed, experienced and forward-thinking sterile processing experts know the answer. In another article, a hospital failed to notify patients that contaminated duodenoscopes

were used on them, leading to post-operative infections. Furthermore, the hospital failed to follow proper cleaning guidelines. To wit: They used canned compressed air from an offi ce supply store to dry scopes. In yet another article, the FDA issued mixed messages about a prominent manufacturer of automated washers, originally ordering a recall based on questions about the equipment’s effectiveness and how it handles duodenoscopes, but then backpedaling from that recall to allow the equipment to be used on “instruments including most endoscopes — just not duodenoscopes.” Call this “in-dispute” technology. For both cleaning and sterilization, effectiveness should be the prerequisite for effi ciency

— and certainly cleaning fi rst and foremost. Nothing should be left behind in the cleaning process; only a completely clean instrument can be sterilized with the fi nished product being an instrument ready for duty with absolutely no residual moisture. Many sterile processing pros know this. Others apparently need reminding: Only a completely clean instrument should be sent through the sterilization process. This philosophy has been the mantra for decades, even before the debut of more complex minimally invasive instruments in the 1980s. One challenge with MIS instruments is that their guts cannot be visualized easily, typi-

cally requiring disassembly and/or running a tiny camera through them, if necessary. But that can add time to the reprocessing process, which affects patient throughput and revenue. To compensate, facilities either invest in more costly MIS instruments or cut corners and hope for the best. It’s more important to be effective fi rst than to be effi cient. Once you can demonstrate effectiveness, then and only then should you concern yourself with effi ciency. If you don’t accept that then you should not be allowed to practice medicine or be in the business of delivering healthcare. Quibbling hospital executives who tacitly value revenue over safety should be forced to partake personally in this game of surgical Russian roulette. Ask them to think of any of their loved ones on the surgical table. Or themselves. Watch how fast opinions, policies and procedures change when their long-term health security is called into question. This is as it should be. The only way to make change is to personalize the consequences of doing nothing.

Everyone needs to share in the responsibility. First, the FDA must require validation of cleaning and sterilization of all surgical instru- ments and the sterile processing equipment through which they’re run — preferably via certifi ed independent, third-party laboratories. Second, hospitals should be required to tell patients in advance of a surgical procedure whether they are using recalled or “in-dispute” products. Third, to infl uence patients with their decision, the insurance companies — including

Medicare and Medicaid — should issue a directive denying reimbursement (e.g., coverage) for any procedure where recalled or “in-dispute” products are used or any product is used without proper validation credentials. This gives the patient the opportunity to choose another healthcare provider or assume the risk if they don’t. We need to act responsibly. And fast.


EDITORIAL Publisher/Executive Editor Kristine Russell

Senior Editor Rick Dana Barlow

Contributing Editors

Managing Editor Valerie J. Dimond (941) 927-9345, ext. 202 Kara Nadeau Susan Cantrell

ADVERTISING SALES East Coast Blake and Michelle Holton (407) 971-6286

Midwest Donna Boatman-Riley (815) 393-4624

West Coast Blake and Michelle Holton (407) 971-6286

ADVERTISING & ART PRODUCTION Ad Contracts Manager Tiffany Coffman

(941) 927-9345, ext. 203 Graphic Design Tracy Arendt


(941) 927-9345, ext. 201 CORPORATE President Kristine Russell

Healthcare Purchasing News (ISSN: 1098-3716) is published monthly by KSR Publishing Inc., 2477 Stickney Point Road, Suite 315B, Sarasota, FL 34231, Phone: (941) 927-9345, Fax: (941) 927-9588,, Business hours: 8:00 a.m.-5:00 p.m. EST.

EDITORIAL ADVISORY BOARD Joe Colonna, Vice President, Supply Chain, Piedmont Healthcare, Atlanta, GA; Karen Conway, Executive Director, Industry Relations, GHX, Louisville, CO; Michele De Meo, CRCST, (Ret.); Dee Donatelli, RN, CMRP, CVAHP, Navigant, Wichita, KS; Mary Beth Lang, Vice President, HC Pharmacy and SCM Commercial Services, UPMC, Pittsburgh, PA; John Mateka, Director, Materials Management, Clarendon Health System, Manning, SC; Melanie Miller, RN, CNOR, CSPDM, Consultant, CA; Dennis Orthman, Senior Director, Strategic Marketplace Initiative (SMI); Jean Sargent, CMRP, FAHRMM, Vice President, Healthcare Strategy and Implementation, USDM Life Sciences, Santa Barbara, CA; Rose Seavey, RN, BS, MBA, CNOR, ACSP, Seavey Healthcare Consulting Inc.; Richard W. Schule, MBA, BS, FAST, CST, FCS, CRCST, CHMMC, CIS, CHL, AGTS, Director, Clinical Education, STERIS Corporation; Robert Simpson, CMRP, President and CEO, LeeSar Regional Service Center and Cooperative Services of Florida, Fort Myers, FL; Barbara Strain, Director, Value Management, University of Virginia Health System, Charlottesville, VA; Deborah Petretich Templeton, R Ph., MHA, Chief of Care Support Services, Geisinger Health System, Danville, PA; Ray Taurasi, Eastern Regional Director of Clinical Sales and Services, Health- mark Industries; Brian Viele, R.N., BSN, CCRN, Director, ICU/ BHU/Clinical Consultants/Inpatient Cardiopulmonary, Mid Coast Hospital, Brunswick, ME

SUBSCRIPTION RATES U.S.: $74.00 for one year (prepaid orders only) Canada: $90.00 Foreign: $122.00

Single copies: $7.00 Industry Guide: $49.95

Special issues and back issues: $11.00 per copy, prepaid. Certain individuals qualify for free subscriptions.

CHANGE OF ADDRESS Subscribers: For change of address, send your old and new addresses to Healthcare Purchasing News, 2477 Stickney Point Road, Suite 315B, Sara- sota, FL 34231. Fax: (941) 927-9588, Email: Allow 4 to 6 weeks for correction. All other inquiries, call Tiffany Coffman at (941) 927-9345, ext. 203.

KSR Publishing Inc.

Printed in USA • Paper manufactured in USA Soy ink made in USA • Keep jobs in USA

Copyright 2016 by KSR Publishing Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage-and-retrieval system, without permission in writing from the publisher. Healthcare Purchasing News is a registered trademark used herein under license. Offi ce of publication: Periodicals Postage Paid at Sarasota, FL 34242 and at additional mailing offi ces. Postmaster: Send address changes to: Healthcare Purchasing News, P.O. Box 17517, Sarasota, FL 34276-9801.

Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64