algorithms identify whether there is a hot spot with poor HH and immediately alert leadership, so they can intervene before an HAI has a chance to spread. Third, our sys- tem is positive and fun rather than negative and punitive. Our patented six-phase Hand Hygiene Acceleration Pathway process is based on data-driven gamification, which keeps it fun. Customer surveys show a high level of staff acceptance.”

Hermann explained how their Adaptive Room Modes automatically adjusts their system to any different work flows, HH policies, or real-time interventions that may be needed. “For example, in a room with a C. diff patient, if a provider uses sanitizer prior to exiting, they won’t get credit for performing HH, and our Real-Time Voice Reminder changes to remind them to use ‘soap and water only.’

ments and to intervene in real-time before the transmission of an HAI occurs,” ob- served Naim. “Cen- Trak’s electronic HH monitoring system measures true compli- ance of handwashing events throughout the entire facility, includ- ing bay-level locating technology in areas

Staff Badge Integrated Hand Washing Monitor

Mounted Hand Washing Monitor

CenTrak’s electronic hand hygiene monitoring system

Sample unit blueprint — circle size shows number of hand-hygiene opportunities for each room. The color represents hand-hygiene performance: darker green is higher and darker red is lower.

“Among hospitals that have installed the Clean Hands – Safe Hands system and followed our process for over six months,” continued Hermann, “100 percent have ex- perienced a statistically significant decrease in HAIs by 45 to 81 percent.” Ari Naim, President, CEO, and Co- Founder of CenTrak, also talked about recent regulatory changes as it relates to HH compliance measuring. “With the HAC Reduction Program, and more stringent changes made to The Joint Commission’s Infection Control Standards in January 2018,1 healthcare facilities are taking a closer look at their HH compliance monitoring methods. Expression of a zero-tolerance policy on improper HH by The Joint Commission is a step in the right direction. “Automated and continuous monitoring is necessary to drive true compliance improve-

such as the post-anesthesia–care unit. Data can be viewed at the hospital, department, room, and individual level. Failure to obey HH protocols would result in a reminder from the staff member’s real-time location- enabled badge. Automated compliance reports allow facilities to reinforce training and intervene where needed most.” Naim added, “CenTrak’s system can be programmed to support custom protocols.” Naim cited a study of three fa- cilities using CenTrak’s monitoring system that concluded compli- ance rates were sustained at an average of 80 percent across all participating healthcare organiza- tions, an increase from the aver- age baseline of approximately 57 percent. “With over 80 months of data collection and more than five million HH opportunities evaluated, this monitoring system measured compliance on a group and individual level. CenTrak’s clin- ical-grade locating infrastructure, staff badges, and hand-washing monitors integrated directly into hygiene dispensers provided the most pre- cise location data.6 SwipeSense CEO Mert Iseri offered a couple of reasons as to why many health systems are hesitant to adopt surveillance systems. “There are two major barriers to widespread adoption by hospital execu- tives when it comes to adopting electronic HH monitoring systems. They must under-

caregiver BADGE

stand and accept that (1) the compliance rates they have been reporting for decades are inaccurate and (2) the small sample size—on average, observing 0.1 percent of the actual events—does not adequately portray the reality of what’s happening in their hospitals.”

Tom Derrick, co-founder of OpenMar- kets, stressed the need for a system that can track individual HH performance, a need that has grown in importance since The Joint Commission statement.1

“Our data

show SwipeSense as the fastest growing HH surveillance system on the market,” said Derrick. “But, given the strong out- comes, health systems are still adopting this game-changing technology slower than expected.”

“There is confusion in the marketplace regarding systems that provide usage statistics versus individual compliance. Simply having electronics on a dispenser to track the amount of gel or soap dispensed does not mean it is designed for individual accountability. The software matters more than the hardware,” continued Derrick. “Hospital leadership needs to evaluate the systems based on which system makes it simple for all clinicians to access and un- derstand their compliance score.” Derrick said that SwipeSense provides robust data on individual compliance as well as robust stratified reports on overall compliance. He related the experience of one SwipeSense user: “Outcomes data from SwipeSense usage at MacNeal Hospital in Chicago demonstrate both positive behav-

location hub

hygiene SenSor SwipeSense hand-hygiene surveillance system Page 28 26 October 2018 • HEALTHCARE PURCHASING NEWS •

communication hub

image courtesy clean hands – Safe hands.

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