3M Clean Trace

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    3M Clean-Trace Hygiene Management Solution

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    ATP rapid hygiene testing: an introduction

    HCAI Technology Innovation Programme & RRP status

    3M Clean-Trace Hygiene Management Solution - benefits

    Applications Pricing options

    Trial process

    What well look at:

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    ATP rapid hygiene testing is based on the measurement of adenosine

    triphosphate (ATP) - the energy molecule for all animal, vegetable,

    bacteria, yeast and mould cells.

    A method to assess cleanliness of environmental surfaces in real

    time.

    The technology detects the presence of organic residues, in

    addition to microorganisms, which have been left on a surface after

    inadequate cleaning and or sanitation.

    ATP rapid hygiene testing: an introduction

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    The Principle Behind ATP Bioluminescence

    ATP:Adenosine Triphosphate

    The energy currency molecule of all living organisms

    Luciferin/luciferase

    +

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    Simple Relationship

    increase in organisms or organic residues

    increase in ATP levels

    increase in light (RLU)

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    Comparison of current methods for assessing hygiene

    Results from a study undertaken in Beaumont Hospital in Ireland1

    Method Test points considered

    acceptable or clean

    ATP 71.5%

    Microbiological (ACC) 92.1%

    Presence of MRSA 95.0%

    Visual assessment 93.3%

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    Microorganisms

    Organic residues

    INDIRECT RISKEncourage growth

    of microorganisms

    and possible cross contamination

    DIRECT RISKContamination, infection

    The Benefits of Using ATP as a Risk Indicator

    Presence of ATP indicates direct and indirect risks

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    HCAI Technology Innovation Programme & RRP status

    3M Clean-Trace Clinical ATP System

    is the onlyATP system to be awarded the

    RRP Level 1 recommendation

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    HCAI Technology Innovation Programme & RRP status

    Joint project between the UK Government Department of Health andNHS Purchasing and Supply Agency

    Aims to speed up the development and introduction of newtechnologies to help combat Healthcare Associated Infections (HCAI)in our hospitals

    Six infection prevention products awarded Rapid Review Panel Level1 recommendation

    Evaluated in seven Showcase Hospitals across England

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    HCAI Technology Innovation Programme Showcase Hospitals Trial Report

    In each showcase hospital the product was used:

    June to October 2008

    On four wards Twenty test points per ward

    Seven days per week (over 53,000 readings)

    Reductions in biocontamination levels were observed

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    HCAI Technology Innovation Programme Showcase Hospitals Trial Report

    Strong evidence that RLU levels reduced over the time of the trials

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    HCAI Technology Innovation Programme Showcase Hospitals Trial Report

    All seven hospitals experienced an overall decline in the level of

    contamination from an average of 568 to 194 Relative Light Units

    (RLU)

    Example graph from The Royal Wolverhampton Hospitals NHS Trust

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    HCAI Technology Innovation Programme Showcase Hospitals Trial Report

    Cleaning managers were impressed with the results and the

    improvements in their cleaning protocol:

    The Clean-Trace Clinical ATP system has been a great success;

    staff are receiving feedback and becoming competitive. At onehospital it was also noted that the Clean-Trace Clinical ATP system

    introduced a good spirit of competition among staff to ensure their

    wards were the cleanest.

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    HCAI Technology Innovation Programme Showcase Hospitals Trial Report

    For further information on the report ask for the Showcase

    Hospitals Trial Report Summaryfrom 3M Health Care.

    To review the full report, please visit:

    www.3m.co.uk/HospitalHygiene

    or

    www.showcasehospitals.com

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    3M Clean-Trace Hygiene Management Solution

    The Clean-Trace hygiene management solution represents a majorstep forward in hygiene monitoring, bringing all of the recognisedbenefits of using the Clean-Trace Clinical ATP system with the

    added convenience of automated trend analysis and online reportgeneration.

    The Clean-Trace hygiene management solution represents a cost-effective solution which supports the focus on improved quality of

    hospital cleanliness and hygiene management.

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    3M Clean-Trace Hygiene Management Solution

    Innovative solution that provides hospital-wide control, allowing the:

    Measurement, monitoring, improvement and control of the hospitalcleaning process

    Easy comparison of hygiene performance between different areas in ahospital

    Demonstration with data of the trends in cleaning effectiveness

    Flexibility to scale up the solution across the hospital or Trust

    Easy management of data reporting with automated reports to all

    stakeholders Continual improvement of hygiene standards

    Use of objective data to support compliance to DH hygiene standards

    Improvement of patient experience and hospital image

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    3M Clean-Trace Hygiene Management Solution- How the solution works:

    Swab a surface using the 3M Clean-Trace Clinical ATP Swab Read the swab using the 3M Clean-Trace NGi Luminometer

    result provided in RLU and stored on the luminometer

    Upload results from the Clean-Trace NGi luminometer to the3M Clean-Trace Online Reporting System

    via web browser simply requiring username and password

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    Wiredconnection

    Driver to

    handle comms

    Internet connection

    Hosted servers

    Internet connection

    Ordinary user

    Web browser only

    Power user

    Initially BioTrack+

    then move toWeb browser only

    Reminder eMails

    Maintaining Test Plans

    Web Browser Only

    3M Clean-Trace Hygiene Management Solution

    - How the solution works: Storage and auto-analysis of data, auto-generation and delivery

    of reports by the 3M Clean-Trace Online Reporting System

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    3M Clean-Trace Hygiene Management Solution

    - How the solution works: Reports automatically generated and emailed in PDF format to

    the identified stakeholder at the scheduled frequency

    Clean-Trace Hygiene Management Solutions - Benefits

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    3M Clean-Trace Hygiene Management Solution

    - Example reports:

    Clean-Trace Hygiene Management Solutions - Benefits

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    3M Clean-Trace Hygiene Management Solution- Example reports:

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    3M Clean-Trace Hygiene Management Solution

    - Example reports:

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    3M Clean-Trace Hygiene Management Solution

    - Example reports:

    Clean-Trace Hygiene Management Solutions - Benefits

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    Benefits

    Easy to use: The simplicity of tests reduces variability from user to user ensuring

    accurate and consistent results

    Minimal training required

    Easy integration into existing daily cleaning checks

    Rapid results: Results available in less than 30 seconds

    Allows assessment of the hygienic status of facilities in real time

    Enables immediate corrective actions and proactive cleaningschedules

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    Benefits

    Quantitative monitoring:

    Provides quantitative test scores in proportion to the amount of

    organic matter present on the surface tested

    Enables the identification of potential high-risk areas

    Simple to interpret:

    Results are presented as Relative Light Units (RLU) that directly

    relate to the degree of contamination on equipment or surfaces

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    Benefits

    Reliable and accurate:

    Can be combined with subjective visual assessments to provide a more

    accurate assessment of hygiene status.

    Superior repeatability2,3 and excellent sensitivity3

    Improved cleaning quality assurance:

    Enables potential adjustment of cleaning frequency, chemicals and

    contact time

    May enable cost savings on cleaning materials and labour requirements

    Provides an excellent training tool enabling personnel to see a clear

    and immediate link between good hygiene practice and the hygiene test

    result

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    Benefits

    The NEW Online reporting system:

    Secure capture and storage of hygiene data

    Automated online report generation to help comply with auditrequirements

    Minimises administration time of preparing hygiene reports Reports provide easy identification of priority areas for targeted testing

    Clear identification of re-test results alongside original results showingremedial actions and demonstrating due diligence

    Flexibility to choose the auto-generated report type, the target audienceand frequency of distribution

    Reports emailed to all identified stakeholders at scheduled frequency

    Automated alerts for hygiene non-conformance

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    Applications

    Routine ward hygiene management

    Monitoring of mobile equipment

    Monitoring of equipment impacting tissue viability

    Outbreak & discharge deep cleans

    Confirmation of decontamination effectiveness

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    3M Clean-Trace Hygiene Management Solution

    3M Clean-Trace Clinical ATP Swabs 3M Clean-Trace NGi Luminometer & Docking Station

    3M Clean-Trace Online Reporting System

    3M service and support

    3M technical consultancy

    The solution offers a comprehensive approach to ATP rapidhygiene monitoring with the flexibility to scale up as hygiene plansevolve.

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    Trial process

    Set up trial agreement

    Pre-trial training

    Trial

    support from 3M as required

    Trial de-brief and submission of evaluation forms

    3M trial report

    based on results & evaluation forms

    Business case

    3M has developed a business case template to assist in the adoption

    process following the success of a trial

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    Independent studies / references

    1. Is it really clean? An evaluation of the efficacy of four methods for determining

    hospital cleanliness. Sherlock O et al, Journal of Hospital Infection, 2009.

    2. The repeatability of hygiene test systems in measurement of low levels of ATP.

    W.J. Simpson, C.G. Giles, H.A. Flockhart. Cara Technology Limited, LeatherheadEnterprise Centre, UK Report 30606, 27 July 2006.

    3. Protocol for assessing the sensitivity of hygiene test systems for live

    microorganisms and food residue. W.J. Simpson, J.L. Archibald, C.J. Giles. Cara

    Technology Limited, Leatherhead Enterprise Centre, UK Report 120906, 27 July2006.

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    Thank you