CONSTRUCTION SPECIALTIES – MAKING BUILDINGS BETTER

Annual Meeting Asheville, NC August 1, 2019

Deborah Ruriani, Sales Training Manager Construction Specialties

Marlins Park, Miami, FL

Construction Specialties is a specialty building product

manufacturer. CS provides solutions to challenges that

architects, designers, building owners, facility managers,

and contractors face every day. Our products can be

found on or in some of the most iconic buildings

around the world.

Making Buildings Better®

ABOUT CS

• Oculus Transportation Hub + One World Trade Center, CS Louvers

About CS

Manufactures and sells specialty architectural products internationally, with over 30 locations in 20 countries worldwide

HAI’s,HCHAPS,PRIVACY Curtains and MORE

Design for combatting HAI’s

Course Objectives

1. Understand the definition of healthcare associated infections (HAI)

2. Identify contributing factors to HAI’s and mortality rates

3. Take a look at the financial impact of HAI’s and the significance of HCAHP’s

4. Understanding preventions and solutions that can lessen the impact of HAI’s.

What Are HAI’s?

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In the US alone… About 2 million people get healthcare associated infections -- 100,000 deaths each year

Devastating Effects of HAI’s

1 in 30 Hospital patients has anHAI

A Global Issue Effecting Million

In places we are supposed to feel safe

HAI STRAINS

MRSA

1993 – 2,000 cases 2005 – 94,000 cases

VRE

Discovered in 1985

C-Diff

Death can occur within 30 days of initial diagnosis

CRE

Discovered 2 decades ago and growing at an alarming rate

And Most Recently . . . C.Auris

New deadly fungus discovered in 2009

Not a New Problem

The first infection control committees and policies were formulated in the late 1950s and early 1960s

The Pandemic Continued

By the 90’s basically every hospital had an HAI Control Program in place

If It’s Preventable, Why Is It Spreading?

Contributing Factors

Research Proves: Privacy Curtains are Contaminated

Curtains Contaminated 42% VRE22% MRSA4% Cdiff

Director Of Infection ControlCleveland Veterans Affairs Medical Center

Burns/Plastic Unit Cultured Curtain Study

10 freshly laundered curtains – 8 surrounding patient beds – 2 in unoccupied room.

• By day 3, test curtains showed increased microbial contamination (mean colony-forming units )

• Between days 10 and 14 after being hung, 8 of the 10 curtains tested positive for MRSA

Am J Infect Control. 2018

Skilled Nursing Facility Study

• 1500 samples taken from privacy curtains in 625 skilled nursing facilities in Michigan -- after 14 days, 30 days then monthly for six months.

• Study showed that 22% of samples from privacy curtains tested positive for drug resistant organisms MRSA, VRE (1 in 5 cultures taken were contaminated)

Presented in 2019 @ European Congress of Clinical Microbiology & Infectious Diseases, in Amsterdam

The Government And HAI’s

More People Covered -- More Intense Focus on HAI’s

Financial Penalties for HAI’s

And Now Senior Living – long term care facilities are being held to the same standard

Hospitals Penalized Again and Again……..

In 2019: 110 Hospitals are being punished for the 5th straight time.

The Influence of HCAHPS

Hospital Consumer Assessment of Healthcare Providers and Systems

HCAHPS

HCAHPS Perception is

Reality

MRSA

Environmental Services: Delivering on the Patient-Centered Promise – Press Ganey white paper

HCAHPS Perception is

Reality

CDiff

Not All Gloom and Doom . . .

Hand Washing

Does Hand Washing Reduce HAI’s?

Voice Based Hand Hygiene Reminders

61.4% decrease in HAI’s across 10 hospitals?

Cleaning The Built Environment

CDC Guidelines

Establish a repeatable cleaning process

Maintain the Environment

Innovative Products to Help

UV Lights & Hydrogen Peroxide Vapor Systems-- Mainly for terminal cleaning

What About the Curtains?

Antimicrobials Help But Not a Fail Safe

Wash The Curtains

100% effective way to kill all bacteria on textile curtains is to wash them in 160 degree water.

…..But Curtain Changeouts are difficult

New Solutions Privacy Curtains and Tracks

Disposable Curtains

All chemicals of concern have been removed from the production of the polypropylene material

HAI’s We Are Making Progress

Some Good NewsNationally

Acute Care Hospitals

Some Good News

North Carolina Specific

AcuteCare Hospitals

Some Good NewsNationally

Acute Care Hospitals

Some Good News

North Carolina Specific

Acute Care Hospitals

Questions?