Clean Spaces, Healthy Patients
AHE and the Association for Professionals in Infection Control and Epidemiology (APIC) have partnered to launch the "Clean Spaces, Healthy Patients" Initiative in order to strengthen the relationship between infection prevention and environmental services to reduce infections. A joint educational campaign, "Clean Spaces, Healthy Patients: Leaders in Infection Prevention and Environmental Services Working Together for Better Patient Outcomes," will incorporate educational resources, training materials, and other solutions to help infection preventionists and environmental services professionals combat the spread of healthcare-associated infections (HAIs). To determine the focus of the educational campaign, 2,000 members of APIC and AHE were surveyed to determine how they work together to protect patients. Survey results were presented at the AHE 2011 annual conference in Kissimmee, Fla. "These survey results indicate that we can make improvements to ensure that the environment in which care is rendered helps to combat infections," says Ruth Carrico, PhD, RN, CIC, clinical advisor to AHE and associate professor at the University of Louisville School of Public Health and Information Sciences. "Strengthening collaboration between infection prevention and environmental services staff will advance this goal and contribute to reducing infections and improving patient outcomes."
The Heart of Healthcare
The AHE has partnered with Kimberly-Clark Professional to launch "The Heart of Healthcare," a new educational campaign designed to recognize and elevate the critical role that healthcare environmental services departments play in supporting safety initiatives and furthering the goals of their institutions in reducing HAI rates. "The Heart of Healthcare" campaign will elevate these pivotal contributions to patient safety through print and online advertising with uplifting creative elements that spotlight the ways in which ES professionals help to improve patient outcomes. The campaign will encourage and support peer-to-peer learning, provide advice from experts in the field and offer support and tools for those new to the field. "We are proud to salute our members and all ES professionals with this well-deserved recognition. It honors the important contribution they make to enhance care safety and their commitment to patients and residents," says Patti Costello, executive director of the AHE. "We are appreciative that Kimberly-Clark Professional is partnering with us to recognize ES professionals with the "The Heart of Healthcare" award. This is an exciting time and we are pleased that the important role of ES professionals is being recognized."
Survey for Successful Prevention of HAIs
A survey of AHE and APIC members revealed that infection preventionists and environmental services professionals believe there is a need for additional education and resources to facilitate successful prevention of HAIs:
- Half find it difficult to locate useful resources about proper cleaning and disinfection (51 percent).
- 73 percent say their facility educates EVS front line staff well about their role in infection prevention; 54 percent believe other staff could be better educated about their role in cleaning.
- About 6 in 10 respondents believe educational resources on cleaning, disinfection, and infection prevention and control should be directed to executives and also to physicians. Half believe patients and families of patients should be a target audience, while one-third state the general public should be an audience.
- Nearly 9 in 10 respondents believe EVS team members are treated with respect (85 percent).
- Almost 9 in 10 are interested in hearing how other facilities have created successful IP/EVS partnerships (88 percent).
Improving Patient Outcomes: Building Bridges Between Infection Preventionists and Environmental Services Professionals
In conjunction with the announcement of the "Clean Spaces, Healthy Patients," a panel discussion, "Improving Patient Outcomes: Building Bridges Between Infection Preventionists and Environmental Services Professionals," was held at the AHE annual conference. Panel members were William Rutala, PhD, MPH; Ruth Carrico, PhD, RN, CIC; Linda Dickey, RN, MPH, CIC; Marita Nash, MBA, CHESP; and Kathy Roye-Horn, RN, CIC. These experts in infection prevention and environmental hygiene discussed disinfection as a patient-safety issue, as well as explored the role of the healthcare environment in pathogen transmission. The panelists acknowledged that over the past decade, there has been growing appreciation of the role that the environment plays in disease transmission, especially the fact that colonized and infected patients contaminate their environment, especially the high-touch surfaces within their immediate reach. Drug-resistant pathogens persist in the environment unless they are removed and/or inactivated, and they are picked up on the hands of healthcare workers and passed along to other surfaces and objects, as well as other healthcare workers. Rutala emphasized that along with proper hand hygiene, improved disinfection and cleaning can reduce this risk of transmission.
The Physiology of Superbugs
Microbiologist Kirsten Thompson delivered an engaging presentation on "The Physiology of Superbugs," in which she explained the cellular structure of pathogens so that attendees could better understand how to control microbial growth. Thompson explored superbugs such as Clostridium difficile, MRSA. VRE and Acinetobacter and related the physiology of these microorganisms according to the descending order of resistance with regard to the use of germicidal chemicals. She touched upon the need for effective cleaning in the healthcare environment, especially given the persistence of pathogens on objects and devices in patient-care areas – for example, C. Diff has been found to survive up to five months on surfaces, with Staph bacteria surviving for up to seven months, VRE surviving for four months, and Acinetobacter persisting for up to five months. Thompson emphasized that the potential for the spread of infectious agents is everywhere in the healthcare setting and even a simple cough or sneeze can create trouble – droplets from a sneeze can travel as fast as 103 mph and can contaminate objects and surfaces as far as 30 feet!
What Keeps You Up at Night: An Environmental Scan
During a special exhibitor summit, "What Keeps You Up at Night: An Environmental Scan," participants provided an overview of the most critical factors impacting healthcare delivery today. Panelists R. Michael Bailey, Cindy Paget, Weston Thiss and Tina Cermignano represented environmental services, consulting and administration sectors, and were assisted by moderator John Penrod. Topics under discussion ranged from cost restructuring that is on the horizon for most hospitals, to the new emphasis on the reporting of outcomes, to value-based purchasing and ICD-10 challenges. One of the biggest issues panelists cited was that as margins tighten, capacity is squeezed and throughput is decreased unless healthcare institutions find innovative ways to balance patients’ needs, administrations’ expectations, and hospital employees’ challenges – all in a cost-cutting imperative. Panelists agreed that operational strategies must be examined closely to see how faster throughput can be achieved without sacrificing quality. Panelists also asked manufacturers and distributors to help their hospital clients streamline the product purchasing process to boost efficiencies and save money. Managers are also tasked with finding ways to get better results with fewer FTEs – a situation that can potentially jeopardize the very outcomes that healthcare is tasked to protect.
AHE Conference & Healthcare Marketplace
The exhibit hall of the AHE Conference & Healthcare Marketplace was bursting with energy, as vendors displayed their latest innovations designed to fight infections, boost institutional hygiene, and make the work of environmental services personnel easier. Prevalent throughout the exhibit hall were companies offering antimicrobial privacy curtains, area disinfection technologies, systems designed to monitor environmental cleaning, and microfiber cleaning systems.
Practice Guidance for Healthcare Environmental Cleaning (PGHEC)
The AHE will soon make available updated "Practice Guidance for Healthcare Environmental Cleaning (PGHEC)," the document that defines the best practices and processes relating to proper environmental hygiene in healthcare facilities. "This practice guidance contains recommendations that are evidence-based and operationally sound, says Sandra Rials, education manager for the AHE. "It provides some of the science behind environmental cleaning, including discussing infection prevention, microbiology, and the different levels of disinfection, etc. It offers a solid introduction to these issues for environmental services leaders so they can relay this important information to team members. It provides a good framework to begin discussions around the practice of effective and efficient environmental cleaning. We provide information in a step-by-step guide that covers the cleaning process in almost all areas of the hospital, including the isolation room, the morgue, outpatient treatment areas, the emergency department, and patient rooms. Practice Guidance also covers key processes such as terminal cleaning versus an occupied-room cleaning and what AHE recommends as the appropriate minimum time requirements for both." The practice guidance document also addresses a number of other critical issues such as precautions for infection control and prevention and guidelines for the use of personal protective equipment." "Practice Guidance for Healthcare Environmental Cleaning" will be available by year’s end. For ordering details, check the AHE website at www.ahe.org; send an email to ahe@aha.org or call (312) 422-3860.
The 2012 AHE Annual Conference & Healthcare Marketplace
The 2012 AHE Annual Conference & Healthcare Marketplace has been slated for September 16-19, 2012 at the Sheraton Phoenix Downtown Hotel, in Phoenix, Ariz. AHE is offering an early bird special that is available until Dec. 31, 2011. To register for next year’s conference, visit the 2012 registration site to submit your information.
Presenters for the 2012 Annual Conference & Healthcare Marketplace
AHE is calling for presenters for the 2012 Annual Conference & Healthcare Marketplace. Presenters are asked to provide relevant and cutting-edge information, foundational best practices, and essential tools to environmental services professionals caring for the healthcare environment. Presentations will be evaluated based on overall quality, relevance to the environmental services industry, well-defined focus within the program structure, practical applications of material, timeliness of the topic, and speaker qualifications. In addition, your presentation must be educational in nature. Sales presentations will not be accepted. Materials submitted must be original, with all external sources to be referenced. The call for presentations ends on Nov. 30, 2011, and the notification of approval is slated for Jan. 6, 2012. To submit your application visit the web.