HOSPITAL FRONT PAGE

AGGREGATE REPORTS

Methodology: 

A multimodal hand hygiene compliance program consists of:

• The right products

• Availability and placement

• Training on product use

• Patient education (empowerment!)

• Measurement

• Feedback to staff

Direct observation of healthcare workers is the "gold standard" for providing feedback on behaviors, but you can not observe all locations 24 hours a day, 7 days a week.

Studies show observation captures between 3% and 24% of all activity, and varied methodology brings varied results.*

A second method, acting as a surrogate for capturing data missed by observation, should be implemented to ensure a more comprehensive compliance monitoring. 

MMI's program fits ideally into this plan.  Product usage data is compiled 24 hours a day, 7 days a week.   Monthly reports tell you how often healthcare workers are performing HH and compare your rates to national goals.  This methodology is standard across the country.

By providing results at the unit level, you will know which areas of your healthcare service facility are performing hand hygiene at the correct frequency, and which ones are not washing/sanitizing enough, thus requiring observation.

Observation monitors the quality of each HH event, product usage measures the quantity of events when observation is not practical.

* sources to be posted here

Cost Comparison:  

Bottom line, observation is time consuming and costly.  Your costs can run as little as $6,600 per year in a small hospital to $26,000 per year in a large facility.  This is in opportunity costs as well as costs for personnel.  Source 

A Virginia Commonwealth Univ. study hired 12 observers and performed observation for 24% of all possible work shifts, resulting in an annual cost of $21,000. (Stevens, et. al. SHEA 2009 abstract)

That's $21,000 for capturing only 24% of the work day.

Alternatively, the total maximum cost for MMI's product usage program is $2,500 for first year, $1,000 for each additional year.  This covers 100% of opportunities to monitor HH. 

You may qualify to have this low fee waived altogether, resulting in a free monitoring program for your hospital that has been reviewed by the Joint Commission.

See column at right.

This program utilizes product usage measurement to track hand hygiene compliance at the unit level of your healthcare center.  The methodology is a proven surrogate for tracking compliance during all work shifts in all areas, covering more opportunities for HH than observation alone.  As part of several multimodal compliance monitoring programs, MMI's methodology was reviewed in 4 of the 37 programs featured in the Joint Commission monograph for hand hygiene adherence.  

Hundreds of healthcare centers in the contiguous US use MMI program methodology (purple states on map above). Members in this program include large academic centers, community hospitals, critical care hospitals, rehabilitation centers, and behavioral and long term care facilities.

Sample Report

No equipment or software to buy, no additional staff

Monitoring:  Once a month you e-mail product usage and patient days for each unit you are tracking, to our data analysis center. 

If Materials Mgmt. already documents product placed at each unit, they can supply your product tallies.  At left is a materials manager discussing daily product placement.  1/3 of our hospitals use this method.

If product placement data is not available, Environmental Services (EVS)  can help with bare minimum time commitment.  It is as simple as adding an extra column to the housekeeper's tally sheet indicating if a product was replaced and what type, soap or sanitizer.

Another method via EVS is to simply collect the empty product containers as they are replaced, and put them at a central location on the unit for a designated team member to tally.  At left, a nurse manager reminds EVS to keep empties aside for counting.  Approx. 1/3 of our hospitals do this.   

These are simple methods incorporated into staff's normal routines, with no special equipment to buy or maintain.  No software to learn.

We share with you examples of successful tips and practices from Infection Preventionists and EVS seasoned professionals, to give your infection control committee some ideas to implement this program successfully at your specific healthcare center.

TIP:  When starting the program, begin monitoring in two or three units until Materials Mgmt or EVS adopt the process as part of their regular routine and your healthcare workers begin to anticipate monthly feedback on HH compliance via your reports.  Then, expand the program once you have established successful examples!

We do the reporting for you, and provide feedback tools

Feedback:  One week after you e-mail to us the above data, you receive your report, providing unit level performance for both soap and sanitizer usage. 

Infection Preventionists share these colorful and easy to read reports (with charts and tables provided for you) at infection control meetings

Your charts can be used in poster campaigns for staff, newsletters, and in friendly staff competitions to improve compliance. 

Your compliance tables provide the numbers needed for reporting to key hospital leadership.

EXAMPLE:  In addition to Infection Control Practitioners, the EVS at one of our large city hospitals receives the monthly reports so that housekeepers will see why they are tallying product and the positive impact their efforts have on compliance!

Successful examples of the MMI measurement and feedback reports appear in the JC Monograph, and have been presented at APIC 2008, 2009, SHEA 2009, Maryland Hand Hygiene Collaborative, and have appeared in Infection Control Today and Materials Management in Health Care.

Below left to right - Infection Preventionists Gwen Stewart, Karen Ray, and Kathy Finch (purple jacket) share their multimodal compliance monitoring programs using MMI's program via poster abstracts or continuing education presentations.

Standard Methods, Standard Goals

We provide a standard way to measure compliance, taking the guesswork out of program design and establishing a consistency which allows you to benchmark your data (anonymously) against other hospitals your size.

Unit-specific compliance goals (gold column) are established by leading research and are reachable with consistent monitoring and feedback:

Low or No Cost Options

Costs and resources are kept to a minimum.  For 2010, we offer:

(1) a low-cost option, or

(2) little or no cost options

(1) LOW COST: If you enroll directly with us, fees are $2,500 for monitoring one hospital* for the first year, $2,000 every year thereafter.

(2) LITTLE OR NO COST:  Your enrollment fee may be waived if you qualify to sign up via any of the hand hygiene compliance and education programs below.

We have evaluated the following hand hygiene intervention programs that we believe are based on sound evidence and have incorporated our model for education, empowerment, and measurement.

The programs listed here meet our criteria, and we have partnered with them to offer MMI's compliance measurement program at little cost  or with fees waived.  Contact us at data@hhreports.com if you would like more info. on:

Gojo's Ultimate Hand Hygiene Plan featuring a 14-step manager's guide for measurement and education.  If your hospital uses products like Purell® or Provon®, you are a Gojo customer.

Ecolab's Hand Hygiene Compliance Program featuring the "It's OK to ASK" patient empowerment intervention.  If you use products like Bacti-Foam®, Quik-Care(TM), Endure®, you are an Ecolab customer.

Medline's Hand Hygiene Compliance Program featuring a HAI calculator, continuing ed, and competency validation.  If you use Sterillium® Rub or Sterillium® Comfort Gel(TM), you are a Medline customer.

Contact us at data@hhreports.com or phone (610) 304-2927 to inquire about any of these programs.

Partnerships make it happen! Pictured are product account executive, independent compliance measurement consultants, and Infection Preventionists at compliance seminar hosted by St. Vincent Hospital in Indianapolis, IN.  The only partners missing in the picture.... the patients!

McGuckin Methods International is not driven by product usage from any particular provider and we do not endorse or recommend one soap or sanitizer product over another.

As a listed Patient Safety Organization, we keep your membership and data strictly confidential between our company and the member hospital.  Compliance data is not shared to any company regardless of your plan.  We do not provide member lists to anyone.

* Note on enrollment with MMI:  You can measure up to 20 units at one facility at this rate, and you can access our patient education and empowerment materials.

If you are part of a larger health network or system, group rates may be negotiated at a reduced fee, costing even less per hospital.

See cost comparison at left column.