Issue link: https://beckershealthcare.uberflip.com/i/704703
12 Executive Briefing monitoring has been proven to improve hand hygiene behavior and increase compliance rates. Clinical Outcomes Speak for Themselves A number of hospital systems have conducted early research and pilots to help develop and validate electronic monitoring systems. In a video validation study conducted at a 750-bed teaching hospital in Greenville, S.C., hand hygiene compliance was measured on the same patient population for a 15-month period in three different ways: direct observation, video mon- itoring (with patient consent), and the DebMed compliance system. The rates of compliance measured by video monitoring and the DebMed system were statistically equivalent for the fi- nal 12 months of the study, while direct observation overstated compliance by an average of 33 percent. The study proves the accuracy and reliability of the DebMed electronic compliance system and that the Hawthorne effect produces overstated and unreliable compliance rates. 5 Other hospitals are beginning to achieve similar results. Follow- ing implementation of a DebMed electronic monitoring system at a suburban Chicago hospital, overall hand hygiene com- pliance increased from 57 percent in December 2013 to 79 percent in September 2015 — a 39 percent increase. Addition- ally, the rate of healthcare-associated MRSA dropped from 3.94 to 1.98 cases per 10,000 patient days — a 50 percent reduction. The facility paid no readmissions penalties in 2015 and was one of only seven hospitals in Illinois that paid no ACA-related penalties in 2015. In comparison, the facility had paid a 0.24 percent CMS readmissions penalty in 2013 before implementa- tion of the DebMed system. 6 No Time Like the Present to Adopt Electronic Monitoring Direct observation will continue to play an important role in hand hygiene compliance to discover and overcome barri- ers, give feedback on technique, and evaluate performance of specific groups. However, the evidence is clear that direct observation is not an adequate compliance measurement tool. Electronic measurement better enables accountability and can drive real performance improvement from an honest baseline. Now is the time to introduce electronic measurement into your facility. The DebMed system is the only research-based, badge- free system capable of capturing all hand hygiene events based on the WHO 5 Moments for Hand Hygiene guidelines. The DebMed System: • Is clinically proven to drive better outcomes — peer-reviewed studies demonstrate increased compliance, reduced infection rates and significant cost savings • Captures all opportunities beyond just room entry and exit • Is economically affordable, requiring no capital investment • Has shown positive return on investment in less than one year • Delivers powerful reporting with robust, easy-to-read, web- based reports and a comprehensive online toolkit • Provides complete training, education and engaging support to drive lasting behavior and culture change As healthcare facilities strive to create a safer environment for patients, their families, staff and visitors, proper hand hygiene is the easiest and most cost-effective way to help achieve the goal. The DebMed Electronic Hand Hygiene Compliance Sys- tem can help to reduce HAIs and associated financial penalties and enhance patient safety culture. n To learn more about DebMed and how we can improve hand hygiene compliance at your facility, visit debmed.com or call 866-783-0422. References 1 McGuckin, M., Waterman, R., & Govednik, J. (2009, March). Hand hygiene com- pliance rates in the United States — A one-year multicenter collaboration using product/volume usage measurement and feedback. College of Population Health Faculty Papers, 24(3), 205–213. doi:10.1177/1062860609332369 2 Coyne, T. (2014, July 25). Ontario hospital staff not washing hands as often as reported: Study. Toronto Star. Retrieved from http://www.thestar.com/life/ health_wellness/2014/07/25/ontario_hospital_staff_not_washing_hands_as_of- ten_as_reported_study.html 3 Srigley, J. A., Furness, C. D., Baker, G. R., & Gardam, M. (2014). Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: A retrospective cohort study. BMJ Quality & Safety, 23, 974–980. doi:10.1136/bmjqs-2014-003080 4 Evans, M. (2015, December 10). Half of hospitals penalized for hospital-acquired conditions are repeat offenders. Modern Healthcare. Retrieved April 17, 2016, from http://www.modernhealthcare.com/article/20151210/NEWS/151219988 5 Diller, T., Kelly, J. W., Blackhurst, D., Steed, C., Boeker, S., & McElveen, D. C. (2014). Estimation of hand hygiene opportunities on an adult medical ward using 24-hour camera surveillance: Validation of the HOW2 Benchmark Study. Ameri- can Journal of Infection Control, 42(6), 602–607. doi:10.1016/j.ajic.2014.02.020 6 Bouk, M., Mutterer, M., Schore, M., & Alper, P. (2016). Use of an electronic hand hygiene compliance system to improve hand hygiene, reduce MRSA, and im- prove financial performance. Accepted for presentation at the annual conference of the Association for Professionals in Infection Control 2016. References: 1. Robinson, N, Boeker. S, Steed, C, Kelly, W. Innovative Use of Elec- tronic Hand Hygiene Monitoring to Control a Clostridium Difficile Cluster on a Hematopoietic Stem Cell Transplant Unit. American Journal of Infection Control. June 2014, Vol 42(6):S150 2. Data on file. 3. Diller, T., Kelly, W.J., Blackhurst, D., Steed, C., Boeker, S., McElveen, D.C. Estimation of hand hygiene opportunities on an adult medical ward using 24-hour camera surveillance: Validation of the HOW2 Benchmark Study. American Journal of Infection Control. 2004; 42:602-607. Avail- able at http://www.ajicjournal.org/article/S0196-6553(14)00136-9/abstract DebMed is the healthcare division of the Deb Group. DebMed is a registered trademark of Deb Group, Ltd. ©2016 Deb Group Ltd. All rights reserved. DM105-060116R DebMed® is the healthcare division of the Deb Group, a division of SC John- son, and the world's leading hand hygiene company. For over 70 years, Deb Group has been dedicated to developing innovative hand hygiene solu- tions, providing skincare products and programs in more than 100 countries. DebMed® created state-of-the-art compliance technology that monitors and helps improve healthcare worker hand hygiene behavior to improve hand hygiene compliance, reduce infections and decrease costs. Sponsored by: