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1 3M Clean-Trace Hygiene Management Solution

2 What we ll look at: ATP rapid hygiene testing: an introduction HCAI Technology Innovation Programme & RRP status 3M Clean-Trace Hygiene Management Solution - benefits Applications Pricing options Trial process 2

3 ATP rapid hygiene testing: an introduction 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. 3

4 The Principle Behind ATP Bioluminescence ATP: Adenosine Triphosphate The energy currency molecule of all living organisms + Luciferin/luciferase 4

5 Simple Relationship increase in light (RLU) increase in ATP levels increase in organisms or organic residues 5

6 Comparison of current methods for assessing hygiene Results from a study undertaken in Beaumont Hospital in Ireland 1 Method Test points considered acceptable or clean ATP 71.5% Microbiological (ACC) 92.1% Presence of MRSA 95.0% Visual assessment 93.3% 6

7 The Benefits of Using ATP as a Risk Indicator Microorganisms Organic residues DIRECT RISK Contamination, infection INDIRECT RISK Encourage growth of microorganisms and possible cross contamination Presence of ATP indicates direct and indirect risks 7

8 HCAI Technology Innovation Programme & RRP status 3M Clean-Trace Clinical ATP System is the only ATP system to be awarded the RRP Level 1 recommendation 8

9 HCAI Technology Innovation Programme & RRP status Joint project between the UK Government Department of Health and NHS Purchasing and Supply Agency Aims to speed up the development and introduction of new technologies to help combat Healthcare Associated Infections (HCAI) in our hospitals Six infection prevention products awarded Rapid Review Panel Level 1 recommendation Evaluated in seven Showcase Hospitals across England 9

10 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 10

11 HCAI Technology Innovation Programme Showcase Hospitals Trial Report Strong evidence that RLU levels reduced over the time of the trials 11

12 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 12

13 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 one hospital 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. 13

14 HCAI Technology Innovation Programme Showcase Hospitals Trial Report For further information on the report ask for the Showcase Hospitals Trial Report Summary from 3M Health Care. To review the full report, please visit: or 14

15 3M Clean-Trace Hygiene Management Solution The Clean-Trace hygiene management solution represents a major step forward in hygiene monitoring, bringing all of the recognised benefits of using the Clean-Trace Clinical ATP system with the added convenience of automated trend analysis and online report generation. The Clean-Trace hygiene management solution represents a costeffective solution which supports the focus on improved quality of hospital cleanliness and hygiene management. 15

16 3M Clean-Trace Hygiene Management Solution Innovative solution that provides hospital-wide control, allowing the: Measurement, monitoring, improvement and control of the hospital cleaning process Easy comparison of hygiene performance between different areas in a hospital 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 16

17 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 the 3M Clean-Trace Online Reporting System via web browser simply requiring username and password 17

18 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 Hosted servers Wired connection Driver to handle comms Internet connection Reminder s Internet connection Ordinary user Web browser only 18 Maintaining Test Plans Web Browser Only Power user Initially BioTrack+ then move to Web browser only

19 3M Clean-Trace Hygiene Management Solution - How the solution works: Reports automatically generated and ed in PDF format to the identified stakeholder at the scheduled frequency 19 Clean-Trace Hygiene Management Solutions - Benefits

20 3M Clean-Trace Hygiene Management Solution - Example reports: 20 Clean-Trace Hygiene Management Solutions - Benefits

21 3M Clean-Trace Hygiene Management Solution - Example reports: 21

22 3M Clean-Trace Hygiene Management Solution - Example reports: 22

23 3M Clean-Trace Hygiene Management Solution - Example reports: 23 Clean-Trace Hygiene Management Solutions - Benefits

24 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 cleaning schedules 24

25 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 25

26 Benefits Reliable and accurate: Can be combined with subjective visual assessments to provide a more accurate assessment of hygiene status. Superior repeatability 2,3 and excellent sensitivity 3 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 26

27 Benefits The NEW Online reporting system: Secure capture and storage of hygiene data Automated online report generation to help comply with audit requirements 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 showing remedial actions and demonstrating due diligence Flexibility to choose the auto-generated report type, the target audience and frequency of distribution Reports ed to all identified stakeholders at scheduled frequency Automated alerts for hygiene non-conformance 27

28 Applications Routine ward hygiene management Monitoring of mobile equipment Monitoring of equipment impacting tissue viability Outbreak & discharge deep cleans Confirmation of decontamination effectiveness 28

29 3M Clean-Trace Hygiene Management Solution The solution offers a comprehensive approach to ATP rapid hygiene monitoring with the flexibility to scale up as hygiene plans evolve. 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 29

30 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 30

31 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, 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, Leatherhead Enterprise Centre, UK Report 30606, 27 July 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 , 27 July

32 Thank you 32