3M™ Tegaderm™ High Performance Foam | Impact on Cost: Adhesive Foam Wound Dressing Comparisons

3M Skin & Wound Care Impact on Cost: Adhesive Foam Wound Dressing Comparisons in Home Care, Long-Term Care, and Hospital SettingsAngeline Carlson*, Cheryl L. Loegering†, Cindy Zehrer†, and Shelley-Ann Walters†*University of Minnesota, College of Pharmacy, Minneapolis, MN, USA, †3M Health Care, St. Paul, MN, USA © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Introduction  Background: Proper management of exuding wounds is paramount to optimal wound healing. Fluid handling capacity, including absorption and breathability, as well as dressing size and conformability are critical factors in determining the most appropriate wound dressing. Acute and chronic wounds can be challenging and costly to manage. Ideally, foam adhesive dressings should be able to optimize the moist wound environment and reduce the cost burden associated with their use.  Objective: Three models were developed to estimate the economic impact of various foam adhesive dressings* being used in home care, long-term care, and hospital settings. *Data reflects the dressings on the market at the time the studies were completed between November, 2009 and March, 2010.2 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Methods An economic model was developed using inputs of:  Dressing and supply cost from HPIS/Global Healthcare Exchange  Dressing wear time based on healthy human studies using artificial wound fluid simulating a moderate- to high-exudating wound  Nursing labor cost based on RN Bureau of Labor Statistics  Dressing change time in minutes based on expert opinion  Costs were calculated for a 60-day treatment period for home care, 30-day treatment period for long term care, and 7-day treatment period for hospital3 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Figure 1: Artificial Wound Model Procedure A) A non-stick pad was cut to the desired width but double the length of final wound size B) The catheter tip was inserted into the folded pad C) The pad was taped into a sandwich around the catheter using a strip of paper tape and gently adhered to the test site D) The test dressing was applied over the wound model E) Catheter tubing was secured with transparent dressings, providing easy access to the catheter hub4 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Figure 1: Artificial Wound Model Procedure continued F) The catheter hub/plug was secured with a strip of cloth tape G) Artificial wound fluid (0.1 ml) was injected into the model 12X per day at hourly intervals H) Finished wound models showing details of the model through a transparent absorbent dressing Dressings were assessed until failure for up to 7 days of wear. Failure was defined as dressing fall-off, adhesive border lift sufficient to cause leakage, migration or delamination of dressing layers.5 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Home Care Model Assumptions:  Modeling was based on inputs (assumptions) for dressing cost,1 dressing wear time,2 supplies cost,1 nursing care costs,3 and dressing change time4  Treatment period was estimated to be 60 consecutive days  Wear time for each dressing was based on artificial wound model studies that measured wear time under simulated moderate- to high- exudate conditions over a 7-day period (Figure 1)27 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Summary of Home Care Model Inputs General Model Inputs Base Cost Assumption Dressing supply cost $1.35 (3 gloves, wound cleanser)1 Median RN cost per visit3 $33.00 Dressing change time (minutes)4 20 Treatment period (days) 608 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Summary of Home Care Model Inputs Dressing Unit Cost Wear Time Dressings Inputs* (Days) Required Per Treatment Period Dressing A $12.09 7.0 9 Dressing B $13.77 3.2 19 Dressing C $16.43 3.5 18 Dressing D $20.68 3.0 20 Dressing E $19.40 2.5 25 Dressing F $15.39 1.2 50 Dressing G $15.42 1.0 609 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Long Term Care Model Assumptions:  Modeling was based on inputs (assumptions) for dressing cost,1 dressing wear time,2 supplies cost,1 nursing care costs,5 and dressing change time4  Treatment period was estimated to be 30 consecutive days  Wear time for each dressing was based on artificial wound model studies that measured wear time under simulated moderate- to high- exudate conditions over a 7-day period (Figure 1)210 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Summary of Long Term Care Model Inputs General Model Inputs Base Cost Assumption Dressing supply cost $1.89 (1 biohazard bag, 3 gloves, wound cleanser)1 Median RN cost (per hour)5 $27.20 Dressing change time (minutes)4 20 Labor cost per dressing change $9.07 Treatment period (days) 3011 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Summary of Long Term Care Model Inputs Dressing Unit Cost Wear Time Dressings Inputs* (Days) Required Per Treatment Period Dressing A $12.09 7.0 5 Dressing B $13.77 3.2 10 Dressing C $16.43 3.5 19 Dressing D $20.68 3.0 10 Dressing E $19.40 2.5 13 Dressing F $15.39 1.2 25 Dressing G $15.42 1.0 3012 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Hospital Model Assumptions:  Modeling was based on inputs (assumptions) for dressing cost,1 dressing wear time,2 supplies cost,1 nursing care costs,5 and dressing change time4  Treatment period was estimated to be 7 consecutive days  Wear time for each dressing was based on artificial wound model studies that measured wear time under simulated moderate- to high-exudate conditions over a 7-day period (Figure 1)213 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Summary of Hospital Model Inputs General Model Inputs Base Cost Assumption Dressing supply cost $1.78 (1 biohazard bag, 3 gloves, wound cleanser)1 Median RN cost (per hour)5 $30.71 Dressing change time 20 (minutes)4 Labor cost per dressing $10.24 change Treatment period (days) 714 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Summary of Hospital Model Inputs Dressing Unit Cost Wear Time Dressings Inputs* (Days) Required Per Treatment Period Dressing A $12.09 7.0 1 Dressing B $13.77 3.2 3 Dressing C $16.43 3.5 2 Dressing D $20.68 3.0 3 Dressing E $19.40 2.5 3 Dressing F $15.39 1.2 6 Dressing G $15.42 1.0 715 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Conclusions  Results of this economic model show that the projected longer wear times for 3M™ Tegaderm™ High Performance Foam Adhesive Dressing result in considerable material and labor cost savings  Results of this economic model show potential cost savings of using Dressing A over the other dressings range from:  Home Care: $27,689 to $144,677 per 100 patients annually  Long-Term Care: $13,163 to $67,607 per 100 patients annually  Hospital: $8,164 to $48,880 per 500 patients annually16 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care References 1. HPIS/Global Healthcare Exchange for dressing and supplies cost 2. 3M Healthcare studies 05-011239, 05-011246, 05-011247, 05- 011248, 05-011289, 05-011326 Data on file at 3M 3. Median RN per visit cost: National Association for Home Care & Hospice, Hospital & Healthcare Compensation Service Homecare Salary & Benefits Report 2006-2008, October 2007 4. Expert opinion 5. Median hourly RN labor cost for Long-Term-Care & Hospital facilities, Bureau of Labor Statistics17 © 3M 2010. All Rights Reserved.

3M Skin & Wound Care Dressing Footnotes  Dressing A: 3M™ Tegaderm™ High Performance Foam Adhesive Dressing  Dressing B: Coloplast Biatain® Foam Adhesive Dressing  Dressing C: Smith & Nephew Allevyn™ Adhesive Dressing  Dressing D: Medline Optifoam® Adhesive Dressing  Dressing E: Molnlycke Mepilex® Border Dressing  Dressing F: Convatec Versiva® XC® Adhesive Dressing  Dressing G: Smith & Nephew Allevyn™ Gentle Border Data reflects the dressings on the market at the time the studies were completed between November, 2009 and March, 2010.18 © 3M 2010. All Rights Reserved.

3M™ Tegaderm™ High Performance Foam | Impact on Cost: Adhesive Foam Wound Dressing Comparisons

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3M™ Tegaderm™ High Performance Foam | Impact on Cost: Adhesive Foam Wound Dressing Comparisons Presentation Transcript