This document discusses Germstats, a company that provides data-driven infection prevention strategies. It offers environmental data analysis, hand hygiene analysis, infection mapping, and employee audits. Healthcare-associated infections affect over 1.7 million Americans annually and cost the US up to $45 billion. Germstats' software aims to simplify data collection, automate tasks, centralize data, and allow for more proactive management of infections. It performs environmental ATP testing to quantify cleanliness and analyzes hand hygiene trends. Infection mapping tracks infections by location to identify potential cross-contamination. The software also facilitates employee audits and scorecards to improve training feedback.

1. GERMSTATS®
Data Driven
Infection Prevention Strategies

2. AGENDA
Define the Problem/Burden of HAIs
Environmental Data Analysis
Hand Hygiene Analysis
Infection Mapping
Employee Audit & Scorecard

3. INFECTION CONTROLS, INC.
Started a decade ago in Lubbock, TX
4 Offices throughoutTexas
Variety of solutions including:
Disinfection Service
Biohazard Event Response
Software
Laboratory
Training/Consulting

4. WES GOLDWATER
12 years Healthcare Experience
Data and Efficiency Enthusiast
Computer Programmer

5. THE BURDEN
1.7 million Americans develop a healthcare associated infection (HAI) each year
99,000 die from HAIs
The economic burden to the US may be as high as $45 billion per year
Increased Length of Stay (LOS) in healthcare facilities
Decreased Health-Related Quality of Life (HRQoLs/ADLs)
Centers for Disease Control. CDC at Work - Preventing Healthcare-Associated Infections.
Centers for Disease Control. The Direct Medical Costs of Healthcare Associated Infections in U.S. Hospitals and the Benefits of Prevention.

6. PUBLIC & FINANCIAL IMPACTS
Public Reporting
Pay for Performance
Hospital A
Hospital B
Hospital C

7. OTHER CONSIDERATIONS
Infection Prevention (IP) staffing is low in many rural hospitals
Many IPs are clinicians, not statisticians
Infection reporting to NHSN takes a lot of time
Department & Data Silos
Closing the gap on technical and clinical is key to success

8. CHAIN OF INFECTION

9. GOALS FOR OUR SOFTWARE
Simplify - The way data is collected
Automate - Eliminate repetitive or non-value adding tasks to free up time
Centralize - Data into a single repository
Proactive – Be proactive or at least reactive earlier
If you can’t measure it, you can’t manage it. - W. E. Deming

10. ENVIRONMENTAL DATA
How do we define “clean?”

11. ENVIRONMENTAL DATA

12. WHY ATP
Quantitative not Qualitative
Ratio data - Great for Statistics!
Rapid (less than a minute)

13. ATP ANALYSIS - TRENDS
ATP Outliers
Sample Site ATP Value (RLU)
OR 2 Back Table 1,844 RLU
PACU Gurney Mattress 1,284 RLU
OR 2 Mayo Stand 1,356 RLU
PICU Room 13 Footboard 989 RLU
OR 2 Anesthesia Cart 796 RLU

14. HAND HYGIENE - SIMPLY DIFFICULT

15. HAND HYGIENE
Staff Perform Observations
Automate:
Repetitive Calculations
Trend Analysis
Charts/Graphs

16. HAND HYGIENE

17. INFECTION MAPPING

18. INFECTION MAPPING
48% of equipment used & cleaned by nurses were properly cleaned.1
49.5% of hospital room surfaces were properly cleaned by EVS.2
Odds of contracting an infection if prior bed occupant was infected is 5.83%.3
Potential Root Causes:
Infection from Previous Patient
Infection from Patient in Same Department/Area (Cross Infection)
1 Havill et al. Cleanliness of portable medical equipment disinfected by nursing staff. Am J Infect Control. 2011 Sep; 39(7): 602-4.
2 Carling et al. Identifying opportunities to enhance environmental cleaning in 23 acute care hospitals. Infect Control Hosp Epidemiol. 2008. Jan; 29(1):1-7.
3 Bevin, Cohen. Healthcare-Associated Infection and Exposure to Infection or Colonized Concurrent Roommates or Prior Bed Occupants. Columbia University

19. INFECTION MAPPING
MICU 310 History
4/1/19 MRSA
4/7/19 MRSA
4/9/19 MRSA
Potential Cross Infection Cases
4/5/19 Room 309 MRSA

20. EMPLOYEE PERFORMANCE - CHALLENGES
Training is often “On The Job” training with an experienced employee
Evaluations are often done every six months
Feedback is a single event
Employee files are snapshots, not timelines

21. EMPLOYEE AUDITS & SCORECARD

22. THANK YOU!
Wes Goldwater
wes@germblast.com
806.771.3558