3M Clean-Trace Hygiene Management Solution

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What well 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

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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.
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The Principle Behind ATP Bioluminescence

ATP: Adenosine Triphosphate The energy currency molecule of all living organisms Luciferin/luciferase

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Simple Relationship
increase in light (RLU)

increase in ATP levels

increase in organisms or organic residues

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Comparison of current methods for assessing hygiene

Results from a study undertaken in Beaumont Hospital in Ireland1

Method
ATP Microbiological (ACC) Presence of MRSA Visual assessment

Test points considered acceptable or clean

71.5% 92.1% 95.0% 93.3%

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The Benefits of Using ATP as a Risk Indicator

Organic residues Microorganisms

DIRECT RISK
Contamination, infection

INDIRECT RISK
Encourage growth of microorganisms and possible cross contamination

Presence of ATP indicates direct and indirect risks

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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

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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
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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

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HCAI Technology Innovation Programme

Showcase Hospitals Trial Report
Strong evidence that RLU levels reduced over the time of the trials

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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

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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.

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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: www.3m.co.uk/HospitalHygiene or www.showcasehospitals.com

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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.

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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
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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

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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 Internet connection Wired connection Driver to handle comms Reminder eMails

Internet connection

Ordinary user Web browser only

Maintaining Test Plans Web Browser Only

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Power user Initially BioTrack+ then move to Web browser only

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3M Clean-Trace Hygiene Management Solution

- How the solution works:
Reports automatically generated and emailed in PDF format to the identified stakeholder at the scheduled frequency

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Clean-Trace Hygiene Management Solutions - Benefits

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3M Clean-Trace Hygiene Management Solution

- Example reports:

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Clean-Trace Hygiene Management Solutions - Benefits

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3M Clean-Trace Hygiene Management Solution

- Example reports:

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3M Clean-Trace Hygiene Management Solution

- Example reports:

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3M Clean-Trace Hygiene Management Solution

- Example reports:

Clean-Trace Hygiene Management Solutions - Benefits 23 3M 2010. All Rights Reserved.

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

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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

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Benefits
Reliable and accurate:
Can be combined with subjective visual assessments to provide a more accurate assessment of hygiene status. Superior repeatability2,3 and excellent sensitivity3

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
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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 emailed to all identified stakeholders at scheduled frequency Automated alerts for hygiene non-conformance
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Applications
Routine ward hygiene management Monitoring of mobile equipment Monitoring of equipment impacting tissue viability

Outbreak & discharge deep cleans

Confirmation of decontamination effectiveness

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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

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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
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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, 2009. 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 2006. 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 120906, 27 July 2006.

2.

3.

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Thank you

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