and

Simple Interventions . . . Extraordinary Outcomes

Hospital Name or Logo

Executive Summary Executive Summary

• Deliver the expected clinical outcomes • Compliance to protocol 75%• Utilization of product per benchmark• Patient satisfaction and nursing time favorable• Cost justification tool• Overall satisfaction

Hospital Name: Goals/ Hospital Name: Goals/ ExpectationsExpectations

• Reduce Pressure Ulcers by 10%• Eliminate process variation between caregivers• • •

Implementation GoalsImplementation Goals

• Establish Protocol for implementation• Initiate a Protocol Compliance Benchmark• In Service all staff• Complete Clinical Assessment Survey• Achieve Protocol Compliance of 60%• Reduce infection rate/PU rate by 10%• Maintain patient and nurse satisfaction

Implementation StatisticsImplementation Statistics

• # of Units Converted ____

• # of Hospital Personnel In-Services ____

• # of Hours Spent Educating ____

Hospital Name: Bath UsageHospital Name: Bath Usage• • •

Hospital Name: Shield Hospital Name: Shield UsageUsage

• • •

Hospital Name: Prevalon Hospital Name: Prevalon UsageUsage

• • •

Hospital Name: Hospital Name: 2% CHG Cloth 2% CHG Cloth UsageUsage

• • •

Hospital Name: Clinical Hospital Name: Clinical OutcomesOutcomes

• Less skin breakdown due to incontinence and reduction in consults!

• Prevention of IAD has lead to reduced FAPU’s!• Improved compliance to policies/protocols!• Increased patient and nursing satisfaction!• • •

Hospital Name: Hospital Name: Oral Care Protocol Oral Care Protocol Utilization Utilization

Product Code # Product Code # • • •

Hospital Name: Hospital Name: Oral Care Cost Oral Care Cost JustificationJustification

• Cost to treat 1 VAP:• Annual cost of Sage Kit #6804 :• Breakeven Point:

Hospital Name: Prevalon Cost Hospital Name: Prevalon Cost JustificationJustification

• Annual Cost of Prevalon:• Projected Treatment Cost Stage I or II Ulcers ($2K/each¹):• Projected Treatment Cost Stage III or IV Ulcers ($45K/each²):• Estimated Revenue Preservation:

1Whittington KT, Briones R, Adv Skin Wound Care. Nov/Dec 2004; 17 (9):490-4; 2Young, ZF, Evans A, Davis J, J Nurs Admin (JONA). Jul/Aug 2003; (33) 7/8; 380-3

Hospital Name : Hospital Name : 2% CHG Cloth 2% CHG Cloth Cost JustificationCost Justification

• Average cost to treat one Surgical Site Infection (SSI):• Sage 2% CHG cloth #9705 @ 2.25/pkg: annually* • Break even point:

Sage CommitmentSage Commitment

• Always available for re-education of current products• Currently pulling together utilization data• Education/Posters• Clinical Outcomes• • • •

Commitment to (Hospital)Commitment to (Hospital)

January 2009 – June 2009:

129 total business days

Time Spent with Interventional Patient Hygiene Products for Clarian Health

January 2009 – June 2009:

79 Sage visits to (Hospital)

May include: Observations, Recommendations, Call to Action

New ProgramsNew Programs

• Compliance Alliance– Clinicians monitor compliance and outcomes regularly– Simple, fun way to empower clinicians to help eliminate

HAIs – Help increase compliance to protocol– Free scrubs available for compliance team

• Do Not Flush Campaign– www.DoNotFlush.com– Free posters available for any facility– Help prevent flushing of all potential products

Comfort BathComfort Bath® ® Cleansing Cleansing SystemSystem

• Clinical proof• Skin assessment / monitoring tools• Customized training and in-service programs• Product options

– Three-cloth thicknesses– Deodorant– Three, five and eight packs

• Fully insulated packaging• Hospital grade warmers and microwaves

Comfort ShieldComfort Shield®® Barrier Barrier Cloths Cloths

• All-in-one incontinence care product– Soft washcloth reduces force and friction– Cleanses, moisturizes, deodorizes, protects skin

• 3% Dimethicone applied to skin every time– Thin, transparent barrier does not occlude skin– Allows for easier, better skin assessment– Tested Solution with Proven Outcomes!

• Cloth guarantees compliance to protocol• Prevention vs. Treatment• Increases patient satisfaction• Standardize Practice• Eliminate Process Variation

Prevalon® Pressure-RelievingHeel Protector

• Off-loads the heels

• Provides effective pressure relief for the lateral malleolus

• Reduces the risk of foot drop and lateral rotation in the non-ambulatory patient

• Reduces pressure, friction and shear

• High Patient Compliance

ToothetteToothette® ® Oral Care Oral Care

• 24 hr packaged kit for guaranteed compliance- sequential packaging mirrors your protocol

• Addresses the risk factors of VAP/HAP (bacteria, plaque and secretions) : Deep suction catheter, suction toothbrush and suction swab

• Meets the IHI ventilator bundle, CDC recommendations, and AACN guidelines

• Committed Programs: Evidenced Based Practice, Protocol Support Tools, Education Website, Cost Justification Tool, and Performance Improvement plans.

2% CHG Cloths 2% CHG Cloths for Preoperative Skin for Preoperative Skin

PreparationPreparation• Rinse-free & alcohol-free• Fast-acting• Broad spectrum killing power• Effective against a wide range of microorganisms

including MRSA, VRE, & Acinetobacter• Remains active in presence of blood &

organic matter• Soft polyester cloth releases a uniform 500 mg

dose of CHG with no drips, runs, or pools. • Cloth gently exfoliates and drives CHG into

sebaceous glands. • Easy to apply in hard to reach areas.

Future RecommendationsFuture Recommendations

• Continue to educate new nursing staff on the appropriate use of the Sage products

• Conduct Quarterly Business Reviews

• Re-inservice each hospital focusing on:– Appropriate use– New Science– New Technology– New PU prevention Tools