Presentation on theme: "The Benefits of HLAC Accreditation for the Independent Laundry"— Presentation transcript:
1The Benefits of HLAC Accreditation for the Independent Laundry 1The Benefits of HLAC Accreditation for the Independent LaundryGregory Gicewicz,President - Sterile Surgical SystemsVice President – HLACHLAC Standards Committee – Co-ChairHLAC Inspection Committee - MemberOctober 24, 2013Healthcare Laundry Accreditation Council1
2What You’ll Learn Today Why you should be accreditedHLAC's role in accreditation – who we are, our standards processHow inspections work – the process, results, common failuresOvercoming cost issues of accreditation – resources and ideas
3Linen Contamination Brainstorm List 15 ways contaminated linen may touch a patient:How many pounds of linen do you process per year?How many pounds of linen do you test per year?Focus on the Process!Healthcare Laundry Accreditation Council
4The Sterile Surgical Systems Story 20062.8 million lbs per year processed65 LBS per Operator hour600 LBS processed per hour3 gallons water use per LB of linen processed20 LBS of linen processed per therm used15 Customers25 employees12 hour work dayNo HLAC AccreditationSterile Surgical Systems 2.020127 million lbs per year processed75 LBS per Operator hour1200 LBS processed per hr1.6 gallons water use per LB of linen processed29 LBS of linen processed per therm used45 Customers64 employees22 hour work dayHLAC AccreditedSterile Surgical Systems 3.0201310 million lbs per year processed160 LBS per Operator hour3500 LBS processed per hour.5 gallons water use per LB of linen processed40 LBS of linen processed per therm used60 Customers37 employees9 hour work dayHealthcare Laundry Accreditation Council
5Why you should be Accredited? Patient SafetyPatients and families expect clean, safe textiles (no bioburden) Industry leadershipShow customers we share the same goal: patient safetyQuality ImprovementCustomer awareness of “superbugs” is growing; clean textiles are criticalAccreditation provides confirmation they have chosen a provider that is serious about quality and safety
6Why you should be Accredited? CredibilityIndependent, 3rd party inspection provides validation of the laundry operationIndustry leadershipCompetitive EdgeMarketing benefits – More of your competitors are becoming accreditedMore and more healthcare facilities are requiring accreditationEducationSource of industry best practicesPromotes continuous employee training
7Going through the process of HLAC accreditation raised the bar for our laundry and consequently for our customers. Our people, processes, and technology are now at a higher level of excellence and our customers are the real winners! Gregory Gicewicz – President Sterile Surgical SystemsBecoming accredited makes us a better company. And its gives our customers peace of mind to know their supplier is meeting the highest standards in processing healthcare textiles.Tom Austin, CEO of Universal Linen ServicesAny healthcare system or individual facility interested in outsourcing their laundry should demand a company with HLAC accreditation,” saidJoe Shough, Director of Business Development and Service Systems for Paris Healthcare Linen ServicesPartnering with an accredited laundry service — in-house or commercial — supports a hospital’s need for quality, efficiency, service, cost reduction, and most importantly, successful infection prevention strategies and patient safetyDr. James Lehman MD, MBA, FACP, FACPE – Vice President of Quality for Genesis Health System in Davenport Iowa
8What is HLAC?HLAC Standard developed from both laundry operations and infection prevention expertiseInspection process assesses compliance with the StandardAccreditation is voluntaryRenewal every 3 years is necessary to maintain accreditationHealthcare professionals increasingly aware of this accreditation program
9We’re Independent! Independent Established 2005 Self-Sustaining 501(c)(6)
10Highest Standards! Accreditation for All! Mission: “To accredit laundries processing healthcare textiles based on the highest standards for patient safety and infection prevention” Vision: “For all healthcare facilities to require HLAC accreditation for their laundry providers.”
11The One and OnlyHLAC is the only accrediting body whose sole purpose is to inspect and accredit laundries who process healthcare textiles Voluntary program – well received within the laundry industry Accreditation is good for 3 years and is address-specific
12WorldwideCovers general healthcare textile processing Surgical pack assembly room included in new Standards, which were effective January Worldwide
13What is HLAC?Must be processing healthcare textiles Self-disclosure of significant plant changes Significant facility changes can trigger a mid-term inspection
14Healthcare Laundry’s Goal? To provide a hygienically clean textile Clean, not sterile Free from bioburden such that the textile poses no risk to the patient When processed properly, healthcare textiles pose little or no risk of infection transmission to the patient [CDC/HICPAC: EIC E.I.E.2]
16HLAC StandardsTakes into consideration the content of relevant organizations in healthcare - AAMI, AIA/FGI, ALM, ANSI, AORN, APIC, ASHES, ASHRAE, CDC, HICPAC, OSHA, TRSA3 PartsPart I : Basic ConsiderationsPart II: Textile Processing CyclePart III: Surgical Pack Room
17HLAC Standards 157 “Must” requirements Most are based on Federal mandates, such as OSHA 29 CFRFacility has to comply with 100% of the “must” standards to become accredited
18HLAC Standards 317 “Shall” requirements Industry best practices – laundryTRSA, ALM, ASHES, IAHTM, ARTAIndustry best practices – healthcareAPIC, AORN, ASHES, CDC, HICPAC, AIA/FGIFacility has to comply with 90% of the “shall” requirements to become accredited
19HLAC Standards 63 “Should” and “May” statements “Should” and “may” statements represent suggested courses of action for which a strong industry consensus is not available for all regions of the country, or are part of emerging practices and/or technology. “Should” and “may” statements are recommended for implementation, but are not scored.
20HLAC Standards Part I: Basic Considerations Textile control procedures FacilityContingency planningPersonnel and hiringOccupational safety and hygieneTrainingQuality control and process monitoringCustomer service
21HLAC Standards Part II: The Textile Processing Cycle Handling, collection and transporting of soiled healthcare textilesSorting (including sharps)Washing, extracting and dryingFinishingPackaging and storageDelivery of cleaned healthcare textiles
22HLAC Standards Part III: Surgical Pack Assembly Room Textiles that are prepared for sterilizationBasic backbone derived from ANSI/AAMI ST65: “Processing of Reusable Surgical Textiles for use in Healthcare Facilities”Incorporates same components as Parts I & II plus unique factors applicable to a pack roomPart III stops at the sterilization step
23Documentation Agreements Policies Procedures Personnel Records 2323DocumentationAgreementsContracts, Memorandum of Understanding (MOU), etc.PoliciesProcessing textiles, emergency preparedness, etc.ProceduresEnvironment, equipment, operations, processingPersonnel RecordsHiring, job descriptions, health, termination, etc.Healthcare Laundry Accreditation Council
24The InspectionNavigate through questions to assess managerial knowledge and competencies, start a dialogue Use visual cues to help assess cleanliness, employee comprehension of policies
25The Inspection Results Inspection committee reviews scoring document and remediation and determines accreditation For non-compliance, HLAC allows 15 business days; 45 days remediation is only allowed in extreme instances when reconstruction, etc., may be necessary Final inspection and scoring data is strictly confidential and never shared
26Common HLAC Inspection Failures Incorrect plant airflowDirty plant – lint especiallyHazardous Materials and Pharmaceutical Waste Management policiesInadequate or unchecked eyewash stationsInadequate signage (emergency exit or contaminated area)Training documents not signed or dated
27Common HLAC Inspection Failures No policy around pony washer cleaning and functional separationNo fluid proof gloves used in the sortNo or inadequate safety guards on equipmentWood surfaces where linen will be processedNo spill kits on delivery vehiclesImproper hand hygiene practices by employees
28I am not a multi-million dollar mega plant I am not a multi-million dollar mega plant. Won’t Accreditation be too expensive for me?
29You don’t have to break the bank! Here are some ideas:
30You have Lots of Resources Available Other HLAC Accredited LaundriesThey are the expertsThey have been through the processOther Valuable Sources of InformationYour customer’s infection preventionistALM – Education & Forums -HLAC Webcasts and Website -The Laundry Forum -
31Money Saving Ideas for Pursuing HLAC Accreditation…
32Instead ofInvesting in a multi-thousand dollar HVAC system for correct airflowRatherInstall fans in strategic areas of your plant to properly direct airInvesting in an expensive automatic airflow detectorInstall inexpensive flutter strips in strategic locations
33Instead of Rather Purchasing brand new stainless steel folding tables Cover existing wooden tables with an impervious material such as linoleumInvesting in an expensive off the shelf maintenance programMicrosoft Excel spreadsheets work just fine
34More Money Saving Ideas Use your chemical provider for:TitrationsHygienically clean testsWater testingMSDS’sEPA Registered disinfectants & labelsMost 2nd hand equipment manuals are available online from the manufacturer
35More Money Saving Ideas Most government regs have free templates online. Example: https://www.osha.gov/Publications/osha3186.html for BBPRetired surgical gowns make great PPEUse your customer for:key documentssharps containersAcoustic ceiling tiles do not work in pack rooms due to their shedding. Washable ceiling tiles are available at most hardware stores
36…It is worth it! Quality and Safety Documented performance measurements, which support consistent results in cleanliness.Heightened awareness of how high the bar is being raised for all healthcare laundries.Integration of healthcare protocols at the laundry.Less likelihood of cross-contamination of textiles or employee injuries.
37After you are have been Inspected and Accredited…. Celebrate with your staff and use it as an opportunity to remind everyone that your high standards don’t go on hiatus until the next inspection. We need to be inspection ready everyday.
38Think Again!!!! Think the Service you Perform is not Critical? Click above link for videoThink Again!!!!