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The Benefits of HLAC Accreditation for the Independent Laundry Gregory Gicewicz, President - Sterile Surgical Systems Vice President – HLAC HLAC Standards.

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Presentation on theme: "The Benefits of HLAC Accreditation for the Independent Laundry Gregory Gicewicz, President - Sterile Surgical Systems Vice President – HLAC HLAC Standards."— Presentation transcript:

1 The Benefits of HLAC Accreditation for the Independent Laundry Gregory Gicewicz, President - Sterile Surgical Systems Vice President – HLAC HLAC Standards Committee – Co-Chair HLAC Inspection Committee - Member October 24, 2013 Healthcare Laundry Accreditation Council

2 What You’ll Learn Today Why you should be accredited HLAC's role in accreditation – who we are, our standards process How inspections work – the process, results, common failures Overcoming cost issues of accreditation – resources and ideas

3 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 Linen Contamination Brainstorm

4 Healthcare Laundry Accreditation Council The Sterile Surgical Systems Story Sterile Surgical Systems million lbs per year processed 65 LBS per Operator hour 600 LBS processed per hour 3 gallons water use per LB of linen processed 20 LBS of linen processed per therm used 15 Customers 25 employees 12 hour work day No HLAC Accreditation Sterile Surgical Systems million lbs per year processed 75 LBS per Operator hour 1200 LBS processed per hr 1.6 gallons water use per LB of linen processed 29 LBS of linen processed per therm used 45 Customers 64 employees 22 hour work day HLAC Accredited Sterile Surgical Systems million lbs per year processed 160 LBS per Operator hour 3500 LBS processed per hour.5 gallons water use per LB of linen processed 40 LBS of linen processed per therm used 60 Customers 37 employees 9 hour work day

5 Why you should be Accredited? Patient Safety Patients and families expect clean, safe textiles (no bioburden) Industry leadership Show customers we share the same goal: patient safety Quality Improvement Customer awareness of “superbugs” is growing; clean textiles are critical Accreditation provides confirmation they have chosen a provider that is serious about quality and safety

6 Credibility Independent, 3 rd party inspection provides validation of the laundry operation Industry leadership Competitive Edge Marketing benefits – More of your competitors are becoming accredited More and more healthcare facilities are requiring accreditation Education Source of industry best practices Promotes continuous employee training Why you should be Accredited?

7 Going 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 Systems Becoming 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 Services Any healthcare system or individual facility interested in outsourcing their laundry should demand a company with HLAC accreditation,” said Joe Shough, Director of Business Development and Service Systems for Paris Healthcare Linen Services Partnering 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 safety Dr. James Lehman MD, MBA, FACP, FACPE – Vice President of Quality for Genesis Health System in Davenport Iowa

8 HLAC Standard developed from both laundry operations and infection prevention expertise Inspection process assesses compliance with the Standard Accreditation is voluntary Renewal every 3 years is necessary to maintain accreditation Healthcare professionals increasingly aware of this accreditation program What is HLAC?

9 Independent Established 2005 Self- Sustaining 501(c)(6) We’re Independent!

10 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.” Highest Standards! Accreditation for All!

11 HLAC 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 The One and Only

12 Covers general healthcare textile processing Surgical pack assembly room included in new Standards, which were effective January Worldwide

13 Must be processing healthcare textiles Self-disclosure of significant plant changes Significant facility changes can trigger a mid-term inspection What is HLAC?

14 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] Healthcare Laundry’s Goal?

15 HLAC Standards The Healthcare Laundry Accreditation Council Accreditation Standards for Processing Reusable Textiles for Use in Healthcare Facilities 2011 Edition Published June 2011 by The Healthcare Laundry Accreditation Council P.O. Box 1805, Frankfort, IL Office: Toll-free: HLAC (4522) © All Rights Reserved. Healthcare Laundry Accreditation Council ● Supersedes the HLAC Standard of 2006 ● More detailed, less ambiguity ● Comprehensive in scope ● Thoroughly referenced ● Its message: Patient- focused infection prevention ● Advances the industry

16 HLAC Standards Takes into consideration the content of relevant organizations in healthcare - AAMI, AIA/FGI, ALM, ANSI, AORN, APIC, ASHES, ASHRAE, CDC, HICPAC, OSHA, TRSA 3 Parts Part I : Basic Considerations Part II: Textile Processing Cycle Part III: Surgical Pack Room

17 HLAC Standards 157 “Must” requirements Most are based on Federal mandates, such as OSHA 29 CFR Facility has to comply with 100% of the “must” standards to become accredited

18 HLAC Standards 317 “Shall” requirements Industry best practices – laundry TRSA, ALM, ASHES, IAHTM, ARTA Industry best practices – healthcare APIC, AORN, ASHES, CDC, HICPAC, AIA/FGI Facility has to comply with 90% of the “shall” requirements to become accredited

19 HLAC 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.

20 HLAC Standards Part I: Basic Considerations Textile control procedures Facility Contingency planning Personnel and hiring Occupational safety and hygiene Training Quality control and process monitoring Customer service

21 HLAC Standards Part II: The Textile Processing Cycle Handling, collection and transporting of soiled healthcare textiles Sorting (including sharps) Washing, extracting and drying Finishing Packaging and storage Delivery of cleaned healthcare textiles

22 HLAC Standards Part III: Surgical Pack Assembly Room Textiles that are prepared for sterilization Basic backbone derived from ANSI/AAMI ST65:2008 “Processing of Reusable Surgical Textiles for use in Healthcare Facilities” Incorporates same components as Parts I & II plus unique factors applicable to a pack room Part III stops at the sterilization step

23 Healthcare Laundry Accreditation Council Documentation Agreements – Contracts, Memorandum of Understanding (MOU), etc. Policies – Processing textiles, emergency preparedness, etc. Procedures – Environment, equipment, operations, processing Personnel Records – Hiring, job descriptions, health, termination, etc.

24 The Inspection Navigate through questions to assess managerial knowledge and competencies, start a dialogue Use visual cues to help assess cleanliness, employee comprehension of policies

25 The 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

26 Common HLAC Inspection Failures Incorrect plant airflow Dirty plant – lint especially Hazardous Materials and Pharmaceutical Waste Management policies Inadequate or unchecked eyewash stations Inadequate signage (emergency exit or contaminated area) Training documents not signed or dated

27 Common HLAC Inspection Failures No policy around pony washer cleaning and functional separation No fluid proof gloves used in the sort No or inadequate safety guards on equipment Wood surfaces where linen will be processed No spill kits on delivery vehicles Improper hand hygiene practices by employees

28 I am not a multi-million dollar mega plant. Won’t Accreditation be too expensive for me?

29 You don’t have to break the bank! Here are some ideas:

30 You have Lots of Resources Available Other HLAC Accredited Laundries They are the experts They have been through the process Other Valuable Sources of Information Your customer’s infection preventionist ALM – Education & Forums - HLAC Webcasts and Website - The Laundry Forum -

31 Money Saving Ideas for Pursuing HLAC Accreditation…

32 Instead of Investing in a multi-thousand dollar HVAC system for correct airflow Rather Install fans in strategic areas of your plant to properly direct air Instead of Investing in an expensive automatic airflow detector Rather Install inexpensive flutter strips in strategic locations

33 Instead of Purchasing brand new stainless steel folding tables Rather Cover existing wooden tables with an impervious material such as linoleum Instead of Investing in an expensive off the shelf maintenance program Rather Microsoft Excel spreadsheets work just fine

34 More Money Saving Ideas Use your chemical provider for: Titrations Hygienically clean tests Water testing MSDS’s EPA Registered disinfectants & labels Most 2 nd hand equipment manuals are available online from the manufacturer

35 More Money Saving Ideas Most government regs have free templates online. Example: https://www.osha.gov/Publications/osha3186.html for BBP Retired surgical gowns make great PPE Use your customer for: key documents sharps containers Acoustic 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.

37 After 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.

38 Think the Service you Perform is not Critical? Think Again!!!! bkMv1o Click above link for video

39 Questions Please


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