and Simple Interventions... Extraordinary Outcomes Hospital Name or Logo

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/ Expectations Reduce Pressure Ulcers by 10% Eliminate process variation between caregivers

Implementation 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 Statistics # of Units Converted ____ # of Hospital Personnel In-Services ____ # of Hours Spent Educating ____

Hospital Name: Bath Usage

Hospital Name: Shield Usage

Hospital Name: Prevalon Usage

Hospital Name: 2% CHG Cloth Usage

Hospital Name: Clinical Outcomes 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: Oral Care Protocol Utilization Product Code #

Hospital Name: Oral Care Cost Justification Cost to treat 1 VAP: Annual cost of Sage Kit #6804 : Breakeven Point:

Hospital Name: Prevalon Cost Justification Annual Cost of Prevalon: Projected Treatment Cost Stage I or II Ulcers ($2K/each¹): Projected Treatment Cost Stage III or IV Ulcers ($45K/each ² ): Estimated Revenue Preservation: 1 Whittington KT, Briones R, Adv Skin Wound Care. Nov/Dec 2004; 17 (9):490-4; 2 Young, ZF, Evans A, Davis J, J Nurs Admin (JONA). Jul/Aug 2003; (33) 7/8; 380-3

Hospital Name : 2% CHG Cloth Cost Justification Average cost to treat one Surgical Site Infection (SSI): Sage 2% CHG cloth 2.25/pkg: annually* Break even point:

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

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 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 – – Free posters available for any facility – Help prevent flushing of all potential products

Comfort Bath ® Cleansing System 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 Shield ® Barrier 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-Relieving Heel 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

Toothette ® 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 for Preoperative Skin Preparation 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 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