2017 Healthcare Surfaces Summit Functional Design Targets � Hospital Infection Control � Max Munn, CEO and Founder Munnworks, LLC
Problem: Sinks in hospital bathrooms are major source of microbes that cause infec7on. • 7 of 8 sinks in the isola7on rooms of the ICU were found to be CPE contaminated. • An#microbial Resistance & Infec#on Control, • Published: 16 February 2017, hBps://doi.org/10.1186/s13756-017-0182-3 • Teen Saved by Transplant, Killed by Superbug at NIH Hospital • Outbreak responsible for killing mul#ple pa#ents at the facility • Study Tracks How Superbugs Splash Out of Hospital Sink Drains • NBC News: hBp://www.nbcnews.com/health/health-news/teen-saved- transplant-killed-superbug-nih-hospital-n225496 • Spread from the Sink to the Pa7ent • Using Green Fluorescent Protein (GFP) to Model Bacterial Dispersion from Hand-Washing Sink-Trap Reservoirs Light showing the bacteria in a • University of Virginia, Mar 31, 2017, hospital bathroom sink • hBps://www.ncbi.nlm.nih.gov/pmc/ar#cles/PMC5377511/ www.munnworks.com
Economic Impact • Impact of healthcare associated infec7on (HAI) • 4 to 5% of the pa#ents who enter a healthcare facility will acquire a HAI • Resul#ng in an es#mated 75,000 to 100,000 deaths per year • At least 50% or more of these infec7ons are preventable. • Cost components • Since 2009, Centers for Medicaid/Medicare Services (CMS) no longer covers the healthcare costs for HAI • Healthcare facili#es are responsible for the HAI medical costs not covered by insurance • In 2011, CMS began to also levy a fine for high infec7on rates. • HAI’s extend the pa#ent #me in the facility, thus loss of that bed due to extended stay • Es7mate of HAI costs to hospitals • In U.S. hospitals alone, HAIs infect 1 in 20 pa#ents and the result is an es#mated $35.7 billion to $45 billion in excess medical costs (RM Klevens, 2007) • The financial benefit of using preven#on prac#ces is es#mated to be $25 billion to $31.5 billion in medical cost savings. (RD ScoB, 2009) www.munnworks.com
Issues with typical hospital bathroom sinks today • Impossible to clean all areas behind faucet especially #le in back of sink and drain • Ofen toilet located within close proximity of sink and countertops adding microbial contamina#on • Last but not least, our disinfec#ng backlit mirror, with a ligh#ng color at 2700K, enhances one’s appearance www.munnworks.com
Expert collabora7on has resulted in a unique solu7on NBBJ Sea(le & MunnWorks • Highly regarded as an interna#onal leader in • Designer and manufacturer of fine architecture for healthcare mirrors (www.munnworks.com) • “Most Admired Firm” by Interior Design • With a focus on design and an magazine 3 years in a row understanding of the surface pathogen issue, the development of this backlit • 75 awards for healthcare in past 10 years disinfec#ng mirror was enabled • Looking for a backlit mirror for pa#ent rooms that provides ease of maintenance and complies with infec#on control requirements Objec7ves Reduce unacceptably high level of contamina#on on countertops, sink, drain & backsplash • Mirror illumina#on that enhances the appearance of the viewer • Design a disinfec#ng mirror to • Address the cri#cal issue of infec#on control • Create a home or hotel like atmosphere that was more hospitable • www.munnworks.com
Result: The Disinfec7ng Mirror Style • Serves as a both a wall mirror and • ligh#ng fixture Aesthe#cally pleasing • Easy to install • Func7on • Provides 99.99% destruc#on of • pathogens (Suppor#ng data to follow) When used for approximately 2 • hours over a 24-hour period. Easily accessible for maintenance & • cleaning Mirror and electronic chassis on • hinge En#rely safe • Variable #ming op#ons available • www.munnworks.com
UV LED LIGHT ON UV LED LIGHT OFF www.munnworks.com
THE POWER OF UV LED DISINFECTION: • Disinfec#on performance is a func#on of the UV dose applied to the micro-organism: dose being the product of UV power mul#plied by #me. • Not all micro-organisms respond to UV light in the same way, as shown in the graph to the right. For example, to kill 99.99% (4- log) of E.coli, roughly 5mJ/cm2 is required (or, put another way, 5mW/second/cm2). • However, if #me is no constraint, we can kill 99.99% of E.coli with just 0.08mW/cm2 in only one minute! Above graph provided by Sensor Electric Technology, Inc. www.munnworks.com
Result: The Disinfec7ng Mirror • Sink Handles Clostridium difficile ( C diff ) • >99.99% afer 1 hr exposure • Methicillin-resistant Staph. aureus • (MRSA) >99.99% afer 30 min • • Sink Basin C diff • >99.99% afer 2 hr • MRSA • >99.99% afer 1 hr • • Sink Edge C diff • >99% afer 2 hr • MRSA • >99% afer 1 hr • • Note: E.Coli data similar to MRSA Resinnova Laboratories MaBhew Hardwick, PHD www.munnworks.com
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