Functional Design Targets Hospital Infection Control Max Munn, CEO - - PowerPoint PPT Presentation

Functional Design Targets Hospital Infection Control

2017 Healthcare Surfaces Summit

Max Munn, CEO and Founder Munnworks, LLC

Problem: Sinks in hospital bathrooms are major source

• f 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

• University of Virginia, Mar 31, 2017,
• hBps://www.ncbi.nlm.nih.gov/pmc/ar#cles/PMC5377511/

Light showing the bacteria in a hospital bathroom sink

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

www.munnworks.com

• Last but not least, our disinfec#ng

backlit mirror, with a ligh#ng color at 2700K, enhances one’s appearance

• Ofen toilet located within close

proximity of sink and countertops adding microbial contamina#on

Expert collabora7on has resulted in a unique solu7on

www.munnworks.com

• Highly regarded as an interna#onal leader in

architecture for healthcare

• “Most Admired Firm” by Interior Design

magazine 3 years in a row

• 75 awards for healthcare in past 10 years
• Looking for a backlit mirror for pa#ent rooms

that provides ease of maintenance and complies with infec#on control requirements

• Designer and manufacturer of fine

mirrors (www.munnworks.com)

• With a focus on design and an

understanding of the surface pathogen issue, the development of this backlit disinfec#ng mirror was enabled

• 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

NBBJ Sea(le MunnWorks & Objec7ves

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

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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