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  • in reply to: Re: Portable air purifiers in RACFs #81323
    brett.mitchell@avondale.edu.au
    Participant

    Author:
    brett.mitchell@avondale.edu.au

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    brett.mitchell@newcastle.edu.au

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    Hi

    We have a podcast related to air purifiers for those that are interested: https://infectioncontrolmatters.podbean.com/e/cleaning-up-the-air-with-jason-monty/ We discuss air cleaners and purifiers, their role, what to consider when purchasing and practical considerations for their use.

    Kind regards

    Brett

    Professor Brett Mitchell
    T: +61 24980 2213
    E: brett.mitchell@avondale.edu.au
    Professor of Nursing and Health Services Research, Avondale University
    Professor of Nursing, School of Nursing and Midwifery, Monash University
    Honorary Professor, School of Nursing and Midwifery, University of Newcastle
    Infection Research Program co-lead, Hunter Medical Research Institute
    Conjoint, Central Coast Local Health District, NSW.

    http://www.avondale.edu.au

    I acknowledge the Aboriginal people of the Awabakal and Guringai lands as the traditional custodians of the land on which I work. I pay my respects to their Elders – past, present and emerging.

    Hi
    I find this interesting, I have considered purchasing for office and staff rooms , has anyone done research on type brand that they can share.

    Warm Regards

    Amanda Birkin
    CEO

    [A close up of a sign Description automatically generated]St. Anna’s Residential Care Facility and Home Care Packages
    A 41 Burley Griffin Blvd, Brompton SA 5007
    P (08) 8346 0955 F (08) 8346 1992
    E Amandab@cubs.org.au
    [cid:image003.png@01D8C6C2.27FC9790] [cid:image004.png@01D8C6C2.27FC9790]
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    I recently did a commissioning role, and Yes I placed 3 in and around the facility for those with respiratory concerns.

    Sandy Miller
    Facility Manager | Registered Nurse
    smiller@standrew.com.au

    [cid:image001.jpg@01D8C6AD.63D47720]
    59 Bentinck Street
    BALLINA NSW 2478
    02 6620 5800
    0428 490 773

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    Hi again,

    Another question from me, prompted by the recent changes to guidelines.

    Does anyone have air purifiers in their Aged Care Facilities and how do you use them and find their efficacy?

    Thanks in advance

    Kind regards,

    Chris

    Christine Morrison
    Practice Facilitator – Infection Control
    Practice Facilitation Team
    [cid:image001.jpg@01D8C6A8.17EA0E10]
    Level 3, Webber House,
    439 Ann St, Brisbane Q 4000
    PO Box 10556, Brisbane Adelaide St Q 4000

    M: 0499526913
    E: cmorrison2@anglicaresq.org.au
    E: pft@anglicaresq.org.au
    W: anglicaresq.org.au

    [list-SM]
    [cid:image003.jpg@01D8C6A8.17EA0E10]

    I acknowledge and pay my respects to the traditional owners and custodians of the land in which I work, walk and live.

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    in reply to: Closure of consultancy services #79462
    brett.mitchell@avondale.edu.au
    Participant

    Author:
    brett.mitchell@avondale.edu.au

    Email:
    brett.mitchell@newcastle.edu.au

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    All the best Joe and thank you for your contributions over many years.

    Kind regards

    Brett

    Professor Brett Mitchell
    T: +61 24980 2397
    E: brett.mitchell@avondale.edu.au
    Professor of Nursing and Health Services Research, Avondale University
    Professor of Nursing, School of Nursing and Midwifery, Monash University
    Honorary Professor, School of Nursing and Midwifery, University of Newcastle
    Infection Research Program co-lead, Hunter Medical Research Institute
    Conjoint, Central Coast Local Health District, NSW.

    http://www.avondale.edu.au

    I acknowledge the Aboriginal people of the Awabakal and Guringai lands as the traditional custodians of the land on which I work. I pay my respects to their Elders – past, present and emerging.

    Thanks for your support and knowledge over the years – I hope you have many exciting new adventures ahead of you!

    Kind regards

    Kate Ryan

    RMD Program Officer

    [logo_austin]

    0434 609 208 | 03 9496 6706

    Infectious Diseases Department

    Level 7, Harold Stokes Building

    145 Studley Road, Heidelberg

    PO Box 5555, Victoria, 3084

    ________________________________

    BE ALERT: Do not click links, open attachments or reply, unless you recognise the sender and know the content is safe.

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    Good morning

    I would like to thank ACIPC for their ongoing support of IPAC over the years.

    This is my last year as a member as I will be closing my consultancy services and finally retiring!

    I am very excited and looking forward to this next phase of my life.

    Thanks

    Joe

    Joe-Anne Bendall

    Director, Infection Control Review

    ABN 98630512284

    [cid:image001.png@01D87CA1.8B992CC0]

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    in reply to: Re: CAUTI Hospital Education ideas #74968
    brett.mitchell@avondale.edu.au
    Participant

    Author:
    brett.mitchell@avondale.edu.au

    Email:
    brett.mitchell@newcastle.edu.au

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    Dear Yeng,

    We recently completed a RCT in three Australian hospitals, exploring the effect of chlorhexidine 0.1% solution Vs saline for meatal cleaning prior to urinary catheterisation. In short, the use of chlorhexidine was associated with a reduction in both CA-ASB and CAUTI, all three hospitals saw a reduction. The results were presented at the ACIPC conference and HIS conference, with the article accepted in the Lancet Infectious Disease in the lead up to Christmas. I hope that article will be published in the coming weeks. This intervention is a relatively easy one to implement.

    Kind regards

    Brett Mitchell
    Professor of Nursing, Discipline of Nursing
    Director of the Lifestyle Research Centre
    Avondale College of Higher Education

    Avondale College Ltd trading as Avondale College of Higher Education
    ACN: 108 186 401 | ABN: 53 108 186 401 | CRICOS: 02731D | TEQSA: PRV12015
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia
    Telephone: 02 9480 3613 (Sydney Campus Tues & Thurs) | 02 4980 2397 (Lake M Monday) Fax: 02 9487 9625

    From: ACIPC Infexion Connexion On Behalf Of Bel Boston
    Sent: 27 December 2018 08:40
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] CAUTI Hospital Education ideas

    Hey Yeng

    Our hospital undertook a pilot project utilising the CEC toolkit
    http://www.cec.health.nsw.gov.au/patient-safety-programs/adult-patient-safety/cauti-prevention

    https://www.idhjournal.com.au/article/S2468-0451(16)30247-4/pdf

    I have attached the article that was published which outlines how this project was carried out. We had great results with this project and I agree with Jo that we need to get back to teaching the basics. There was a lot of time invested for teaching staff

    Hopefully this will assist you
    Thanks

    Happy New Year and Good luck

    Belinda Boston

    Sent from my iPhone

    On 24 Dec 2018, at 7:46 pm, The Harrises <theharrises143@bigpond.com> wrote:
    Some work done in our area with community based nurses revealed an interesting lack of understanding of CAUTI. It may be worth going back to basics with your clinicians to assess their knowledge base…

    Joanna Harris
    Nurse Manager. IllawarraShoalhaven LHD, NSW

    Sent from my iPhone

    On 23 Dec 2018, at 14:37, yento85@GMAIL.COM wrote:

    Merry Christmas everyone,

    I am wondering for some advice in regards of how other hospitals make
    awareness of catheter acquired UTI for ward nurses (I.e. education, posters, PowerPoints, guidelines etc) Or has anyone done a program/ research to reduce hospital acquired UTI and has it been successful with retaining the evidence based practice with ward staff?

    I have an interest in reducing
    hospital acquired UTI and would love to hear what is out there.

    Kind Regards,

    Yeng To
    RN at QEII Hospital Brisbane

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    in reply to: 2016 conference #73512
    brett.mitchell@avondale.edu.au
    Participant

    Author:
    brett.mitchell@avondale.edu.au

    Email:
    brett.mitchell@newcastle.edu.au

    Organisation:

    State:

    Hi Janine,
    For those presentations where authors have consented to sharing their presentation, they will be made available in around 1-2 weeks. The conference manager is working on these. More information will be provided when they are available.

    Kind regards

    Brett Mitchell
    Associate Professor of Nursing, Discipline of Nursing
    Director of the Lifestyle Research Centre
    Avondale College of Higher Education

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia

    Good Morning,

    Recently, I attended the 2016 conference in Melbourne and wondering how I access some of the power points that were used during the sessions.

    Any information would be great.

    Regards

    [ddhhs]

    Janine Egart

    Clinical Nurse Consultant

    Infection Prevention & Control – Rural & Aged Care
    Darling Downs Hospital and Health Service

    p:

    07 46166206 – 0400704118 – SD:1947

    a:

    Kobi House – Pechy Street, Toowoomba

    e:

    janine.egart@health.qld.gov.au w: Darling Downs Hospital and Health Service

    Darling Downs Hospital and Health Service’s vision – To deliver excellence in rural and regional healthcare.

    Darling Downs Hospital and Health Service acknowledges the Traditional Custodians of the land, and pays respect to Elders past, present and future.

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    in reply to: Any ATP levels mentioned in Standards or Guidelines #73219
    brett.mitchell@avondale.edu.au
    Participant

    Author:
    brett.mitchell@avondale.edu.au

    Email:
    brett.mitchell@newcastle.edu.au

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    State:

    Hi Terry,

    Greg Whitley is across this area. It very much depends on the brand and there are proposals for how to eliminate or deal with erroneous results.

    Hopefully Greg is a recipient of the list. If he doesn’t respond, I’ll forward you his email offline.

    Kind regards
    Brett
    Associate Professor of Nursing
    0294803613

    Sent from my iPhone

    On 17 Jun 2016, at 8:25 AM, Roel Castillo <Roel.Castillo@MUH.ORG.AU> wrote:

    Hi Terry

    Some clinical publications below to refer to instead of 3M.

    http://www.journalofhospitalinfection.com/article/S0195-6701(08)00127-8/abstract?ccy
    http://journals.cambridge.org/action/displayAbstract?fromPageonline&aid9372985&fileIdS0195941700037310

    Regards

    Roel Castillo

    Sterilising Services Unit Manager

    Macquarie University Hospital
    3 Technology Place
    Macquarie University, NSW 2109, Australia
    Locked Bag 2231, North Ryde BC, NSW 1670

    T: +61 2 9812 3213 I M: +61 0 434 496 829
    http://www.muh.org.au

    [cid:image001.jpg@01D03EEF.C9D3C830]

    Macquarie University Hospital is Australia’s first and only private hospital on a University campus. We are committed to delivering superior clinical outcomes and a positive patient experience through the best available care and technology.

    Apart from 3M’s “80% Pass at 250”, has anyone seen specific ATP RLU levels for Patient-room cleaning “efficacy” in Standards, State Health Guidelines, CDC, etc?

    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph (NZ): +64 7 855 3212
    Mob (NZ): +64 274 365 140
    E: terry@terrygrimmond.com
    [Twitter_logo_blue]: @terrygrimmond
    W: http://terrygrimmond.com
    [cid:image002.gif@01D1C81A.013DB060]
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    in reply to: UV light use in cleaning #72980
    brett.mitchell@avondale.edu.au
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    Hi Kristie

    Here is a link to a CDC funding study on this point. https://idsa.confex.com/idsa/2015/webprogram/Paper53062.html

    There are a few questions that in my mind remain unanswered and or request some further discussion:

    * Was this intervention cost effective?

    * There were reductions in arms B, C and D, in comparison to A (reference group), just because something isn’t statistically significant, it doesn’t mean it isn’t clinically relevant. For example, arm C (bleach only) showed a reduction

    * Is a quaternary ammonium a suitable reference group, especially in Australia?

    * It is a shame one of the arms was not just detergent

    I am certainly not wanting to be critical of this study. This was a large complex study and the first of its kind in many instances. Those involved are to be congratulated. We need more of these types of studies conducted, not only in the cleaning area, but also IP&C more generally. I raise these questions in the interest of sparking some debate and ensuring we take a considered approach before jumping wholeheartedly into UV. These are questions you are likely to face. There are also a number of implementation issues that remain central to any cleaning intervention. This is one thing the REACH study (randomised stepped wedge cluster control study in 11 Australian hospitals) is seeking to explore, in addition to effectiveness and cost effectiveness of a cleaning bundle. http://reach.cre-rhai.org.au/

    Thanks
    Brett

    Associate Professor Brett Mitchell
    Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
    Faculty of Nursing and Health and Director Lifestyle Research Centre, Cooranbong

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia

    Hello,

    We are interested in hearing from sites who currently use UV light as a part of their cleaning package to decontaminate the environment and the equipment to a high level of efficacy.

    If you could please make contact with me if you use UV light, we have some questions we’d like to ask.

    Thank you.

    Kind regards,

    Kristie

    Kristie Popkiss
    Infection Prevention and Management Lead SERCO – Fiona Stanley Hospital
    M 0437 358 042
    CD012 Main Hospital
    Barry Marshall Drive, Murdoch WA 6160
    kristie.popkiss@serco-ap.com.au kristie.popkiss@health.wa.gov.au

    Next Organisation Wide Survey June 2016
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    brett.mitchell@avondale.edu.au
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    Correction #ACIPC15 – my apologies

    Kind regards
    Brett

    Associate Professor Brett Mitchell
    Chair Scientific Committee
    4th International ACIPC conference

    Sent from my iPhone

    On 23 Nov 2015, at 7:01 AM, Brett Mitchell <Brett.Mitchell@AVONDALE.EDU.AU> wrote:

    For those who cannot make the 4th International ACIPC conference in Hobart, you may want to follow what is going on via social media. There is bound to be many ‘tweets’ from delegates, providing key pieces of information and or links to find out more.

    If use Twitter, you can follow what is going by searching #ACIPC2015 – or by following some of those attending.

    Regards
    Brett

    Associate Professor Brett Mitchell
    Chair Scientific Committee
    4th International ACIPC conference

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    brett.mitchell@avondale.edu.au
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    HI Kathy,

    Also an interesting piece in Healthcare Infection about this http://www.publish.csiro.au/paper/HI13041.htm and follow up letter to the editor in response to this publication http://www.publish.csiro.au/paper/HI14018.htm
    Very topical.

    Thanks
    Brett

    Associate Professor Brett Mitchell
    Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
    Faculty of Nursing and Health and Director Lifestyle Research Centre, Cooranbong

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia

    Hi Kathy,

    The attached recent publication may be if interest/use (you may have seen it already)

    . Marci Drees et al. Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate. Infect Control Hosp Epidemiol 2015;36(6):717-724

    The authors achieved a 92% vaccination rate compared with vaccination rates of 57%-72% in the 3 years previous without mandating.

    Their strategies included the following:

    . Each of their forms (consent, declination and reason for declination) included a bar code, which was scanned by a newly created web-based application along with the HCP’s identification badge. This automatically updated the vaccination database with vaccinated, exempt or declined status.

    . Every manager and vice president in the system began receiving weekly lists of their employees, notated as vaccinated, not vaccinated, or no response.

    . Managers were required to follow up with employees who had not responded. In addition, managers were aware of which employees had not been vaccinated and, thus, were required to wear masks once the flu season began.

    . Rather than relying on roving vaccinators, meetings, and distribution of vaccine for self-vaccination, the task force decided to adopt a “blitz” campaign during the first 2 weeks of the season. Beginning in early October, vaccination stations were set up across all shifts at entrances to hospitals and other outpatient/ancillary facilities.

    . At each entrance, volunteer “clerks” (who ranged from administrative assistants to leadership personnel) scanned the HCP’s identification badge and the appropriate form (taking ~30 seconds), and then directed him/her to the next available vaccinator (volunteer nurses and pharmacists).

    . After vaccination (or attesting to vaccination elsewhere), staff were given hanging badges, stating “I’m vaccinated because I care.”

    . Wearing the hanging badges was not mandatory, but anyone not wearing an “I’m vaccinated” tag was required to mask while in patient care areas, regardless of their actual vaccination status.

    . ~70% of all employees were vaccinated during the initial “blitz.”

    . The policy used the existing disciplinary process for employees who either did not complete 1 of the 3 forms by November 30 (i.e., the mandatory declination), or who were not vaccinated and repeatedly failed to mask. While the discipline alone did not result in termination, it was considered in performance evaluations and could result in an employee being considered “below standard.” Employees in this status were ineligible for annual raises or any financial incentive.

    Many of these strategies could be readily implement in Australian healthcare facility influenza vaccination programs.

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    PO Box 5202
    Middle Park
    Victoria, 3206
    Australia
    M: +61 404 816 434
    infexion@ozemail.com.au
    ABN 47533508426

    Hi Kirsten,
    Thanks for your response. Sending a text message is a great idea for contacting the casual and part timers, maybe not only asking for those who have had their jab elsewhere, but to remind them of when clinics are being held. We will definitely add that to our influenza vaccine planning for next year.

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au

    Hi Kathy

    Where I am is small and we have a significant part time/casual workforce. We found that MANY of our staff had been vaccinated elsewhere and weren’t letting us know. We sent out a text message to all our part time and casual nurses asking them to contact me if they had received their flu vax elsewhere. We increased our compliance by over 10%!

    Kirsten Amos
    Nurse Consultant
    Infection Prevention and Control
    Gippsland Southern Health Services

    Thanks Cathy,
    I agree that getting the managers to assist is the way to get buy-in, but I also like your idea of a prize draw – might hit up my exec for something good next year.

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au

    Katherine, we have had a lot of support from the executive team to achieve our current rate of 79%. We have broken down all staff into ward /departments lists and the managers were receiving weekly updates of progress within their department. As the number of vaccinated staff increased we then narrowed it down to those who have not been vaccinated. All unit managers were expected to assist us in ensuring that every staff member has either been vaccinated or has signed the declaration form formally declining the vaccine. We have around 950 staff on 2 sites for purposes of the influenza campaign. We have a major prize draw at the end of the season for staff who have been vaccinated. This has been in place for several years and alone didn’t assist that much in reaching our target. Last year we failed to reach 75% so the strategies this year really worked. It has, of course, come with the expense of great time and effort on the behalf of the infection control staff who are both nurse immunisers.

    Cathy Mowat
    Infection Control
    Central Gippsland Health Service
    Sale Victoria

    Dear AICALIST members,
    From July last year any new starters at our hospital sign that they agree to have the vaccines that are recommended in the Australian Immunisation Handbook for their designation, and now our executive are toying with the idea of making influenza vaccination compulsory for all of our staff next year.

    With a lot of effort this year -lots of flu jab clinics, lollypops & bright stickers for ID swing tags on vaccination, “grab a snag & get a jab” BBQ lunch, free pizza lunch for wards/areas with compliance above 80% – we have a compliance rate of 72% of staff either vaccinated or who have signed an opt-out form declaring that they have been offered the influenza vaccine, but decline for whatever reason. I think this compliance rate is pretty good – certainly better than the compliance in previous years.

    I would like to know what everyone else is doing out there. What has worked and what has not?

    Is influenza vaccination compulsory at your facility? Is it something your exec team is considering?

    What do you consider to be an acceptable vaccination rate in your healthcare facility?

    Is there any penalty for staff who are not vaccinated, e.g. unimmunised staff wearing mask at work during winter?

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au

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    in reply to: Dog Therapy #72292
    brett.mitchell@avondale.edu.au
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    I see that SHEA issued a position statement on this earlier in the year. Prof Weber, an author, is presenting in this topic at this years conference for anyone interested.

    Thanks
    Brett

    Associate Professor Brett Mitchell
    Avondale College
    Ph 02 9480 3613

    Sent from my iPhone

    On 17 Jul 2015, at 3:30 pm, Jayne OConnor <Jayne.OConnor@SAH.ORG.AU> wrote:

    Hi Louis,

    We have pet therapy program happy to share will forward our policy to you.

    Jayne

    Jayne OConnor RN, BSc.Inf.Cont.
    Acting Co ordinator IPC
    Sydney Adventist Hospital
    185 Fox valley Rd,
    Wahroonga 2076

    Dear All

    Wondering if anyone might have a pet therapy/visitation policy that they would be willing to share. Our rehab campus are wanting to allow an external organisation to bring dogs into the hospital. Love to hear from people who are running such a program. Thanks

    Kind regards

    Louis Geri | Infection Prevention & Control Clinical Coordinator
    Cabrini Health
    183 Wattletree Rd, Malvern VIC 3144
    Ph 0417 166 481 | 9508 1632 | Fax: 9508 8563 | lgeri@cabrini.com.au

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    in reply to: Non-payment for non-performance and BSIs #72124
    brett.mitchell@avondale.edu.au
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    Hi Michael and Cath,

    Very interest topic. It is also worth noting the value of released bed days from infections prevented. There are some good papers on this, including one by Andrew Stewardson, Nicholas Graves and Stephan Harbarth – http://journals.cambridge.org/action/displayAbstract?fromPageonline&aid9497698&fileIdS0195941700094418

    You may be interested to hear that this theme and variations thereof, are being explored in ACIPC conference this year. Andrew, Nick and Stephan are presenting at this conference. There is also a moderated discussion being led by an ABC presenter which will discuss the merits and issues in a similar theme to the one raised. This discussion with include the CEO of the NHPA. More on this to come……

    Going to the point of LOS, as you will both know, it is critical such calculations of excess LOS due to an infection are done correctly. All too often the wrong analysis is undertaken. Adrian Barnett will be talking about this during the conference as well.

    Thanks

    Brett

    Associate Professor Brett Mitchell
    Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
    Faculty of Nursing and Health and Director Lifestyle Research Centre, Cooranbong

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia

    [Posted on behalf of Robert Lansdown, advertising material removed as per Rules – Moderator]

    Hi Cath,

    I’ve always taken a keen interest in funding mechanisms and in particular ‘non-payment for non-performance’ mechanisms for HAIs and I researched the topic fairly extensively back in early 2013 prior to writing the attached article for our IPH Advisor newsletter (as Mayo Healthcare before our transformation to Teleflex Medical Australia). The article summarises the Australian ABF system as it was at the time and international experiences with performance incentives or penalties.

    At the time of writing (Jan 2013) I was of a similar view that such mechanisms were almost inevitable. The adoption of ABF systems at state level, introduction of NSQHS standards and increased use of CHADx groups (Aus developed Classification of Hospital Acquired Diagnoses) all suggest that we’re moving in the right direction towards greater accountability and non-payment for non-payment mechanisms. Unfortunately my experience at a ABF 2013 conference session with reluctance from states to embrace such mechanisms and the recently weakened position of the IHPA (Independent Hospital Pricing Authority) due to changes to the ABF system brought about by the 2014 budget make it seem unlikely in the foreseeable future.

    It’s my view that a reduction in ALOS will continue to be the most compelling argument for investment in HAI prevention strategies for some time to come. It’s a simple concept but with credit to Prof Stephen Duckett and the ABF 2013 conference for the slide, the current ABF system and payment based on DRG groups enables units to take any patient movement before the mean LOS (i.e. discharge between the low boundary inlier and mean) as a ‘profit day’ by freeing up bed space for extra admissions.

    A favourite topic of mine so happy to chat offline if I can be of assistance!

    Kind regards,

    Robert

    Robert Lansdown | Product Manager
    Teleflex Medical Australia & New Zealand
    M: +61 448 115 274 | Customer Service: 1300 360 226 | W: http://www.teleflexmedical.com.au
    Building B, Level 4 – 201 Coward Street, Mascot NSW, 2020, Australia

    —–Original Message—–

    I have recently been asked about current financial incentives and disincentives related to bloodstream infection. Ducker and colleagues published some great articles around this issue about 2 years ago in MJA and suggested it was likely if not assured that hospital funding would soon be linked to performance data including HAIs and in particular BSIs. I have references if anyone is interested. This is reminiscent of the route the US Centers for Medicare and Medicaid adopted during my APIC Presidency.

    My understanding of this so far is that perhaps Queensland is the only state in which public hospitals are financially rewarded or penalised for being within or outside of BSI thresholds respectively. Could QLD members please confirm if this is the case and if so describe the incentive/ penalty. I am also keen to here if other states have adopted or plan to adopt a similar approach for BSI and/or other HAIs.

    My understanding could be very flawed but I would appreciate insights and clarification around the process. I am happy to discuss the pros and cons of this approach and how APIC responded and the role it adopted offline, my contact details are below.

    Regards and thanks

    Cath

    Dr Cathryn Murphy RN MPH PhD CIC

    Executive Director

    Infection Control Plus Pty Ltd

    http://www.infectioncontrolplus.com.au

    Cath@infectioncontrolplus.com.au

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    brett.mitchell@avondale.edu.au
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    brett.mitchell@avondale.edu.au

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    brett.mitchell@newcastle.edu.au

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    Agree. Metrics are very important, especially in the case of UTIs/CAUTIs if catheter utilisation is the denominator. An intervention may be aimed at reducing catheter usage but you may see an increase in infection rate if this was to occur – with all things being equal.

    Thanks
    Brett

    Associate Professor Brett Mitchell
    Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
    Faculty of Nursing and Health and Director Lifestyle Research Centre, Cooranbong

    Avondale College Ltd trading as Avondale College of Higher Education
    ACN: 108 186 401 | ABN: 53 108 186 401 | CRICOS: 02731D | TEQSA: PRV12015
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia
    Telephone: 02 9480 3613 (Sydney Campus Tues-Thurs)| 02 4980 2397 (Lake M Monday) Fax: 02 9487 9625

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kevin Kavanagh
    Sent: Wednesday, 25 March 2015 11:07 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Fwd: Denominator Doesn’t Matter: Standardizing Healthcare-Associated Infection Rates by Bed Days or Device Days.

    I believe the key here is that device utilization did not change over time. However, if for example urinary catheter utilization would have dropped, then there would be less infections and the two metrics would have had different results.
    Kevin

    Kevin Kavanagh, MD, MS
    Health Watch USA
    Lexington Kentucky, USA
    606-874-3642

    ———- Forwarded message ———-
    From: Juraja, Marija (Health) <Marija.Juraja@health.sa.gov.au>
    Date: Tue, Mar 24, 2015 at 7:39 PM
    Subject: Denominator Doesn’t Matter: Standardizing Healthcare-Associated Infection Rates by Bed Days or Device Days.
    To: AICALIST@aicalist.org.au

    Interesting paper where the findings show that device days and bed days are equally effective for comparing HCAI rates between hospitals with device utilisation i.e. CLABSI.
    http://www.ncbi.nlm.nih.gov/pubmed/25782986

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (RN, GCNS Inf Ctrl, CICP)
    Infection Prevention & Control Unit| Division of Acute Medicine
    The Queen Elizabeth Hospital | Central Adelaide Local Health Network
    Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
    t: +61 8 8222 7588| p: 47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au

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    in reply to: Moving into a new building #71907
    brett.mitchell@avondale.edu.au
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    brett.mitchell@avondale.edu.au

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    brett.mitchell@newcastle.edu.au

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    Hi everyone,

    Fiona is also talking about this topic and her experience at this year’s ACIPC conference in Hobart.

    Thanks

    Brett

    Associate Professor Brett Mitchell
    Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
    Faculty of Nursing and Health and Director Lifestyle Research Centre, Cooranbong

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia

    Hi Rita,

    When we moved into the new building we undertook the following process’

    Builders clean, Terminal clean, IPC inspection and approval to move into the area
    Any equipment that was moved across had to be thoroughly cleaned prior to moving.
    Consumables were allowed to run down on the wards prior to the move and their transfer across to the new ward was assessed by IPC. Any consumable that has been opened and partly used e.g. gloves, soap, gel, syringe boxes were not taken in to the new area. A sealed box of consumables was allowed to be moved across. Any consumables that were not for transfer were given to the education department for use in training.

    One issue that we had was the need to go in to “fix’ things after the terminal clean had been completed. We activated our usual ‘live ward’ policy and IPC risk assessment for these works to ensure that the ward remained protected.

    Happy for you to call and chant about our process.
    Kind regards.

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

    Dear All,
    My hospital has had construction done for new operating theatres, surgical wards and CSSD. The construction is complete and we are beginning the process of moving. I would greatly appreciate your assistance in giving me information on the steps to be taken once all construction is complete and prior to moving into a new building. I understand that there are two cleans to be done, following which an inspection has to occur by IPAC CNC. Can you share with me the “dos and don’ts” of moving especially backed by policies?
    Many thanks,
    Rita
    Rita Roy

    Clinical Nurse Consultant | Infection Control
    Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
    Tel (02) 9477 9232 | Fax (02) 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D

    [Description: 5 moments hand hygiene]

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    in reply to: Re: hand hygiene poster for patients #71716
    brett.mitchell@avondale.edu.au
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    brett.mitchell@avondale.edu.au

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    brett.mitchell@newcastle.edu.au

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    Hi Linda,
    The TIPCU have a range of posters on their website – http://www.dhhs.tas.gov.au/peh/tasmanian_infection_prevention_and_control_unit/information_for_healthcare_workers/hand_hygiene_for_healthcare_workers/hand_hygiene_posters
    Several of these (under the heading “posters for public areas..” focus specifically on the empowerment of patients.
    Thanks
    Brett

    Associate Professor Brett Mitchell
    Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
    Faculty of Nursing and Health And Lifestyle Research Centre, Cooranbong

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia

    Hi Linda,
    We have been running an “Its OK to ask ” campaign – to empower patients to remind staff to wash their hands. We have various slogans that we rotate, I have attached an example.
    Happy to share.
    regards
    Janine Carrucan
    RN B AppSci MPHTM GradCertEd MAdvPrac (Infection Prevention & Control) CICP
    Nursing Director
    Infection Prevention & Control
    The Townsville Hospital & Health Service
    PO Box 670 Townsville Qld 4810
    DECT 4433 3606 Mob: Speed Dial *5838. 0431930929

    Hi

    Does anyone have a poster that they would share with me that is for the patient to remind healthcare workers to practise hand hygiene?

    Regards

    Linda

    Linda McCaskill
    ACHA Infection Control Manager
    Ashford Hospital
    ph (08) 8375 5209 or ext 4209
    (Mon-Thurs)

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    in reply to: Healthcare Infection – Themed edition #71472
    brett.mitchell@avondale.edu.au
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    brett.mitchell@avondale.edu.au

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    brett.mitchell@newcastle.edu.au

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    Hi everyone,

    Just a reminder about Healthcare Infection’s themed edition on “Infection control outside the hospital”. Submissions for this edition are due, so please submit your article as soon as possible if you wish to be considered for this edition.

    Themed editions over the past 2-3 years have been very popular with readers, so this is a great chance to have your work shared.

    We are interested in receiving submissions including, but not limited to infection control research in the following settings:

    – Residential and aged care

    – Community

    – Population based studies

    – Dentistry

    – Allied health

    – Ambulance

    – Educational settings (including Tertiary)

    – General practice

    – Correctional services

    If you have any queries, please let me know. For those of you on Twitter, don’t forgot to follow @HealthcareInfec to get the latest news and updates on Healthcare Infection related research.

    Regards
    Brett

    Dr Brett Mitchell
    Editor-in-Chief
    Healthcare Infection

    [Healthcare Infection 2]

    Official Publication of the Australasian College for Infection Prevention and Control

    CSIRO PUBLISHING PO Box 1139 (150 Oxford Street) Collingwood, Vic. 3066 Australia
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    in reply to: CAUTI definition #71184
    brett.mitchell@avondale.edu.au
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    brett.mitchell@avondale.edu.au

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    brett.mitchell@newcastle.edu.au

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    Hi Fiona,

    Edition 1 of Healthcare Infection this year has a protocol paper to UTI point prevalence studies. It includes an evaluation of a European & CDC definition & makes recommendations for Australia.

    We also have another publication coming out in the BMJ open in the next couple of weeks, that hassle further detail on other points. I can email this offline if you like.

    Thanks
    Brett

    Dr Brett Mitchell
    Avondale College of Higher Education
    Faculty of Nursing & Health

    Sent from my iPhone

    On 10/07/2014, at 1:24 PM, “Fiona de Sousa” <Fiona.DeSousa@SAH.ORG.AU> wrote:

    Hi All,

    We are currently reviewing what definitions to use for assessing health care associated UTI / CAUTI. I would like to know what definitions others are using to classify these infections.

    Kind regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

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