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INFECTION PREVENTION


(AAAASF) is another or- ganization ASCs look to for keeping the bar high on patient care in the outpa- tient setting. Gary Brown- stein, MD, Vice President of Education, talked about the organization’s purpose


stein. “Our accreditation programs help facilities demonstrate a strong commitment to patient safety, standardize quality, pro- mote services to patients, and collaborate with other healthcare leaders.” Brownstein said AAAASF requires that


Gary Brownstein


and AAAASF’s goals for ASCs, both of which center on creating a safer patient environment and experience. “The mission of AAAASF is patient safety,” said Brown-


ASCs hold offi ce-based surgery settings to hospital standards with board-certifi ed surgeons who have hospital privileges for any procedure performed and employ an- esthesia professionals for deeper levels of anesthesia. ASCs must also provide a safe


surgical environment, equipment, drugs, etc., through specifi c standards regarding hand hygiene, asepsis, sterilization, and sterile supplies, etc., and must implement peer review (peer oversight) and tracking of data (complications, mortalities, etc.). “At AAAASF, we believe there should not be a gap between acute versus non-acute facilities,” asserted Brownstein.


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REFERENCE: 1. Marchaim D, et al., Hospital bath basins are frequently contaminated with multi-drug resistant human pathogens. Poster presented at SHEA 21st Annual Scientific Meeting, April 2011. 2. Johnson D, Lineweaver, Maze L, Patients’ bath basins as potential sources of infection: a multi center sampling study, AJCC, Vol 18, No 1, Jan 2009.


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Hygienic Bathing


Meatal Cleansing


Technology aids compliance Ensuring ASCs are in compliance with ac- creditation organizations’ standards is no small task. To help keep its ASCs effi cient and compliant with accreditation organiza- tions’ standards, Mercy, a health system in Missouri with 700 physician practices and outpatient facilities, uses advanced analyt- ics technology. Betty Jo Rocchio, CRNA, MS, Vice President of Perioperative Per- formance Acceleration at Mercy, explained that making an abundance of easy-to-access data available to caregivers supports efforts to follow best practices at all times. “Mercy’s analytics program, powered by SAP, provides a custom perioperative dashboard that enables monitoring and tracking of all surgical implants across Mercy’s seven ASCs in four states,” said Rocchio. “This includes visualization of implant use for clear insight delivered the next day and granular detail into regula- tory- and compliance-related information. For example, the dashboard shows all the details related to implants and allows them to be tracked to specifi c patient data in our electronic health record. All of this infor- mation is readily available for extract and reporting for any regulatory or compliance organization or for when there is a national recall. With Mercy’s dashboards, we can quickly and dynamically group and fi lter based on criteria such as physician and procedure type for leaders to easily identify variance and determine standards in sup- plies based on the best cost and outcome.


Mercy’s analytics program dashboard


“Mercy uses the dashboard to identify best practices through a transparent ap- proach that creates visibility into outcomes and cost per case across Mercy’s regions, locations, and physicians, down to the im- plant used,” continued Rocchio. “Tracking


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