The following article originally appeared in HPAC Engineering and was written by Ron Rajecki, senior editor.
Muskogee Community Hospital, a rural, 45-bed hospital in Muskogee, Okla., may seem to be an unlikely place for ultraviolent germicidal irradiation to take an evolutionary leap. However, the unassuming, 2-year-old, 100,000-square-foot hospital is using UVGI in a unique way that may someday be adopted by many other healthcare facilities.
Ultraviolet lights have been used for years to kill microorganisms and prevent the buildup of dust, dirt and contaminants on coils in HVAC systems. UV light fixtures have become a routinely ordered component of HVAC systems, particularly in hospitals and other healthcare applications.
Though UVGI is commonly used on the coils of hospital HVAC equipment, Muskogee Community Hospital has taken the technology to the next level and installed UVC lights to sterilize its seven operating rooms and procedure rooms every night.
Mark Roberts, president of Muskogee Community Hospital, said the inspiration for the custom-designed UVGI system came from one of the facility's doctors, who told him of a portable UV sterilization unit that could be wheeled from room to room.
"I was intrigued by the idea, but I wasn't thrilled about a portable unit that might be easy to knock over and damage," Mr. Roberts said. "I asked our on-site mechanical engineer about the technology and asked him to design something that could be permanently mounted in the ORs and procedure rooms. We're the first hospital in the country — and perhaps the world — to be using UV in 100 percent of our HVAC systems and 100 percent of our operating and procedure rooms."
The system was designed with assistance from Steril-Aire, a manufacturer of UV lights for HVAC applications.
"Our engineer worked with the Steril-Aire people, and they went through several derivations of the idea," Mr. Roberts said. "They took into account what the light fixtures should look like, where they should be located in the ceiling, and how long they need to be in to get the benefit of sterilizing the surfaces in the room."
According to Mr. Roberts, when you're breaking new ground, it can be difficult to know if the ground has been broken or not."
The facility was using the lights after hours for eight hours per room per day, but it was not clear what, if any, effects they were causing.
"We had only been open for about a month, and we had all the engineering data on what the lights were supposed to be accomplishing, but you really don’t' know the bottom line because it's all speculative," Mr. Roberts said.
Evidence that the lights were having the desired germicidal effect came from an Oklahoma Hospital Association study that found zero hospital-acquired infections at Muskogee Community Hospital over a span of 21 months.
The Medicare hospital-acquired-condition rate analysis reports on hospital performance on eight of the 10 Medicare HAC measures recognized by the Centers for Medicare and Medicaid Services as preventable HACs. The rate analysis recently was adopted by the federal Hospital Inpatient Quality Reporting Program, and the HAC rates will be published on the U.S. Department of Health and Human Services' Hospital Compare Website.
"Every hospital administrator strives for and dreams of a report with zero HACs," Mr. Roberts said. "We were thrilled with the findings, and it is all the more impressive because the study was done by a third party."
Such a report can have financial benefits to a healthcare facility as well. Beginning in October 2014, hospitals in the bottom quartile of risk-adjusted HAC rates will be subject to a 10 percent Medicare inpatient payment penalty.
The life of UV bulbs operating 24 hours per day, seven days per week in an HVAC system is roughly 9,000 hours, or one year. Because the hospital room is using the operating and procedure room sterilization bulbs five days per week for a maximum of eight hours per day, Mr. Roberts anticipates a four-year lifespan. The lights are made to fit into standard four-foot long ceiling light fixtures.
The UV-sterilized rooms are equipped with motion detectors and contact detectors in the doors to ensure the doors are closed and the rooms are unoccupied when the lights are operating.
Muskogee Community Hospital also uses Steril-Aire UVC emitters to continuously clean the coils and drain pans in its HVAC system, providing an effective inactivation method for surface and airborne microorganisms. In addition, the hospital boasts Leadership in Energy and Environmental Design Gold status.
Yet it is the effectiveness of the lights in the operating rooms that has begun to garner national attention. According to Mr. Roberts, a group that represents a major hospital chain recently visited Muskogee Community Hospital.
"They're impressed by the results we've achieved and are looking to incorporate this type of system into their facilities," he said.
For more information, visit www.steril-aire.com/hospital-air-purification.
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Muskogee Community Hospital, a rural, 45-bed hospital in Muskogee, Okla., may seem to be an unlikely place for ultraviolent germicidal irradiation to take an evolutionary leap. However, the unassuming, 2-year-old, 100,000-square-foot hospital is using UVGI in a unique way that may someday be adopted by many other healthcare facilities.
Ultraviolet lights have been used for years to kill microorganisms and prevent the buildup of dust, dirt and contaminants on coils in HVAC systems. UV light fixtures have become a routinely ordered component of HVAC systems, particularly in hospitals and other healthcare applications.
Though UVGI is commonly used on the coils of hospital HVAC equipment, Muskogee Community Hospital has taken the technology to the next level and installed UVC lights to sterilize its seven operating rooms and procedure rooms every night.
Mark Roberts, president of Muskogee Community Hospital, said the inspiration for the custom-designed UVGI system came from one of the facility's doctors, who told him of a portable UV sterilization unit that could be wheeled from room to room.
"I was intrigued by the idea, but I wasn't thrilled about a portable unit that might be easy to knock over and damage," Mr. Roberts said. "I asked our on-site mechanical engineer about the technology and asked him to design something that could be permanently mounted in the ORs and procedure rooms. We're the first hospital in the country — and perhaps the world — to be using UV in 100 percent of our HVAC systems and 100 percent of our operating and procedure rooms."
The system was designed with assistance from Steril-Aire, a manufacturer of UV lights for HVAC applications.
"Our engineer worked with the Steril-Aire people, and they went through several derivations of the idea," Mr. Roberts said. "They took into account what the light fixtures should look like, where they should be located in the ceiling, and how long they need to be in to get the benefit of sterilizing the surfaces in the room."
According to Mr. Roberts, when you're breaking new ground, it can be difficult to know if the ground has been broken or not."
The facility was using the lights after hours for eight hours per room per day, but it was not clear what, if any, effects they were causing.
"We had only been open for about a month, and we had all the engineering data on what the lights were supposed to be accomplishing, but you really don’t' know the bottom line because it's all speculative," Mr. Roberts said.
Evidence that the lights were having the desired germicidal effect came from an Oklahoma Hospital Association study that found zero hospital-acquired infections at Muskogee Community Hospital over a span of 21 months.
The Medicare hospital-acquired-condition rate analysis reports on hospital performance on eight of the 10 Medicare HAC measures recognized by the Centers for Medicare and Medicaid Services as preventable HACs. The rate analysis recently was adopted by the federal Hospital Inpatient Quality Reporting Program, and the HAC rates will be published on the U.S. Department of Health and Human Services' Hospital Compare Website.
"Every hospital administrator strives for and dreams of a report with zero HACs," Mr. Roberts said. "We were thrilled with the findings, and it is all the more impressive because the study was done by a third party."
Such a report can have financial benefits to a healthcare facility as well. Beginning in October 2014, hospitals in the bottom quartile of risk-adjusted HAC rates will be subject to a 10 percent Medicare inpatient payment penalty.
The life of UV bulbs operating 24 hours per day, seven days per week in an HVAC system is roughly 9,000 hours, or one year. Because the hospital room is using the operating and procedure room sterilization bulbs five days per week for a maximum of eight hours per day, Mr. Roberts anticipates a four-year lifespan. The lights are made to fit into standard four-foot long ceiling light fixtures.
The UV-sterilized rooms are equipped with motion detectors and contact detectors in the doors to ensure the doors are closed and the rooms are unoccupied when the lights are operating.
Muskogee Community Hospital also uses Steril-Aire UVC emitters to continuously clean the coils and drain pans in its HVAC system, providing an effective inactivation method for surface and airborne microorganisms. In addition, the hospital boasts Leadership in Energy and Environmental Design Gold status.
Yet it is the effectiveness of the lights in the operating rooms that has begun to garner national attention. According to Mr. Roberts, a group that represents a major hospital chain recently visited Muskogee Community Hospital.
"They're impressed by the results we've achieved and are looking to incorporate this type of system into their facilities," he said.
For more information, visit www.steril-aire.com/hospital-air-purification.
Related Articles on Infection Control:
8 Misleading Ventilator Associated Pneumonia Initiatives
PCORI Announces $96M Available for Patient-Centered Research
B. Braun to Display Advancements in Safety and Education at APIC
