From: UHC [uhc@advansiv.com]
Sent: Monday, January 22, 2007 5:31 PM
To: Ferraro,Jack F.
Subject: Nursing E-News, January 22, 2007
www.uhc.edu University HealthSystem Consortium
Nursing E-News January 2007
IN THIS ISSUE:
Novation, Alliances Encourage FDA to Implement ID System for Medical Devices
Registration Deadline Extended for Novation/KCI Pressure Ulcer Study
Contract Value Assessor Adds I.V. Catheter Category
Mölnlycke Offers Wound Care Customized Protocol
APIC Grand Rounds and Webinar Series: Elimination of MRSA Transmission
Joint Commission Seeks Input on 2008 National Patient Safety Goals
Latest Novation Budget Impact Projections Report Now Available
New and Emerging Technology Update
Pharmacy E-News Highlights
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Novation, Alliances Encourage FDA to Implement ID System for Medical Devices

Novation, VHA and UHC jointly submitted a letter to the U.S. Food and Drug Administration in November to encourage the agency to implement a regulated, mandatory, unique device identification -- or UDI -- system for medical devices, similar to the FDA's National Drug Code system for pharmaceuticals.

Novation and the alliances stated that the implementation of a mandatory global nomenclature would help improve patient safety, reduce medical errors, facilitate device recalls, improve device adverse event reporting and positively affect supply chain operational efficiency.

In addition to the letter, on Oct. 25, Cathy Denning, Novation senior director, contract and program services, presented at the FDA's public meeting on behalf of Novation and the alliances in support of unique device identification.

Given the significant effect that a regulated, mandatory UDI system would have in the health care industry, Novation, VHA and UHC vowed to work in cooperation with regulatory agencies and suppliers to further the adoption of a universal identification system for medical devices.

For more information, contact Denning at (972) 581-5041 or cdenning@novationco.com

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Registration Deadline Extended for Novation/KCI Pressure Ulcer Study

The registration deadline for the 2007 Novation/KCI National Prevalence and Incidence Study has been extended through Feb. 15.  

All VHA and UHC acute and extended care facilities are invited to participate in the study. You may register online at: http://www.kci1.com/1036.asp or by e-mail at teleforms@kci1.com

Data collected during the past eight years provide a nationwide database to help the health care industry better understand community- and hospital-acquired pressure ulcers. The data must be collected in March to be included in the national database reports.  

In addition, facilities pursuing magnet status or that are magnet-designated may use the data-collection form for this study to collect data for the National Database of Nursing Quality Indicators quarterly prevalence submission. The NDNQI is a proprietary database of the American Nurses Association.

For more information, contact Robin Briones, KCI outcomes process manager, at (800) 275-4524, ext. 56332, or robin.briones@kci1.com.

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Contract Value Assessor Adds I.V. Catheter Category

Members can analyze potential line-item savings with Novation's new I.V. catheter agreements, MS70061 and MS70062, by using the Contract Value Assessor on Marketplace@Novation®.

For more information about these contracts, contact Pat Baxter, Novation product manager, at
(972) 581-5446 or pbaxter@novationco.com; or one of the following:
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Mölnlycke Offers Wound Care Customized Protocol


Mölnlycke is offering members a customized protocol for wound care. The Mölnlycke Health Care Customized Protocol provides a good comprehensive guide to direct clinicians on how to manage wounds based on conditions.

Products are selected by the facility according to preference and performance and then integrated into Mölnlycke's wound management by condition guideline. The flexibility of the customized protocol allows the addition of products from other suppliers in addition to the Mölnlycke wound care products.

More information on this supplier program can be found on Marketplace@Novation®. Mölnlycke provides its Safetac® soft silicone technology products to members through Novation contract MS50280.

To find out more about how you can develop your facility's customized protocol and learn more about Mölnlycke Health Care wound care products, contact your local representative by calling (800) 882-4582 or visit Mölnlycke 's Web sites, www.molnlycke.com and www.safetac.com.

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APIC Grand Rounds and Webinar Series: Elimination of MRSA Transmission

The Association of Professionals in Infection Control and Epidemiology is hosting a series of grand rounds on the topic, "Elimination of MRSA Transmission." These programs are sponsored by Becton, Dickinson and Co. and will feature leading experts in infection prevention, infectious disease and epidemiology.

Upcoming grand rounds are scheduled for:
  • March 6 -- St. Louis

  • March 27 -- Dallas

  • May 1 -- New York City
To register, visit: www.apic.org/grandrounds.

In addition, BD will sponsor a series of free webinars on this topic. These webinars will be available as a recorded event 24 hours after the live event. Scheduled webinars include:
  • Designing a Program to Eliminate MRSA Transmission Part 1: Making the Clinical Case
    (Dec. 6, recorded)


  • Designing a Program to Eliminate MRSA Transmission Part 2: Making the Business Case (Jan. 10, recorded)

  • Achieving Workplace Cultural Transformation for MRSA Elimination (Jan. 24)

  • The Role of Surveillance in a Successful Program to Eliminate MRSA Transmission (Feb. 7)

  • The Role of Isolation and Contact Precautions in the Elimination of MRSA Transmission
    (Feb. 21)
To register for a webinar or view a recorded event, visit: https://apic.webex.com/mw0302l/mywebex/-default.do?siteurl=apic.

Novation plans to release a new clinical contract resource guide this month. This guide will provide an overview of the issues surrounding MRSA infections, a contract overview of the antibiotics used in the treatment of resistant gram-positive infections and results of a 2006 Novation gram-positive antibiotic survey, which examined key issues related to the marketed gram positive antibiotics as well as the treatment of MRSA.

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Joint Commission Seeks Input on 2008 National Patient Safety Goals

The Joint Commission on Accreditation of Healthcare Organizations has released a list of draft goals and requirements that will be considered for potential inclusion in the 2008 National Patient Safety Goals.  

The full text of the potential goals on the list is posted on the Joint Commission Web site. The deadline for comment is Jan. 26. 

For more information about the field review, contact Jennifer Hoppe, senior research associate, JCAHO Division of Standards and Survey Methods, at (630) 792-5936 or jhoppe@jcaho.org.

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Latest Novation Budget Impact Projections Report Now Available

Novation's latest Budget Impact Projections report is now available on Marketplace@Novation.

This semiannual report provides applicable price change forecasts of products and services purchased by member health care organizations, to assist members with planning and budgeting for their next fiscal year. As in previous editions, the national market price forecast and the Novation contract projections are available for several product categories, such as cardiology, anesthesia, orthopedics, medical-surgical supplies, nutrition and laboratory.

For more information, or to receive the report via e-mail, contact Jeff King, Novation market research project manager, at (972) 581-5074 or jking@novationco.com.

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New and Emerging Technology Update

Novation is dedicated to identifying new and emerging technologies. Below is a list of products and devices that are currently under review by Novation or being evaluated based on an innovative-technology claim from a manufacturer.

SUPPLIER PRODUCT DESCRIPTION
New Products
Johnson & Johnson Wound Management BIOPATCH antimicrobial dressing Antimicrobial dressing that provides protection against a broad spectrum of bacteria
Medivance Arctic Sun 2000 Skin-friendly, latex-free energy transfer pads that can decrease nursing time compared to standard water blankets and/or ice or circulating air blankets
Qlicksmart Pty Ltd Check Clip Device that attaches the empty ampule directly to the syringe and thus avoids potential labeling errors
Products Still Under Evaluation
CAS Medical Systems Inc. UltraCheck Colors -- PVC-free Reusable cuffs made from comfortable, durable, coated nylon taffeta. They are latex-free and the only PVC-free cuff available
Ceres Products Inc. Sensi-liners Glove liners with finger holes for tactile sensitivity
Smart Caregiver Corp. Change pad indicator fall alarm monitor Fall alarm monitor with change-pad indicator
Viasys Medsystems Navigator bionavigation system External hand-held locating instrument to permit accurate tip placement of PICC/CVC catheters by infusion teams
Bard Access Systems Sherlock catheter tip location system System that quickly locates and confirms the position of specially designed PICCs and CVCs during initial placement

If you are interested in providing feedback on these or other products, or would like to recommend a product that Novation should evaluate as new medical technology, visit the New Medical Technology area on Marketplace@Novation®.


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Pharmacy E-News Highlights

Dec 14, 2006
  • Heparin Prescribing Information Updated to Include Possibility of Delayed Onset HIT

    FDA and Baxter notified health care professionals of revisions to the Warnings section of the prescribing information for heparin to inform clinicians of the possibility of delayed onset of heparin-induced thrombocytopenia, or HIT, a serious antibody-mediated reaction resulting from irreversible aggregation of platelets. HIT may progress to the development of venous and arterial thromboses, a condition referred to as heparin-induced thrombocytopenia and thrombosis, or HITT.


    Thrombotic events may be the initial presentation for HITT which can occur up to several weeks after the discontinuation of heparin therapy. Patients presenting with thrombocytopenia or thrombosis after discontinuation of heparin should be evaluated for HIT and HITT.

    Read the complete MedWatch Safety summary, including links to prescribing information for heparin regarding this issue at: http://www.fda.gov/medwatch/safety/2006/safety06.htm#-Heparin

  • FDA Warns of Dangers with Compounded Topical Anesthetic Creams

    The Food and Drug Administration notified health care professionals and consumers about the serious public health risks related to compounded topical anesthetic creams. FDA issued warning letters to five firms to stop compounding and distributing standardized versions of topical anesthetic creams, marketed for general distribution.


    Exposure to high concentrations of local anesthetics, like those in compounded topical anesthetic creams, can cause grave reactions including seizures, irregular heartbeats and death. Compounded topical anesthetic creams are often used to lessen pain in procedures such as laser hair removal, tattoos and skin treatments. They may be dispensed by clinics and spas that provide these procedures, or by pharmacies and doctors' offices.

    Read the complete 2006 MedWatch safety summary, including a link to the FDA press release at: http://www.fda.gov/medwatch/safety/2006/-safety06.htm#compound.
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Disclaimer: This document has been compiled based on information gathered from many primary and secondary sources, which UHC and Novation believe to be accurate to the best of their knowledge. It is intended as general information only and is provided as an accommodation to the members, however, and not as an authoritative basis for specific clinical decisions. Use of this data is at your sole risk. This information is presented "AS IS" and without any warranty or guarantee, expressed or implied, as to completeness or accuracy, or otherwise. As always, clinical decisions on behalf of any individual patient should be made by the attending physician.