Blood and Marrow Transplant Environmental Cleaning (BMTEC) Project
- To ascertain the methods by which units are cleaned (e.g. frequency and process), resourcing, training, and education of environmental service personnel and clinical governance;
- To facilitate compliance with the Environmental Cleaning Policy NSW (PD2012_061) in regard to external auditing.
- To measure and benchmark the level of cleanliness of the transplant wards of the BMT Network.
- To inform quality improvements in environmental cleaning standards in BMT/Haematology units (an extreme-risk functional area).
- To assess sustainability of improvements made.
With the support of the BMT Network Council and ACI, the BMTEC project provides the following benefits:
(i.) Enhanced compliance with the Environmental Cleaning Policy NSW (PD2012_061).
The categorisation of risk in the Policy provides a basis for recommendations of frequency and minimum cleaning standards for each functional area. Additionally, the policy outlines measures to evaluate cleaning outcomes and the acceptable levels of quality that should be achieved for a given category of risk. The BMTEC’s external cleaning audits provide feedback on the adequacy of environmental cleaning and areas for improvement, as measured against the Environmental Cleaning Policy.
(ii.) Support activities toward National Safety and Quality Health Service Standards (NSQHS) and Hospital Accreditation.
The Australian Commission on Safety and Quality in Health Care (ACSQHC) has developed 8 NSQHS standards to promote the quality and safety of health service provision in Australia. The governance of cleaning services, gauging consumer expectations, and the implementation of cleaning standards of environmental hygiene make environmental cleaning an issue that cuts across multiple NSQHS standards. The BMTEC project addresses these three critical areas of the NSQHS standards.
(iii.) Respond to concerns brought to the Health Care Complaints Commission (HCCC) regarding complaints about the hospital environment and management of facilities
The BMTEC project will support improvements in environmental cleaning, with a goal of reducing patient complaints.
(iv.) Help minimise health care costs and hospital-associated infections (HAIs).
Measures to contain or eradicate HAIs cannot be fully effective without attention to environmental cleaning, as many HAIs persist in environmental reservoirs.
The Blood and Marrow Transplant Network and the Agency for Clinical Innovation (ACI) recognise that hospital cleanliness serves many purposes. A clean environment is a key strategy to minimise hospital-associated infections (HAIs), provides a safe environment for staff, patients and visitors and reflects the philosophy of the hospital’s care and concern.
This initiative has the full support of LHD Chief Executives and has the portability across other high-risk areas such as Burns, ICU and Renal.
The BMT Network of the Agency for Clinical Innovation has collaborated with Health Care Association Infections, Clinical Excellence Commission (CEC) throughout the BMTEC project. In 2018 the BMT Network will work with CEC to review the environmental cleaning audit tool and the NSW Environmental Cleaning Policy (PD061_2012). It is anticipated the audit tool will be available electronically via the CEC Quality Audit Reporting System.
|August 2013|| |
1st Round External Audits of Cleaning Practice - All BMT Units in NSW.
|May 2014|| |
2nd Round External Audits of Cleaning Practice - All BMT Units in NSW
3rd Round External Audits of Cleaning Practice - All BMT Units in NSW
Environmental Cleaning Internal Auditor Training
Follow-up external audits of cleaning practice
4th round external audits.
All LHDs with BMT Units (15 in total) participating in the external audits of cleaning practice:
|Central Coast Local Health District||Gosford Hospital|
|Hunter New England Local Health District||Calvary Mater Newcastle|
John Hunter Children's Hospital
|Illawarra Shoalhaven Local Health District||Wollongong Hospital|
|Nepean Blue Mountains Local Health District||Nepean Hospital|
|Northern Sydney Local Health District||Royal North Shore Hospital|
|South Eastern Sydney Local Health District||Prince of Wales Hospital|
St George Hospital
|South Western Sydney Local Health District||Liverpool Hospital|
|Sydney Children's Hospital Network||The Children's Hospital at Westmead|
Sydney Children's Hospital
|Sydney Local Health District||Concord Repatriation General Hospital|
Royal Prince Alfred Hospital
|Western Sydney Local Health District||Westmead Hospital|
Key Date (location) Pilot Site Implementation Site
The project has spanned over 5 years and demonstrated sustained improvement to unit cleanliness across the BMT Network. A survey of the directors of clinical governance, nurse unit managers and environmental cleaning managers is planned in 2018 to assess the change of practice since the initiation of the project. In addition a sixth round of external audits will be conducted.
Clinical Excellence Commission Environmental Cleaning Standard Operating Procedures and Audit tool
- NSW Health CEC. Environmental Cleaning Policy, PD2012_061. 2012
- Care ACoSaQiH. National Safety and Quality Health Service Standards. 2017
- Commission HCC. Protecting the Health and Safety of the Public. Annual report 2011–12.
BMT Network and Quality Manager
02 9464 4628
BMT Network Project Officer
02 9412 8215
Page Top | Added: 8 November 2013 | Last modified: 20 April 2018