WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...

<strong>WHO</strong> GUIDELINES ON HAND HYGIENE IN HEALTH CARE
Appendix 5.
Example of a spreadsheet to estimate costs
A spreadsheet for completion by an individual health-care
institution allows the input of local data and will indicate likely
cost savings over time. The example below is used in the
England and Wales “cleanyourhands” campaign. Values are for
the purposes of example.
Data in coloured cells can be changed
Data in coloured cells can be changed
Upfront costs
This is the estimated additional upfront
cost of
equipping each bed in your Trust with
alcohol rub
£2 351
HCAI information
Rate of HCAI (inpatient phase) 7.8%
Achievable reduction in HCAI 9.0%
Target reduction in HCAI 9.0%
Trust information
Number of general and acute care beds 500
Occupancy rate 85.4%
Total general and acute care admissions 20 000
Current annual deaths 18
Excess inpatient cost for those with HCAI 3 777
Current estimated HCAIs 1 560
Average QALYs lost (fatal infection) 7
Procurement
Do you intend to use PASA?
(choose Yes or No)
Yes
Average QALYs lost (non-fatal infection) 0.007
Additional costs incurred by patients (£) 6.9
Average additional primary care costs (£) 23.5
Hand hygiene compliance
Initial handwashing compliance rate 28.4%
Average costs of additional informal care (£) 149
Average production gains (£) 408
Target handwashing compliance rate
(after 5 years)
76.2%
Discount rates
Current usage and spending
Current annual alcohol rub usage (litres) 100
Discount rate – financial costs and benefits 3.5%
Discount rate – QALYs 1.5%
Current annual alcohol rub spend (£) 810
Current annual alcohol unit cost (£ per litre) 8.10
Current volume per 1000 patient-days (litres) 0.64
Current cost per 1000 patient-days (£) 5.20
Perspective
Perspective for evaluation (choose hospital
or society)
Hospital
PASA unit costs
£ per litre 6.40
PASA = Purchasing and Supply Agency;
QALY = quality-adjusted life year.
Prospective
New alcohol gel unit cost 6.40
Volume per 1000 patient-days 6.49
Final annual alcohol gel usage (litres) 1 011
Final annual alcohol gel cost
(£, at current unit costs)
8 193
Final annual alcohol gel cost (£) 6 474
Central campaign costs
Costs of posters, etc. –
average cost per bed (£)
2.56
250