Hospitals

Improve Quality of Care:

 With Percuvision reduce the incidence of:

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Catheter associated urinary tract infections (CAUTI)

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Urosepsis

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Incidental inflation of the balloon in the urethra

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Chronic stricture disease

Happy hospital staff

The Joint Commission, CDC and HICPAC agree that instrumentation of the urethra is the primary cause of urinary tract infections.

Direct visualization of the urethra during insertion of catheters, with the recognition that damage to the urethra can occur with blind insertions, leading to risk of infection.

The National Quality Forum (NQF), a leading organization focused on patient safety, under Safe Practice 25: Catheter-Associated Urinary Tract Infection Prevention

Save money by Reducing Blind Placement Procedures for DUC

Save money by Reducing Blind Placement Procedures for DUC

Current steps include:

  • 1st attempt/procedure: First Nurse attempt with standard catheter and kit
  • 2nd attempt/procedure: Second Nurse attempt with a second standard catheter and kit, and coudé (specialty catheter)
  • 3rd attempt/procedure: Resident/urologist with coudé and kit
  • 4th attempt/procedure: Resident/urologist with flexible cystoscope (assessment)
    • Flexible cystoscope, guidewire and council tip coudé catheter (placement)
  • 5th attempt/procedure: Urologist with rigid cystoscope in the operating room and or alternatively
  • 6th attempt/procedure: Resident/urologist/radiologists places a suprapubic catheter
Doctors and Patient

If the injuries caused during blind insertions at the first two stages could be eliminated, urologist uniformly agree that many urological procedures (stages 3-6) are avoidable. These procedures involving urologists are the most expensive. In contrast to the traditionally expensive multi-provider, multi-step process for blind DUC placements, DirectVision® is typically a one-provider, one-procedure solution.

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Avoiding Catastrophic Events and Future Corrective Surgeries

One balloon inflation in the urethra or one Urosepsis per year can cost $40,000 to $50,000 per case (assuming the hospital does not face a mortality event)

Future corrective surgeries caused by injuries during blind placement (instrumentation) can range from $8,000 to $17,000.

Using DirectVision® System can help you avoid all this, plus with what you save you can buy all supplies for a year.

For more information, see Incidence of Foley Catheter Related Urethral Injury, Scott and White, Temple TX.

Positive Net Incremental Revenue per Procedure of approximately $300 per procedure.

Within the Emergency Department, the cost of goods for the hospital to place a DirectVision® catheter is $248, which is less than half of the national unadjusted CMS facility fee of $548.  This difference yields net incremental revenue per procedure of $300.  In addition, there is the physician professional fee of $129, with mid-levels billing at 85% when the  hospital employs the professionals. The third component of revenue is the applicable E/M consultation fee, which is approximately $85.

Prevent Future Hospital Acquired Conditions (HAC) Penalties

The CMS penalizes hospital that have a Hospital-Acquired Condition (HAC) score of 7 or more.  As part of the penalty program, hospitals are fined one percent of their Medicare net patient revenue which can cost hospitals millions annually. CAUTI is about 32% of the HAC formula, and with DirectVision®, providers have the ability to avoid trauma and injury, which is one of the highest risk factors for CAUTI.

Let's change the Perception