1. Effective Donations and Equipment Management Pass It On Center AFP and AT Reuse Acquisition Conference August 31, 2015 Presented by Chris Brand President/CEO Friends of Disabled Adults and Children

2. FODAC is a 501c3 and has provided equipment to 49 states and 68 countries since 1986.  Home Medical Equipment (HME)- wheelchairs and mobility aids  Home Modifications– home access ramps, bathroom modifications  ReMount – wheelchair and scooter lifts installed for vehicles Friends of Disabled Adults and Children www.fodac.org

3. Other Services  Equipment repair program  Medical supplies and diapers  Assistive technology and independent living aids  National Disaster Relief  Hundreds of thousands of items shipped internationally Friends of Disabled Adults and Children www.fodac.org

4. Methods and Outcomes  30 Collection sites around Georgia, and S. Carolina  Warehoused, sorted, repaired  Cleaned and matched to client  Over 2,000 clients served each year with over 5,000 items  Over 200 tons kept out of the landfill Friends of Disabled Adults and Children www.fodac.org

5. Overview: Managing Donations Organization Inventory Tracking Sanitization Evaluation for ReUse/Repair/Disposal

6. Getting Started - Identify Best Practice: Doing no harm in collecting, repairing, cleaning, and matching used equipment to those in need. Review liabilities, waivers, and safety concerns for facility, staff and clients.

7. Getting Started - Identify Manpower, Transportation, and Space including Donations Partnerships with: Goodwill, Salvation Army, Easter Seals, Rotary, Kiwanis, American Legion, Masons, HME vendors/manufacturers, AAA, Senior service agencies/companies, Assisted Living, Volunteer groups, ILC’s, PT/OT students, Red Cross, Hospitals, Free clinics, Rehab centers, Home Care companies, Disability groups, Hospice/Assisted Living Associations, Houses of worship, United Way Think Outside the Box.

8. Managing Donations: Market to donation sources Offer pickups and scheduler to coordinate Must be quick to schedule pickups and need to accept *everything to maintain relationship Create Drop-off sites

9. JCAHO: Home Care-Equipment Management The [organization] receives and stores medical equipment and supplies at its site(s).  The organization designates clearly identified, separate areas for storing each of the following types of equipment:  - Obsolete equipment  - Equipment requiring maintenance or repair  - Dirty equipment  - Clean equipment  - Patient-ready equipment

10. Organization/Evaluation/Triage: Establish system to fast-track best HME to be sanitized and separated/covered Take best HME to be inspected/barcoded/sanitized again/distributed Dedicate spaces for clean/dirty

11. Organization/Evaluation/Triage: Dirty Equipment: 1.Dirty equipment is defined as equipment that has been used by a client. Gloves are to be worn at all times of handling equipment. 2An area in the warehouse is designated for all clean equipment. Eating and drinking are prohibited in the dirty area. Dirty equipment is identified as unbagged while cleaned equipment is bagged. 3.Equipment is disassembled to the level that is appropriate and filters are cleaned/replaced. 4.Equipment is cleaned/disinfected using the appropriate cleaning agent. Allow appropriate contact of the disinfectant with the equipment surface as prescribed by the manufacturer. 5.Preventive maintenance is performed according to manufacturer’s guidelines. 6.Transfer equipment to the clean/repair area: Visual inspection, electrical inspection, and testing are completed as specific to the type of equipment. If it does not function properly, it is either repaired immediately or removed back to the warehouse to scrap metal. If it passes the “check” process, it is either bagged and tagged with a client ready tag for delivery or moved to the clean distribution area for client pickup.

12. End of Life Recycling: Remove and test high demand items needed for repairs Discard excessively used or broken items and recycle metal/batteries. Rotate/Recycle “parts” equipment on a timed or space restriction basis

13. JCAHO: Home Care-Infection Prevention and Control The [organization] plans for preventing and controlling infections. 1. When developing infection prevention and control activities, the organization uses evidence-based national guidelines or, in the absence of such guidelines, expert consensus, or, in the absence of both, a review and evaluation of the health care literature.

14. Evidence Based: Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (CDC)  Types of devices  Identify cleaners and methods  Create work area

15. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (CDC)  Non-critical items  Definitions: Clean-detergents and water Disinfection-wiping with chlorine and disinfectants Sanitization-steam sterilization

16. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (CDC)  Keep in mind: ◦ contact times of disinfectants ◦ cleaning materials, washers, rags, etc. ◦ Policies and procedures for cleaning and disinfecting that will be used by staff; specifying required training; a safety policy regarding attire and use of accessories in work area

17. Cleaning Electrical DME Electric Wheelchairs and Hospital beds:  Vacuum or blow with compressed air  Clean with detergent product by hand  Spray and wipe with cleaning disinfectant  Steam sterilization (optional)  Cover or move to cleaned area

18. Cleaning Non-electrical DME Manual Wheelchairs and larger items:  Clean with detergent product by wiping, brushing and pressure washing, or Hubscrub  Spray and wipe with cleaning disinfectant  Steam sterilization (optional)  Cover or move to cleaned area

19. Cleaning Non-electrical DME Hand held and smaller AT items:  Steam sterilization preferred  Spray and wipe with cleaning disinfectant  Cover or move to cleaned area

20. Follow Recommendations  Manufacturers  DMETrain.com  Accreditation Standards  Consultants  PIOC.org

21. Questions? Chris Brand President/CEO Friends of Disabled Adults and Children 770 491-9014 ext. 111 866 977-1204 http://www.fodac.org/video/premier- cares-video/ Facebook - Twitter “Keeping People With Disabilities Moving” www.fodac.org chrisbrand@fodac.org