Dollars and Sense

Maximizing efficiencies and minimizing costs is the goal of every in-center facility. Whether reducing labor time or the cost of disposables, Medisystems, a NxStage company can help.

For many clinics clotting represents both clinical and operational consequences that affect patients and staff; reducing the adequacy of treatments and increasing the overall costs and complications of hemodialysis.1

Streamline®, Streamline Long, and Streamline Express are all designed to eliminate blood-air interface which may reduce the risk of clotting.1,2 The arterial and venous pressure-transmitting PODs in our suite of Streamline products replace conventional bloodline drip chambers where blood and air interface. In addition, Streamline Express is designed to conserve saline and most users require only 1 bag per treatment.3

Streamline may provide the following treatment cost reductions:
Cost reduction category Streamline
Reduced heparin usage Streamline is designed to eliminate blood-air interface, which may result in less clotting1,2
Reduced dialyzer size Streamline is designed to lower bloodline arterial pressures, which may enable higher blood flow rates in comparison to conventional bloodlines, while maintaining or improving Kt/V.
Reduced dialysate usage Streamline is designed to lower bloodline arterial pressures, which may enable higher blood flow rates in comparison to conventional bloodlines, while maintaining or improving Kt/V.
Reduced saline usage Streamline has a lower set-volume
Elimination of external transducer protectors Streamline uses POD technology, which is designed to isolate the patient’s blood from the hemodialysis machine
Streamline has helped save up to $160 million dollars since 2011*, based on an average of six evaluations of treatment cost.

These evaluations demonstrated a $0.81 – $1.86 cost savings per treatment.

More About Streamline

Staff Efficiencies

As a clinic Administrator staff efficiency has a direct impact on labor and in turn cost.

Conventional blood tubing often takes more time for staff to set-up compared to Streamline Express, which takes time away from patient care.

Streamline Express is uniquely designed to reduce labor for machine set-ups. In a pilot testing series Streamline Express saw an improvement of 44%, an estimated 73 seconds.

MEAN TIME SETUP : Streamline + Standard Dialyzer VS Streamline Express

References:
  1. Polaschegg HD. The extracorporeal circuit. Semin Dial. 1995;8(5):299-304.
  2. Kitamoto Y, Fukui H, Matsushita K, Sato T, Soejima H, Noguchi Y, Kasama T. Suppression of thrombin formation during hemodialysis with triglyceride. ASAIO J. 1993;39(3):M581-M583.
  3. Data on file. NxStage Medical Inc. 2014. Reported data from Streamline Express pilot.

Helping Clinics Improve Infection Control

Bloodstream infections are the second highest cause of death among dialysis patients in the United States1 and are extremely prevalent among dialysis patients. Improving infection control can have a tremendous impact on the mortality rates of dialysis patients.
Streamline® Express pre-attached dialyzer and tubing set

Streamline® Express pre-attached dialyzer and tubing set reduces the number of touch point contamination sites by 43%.2

The pre-attached dialyzer and tubing set means there is no need to connect tubing to the dialyzer, open arterial or venous dialyzer connectors, or manage port caps.3

The arterial and venous pressure PODs of Streamline Express creates a barrier isolating the patients’ blood from the dialysis machine. Streamline Express eliminates the need for transducer protectors removing the risk of cross contamination through transducer protector wetting or strikethrough.

Public health notifications have outlined the risks of transducer protector wetting that may lead to cross-contamination and the spread of blood-borne pathogens.

Needlesticks Happen

Needlesticks Happen

Needlesticks occur every day

  • On average, more than 1,500 needlesticks and other sharps injuries occur daily in the United States4
  • It only takes one needlestick to transmit up to 30 blood-borne pathogens, including HBV, HCV, and HIV5

The consequences of 1 needlestick

  • The potential changes to health and the stress of the testing process can be devastating for the affected caregiver.
  • A dialysis provider may incur healthcare costs up to $4,8385 *

MasterGuard has been clinically proven to reduce AV fistula needlestick injuries.3

Medic® anti-stick needle connector - safe, easy and cost effective

Medic performs the functions of a traditional needle, without the risk of skin puncture. The unique tip design helps to reduce needlesticks and can be used with any standard luer lock syringe. Easily access drug vials, blood collection tubes, and blood tubing injection sites with Medic.

Medic Antistick needle

Enhanced Patient Safety

An enhanced feature of Streamline Long and cartridge blood tubing sets is SecureClip®. SecureClip is pre-attached to the arterial and venous bloodlines and is designed to reduce the risk of blood loss from accidental disconnects.

Reduce the risk of staff exposure to patient blood with the SecureClip®

LockSite Needleless Access Port

LockSite needleless access ports provide a ready access to the arterial line without the use of sharps. LockSite complies with needle-free policies and legislation.6

  • Needleless access port which provides ready access to the arterial line and saline line without the use of sharps
  • Eliminates the waste and nuisance of sterile caps
Locksite
References:
  1. Centers for Disease Control & Prevention; http://www.cdc.gov/nhsn/dialysis/
  2. Data on file. 2016. NxStage Medical, Inc. Conventional Bloodlines vs. Streamline Express Contamination Points.
  3. U.S. Food and Drug Administration. FDA Safety Alert: Potential Cross-Contamination Linked to Hemodialysis Treatment. 1999. Retrieved from: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/PublicHealthNotifications/ucm062283.htm
  4. NIOSH Alert: Preventing Needlestick Injuries in Health Care Settings. Washington, DC: National Institute for Occupational Safety and Health, 1999. (Publication no. 2000-108.).
  5. O’Malley EM, Scott RD, Gayle J et al. Costs of management of occupational exposures to blood and body fluids. Infect Control Hosp Epidemiol. 2007:28:774-782.
  6. Needlestick Prevention and Safety Act, 106th Congress, Public Law 106-430, 2000.

Going Green with Streamline

At Medisystems® a NxStage company, we are committed to providing products that will allow you to achieve patient outcomes while providing a positive impact on the environment.
Saving Water Without Sacrificing Patient Kt/V
Saving Water Without Sacrificing Patient Kt/V
Streamline is designed to lower bloodline arterial pressures, which may enable higher blood flow rates. By increasing bloodflows, Streamline users have reported decreased dialysate flow rates while maintaining or improving Kt/V.1
Reducing infectious waste, landfill waste,  and incineration
Reducing infectious waste, landfill waste, and incineration
Streamline’s optimized design eliminates 1/3 of the weight of tubing waste produced compared to conventional bloodlines.

Get The Facts

22,000,000 LBS : The amount of tubing waste Streamline has helped eliminate since 2011*
The amount of tubing waste Streamline has helped eliminate since 2011*
1.5 billion gallons of water : The amount of water Streamline may  have helped save since 2011†
The amount of water Streamline may have helped save since 2011†
18 gallons of water : The amount of water that can be saved per treatment by turning dialysate flow down by 100 mL/min†
The amount of water that can be saved per treatment by turning dialysate flow down by 100 mL/min†
References:
  1. Smith P. Streamline bloodlines improve Kt/V while lowering dialysate usage. Poster presented at Nation Kidney Foundation Conference 2010.
  2. Agar, John. Green Dialysis: The Environmental Challenges Ahead. Seminars in Dialysis. 2015.

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