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Interview with Adam Aronson, developer of HVA (Hospital Video Auditing)

Adam Aronson, CEO of Arrowsight Inc., developer of Hospital Video Auditing (HVA), discusses what inspired him to develop solutions to dramatically improve patient safety and preventable medical errors, what HVA offers and the striking results it's providing.

Q: What prompted you to develop and market HVA?

A: "The short answer is that Arrowsight works to improve practices, performance and compliance in many safety-sensitive industries, such as food processing, food services and improving the healthcare industry, especially with the very basic, but altogether critical area of hand hygiene compliance, was a natural next step.

But the longer answer hits much closer to home.

First, my father, Dr. Mark Aronson (pictured up top on the right with Adam), has been in healthcare for several decades. While watching hospitals grapple with the issues and growing fatalities associated with Hospital-Acquired Infections (HAIs), he watched me develop my video auditing business and made the connection that the technology and services we offered to improve safety for food processing were all too apt for healthcare facilities.

Due to being focused on growing my company across many sectors, I knew it would only be a matter of time before we developed a practice area in the medical sector. But that timing was placed on a fast-track after both my mother and my sister developed HAIs in separate top-notch hospitals due to what should have been short hospital stays for them both.

My mother, after a car accident which shattered her ankle acquired a preventable infection and one surgery turned into several, along with a permanent limp.  In the same year, my sister, after having her baby, and preparing to be released in a few days with a new bundle of joy, developed Scarlet Fever. Both cases were preventable--and both cases could have been potentially prevented with the assistance that HVA offers hospitals. Now that technology and service is available to all hospitals."

Q: What exactly does HVA offer hospitals and medical centers?

A: "Many things. First, HVA introduces an always-on, non-intrusive, measurable and affordable system of video-based assessments and reports that are generated daily, weekly and monthly reports (see sample report here). Second, it provides hospital administrators and physicians with a program for measuring adherence to safety protocols across many critical control benchmarks, both clinical and non-clinical including hand hygiene, infection safety, central line insertion, alarm responsiveness and fall prevention (see full list here).

And, third, HVA complements the tremendous work that groups, like IHI and Leapfrog, are doing in this sector by matching a tactical solution to execute against the protocols they're promoting."

Q: What specific points of success has HVA delivered so far?

A: "This is what is most rewarding: HVA produces improvements that are dramatic, instant and sustainable. For a recent example, a surgery center in the Southeastern United States had a baseline hand hygiene compliance rate of 38% little over six months ago. Now? That number has soared to between 88%-98%--and remained there.

While they achieved a compliance rate in those levels within the first four weeks--vis-à-vis 24/7/365 monitoring and reporting--the behavior change in the caregivers has become permanent. We’ll have more success stories soon and my team looks forward to helping make a significant difference in patient care. After all, those aren't just numbers, those are lives made better and, in some cases, lives saved."

For more information on HVA:

  • See an overview of HVA here
  • View a list of FAQs here
  • See a list of critical control benchmarks that HVA monitors here
  • View a sample report here
  • Contact Arrowsight for more information through this email


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