We Protect People
At Micromanagement, we treat potable water systems in buildings to prevent Legionnaires’ disease (infection by Legionella bacteria) and infection by other waterborne pathogens, such as Pseudomonas and non-tuberculous mycobacteria (NTM).
What We Do
We provide comprehensive, turnkey services to establish and maintain microbial control in potable water systems. Our team custom configures, installs and maintains our purpose-built equipment, supplies all required treatment chemicals and documents everything we do.
We Are Different
We are a company of accomplished scientists and engineers and we know plumbing. Our team works together, across disciplines to prevent waterborne disease from potable water systems in buildings.
We use patented Acute remediation technology to establish microbial control. We also use continuous supplemental disinfection (CSD) with a broad-spectrum biocide to maintain microbial control.
Our clients are building owners and managers responsible for the safe, regulation-compliant operation of hospitals, residential health care facilities, senior living communities, schools, hotels, multi-family residences and commercial office buildings.
The human suffering and financial burden of waterborne disease from building water systems is significant and increasing. For decades after Legionella was first identified by researchers at The US Centers for Disease Control and Prevention (CDC) as the cause of a deadly outbreak of pneumonia at a 1976 American Legion Convention in Philadelphia, efforts to prevent waterborne disease associated with building water systems have focused primarily on Legionella. Considerable research has advanced our understanding of plumbing-associated disease. More than 80,000 scientific research papers on Legionella have been published. The key role of biofilm in waterborne disease was recognized.
In 2015, the American Society of Heating, Refrigeration and Air Conditioning Engineers (ASHRAE) published ANSI/ASHRAE 188, Legionellosis: Risk Management for Building Water Systems. ASHRAE 188 was the first industry consensus standard for managing the risk of disease associated with building water systems. Based on the principles of hazard analysis and critical control (HACCP), the methodology of ASHRAE 188 quickly became the Standard of Care for water management in buildings.
New York State
In 2015, New York State passed the first statewide regulation, 10 NYCCRR 4-2.5, Protection Against Legionella, covering Legionella in building water systems including potable water systems in healthcare facilities.
In recent years, the significance of disease from other biofilm-associated environmental-source pathogens in building water systems, such as Pseudomonas and Non-Tuberculous Mycobacteria (NTM), has been increasingly recognized. While the methodology of ASHRAE 188 remains the Standard of Care, the scope of water management has shifted and now includes multiple pathogens.
- In 2017, the US Centers for Medicare and Medicaid services (CMS) issued a directive requiring healthcare facilities to implement water management programs to prevent disease from multiple waterborne pathogens.
- In 2021, CDC published estimates of the burden and direct healthcare costs of infectious waterborne disease in the United States. Most hospitalizations and deaths were caused by Legionella, Pseudomonas and Non-Tuberculous Mycobacteria (NTM), with direct healthcare costs of at least $2.39 billion annually.
- Legionnaires’ disease – $402 Million
- NTM Infection – $1.35 Billion
- Pseudomonas pneumonia – $667 Million
- Effective January 1, 2022, The Joint Commission (TJC) has new requirements– EC.02.05.02– for managing water systems in buildings to prevent disease from multiple pathogens. The new requirements cover hospitals and nursing care centers.
Managing multiple pathogens requires reconsideration of control measures, especially supplemental disinfection. Some chemicals promoted for Legionella control, such as monochloramine, can promote growth of other environmental-source waterborne pathogens, such as Acinetobacter, Burkholderia, Non-tuberculous mycobacteria (NTM), Pseudomonas and Stenotrophomonas because ammonia, nitrate and nitrite—byproducts of monochloramine, are a source of food and energy for these pathogens.
The multiple-pathogen scope is consistent with our approach to establishing and maintaining microbial control in potable water systems using proven, broad-spectrum biocides such as chlorine and chlorine dioxide. We are honored to work closely with the dedicated scientists, engineers and practitioners that, together, are advancing the standard of care and protecting people from plumbing-associated waterborne disease.
“Micromanagement has the right people, the right technology and the right tools. Perhaps most importantly, they really care.”
Contact Us To Schedule a Consultation
Micromanagement offers comprehensive turnkey services for the reliable, regulation-compliant treatment of potable water systems in buildings. We help you protect your patients, residents, guests, staff and visitors from Legionnaires’ disease and other plumbing-associated infections. Call or write to us today to learn more about our services.