At Micromanagement, we remediate plumbing systems that have been colonized by clinically significant environmental-source biofilm-associated pathogens, such as Legionella, Pseudomonas and Non-Tuberculous Mycobacteria (NTM). We help commission new and renovated buildings by disinfecting the building’s potable water systems prior to beneficial occupancy. We also provide continuous supplemental disinfection (CSD) of buildings’ potable water systems with a broad-spectrum biocide, most often chlorine. Our services are designed to establish and maintain sustainable microbial control in order to prevent the microbial growth that may lead to plumbing-associated disease.
We provide comprehensive turnkey services. Our team configures, installs and maintains our purpose-built equipment. We supply all required treatment chemicals, monitor equipment and levels of treatment chemicals 24/7, and document everything we do in compliance with the record-keeping specifications of ANSI/ASHRAE Standard 188-2018, Legionellosis: Risk Management for Building Water Systems, with the documentation provisions of Centers for Medicare & Medicaid Services (CMS) and with The Joint Commission’s (TJC) new requirements for water management in healthcare facilities, Environment of Care (EC) 02.05.02.
Preparation: Understanding the Building’s Potable Water System
In order to establish and maintain microbial control in a building’s potable water system, we first do the foundational work necessary to understand the details of the plumbing, such as how the potable water is received, stored, heated, distributed and used. Working in close cooperation with the facility’s management, maintenance staff and water consultants, we utilize physical and chemical measurements made throughout the system, such as temperature, pH, and disinfectant residual. These measurements are consistent with the Analysis of Building Water Systems required by ANSI/ASHRAE 188, Legionellosis: Risk Management for Building Water Systems (§6.1.2) and TJC’s new water management requirements for healthcare facilities (EC 02.05.02). Evaluation of these physical and chemical data helps us identify and understand growth supportive conditions. Based on what we learn, we design and implement a site-specific continuous supplemental disinfection (CSD) protocol, with a broad-spectrum biocide — most often chlorine.
Acute Remedial Treatment to Establish Microbial Control
When a building’s potable water system is colonized with Legionella and other biofilm-associated waterborne pathogens, establishing microbial control can be a daunting challenge. Traditional approaches, such as the use of thermal and chlorine shock treatments or filtration systems, have often proved to be counterproductive. In order to establish microbial control of a pathogen-colonized system, we implement our patented Acute remediation technology, designed specifically to remove biofilm and kill biofilm-associated pathogens.
Our Acute treatment process uses a combination of chemicals, including the oxidizing biocides chlorine and chlorine dioxide, each of which is approved for disinfecting drinking water. However, since we apply the chemicals at concentrations higher than the regulatory limits established by EPA, we take the affected portions of the potable water system out of service during treatment. After Acute treatment of the building’s potable water system is complete, we flush the system with clean drinking water and take measurements to confirm that levels of treatment chemicals are within acceptable limits before we put the system back into service.
Continuous Supplemental Disinfection to Maintain Microbial Control
Once microbial control of the building’s potable water system has been established, microbial control can be maintained by the implementation and maintenance of multiple barriers to control growth supportive conditions. One important barrier is keeping a persistent disinfectant residual, especially in the building’s potable hot water systems where a disinfectant residual is often absent. At Micromanagement, we use continuous supplemental disinfection (CSD) with a broad-spectrum biocide — most often chlorine — to provide the persistent disinfectant residual necessary to maintain microbial control and prevent waterborne disease. We monitor treatment 24/7 on an ongoing basis and evaluate results of physical, chemical and microbial tests to validate the facility’s water management program. Based on the data, we make any adjustments necessary to optimize treatment.
Contact Us To Schedule a Consultation
Micromanagement offers comprehensive turnkey services for the reliable, regulation-compliant treatment of potable water systems in buildings. As an essential member of your team, we help you protect your patients, residents, guests, staff and visitors from Legionnaires’ disease and other plumbing-associated infections. Call or write us today to learn more about our services.
“Micromanagement provides consistent, professional, best-in-class services”Gary Migliaccio
Corporate Director of Facilities