Molina Healthcare Inc · NYSE:MOH
Molina Healthcare — Investor Presentation (January 2026)
54 slides from Molina Healthcare's investor presentation, January 2026
Slide 1: Autoclave, Cold Chemical Sterilization, High Level Disinfection Overview
• AUTOCLAVE • COLD CHEMICAL STERILIZATION • HIGH LEVEL DISENFECTION OVERVIEW
Slide 2: Video
Video – enable content to view videos
Slide 3: Purpose: Autoclave
PURPOSE AUTOCLAVE A machine that uses steam under pressure to kill harmful bacteria, viruses, fungi, and spores on items that are placed inside a pressure vessel. The process involves heating water to create steam, which is then pumped into a chamber (the autoclave) where the items to be sterilized
Slide 4: Video
Video – enable content to view video
Slide 5: Types of Autoclaves: Tabletop
TYPES OF AUTOCLAVES TABLETOP Tabletop autoclaves are compact and portable, making them ideal for small to medium-sized facilities. They are designed to fit on countertops and are often used in dental offices, clinics, and other settings with limited space.
Slide 6: Types of Autoclaves: Hospital Large Capacity
TYPES OF AUTOCLAVES HOSPTIAL LARGE CAPACITY AUTOCLAVE Industrial autoclaves, have capacities exceeding 200 liters and are built for high-volume, large-scale sterilization. These units are essential for hospitals, pharmaceutical manufacturers, and industrial facilities where large quantities of mater
Slide 7: Autoclave Categories
CLASS S - Vacuum-assisted autoclave ▪ A vacuum pump removes air from the chamber before steam is introduced ▪ Sterilizes wrapped packages and some hollow instruments ▪ Commonly used in a doctor’s office CLASS N - Gravity displacement autoclave AUTOCLAVE ▪ Use gravity to displace air with steam ▪ Use
Slide 8: Standard Operating Procedures (SOP)
STANDARD OPERATING PROCEDURES (SOP)
Slide 9: Key Points
KEY • ALWAYS READ AND FOLLOW MANUFACTURER INSTRUCTIONS PRIOR TO OPERATION • PERSONAL PROTECTIVE EQUIPMENT Always wear appropriate PPE POINTS • TRAINING - personnel must complete training on autoclave safety and operating procedures before using the autoclave • INSPECTION - autoclaves must be inspect
Slide 10: Video
Video – enable content to view video
Slide 11: Validating the Sterility of a Package
Autoclave tape is a chemical indicator that changes color when exposed to certain temperatures • They only confirm that the item has been through a heat cycle VALIDATING • They do not prove that the conditions necessary for sterilization (the correct temperature, the required THE duration, proper st
Slide 12: Which Instruments to Steam Process vs Cold Chemical Sterilization
STEAM AND PRESSURE STERILIZATION Instruments must be heat and pressure tolerant without degrading, deforming or breaking • Reusable metal instruments • Borosilicate types of glass • Types of plastics WHICH INSTRUMENTS • Natural fibers TO STEAM PROCESS VS WHICH INSTRUMENTS COLD CHEMICAL STERILIZATION
Slide 13: Types of Instruments That Can Be Autoclaved
TYPES OF INSTRUMENTS THAT CAN BE AUTOCLAVED AUTOCLAVABLE INSTRUMENTS • Surgical Instruments • Glassware • Stainless Steel & Aluminum Trays • Autoclavable Plastic Ware • Centrifuge Tubes • Pipette Tips • Chemical Solutions
Slide 14: Types of Instruments That Can Be Cold Chemical Disinfected
TYPES OF INSTRUMENTS THAT CAN BE COLD CHEMICAL COLD STERILIZATION/HLD DISENFECTED • Instruments with lenses (endoscopes and arthroscopes) • Dental instruments such as plastic impression trays, cheek extractors, Rinn kits, intraoral scanner tips • Anesthetic equipment such as laryngoscopes, face mask
Slide 15: Critical vs. Non-Critical Instruments
Critical vs. Non-Critical Instruments “Critical” items such as surgical instruments and periodontal scalers, are used to penetrate soft tissue or bone. These instruments have the greatest risk of transmitting infection and should always be sterilized using heat. “Non-Critical” instruments are ones t
Slide 16: Personal Protective Equipment
PPE PPE acts as the first line of defense, protecting staff from potential hazards and ensuring the sterility of medical instruments remains Personal uncompromised Protective • Household-cleaning-type rubber or Equipment plastic gloves • Face mask • Eye protection • Gown Always put on protective equ
Slide 17: Cleaning and Packaging Medical Instruments
CLEANING CLEANING AND Immediately after use, items must be cleaned to remove PACKAGING MEDICAL blood or debris that might interfere with the sterilization INSTRUMENTS process ▪ Ultrasonic machines can be more effective than cleaning by hand ▪ After cleaning, rinse instruments to remove loose debris
Slide 18: Cleaning Process
USE OF PPE – Always use appropriate PPE including eye protection, gloves and gown when sterilizing instruments ENZYMATIC CLEANER - used for surgical CLEANING instruments to effectively remove organic soils like blood, tissue, and other bioburden that can hinder the cleaning and PROCESS sterilization
Slide 19: Cleaning and Packaging Medical Instruments: Packaging
CLEANING AND PACKAGING MEDICAL INSTRUMENTS PACKAGING • Instrument packaging should be done in an area where there is low risk for contamination, using FDA approved materials. • Sterilization Pouches - Used for packaging small, lightweight, single-use items • Sterilization Wraps - Used for packaging
Slide 20: Labeling and Processing Packages
LABELING PACKAGES Prior to sterilization, all packages must be LABELING AND labeled with the appropriate identifying PROCESSING information, such as: • Date of sterilization PACKAGES • Load run identification information • Initials of staff processing packages • General contents of package This help
Slide 21: Labeling and Processing Packages: Loading
LOADING PACKAGES • Chemical indicators must be placed on the inside LABELING AND and outside of each package PROCESSING • They visually indicate the parameters for proper sterilization have been met PACKAGES • Biological indicators should be run at least monthly to verify proper function and sterili
Slide 22: Storage and Management of Sterile Instruments
STORAGE AND STORAGE MANAGEMENT OF Store sterile instruments in an area that STERILE INSTRUMENTS reduces potential for contamination The area should be: • Clean and dry • Protected from sunlight • Separated from non-sterile items by a functional barrier Although different sites utilize time-related e
Slide 23: Event Related Factors That Compromise Sterility
“Event Related” factors that compromise sterility Package integrity - any tear, hole, puncture or broken seal renders the item non-sterile Environmental Moisture - if a package becomes wet the protective barrier is broken and is considered contaminated o Packages should be stored in a clean dry envi
Slide 24: Storage and Management of Sterile Instruments
STORAGE AND MANAGEMENT MANAGEMENT OF • Handle sterile packages with extreme care STERILE INSTRUMENTS and remove from stock if there is any doubt as to the item's sterility • “Event related” factors (such as dropping, crushing, bending or puncturing packages) will compromise the sterility of its cont
Slide 25: Monitoring Log and Maintenance
MONITORING LOG AND MAINTENANCE
Slide 26: Purpose of the Autoclave Log
PURPOSE • REGULATORY COMPLIANCE Ensures required safety and regulatory standards are met • DOCUMENTATION FOR REVIEW of the Provides reliable records for audits, equipment issues, or investigation of concerns. Autoclave Log • CYCLE ACCOUNTABILITY Tracks each sterilization run to maintain clear, trace
Slide 27: Maintenance and Documentation Requirements
REQUIRED MONTHLY DOCUMENTATION Monthly Cleaning: MAINTENANCE - Write your initials in the box for the correct month after AND completing the required cleaning DOCUMENTATION Monthly Spore Testing: REQUIREMENTS - Circle the test result (+ / –) and add your initials for the month the biological indicat
Slide 28: Maintenance and Documentation Requirements
FOR EVERY AUTOCLAVE RUN complete one row DATE - Record the date of the cycle ❖ Document date on sterilization pouch TIME - Note the start time (or end time if that is your standard) LOAD Number - Assign a sequential load number for tracking MAINTENANCE ❖ Document load number on sterilization pouch A
Slide 29: Autoclave Log
AUTOCLAVE LOG Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec Monthly Cleaning Initials Initials Initials Initials Initials Initials Initials Initials Initials Initials Initials Initials Monthly Spore Testing Results +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- Circle Circle Circle Circle Circl
Slide 30: Types of Indicators
TYPES OF • MECHANICAL Monitors the autoclave’s physical parameters INDICATORS • CHEMICAL Uses physical indicators to show that items were exposed to the sterilization process • BIOLOGICAL Uses bacterial spores to prove the autoclave can kill microorganisms, providing the highest level of verificatio
Slide 31: Mechanical Indicator
Types of Mechanical Indicators MECHANICAL • Built-in gauges, displays, or printouts in the autoclave INDICATOR Measure • Temperature – indicates a specific heat was met to kill the heat- resistant spores • Pressure (PSI) - indicates the autoclave chamber has built enough pressure to allow steam to r
Slide 32: Chemical Indicator
Types of Chemical Indicators CHEMICAL • Strips, tape, cards, or labels that change color when INDICATOR exposed to proper heat and steam Measure • Exposure of items to heat • Exposure to steam • Completion of the sterilization process Purpose • Show that packs were subjected to sterilization conditi
Slide 33: Biological Indicator
Types of Biological Indicators (Gold Standard) • Vials or strips containing resistant bacterial spores to test sterilization effectiveness BIOLOGICAL Measure INDICATOR • Ability of the autoclave to kill highly resistant microorganisms Purpose • Prove that the autoclave can achieve true sterilization
Slide 34: Positive Spore Management
Purpose Ensures patient safety and maintains sterilization quality by responding appropriately to a failed spore test Utilize the “5 Rs” POSITIVE 1. Report - the result and notify a supervisor SPORE 2. Remove - and repair the sterilizer before further use MANAGEMENT 3. Retrieve - and recall all item
Slide 35: Autoclave Maintenance
Autoclave Maintenance Purpose Ensures safe, reliable operation, prolong autoclave lifespan, and supports accurate log documentation. Maintenance Tasks & Responsibilities Daily / Before Use • Check door seals and chamber MAINTENANCE • Clean trays and chamber surfaces • Who - Clinical staff AND Weekly
Slide 36: What is the Difference?
What is the Difference? Cold Chemical Sterilization (CCS) Uses liquid chemicals to eliminate all microorganisms from inanimate objects, including bacteria, viruses, and spores. How it works - Instruments are submerged in a chemical solution (sterilant) for a specified duration, allowing the chemical
Slide 37: Commonly Used Solutions
GLUTARALDEHYDE • A widely used, but older, high-level disinfectant and chemical sterilant • Requires activation to become sporicidal (capable of killing spores) • Solutions are typically acidic and need to be mixed or activated COMMONLY USED HYDROGEN PEROXIDE BASED SOLUTIONS SOLUTIONS • Can be used
Slide 38: Commonly Used Solutions
ORTHO-PHTHALALDEHYDE (OPA) • A more modern high-level disinfectant that has gained popularity • Offers superior mycobactericidal activity compared to glutaraldehyde • Requires no mixing or activation • Can be effective in a shorter time than glutaraldehyde • May have better material compatibility th
Slide 39: CCS/HLD Safety and Preparation
• Ensure the CCS/HLD process is conducted in a well-ventilated area • Ensure proper PPE to protect staff mucus CCS/HDL membrane and skin (mask, gloves, eye protection, gown) are readily available for SAFETY AND use • Ensure solutions are mixed according to PREPARATION manufacturer guidelines • Only
Slide 40: Ventilation Requirements for Cold Sterilization
Chemical sterilants should be used in an area that is properly ventilated * Rooms in which chemical disinfection and sterilization are performed should have a minimum of 10 air exchanges per hour (local regulations may require a higher minimum exchange rate) VENTILATION When general room ventilation
Slide 41: Sterile vs. Aseptic vs. Clean
STERILE ENVIRONMENT • Space completely free from pathogens • Sterile drapes, gowns, gloves • Sterile instruments/equipment • Controls of physical space STERILE ASEPTIC TECHNIQUE versus • Set of procedural guidelines to eliminate ASEPTIC pathogens and reduce risk of infection • Used to maintain a ste
Slide 42: Cold Chemical Sterilization and High Level Disinfection
• Process/clean instruments and equipment as instructed in the previous slides COLD CHEMICAL • Wear proper PPE according to sterilant manufacturer guidelines STERILIZATION (CCS) • Submerge the cleaned and dried & instruments/equipment in the cold sterilant HIGH LEVEL solution, ensuring complete imme
Slide 43: Cold Chemical Sterilization Handling & Storage
COLD CHEMICAL • Wear proper PPE STERILIZATION • Sterile technique is used following strict protocols to prevent contamination HANDLING & STORAGE • Thoroughly rinse the instruments using sterile water while wearing • Proper drying after rinsing is crucial to sterile gloves and/or using sterile tongs
Slide 44: High-Level Disinfection Handling & Storage
• Wear proper PPE HIGH-LEVEL • Thoroughly rinse the instruments using DISENFECTION clean water while ensuring all sterilant is removed (toxic) HANDLING & STORAGE • Dry by placing on a clean surface and allow to air dry • Proper drying after rinsing is crucial to prevent microbial growth - Position i
Slide 45: Cold Sterilization Lifecycle
COLD STERILIZATION LIFECVCLE 2025 0 PRE--OLEANING LOADING E) IMMERSING Precleaning instruments with enzymatic solution Loading instruments into perforated basket Immersing completely in chemical sterilant for Ill e inside container timed contact ~ TRIPLE RINSING AIR.DRYING & STORAGE Triple rinsing w
Slide 46: CCS/HLD Documentation Requirements
CCS/HDL DOCUMENTATION REQUIREMENTS
Slide 47: CCS/HLD Documentation and Monitoring
STRICT ADHERENCE The cold chemical solution manufacturer’s instructions are available to staff and must be meticulously followed MATERIAL DATA SAFETY SHEETS MSDS are readily available to staff in the event of a spill SOLUTION MANAGEMENT • The solution is changed according to manufacturer’s instructi
Slide 48: Cold Chemical Sterilization Solution Log
COLD CHEMICAL STERILIZATION SOLUTION LOG NAME OF SOLUTION ____________________ Date Solution was Date of Solution Test Test Results (+) Test By: Initials Changed (according to Pass/ (-) Fail Circle manufacturer’s one directions) + / - + / - + / - + / - + / - + / - + / - + / - + / - + / - + / - + / -
Slide 49: Cold Sterilization Log
Cold Sterilization Log Follow Manufacture’s recommended solution soaking time for sterilization, use of test strips to ensure solution efficiently destroys 100% of Mycobacteriu Tuberculosis and solution change. Date Name of Solution Type of Initials Date Solution Test Date Initials Instruments in So
Slide 50: fifi
tt fifi HABA BABAR ARATE F/R) EF] z| 2] z| 2] z)z|z\z|z\2)z\z)z\z)2)z)
Slide 51: Glutaraldehyde Solution Test Strips Directions
DIRECTIONS Pnlor to rm1tlne use, practice with oontrol so'lullons (described ln U1.e•QLJALITY C0NTiR0 L secllon of lhfis [nsert) to,lbeoome familiar wtlh proper testing lecii'Lnfque an [nterpretalfon of resu IS. Test Proc-ed ure-: 1. Immerse· entire indicator pad of test sttip Into CIDEXPllJS soluli
Slide 52: Medical Equipment Reprocessing – General Information & Resources
Medical Equipment Reprocessing – General Information & Resources Equipment/Instrument Cleaning & Storage Autoclave Usage, Management & Maintenance Cold Chemical Usage & Management - Sterilization and High-Level Disinfection A presentation designed for: • PCP & Specialty Clinics • Healthcare Personne
Slide 53: Remember: Safe Equipment Protects Patients
Remember: Safe Equipment Protects Patients Thank You!
Slide 54: Developed in collaboration with the health plans listed
This presentation has been developed in collaboration with the health plans listed
Molina Healthcare — Investor Presentation (January 2026) on 6ix