Indraprastha Apollo Hospital aims to provide healthcare of international standards to patients. Major challenges in dealing with incontinence patients who are prone to develop IAD due to poor skin integrity. The project was aimed with objective to reduce cost of healthcare by reducing average length of stay (ALOS) in hospital by preventing IAD. Methodology to differentiate HAPU from IAD by monitoring patients with incontinence and educating staff nurses on signs and symptoms of IAD. A clinical improvement project was successfully completed on patients presenting with incontinence, were a skin care regimen was followed, by cleansing the skin, to remove urine or faeces routinely, prior to the application of a skin protecting barrier to protect the skin to avoid or minimize exposure to urine and/or faeces and friction. This resulted with ALOS due to IAD from 7to 14 days in 2015 & 5 to 7 days in 2016 and the average incidence of IAD was 3 in 2015 as knowledge deficit was corrected incidence increased to 5 in 2016, and incidence of HAPU reduce as there was misperception of both.