1. LARK DUPONT,MSN,RN,CIC

2. MAH Infection Prevention BACK TO BASICS
Hospital- wide Team directed project
Developed with the
CEO Jeanette Clough
Medical Staff Executive Committee
MAH Leadership

3. Pilot Hand Hygiene Observations October-December 2006
OVERALL COMPLIANCE 77%

4. Back to Basics IN and OUT Hand Hygiene Monitor May 2009

5. May 2009
Infection Prevention Observation Calendar

6. Lessons Learned
Monthly Calendar sent to all departments participating for the month.
Monthly Calendar broken down by month.
Infection Preventionists monitor all units daily.
Better compliance and MD participation, with the inclusion of physician Chiefs.
All groups are not just monitoring themselves.
IT WORKS!