1. A successful multifaceted strategy to improve hand hygiene compliance rates at a major teaching institution Jamie Sodek, BSN, RN; Teresa Barnett, RN; Alejandro Arroliga, MD, Jesse Barnett, EHS Spec., CHSP, Marius Michalkowski, & Nancy Ellis, BSN, RN

2. Scott & White Memorial Hospital Non-profit collaborative health care system 650 bed hospital Level I Trauma Center Texas A&M Health Science Center College of Medicine Major medical research institution Located in Temple, Texas Scott & White’s Mission: To provide the most personalized, comprehensive, and highest-quality health care, enhanced by medical education and research. Scott & White’s Vision: Scott & White will be the most Trusted and most Valued name in American Health Care.

3. Objectives Upon completion, participant will be able to: Identify the importance for increased hand hygiene compliance rates within a healthcare setting Discuss key interventions to increase hand hygiene compliance rates within a healthcare setting Construct and implement strategies to sustain increased hand hygiene compliance rates within a healthcare setting

4. What’s the problem?

5. Interventions Developed a Secret Shopper Program Increased the availability of alcohol based hand gel throughout the hospital Placed red flags on gel dispensers to alert staff members when servicing was needed Sent letters from the chief medical officer to noncompliant healthcare workers Awarded trophies to the elite groups of compliant healthcare workers

6. Visual Reminders Red FlagsTrophies

7. Overall Hand Hygiene Compliance Rates (Feb’12 – Feb’13)

8. Total Number of Observations (Feb’12 – Feb’13)

9. Conclusion

10. Future Plans Secret Shopper Training classes held monthly Hand hygiene compliance rates are still collected and distributed monthly throughout the system Best Practice Team is developing new initiatives to keep front line staff engaged and involved in spreading the excitement about hand hygiene