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Making Hand Hygiene as Natural as

Breathingx

Past Successes & New Goals of the Provincial Program2012 Co-Chair, Provincial Hand Hygiene Working Group

& Regional Manager, Infection Prevention, Northern Health

2013 Co-Chair, Provincial Hand Hygiene Working Group& Director of Patient Safety, BC Ministry of Health

Deanna Hembroff

Brian Sagar

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Background2010:

Office of the Auditor General.

Formation of Provincial Hand

Hygiene Working Group.

Clinical Care Management (CCM)

priority area.

Successes

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2012: Provincial policy

issued. Best practice doc

issued. Auditing in acute

care sites.

Successes

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2012: Public reporting.

Aggregate data.

Occupational results (Annual).

Results to Date Provincial

compliance

rate = 70%

Three year

goal = 80%

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Lessons Learned

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Implementing a provincial program requires: Philosophy of evidence-based care. Multidisciplinary collaboration of experts. Sub-working groups to manage large

work volume. An effective Secretariat. Regular integration of feedback from

front-line workers.

Lessons Learned

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Implementing a provincial program requires: Early engagement with consistent Ministry

representative who understands the

history & rational of decisions. Province-wide participation on working

groups. Effective internal communication. Flexibility.

Where Next..?

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Auditing of residential &

long-term care.

Facility-level public

reporting.

Clinician, staff &

patient engagement.

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Thank You.

Questions? Comments?