The MGH Hand Hygiene Program

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The MGH Hand Hygiene Program90/90 and Beyond
Presented by Judy Tarselli, RN and Dolores D,
Suslak, MSN, CICInfection Control Unit
Massachusetts General Hospitalfor the
Massachusetts Coalition for the Prevention of
Medical Errors15th Anniversary Celebration
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Hand hygiene compliance vs. healthcare-associated
MRSA (2002-2012)
94
92
HA-MRSA rate A new record low!
0.23
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MGH Hand Hygiene Program
STOP Task Force
Compliance surveys
Champions
Posters Publicity
HH Champions
Goals
90/90
Product availability
100/100
The Last 10
Feedback
Leadership involvement
Education
Rewards
Cultural change
Look around...
Speak up!
Expansion Outreach
Patient Visitor involvement
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Cultural Change (defined)
To make hand hygiene a habit so strong it is
done without thinking And an expectation so
strong that failure to use it is easily
noticed and worthy of intervention.
Cultural change
Look around...
Speak up!
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Key lessons and ongoing efforts

• Keep it positive! Have fun, celebrate progress,
  focus on facts Not faults.
• Use a multidisciplinary effort A multifaceted,
  team approach works best.
• Set solid but attainable goals Short term goals,
  long term expectations.
• Get others involved Seek input, share the
  efforts and the credits!
• Leaders and Champions
• Professionals and Non-professionals
• Identify barriers and work to overcome them
• Listen to complaints, concerns, and questions
  and respond
• Define, categorize and quantify noncompliance
  and target it
• Address the persistent failures and link them
  to common goals
• The Last Ten Percent
• Patient Safety
• Encourage growth and lasting success

New The cultural change needed for lasting
success must extend beyond the walls of MGH.
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Whats next?
There is no end Only new beginnings.
Celebrate the past 10th Anniversary of the
rollout of the MGH HH Program in 2014Prepare for
the future Attract new people, new
ideasContinue working MGH has an ever-changing
population!Expand the effort Add Ambulatory
Care Centers other surveillance methodsSupport
related projects Excellence Every Day requires
a mutual effort Reach out Encourage
improvement efforts at other hospitals and
schools.Lasting success depends on a cultural
change that extends beyond MGH.
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To achieve excellence Look around, speak up,
and expect it every day.