1. 1 Making Hand Hygiene as Natural as Breathing x Past Successes & New Goals of the Provincial Program 2012 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

2. 2 Background 2010:  Office of the Auditor General.  Formation of Provincial Hand Hygiene Working Group.  Clinical Care Management (CCM) priority area.

3. Successes 3 2012:  Provincial policy issued.  Best practice doc issued.  Auditing in acute care sites.

4. Successes 4 2012:  Public reporting.  Aggregate data.  Occupational results (Annual).

5. Results to Date Provincial compliance rate = 70% Three year goal = 80% 5

6. Lessons Learned 6 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.

7. Lessons Learned 7 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.

8. Where Next..? 8 Auditing of residential & long-term care. Facility-level public reporting. Clinician, staff & patient engagement.

9. 9 Thank You. Questions? Comments?