Safety Teams and Organizational Structure
    Access to Information
    Facility Expectations
    Engagement of Patient/Client/Resident and Family


ACT NOW! Antibiotic Stewardship Call to Action

Leadership support is recognized by the Centers for Disease Control and Prevention (CDC) as one of the core elements of antibiotic stewardship. Lean about Minnesota’s five-year antibiotic stewardship strategic plan and demonstrate your commitment to antibiotic stewardship by completing CHAIN’s call to action. More information

Healthcare-Associated Infection (HAI) Road Map

HAI Road Map coverThe Road Map to a Comprehensive Healthcare-Associated Infection (HAI) Prevention Program provides evidence-based recommendations and standards for Minnesota hospitals to develop comprehensive HAI prevention programs. The road map reflects published literature and guidelines by relevant professional organizations and regulatory agencies, as well as identified best practices.

The road map's targeted infections:

  • Catheter associated urinary tract infections (CAUTI)
  • Central line associated blood stream infections (CLABSI)
  • Surgical site infection (SSI)
  • Clostridium difficile infection (CDI)

The road map helps your organization assess issues related to the following components of your HAI program:

  • Safety teams and organizational structure
  • Access to information
  • Facility expectations
  • Engagement of patient/client/resident and families
  • Hand hygiene
  • Transmission - transmission-based isolation precautions
  • Antimicrobial stewardship program
  • Injection practices
  • System wide environmental cleaning and disinfection

Welcome to the CHAIN Website

Chain participants, please share your tools and resources to contribute to this site. Sharing knowledge will help us all provide better care to people in Minnesota. Send us your tool and resource suggestions. Together, we can reduce HAI rates.

Minnesota NHSN Monthly Users Group Conference Calls

The National Healthcare Safety Network (NHSN) is a secure, internet-based surveillance system open to all types of health care facilities in the U.S. More information

News and Events

Lake Superior QIN events

We offer a number of additional training and events through our regional Medicare Quality Improvement Program work. See listings and find details on the Lake Superior QIN website.

2016 NHSN Patient Safety Component Changes Now Available

The 2016 Patient Safety Component (PSC) Manual changes are posted on the NHSN website. A copy of the complete 2016 PSC Manual is not yet available; however, a brief summary of substantive changes to the manual for 2016 is available. For more details, please refer to the pages of the individual protocols highlighted in the summary document. The updated surveillance protocols and definitions should be used for surveillance and data collection beginning January 1, 2016, but not before. Until that time, continue to use the 2015 manual, available on the NHSN website, in the navigation bar, bottom left.

Highlighted Resources

CDC Vital Signs Video: Making Health Care Safer: Stop the Spread of Antibiotic Resistance. This video spotlights how adopting a coordinated approach where multiple facilities in an area work together to improve infection control, enhance stewardship activities, and share information, can reduce the spread of antibiotic-resistant infections and protect patients.

Wash Tumbs poster


Handwashing Poster: Don’t Forget Your Thumbs. Poster reminds staff and visitors to wash their hands completely to avoid passing germs. (1-page PDF)




Stop Infections from Lethal CRE Germs Now

Read CDC’s Vital Signs for new information on carbapenem-resistant enterobacteriaceae (CRE), a lethal group of bacteria that are highly resistant to antimicrobials.

Also read recommendations for CRE prevention in acute care and long-term care settings from the Minnesota Department of Health: Minnesota Targets Carbapenem-resistant Enterobacteriaceae. Minnesota is one of the Emerging Infections Program (EIP) sites that has developed and carried out active CRE surveillance.

CHAIN develops and helps carry out effective approaches for reducing and preventing healthcare-associated infections (HAI) in Minnesota.

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CHAIN is an effort lead by the Association for Professionals in Infection Control and Epidemiology-Minnesota (APIC MN), Minnesota Department of Health, Minnesota Hospital Association, and Stratis Health, which represents Lake Superior Quality Innovation Network in Minnesota.