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


Key Item

Road Map to a Comprehensive Healthcare-Associated Infection (HAI) Prevention Program. See the system-wide environmental cleaning section. Complete the HAI road map audit checklist prior to beginning any of the gap analyses.

System-wide Environmental Cleaning and Disinfection - HAI prevention strategies

System-wide environmental cleaning is a building block for healthcare-associated infection (HAI) prevention.

The practices in the Road Map to a Comprehensive Healthcare-Associated Infection (HAI) Prevention Program, including the system-wide environmental cleaning section, guide organizations in developing the infrastructure necessary to support and sustain infection prevention best practices.

Share Your Knowledge/Contribute to this Site

You'll notice that some sections of this website lack supporting materials. We're asking CHAIN participants to share tools and resources to add to this site. Sharing knowledge will help us all provide better care to people in Minnesota.

Send us your tool and resource suggestions.

Be an active member of CHAIN. Together, we can reduce HAI rates.

Sample Tools

Operating Room Checklist. Gillette Children’s self-audit cleaning checklist for cleaning between patients in the operating room. (1-page Word doc)

Options for Evaluating Environmental Cleaning. The CDC provides elements for a level 1 and level 2 programs. December 2010

A Targeted Strategy to Wipe Out Clostridium difficile. Published in Infection Control and Hospital Epidemiology, Vol. 32, No. 11 (November 2011), pp. 1137-1139. (4-page PDF)

Professional Education and Training

References, Guidelines, Standards

Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. CDC guideline presents evidence-based recommendations for cleaning, disinfection, and sterilization of patient-care medical devices and the healthcare environment. (158-page PDF)

Guidelines for Environmental Infection Control in Healthcare Facilities, 2003. Centers for Disease Control and Prevention (CDC) compilation of recommendations for the prevention and control of infectious diseases that are associated with healthcare environments.

HICPAC Guideline for Disinfection and Sterilization in HCFs 2008. Healthcare Infection Control Practices Advisory Committee (HICPAC) (225-page PDF)

HICPAC Guideline for Isolation Precautions 2007.  Updated Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings from the Centers for Disease Control and Prevention (CDC). (225 page PDF)

Patient Education



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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.