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I have included our complete hand hygiene audit in chart form below this message because I think it is important to recognize the significant improvement throughout the organization which, at the end of November, means that we have reached our 2010 goal on the Balanced Scorecard as an organization. My thanks to everyone for their work on this goal and for protecting our patients and yourselves from hospital-acquired infections – I am very proud to lead this organization.
And now – we must maintain and improve our rates until the four points of hand hygiene become our normal practice throughout UHN. The charts show out 3 month rates for all units, sites and UHN as a whole and then the results for the month of November. What is key is that, throughout the organization there is dramatic improvement but, as I've said before, this organization is seldom satisfied with 70% on a test! So, I'll continue to challenge everyone to do better and we'll set our target higher in 2011.
Keep up the great work.
"Before" Hand Hygiene Compliance Rate by Program - Rolling 3 Month Rates*
Q1 Apr-Jun 10
Q2 Jul-Sep 10
UHN BSC Target
meeting or exceeding target
between baseline (48%) and target
below baseline (48% in 09/10)
*Calculated by summing numerators and denominators ofprevious 3 months, not by averaging rates
"Before" Hand Hygiene Compliance Rate by Program
UHN Monthly Rates
9B (prev 6A)
6A (GIM Flex)
*Calculated by summing numerators and denominators of previous 3 months, not by averaging rates