Hand Hygiene: A Resident Safety Imperative
October 15, 2019 | 7:00 a.m. - 4:00 p.m.
Middleton, WI

Hand Hygiene: A Resident Safety Imperative

October 15, 2019
Madison Marriott West
Middleton, WI 53562

Registration Information

​Registration Fee:
  • $50 per person
Walk-in registration is available, but food and materials are not guaranteed. Walk-in registrants will not have a printed name tag. 

Registration is closed for the 2019 conference. 

​Severe Weather

If severe weather is threatening, please call Dividion of Quality Assurance at 608-267-3809. A message will inform you if the conference has been cancelled. 


There are between 1.6 million to 3.8 million infections occurring in the United States long-term care facilities (LTCF) annually, with outbreaks due to cross contamination resulting in respiratory and gastrointestinal infections. Hand hygiene continues to be the cornerstone of infection prevention. Both the Center for Disease Control and Prevention (CDC) and the World Health Organization (WHO) have issued recommendations when hand hygiene should be performed by health care personnel (HCP) in all health care settings. However, hand hygiene is challenging in long term care for many reasons. It is recognized that more attention needs to be focused on hand hygiene, nor do they subsequently try to identify and break down the barriers to hand hygiene. Staff in LTCFs may not know about the nationally accepted guidelines, nor have the necessary hand hygiene resources to succeed. The goal of this program is to provide the supporting evidence related to hand hygiene and provide the necessary information to improve hand hygiene compliance.

Target Audience

  • Nurses
  • Infection Preventionists 
  • Directors of Nursing 
  • Medical Directors 
  • Quality Assessment and Assurance Personnel

 October 15, Agenda

​Agenda for October 15th

​7:00 - 7:45 a.m.
​Registration & Breakfast
​7:45 - 8:00 a.m.
​Welcome & Announcements
​8:00 - 9:00 a.m.
Hand Hygiene: A Resident Safety Imperative
John M. Boyce, MD
J.M. Boyce Consulting, LLC
Consultant for Diversely and GOJO Industries

​9:00 - 10:00 a.m.
ICAR Findings - Common Deficiencies Related to Hand Hygiene
Pat Virnig RN
Director of the DQA Bureau of Nursing Home Resident Care (BNHRC
​10:00 - 10:15 a.m.
​10:15 - 11:15 a.m.
Highlights of the CDC and WHO Hand Hygiene guidelines, and How They Relate to Long-Term Care Facilities
John M. Boyce, MD
J.M. Boyce Consulting, LLC
Consultant for Diversely and GOJO Industries
​11:15 - 12:15 p.m.
​12:15 - 1:15 p.m.
Hand Hygiene Product Selection: It's Personal, Not Personnel
Gundersen Health System
​1:15 - 1:30 p.m.
​1:30 - 2:30 p.m.
​Applying Human Factors to Hand Hygiene Initiatives
Mary Jo Knoblock, PhD, MPH
Univeristy of Wisconsin School of Medicine and Public Health
Department of Medicine, Infectious Diseases
William S. Middleton Memorial Verterans Hospital

Jackson Musuuza, MBBS, MPH, PhD
Department of Medicine - Univeristy of Wisconsin, Madison

​2:30 - 3:30 p.m.
Deb Burdsall PhD, RN-BC, CIC, FAPIC
Baldwin Hill Solutions, LLC
​3:30 - 4:00 p.m.


 Hand Hygiene: A Resident Safety Imperative - John M. Boyce, MD

Hand Hygiene is considered the single most important method for reducing infections in hospitals and long-term care facilities (LTCFs). Failure to consistently and effectively practice hand hygiene can lead to serious infections. The supporting evidence for hand hygiene will be reviewed  along with real life stories. Contamination of caring hands is inevitable but there are effective strategies to improve practice and protect residents from harm.

Hand Hygiene: A Patient Safety Imperative Presentation

 ICAR Findings - Common Deficiencies Related to Hand Hygiene - Pat Virnig RN

Infection Control Assessment and Response (ICAR) findings related to hand hygiene is a common deficiency in Wisconsin long term care facilities. This session will identify not only the common deficiencies related to hand hygiene that are found during site visits but also will share some the best practices found at other facilities. This session will also review what to expect from the survey team during the site visit plus what is expected from the long-term care facility following the visit.​ ​

 Highlights of the CDC and WHO Hand Hygiene guidelines, and How They Relate to Long-Term Care Facilities - John M. Boyce, MD

Highlights of the CDC and WHO Hand Hygiene guidelines will be reviewed. This will include: a review of the Five Moments for Hand Hygiene, differentiating between the patient and healthcare zones and explaining why alcohol-based hand rubs the preferred method o hand hygiene. The recommended processes for performing hand hygiene will be discussed. Compliance with recommended practices in many long-term care facilities needs to improve to reduce resident harm.

CDC and Who Guidelines and How They Relate to Long Term Care Facilities Presentation

 Hand Hygiene Product Selection: It's Personal, Not Personnel - Marilyn Michels MSN RN CRRN CIC FAPIC

There are numerous things to consider when an organization selects hand hygiene products. Administrative staffs needs to consider effectiveness, tolerance, dispensing options, infrastructure, safety, cost, contracts, and support from the product representatives. The end user needs to select the right product for the task at hand and use it effectively. The front-line staff will have an aversion to hand hygiene products that cause a perceived harm. Resident options are limited but need to be considered. The selection of hand hygiene products tends to be personal and yet product selection for the organization considers the needs of the personnel. The learner will appreciate t he complexity in selecting the best hand hygiene options to have available in their decisions on which product to actually use.

Hand Hygiene Product Selection Presentation

 Applying Human Factors to Hand Hygiene Initiatives - Mary Jo Knoblock, PhD, MPH & Jackson Musuuza, MBBS, MPH, PhD

Hand hygiene is a proven intervention to reduce healthcare-associated infections. Sustaining this complex behavioral intervention requires a systems approach - moving from addressing individual behaviors to contextual factors that influence compliance.

Applying Human Factors to Hand Hygiene Initiatives Presentation

 Surveillance - Deb Burdsall PhD, RN-BC, CIC, FAPIC

The goal of hand hygiene surveillance is to provide safer care by improving how and when healthcare personnel clean their hands. The Centers of Disease Control and Prevention (CDC), World Health Organization (WHO) and Joint Commission all include hand hygiene surveillance as a core practice of infection prevention and control. We will discuss different hand hygiene surveillance programs addressed by CDC, WHO, and Joint Commission, including the most recent science related to improving hand hygiene participation. We will also discuss direct observation vs. automatic data collection methods, barriers to hand hygiene, policy and procedure development, nail care, glove use as it relates to hand hygiene, feedback and just in time training. We will discuss how to collect this information and present it in a manner that will be meaningful and impact change. 

Hand Hygiene Surveillance the Science and the Pragmatics Presentation

Presenter Biographies

 John M. Boyce, MD

​Dr. Boyce is currently President of J.M. Boyce Consulting LLC, a position he assumed after retiring from his positions as Director of Hospital Epidemiology & Infection Control at Yale-New Haven Hospital in New Haven, CT and as Clinical Professor of Medicine at the Yale University School of Medicine in 2015. He served as President of the Society for Healthcare Epidemiology of America (SHEA) in 1999. He was lead co-author of the CDC Guideline for Hand Hygiene in Healthcare Setting, published in 2002. He served as a standing member of the hand hygiene committee of the World Health Organization, which published the WHO Guidelines for Hand Hygiene in Health Care in 2009. He was a member of Institute for Healthcare Improvement Expert Panel on the Guide to Improving Hand Hygiene, and a member of the Joint Commission Advisory Panel on Consensus Measurement on Hand Hygiene Project. He has co-authored multiple articles dealing with hand hygiene and is co-editor of a book on hand hygiene published in 2017. Areas of special interest include methods for monitoring hand hygiene performance indicators and issues related to volume of alcohol-based hand rubs used by healthcare personnel. Dr. Boyce is a consultant for both Diversely and GOJO Industries on hand hygiene products and hand hygiene monitoring systems.

 Deb Patterson Burdsall, PhD, RN-BC, CIC, FAPIC

​Deb Burdsall has worked in long term care since 1974. She started as a nurse’s aide, and has worked as a staff nurse, nursing supervisor, interim director of healthcare services, MDS/care plan coordinator, wound nurse, quality assurance coordinator, and clinical in-service coordinator. Deb is board certified in infection prevention and control (CIC), and ANCC certified in gerontological nursing. Deb has a BA in psychology with a minor in biology from Allegheny College in Meadville, Pennsylvania, and a diploma in nursing from The Evanston Hospital School of Nursing. Deb received her MSN and PhD from the University of Iowa College of Nursing. Her doctoral dissertation project involved examining how healthcare personnel use gloves when caring for patients and testing the reliability of a glove use surveillance tool. Deb works to find evidence-based, cost effective infection prevention strategies for long term care. 

 Mary Jo Knobloch, PhD, MPH

​Dr. Knobloch is a researcher with the University of Wisconsin School of Medicine and Public Health, Department of Medicine, Infectious Diseases and the William S. Middleton Memorial Veterans Hospital. The goal of Dr. Knobloch’s research is to reduce multidrug resistant infections, with an emphasis on antibiotic stewardship, sustaining evidence-based practice, leadership and communication tools related to implementation of best practices and the use of mixed methods to study prevention of healthcare-associated infections. She is primarily a qualitative researcher with interest in what it takes to move evidence to routine practice and how to sustain the practice once implemented – which includes patient and other stakeholder engagement as part of a human factors and systems approach to implementation.

 Jackson Musuuza, MBBS, MPH, PhD

Dr. Jackson Musuuza is a researcher with the University of Wisconsin School of Medicine and Public Health, Department of Medicine and the William S. Middleton Memorial Veterans Hospital. He has background in medicine, public health and clinical epidemiology with an emphasis on implementation science. His current research focuses on infection prevention, particularly the prevention of healthcare-associated infections, through the application of dissemination and implementation science methods to optimize or translate evidence-based interventions into practice. He holds a medical degree from Mbarara Medical School in Uganda, a Master of Public Health (MPH) from Case Western Reserve University, Cleveland, Ohio and a PhD in Clinical Research from the University of Wisconsin, Madison

 Marilyn Michels MSN RN CRRN CIC FAPIC

​Marilyn is currently an Infection Preventionist at Gundersen Health System in La Crosse, Wisconsin. Her past clinical experience includes rehabilitation nursing and long-term care. She is certified on rehabilitation nursing and infection prevention and control. She has participated in the value analysis of many hand care products over her tenure in various health care settings. Marilyn received her MSN from Marquette University in Milwaukee with a focus on care of the adult and nursing education.

 Pat Virnig RN

​Director of the DQA Bureau of Nursing Home Resident Care (BNHRC)

Pat has more than 28 years of ensuring long term care facilities comply with state and federal regulations through survey, citation, consultation and ongoing open communication with the stakeholder communities. Prior to her current position as the Regional Field Operations Director for the BNHRC Southern Regional Office, Pat served as a lead complaint investigator, nurse consultant and regional field operations supervisor with DQA. Pat came to DQA after serving as a Director of Nursing in the private sector. Currently, Pat conducts quarterly SRO Nursing Home Forum meetings, presents routinely at the WI Director of Nursing Association meetings, facilitates bimonthly communication with the state Long Term Care Ombudsman program and presents several portions of Employee Education to DQA staff.

 Planning Committee

Planning Committee
Diane Dohm, IP, CIC, CPHQ - MetaStar
Victoria (Vicky) Griffin, BSN, RN - WI Department of Health Services, Division of Quality Assurance
Leslie Hagenson, RN - Middle River Health and Rehabilitation
Melissa Mann, RN - Colfax Health and Rehabilitation Center
Marilyn Michels, MSN, RN, CRRN, CIC, FAPIC - Gundersen Health System
Alice Peterson, RN, BSN, WCC, CIC - Bethany Home Inc.
Joey Pettis, BSN, RN, DNS- CT, WCC, DWC - Wisconsin Director of Nursing Council Education Forum, Inc.
Brenda Ryther, RN, MSN - UW-Madison

Conflict of Interest

Neither speakers nor planning committee members disclosed any conflict of interest as relates to this program, except John M. Boyce MD serves as a consultant for Diversely and GOJO Industries. Off label use of any products will not be discussed. There is no commercial support for this program. There will be no endorsement of products during the educational sessions.

​​ ​

Contact Hours 

​This activity will be submitted to WNA CEAP for approval to award contact hours.  Wisconsin Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.  

The number of contact hours granted will depend upon sessions attended and return of the completed evaluation form.

This event was provided jointly through the Wisconsin Healthcare-Associated Infections (HAIs) in Long-Term Care Coalition and Wisconsin Department of Health Services, Division of Quality Assurance (DQA).  Records will be stored through the Wisconsin Healthcare-Associated Infections (HAIs) in Long-Term Care Coalition at the Wisconsin Department of Health Services, Division of Quality Assurance (DQA).

Lodging Information

​A room block has been reserved at the Madison Marriot West, 1313 John Q Hammons Drive, Middleton, WI 53562. For lodging reservations, click here or call (888)-745-2032. When you call, please make sure to identify that you are with the "Hand Hygiene Seminar" Block.

Single room occupancy is available for $82/night and 2-4 person occupancy rooms are available for $129/night.

To ensure the block room rate, please make your reservation NO LATER THAN MONDAY, SEPTEMBER 23, 2019. Hotel room rates are subject to applicable state and local tax unless a S211 form is presnted at check-in. For more information and directions to the hotel, please visit the Madison Marriot West.


For questions about registration, please contact UWSP's Continuing Education and Outreach at 715-346-3838 or at uwspce-conf@uwsp.edu

For questions about the conference, please contact Leann Graffin at 608-267-1438 or at leann.graffin@wi.gov