Infection Prevention and Control – Challenging Standards

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Start Time:12:00 AM
End Time:12:00 AM
Contact Information
Additional Information

Provided by MHA Health Institute
Health Institute

Date & Time

Tuesday, Aug. 15, 2017
10 - 11:30 a.m.


Register on or before Monday, Aug. 10, to ensure delivery of instructional materials.

MHA members — $225
Nonmembers — $275

The webinar registration fee is for one phone line connection. Additional phone line connections each will be charged a registration fee. Multiple participants on the same connection is encouraged. Get more value by inviting colleagues to join you!

This webinar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.


care providers, medical staff, patient safety officers, nurses, pharmacists, performance improvement personnel, risk managers, TJC coordinators, administrators, compliance officers

The following program content was provided by the speaker.


This webinar is for all infection control practitioners and anyone in clinical care. Preventing health care-associated infections should be a major focus for all clinicians. The focus of the webinar is patient safety and reducing HAIs.


  • discuss The Joint Commission standards for infection control
  • evaluate TJC National Patient Safety Goals related to infection control
  • relate the standards and goals to reducing HAIs (How can we use these risk reduction strategies in actual practice?)
  • review the operations and survey processes for evaluating and reducing HAIs. (This includes discussion on how to use the information to prioritize improvements.)
  • enact the survey methodology for infection control; individual based system tracer: infection control
  • explore the requirements for building, remodeling and renovation; infection control risk assessment
  • identify where relative humidity requirements and pressurization apply


Sandra M. McRae, BSN, R.N., MPH
Patient Safety and Healthcare Consulting and Education Company
Columbus, Ohio

Sandra McRae has experience in all levels of health care. She served as consultant and faculty for The Joint Commission from 1989 to 2004. In addition to being president of her own company, McRae brings outstanding experience as a nurse executive, administrator, risk manager, and patient safety and performance improvement expert to her role as a consultant. She is the clinical/TJC consultant for the Florida Hospital Association.

McRae assisted in the development of the Veterans' Administration National Center for Patient Education. In 2009-2010, she developed the Veterans' Administration National template for medical staff bylaws. She consults with multiple VA facilities and programs.

McRae taught a wide range of programs for TJC Department of Education and was consistently rated the highest of all faculty. She was one of only three people selected by TJC to do the nationwide education on the new 2004 standards and survey process. She spent a month in the Kingdom of Saudi Arabia teaching continuous quality improvement. McRae also has gone to Egypt and Ireland to help both countries begin the development of standards and an accreditation process. She has published Patient Care Trainee-Educational Employment, and her research has included a grant from Abbott Laboratories and work with the University of Florida in Perceptions of Education.