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


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 tool and resource suggestions to Jill Kieser Andersen, Stratis Health. 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.

Recorded Webinar: Minnesota NHSN User Group Meeting

This meeting covers updates on the Minnesota Hospital Association NHSN user group, CDC NHSN updates, and a presentation on NHSN Graphs and TAP Reports. View slides and hear audio file.

Recorded Webinar: Accelerating Prevention of Clostridium difficile infection

Approximately 83,000 of the patients who developed C. difficile experienced at least one recurrence, and 29,000 died within 30 days of the initial diagnosis. This webinar discusses targeting and implementing CDI prevention strategies in the acute care setting. Watch video

Watch the HAI Prevention Kick-Off Webinar

Watch the HAI Prevention Kick-Off Webinar for:

  • Overviews of the Centers for Medicare & Medicaid Services quality goals and strategy
  • Outline of the HAI initiative
  • Integration with other Lake Superior Quality Innovation Network initiatives
  • Goals and benefits of participating

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.