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 Bruce Johnson, 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

CHAIN Conference: Antimicrobial Stewardship across the Continuum of Care in Minnesota

October 16, Mall of America – “Great Room” Conference Room, Bloomington

This conference is targeted toward infectious disease physicians, hospitalists, emergency department physicians, pharmacists in healthcare settings, infection preventionists, microbiologists, and others interested in or involved in antimicrobial stewardship activities in their healthcare facility. Panel presentations will feature long-term-care and pharmacy practitioners. Presenters share real-life, practical experiences and innovative approaches for improving antimicrobial prescribing practices in inpatient hospital, emergency department, and long-term care settings. Speakers are David Hines, MD, FACP; Susan Kline MD, MPH; Gary Kravitz MD, FACP, FIDSA, FSHEA; Abinash Virk MD, DTM&H, FIDSA; and Ruth Lynfield, MD. There is no registration fee; lunch will be on your own. Register. Event Flier.

A System-Based Approach to Colorectal Surgery SSI Reduction: Interventions Across the Episode of Care

Presented on December 11, 2013 by Robert R. Cima, MD, Mayo Clinic, Rochester, MN. Hosted by Stratis Health. (54-minute webinar)

Webinar and slides

Required Infection Reporting for Critical Access Hospitals (CAH)

Presented by Stratis Health and the Minnesota Hospital Association. Parts one and two of this four-part webinar series, presented on October 14, and November 21, 2013, describe the new state requirement for reporting CAUTI in the CDC’s National Healthcare Safety Network (NHSN). The series is designed to help CAH understand the options and steps for NHSN enrollment, and prepare for submitting data into NHSN for January 1, 2014 discharges.

Webinar, slides and supporting documents

Highlighted Resources

A collection of presentations from the October 24. 2013 CHAIN-sponsored Antimicrobial Stewardship Conference that provide examples of a variety of effective strategies for antimicrobial stewardship programs throughout Minnesota.

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. This Web site is supported by Stratis Health, the Quality Improvement Organization for Minnesota, under a contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 10SOW-MN