Continuous monitoring of your program compliance according to your client’s infection control risk assessment (ICRA) program (including periodic training refreshers for key supervisory personnel) is critical for any comprehensive program.

Most hospitals perform prequalifying assessments of construction contractor’s ICRA programs to see if they align with their goals and objectives. This process also involves vetting key superintendents and project managers for their healthcare experience and reviewing the contractor’s OSHA compliance safety programs. These program reviews also include:

• Effective contractor job hazard analysis
• Meticulously engineered containment design
• Thorough pre-task planning
• Comprehensive work permit systems
• Ongoing and engaged communication with the client
• Commitment to patient safety and infection control goals

All these program elements are part of an understanding of environmental infection control for preventing infections associated with air, water, and other elements of the environment.

A subcontractor’s ICRA training objectives should be well defined in advance and thoroughly reviewed so they closely align with the healthcare facility’s objectives. Subcontractor ICRA programs should then be periodically reviewed to ensure all new subcontract personal are adequately trained and prepared to perform construction work within the healthcare environment. Goals and objectives should be established upfront with the subcontractors to ensure that patients, healthcare workers, and all project personnel are kept safe. Lastly, it’s critical to implement a continuous program review with set milestones for assessing both contractor’s and subcontractor’s safety and infection control compliance.

Here are a few resources that can assist you with program development and improvement:

1. CDC Guidelines for Environmental Infection Control in Health-Care Facilities

2. Facilities Guidelines Institute (FGI) & American Institute of Architects (AIA) Guidelines for Design and Construction of Hospital and Healthcare Facilities

3. Association for Professionals in Infection Control and Epidemiology (APIC) Infection Prevention Manual for Construction & Renovation

4. State-of-the-Art Report: The Role of Infection Control During Construction in Healthcare Facilities | Bartley, JM, APIC

For more than a decade, Higgins and Associates, LLC has worked with numerous contractors regarding hospital and other healthcare construction projects by supporting safety and infection control efforts. We can assist with your program development, provide training programs, perform containment design reviews, develop specialized ICRA training, and offer environmental infection control air and water sampling during construction projects within hospitals and healthcare facilities of any size.