Our Purpose

To increase safety, reduce avoidable harm and eliminate unnecessary costs at hospitals nationwide by leading the change in hand hygiene measurement policy and guidelines at accreditation organizations, government agencies, health insurers and hospitals.

Latest News

    • February Chairman’s Message

      Honored and excited to be leading the Hand Hygiene Breakout/Workshop at the Patient Safety Movement Foundation 6th Annual World Patient Safety Science and Technology Summit in London this Sunday, February 25th at 9 AM local time. We will be using the PSMF Actionable Patient Safety Solution (APSS) for Hand Hygiene as Framework …Continue Reading
    • December Chairman’s Message

      This is a watershed moment for the Patient Safety cause. The new hand hygiene performance standard issued by The Joint Commission this week takes facility accountability to a new level: Effective January 1, 2018, for all accreditation programs, any observation by surveyors of individual failure to perform hand hygiene in the process of direct patient care will be …Continue Reading
    • Hospital Safety Grades Now Available

      The LeapFrog Group’s Fall 2017 Hospital Safety Grades are now available. The Safety Grades are updated two times a year and include 27 measures to help keep patients safe from preventable harm and medical errors. Hospital safety grades can be found on the following link for 2,600 acute-care hospitals across the …Continue Reading
    • HSAG HIIN Promotes EHCO

      So happy to see that the HSAG HIIN (Hospital Improvement Innovation Network) is promoting the work of EHCO (www.EHCOhealth.org) via the Pacing Event we did for CMS/CMMI and the Partnership for Patients on their web site. Quoting from their web site: Summary from 5/25 Pacing Event: “Hand Hygiene Compliance and HAI …Continue Reading
    • October Chairman’s Message

      In speaking at the Hospital and Health Systems Association of Pennsylvania’s (HAP) Patient Safety and Quality Symposium https://www.haponline.org/Event-Details/id/189 in Lancaster PA on October 10 with Connie Steed of the Greenville Health System, Greenville, SC and also at the State of Indiana APIC Annual Meeting on October 13, it occurred to …Continue Reading

Industry Events

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Why are SMART Hand Hygiene Systems Important?

It is proven that Hand Hygiene Compliance (HHC) rates are typically overstated by up to 300% – that means if your compliance is 90% with Direct Observation (DO), you’re more likely to be closer to 30%. And without knowing that your real compliance is this low you have no sense of urgency to
improve it.

“Without data, you’re just another person with an opinion.” – W. Edwards Deming

Until recently, it was impossible to capture and provide feedback on 100% of hand hygiene behavior 24/7/365 on every shift, every day. But now, with the advent of SMART Hand Hygiene Compliance Systems (Systems that Measure Accurately and in Real Time) it is possible to have accurate and reliable data on 100% of hand hygiene events, free of the Hawthorne Effect, and in a cost effective manner.

“If you can’t measure something, you can’t understand it. If you can’t understand it, you can’t control it. If you can’t control it, you can’t improve it.” – Dr. H. James Harrington

Here is evidence why SMART Hand Hygiene Systems are more accurate and reliable than Direct Observation:

Compliance was measured three ways on the same patient population for 15 months at a 750+ bed Greenville, SC teaching hospital – Direct Observation (DO), Video Monitoring (with patient consent) and electronically using a SMART Hand Hygiene Compliance (HHC) System. The video monitoring and SMART HHC System rates were statistically equivalent for the final 12 months of the study with DO overstating compliance by an average of 33%. This study proved the accuracy and reliability of an electronic monitoring system and proved the Hawthorne Effect really does produce overstated and unreliable HHC rates. (Study published in Antimicrobial Resistance and Infection Control (ARIC), June 2013; accepted for presentation at the International Consortium on Prevention and Infection Control (ICPIC) 2013, Geneva, Switzerland.)

For more real world results achieved by facilities using SMART Hand Hygiene Compliance Systems click here.

(All real world studies are available upon request.)

About EHCO

EHCO / Electronic Hand hygiene Compliance Organization

EHCO™ is a consortium of healthcare technology companies that provide SMART (Systems that Measure Accurately and in Real-Time) hand hygiene compliance systems. EHCO’s member companies are committed to lead and influence changes in policy and guidelines at accreditation organizations, government agencies, health insurers and hospitals along with educating consumers on this important public health and patient safety issue.

The intended outcome of our work is the reduction of avoidable harm and its economic burden by changing the standard of care from manual direct observation to electronic measurement that captures 100% of hand hygiene compliance behavior 24/7/365.


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Headquartered in Sparks, Maryland with additional offices in Annapolis, AiRISTA is the leading provider of true Wi-Fi based RFID, RTLS, and GPS technologies. AiRISTA offers the most robust and flexible RTLS workflow platform offered in the market supporting many applications such AiRISTA’s scalable Wi-Fi and BLE Hand Hygiene offering. Highly flexible, AiRISTA deploys Active, Passive and Wi-Fi RTLS solutions through its proprietary hardware, a customer’s existing RTLS infrastructure, or mix of different technologies, all managed through one platform, ensuring proper pairing of hardware to use case. AiRISTA leverages this hardware flexibility with the company’s internationally recognized Unified Visibility Software platform. The UVS platform provides fully customizable Track and Trace solutions, a robust highly configurable business rules engine, alert and alarm management and a powerful centralized system integration BUS, able to provide connectivity between any localized software platforms. AiRISTA services a broad spectrum of industries with core focus on Healthcare, Logistics, Aerospace and Oil & Gas. More information the company and offerings can be found at www.airista.com

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CenTrak improves healthcare operational efficiency and the quality of patient care via the industry’s most robust and scalable Enterprise Location Services™ offering. Ranked #1 as the 2017 KLAS Category Leader for Real-Time Location Systems (RTLS), CenTrak’s technology supports high velocity updates and sub-room level accuracy across the entire healthcare enterprise. In its mission to transform patient care, CenTrak helps world-class healthcare facilities increase productivity, streamline workflows, drive higher patient and staff satisfaction and reduce costs. For more information, visit www.centrak.com

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DebMed is the healthcare program of the Deb Group. The DebMed program offers innovative hand hygiene products, electronic compliance measurement technology and improvement tools. The DebMed® GMS™ (Group Monitoring System), winner of the 2013 Frost & Sullivan Hand Hygiene Solutions New Product Innovation Award, is the world’s first and only system to report hand hygiene compliance rates based on the World Health Organization’s (WHO) “Five Moments for Hand Hygiene” and to date has recorded more than 125 million hand hygiene events. The system is being utilized in a four year, multi-site research project being conducted by the Columbia University School of Nursing and funded by a $1.2 million grant from the Agency for Healthcare Research and Quality (AHRQ). In 2015 Deb Group was acquired by SC Johnson, a privately held, family company and one of the worlds leading manufacturers of household cleaning products and products for home storage, air care, pest control and shoe care. For more information, visit www.debmed.com.

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As a pioneer in automated hand hygiene solutions, Versus Technology, Inc. specializes in Real-time Locating Systems (RTLS) for healthcare. Used by more than 800 hospitals and healthcare organizations for enterprise patient tracking, bed management, asset management, and automated hand hygiene monitoring, Versus improves patient flow and documentation of caregiver and patient interactions, while enhancing safety, communication and efficiency. The Versus infrared (IR), Wi-Fi, and Active RFID solution is responsible for clinical-grade location and automation at hospitals, clinics and long-term care facilities worldwide. To learn more about Versus, our technology and client successes, visit versustech.com

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BIOVIGIL Hygiene Technologies, LLC is headquartered in Ann Arbor, Michigan. Developing effective and compelling hygiene technologies is our sole business focus. Our company differentiates itself from competitive solutions with a number of patents, which are unique to our product use-case and system solutions for hand hygiene detection and reporting. BIOVIGIL’s patented technology can be easily deployed in any circumstance where monitoring and compliance to hand hygiene policies are essential to protecting, or improving patient and/or staff safety. For more information visit www.biovigilsystems.com

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Clean Hands Safe Hands (CHSH) is a technology company that has developed a cost-effective, wireless, proprietary technology for the healthcare market. CHSH helps hospitals monitor and improve hand hygiene compliance by transforming simple dispensers into a secure connected device analytics platform. This data and sensor network change provider behavior that leads to improved patient safety and reduced costs. See http://www.cleanhands-safehands.com to learn more.

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At Ecolab, our focus is on improving the world by making it cleaner, safer and healthier. Ecolab partners with customers to help increase efficiency, improve outcomes and reduce the risk of HAIs by delivering comprehensive solutions facility-wide. We provide personal support in implementing and maintaining a comprehensive hand hygiene program with electronic compliance monitoring that can help you overcome hand hygiene barriers, tailor training and awareness programs, and target areas for effective intervention. We enable the improvement of facility compliance with a full portfolio of products and dispensers designed to meet your needs, as well as keep hand hygiene top of mind with an individualized training program. To find out more, visit 

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STANLEY Healthcare is a market leading provider of visibility solutions and analytics for the healthcare industry.  Our AeroScout Hand Hygiene Compliance Monitoring solution provides accurate, comprehensive and real-time data on hand hygiene compliance aiding the nurturing of a hand hygiene compliance culture and supporting key patient safety initiatives.  Proven to improve individual compliance rates greater than 90% and a 58% improvement in overall compliance, STANLEY Healthcare’s AeroScout solution captures every hand hygiene event and presents compliance data in a visual form that gives nurses, managers and infection preventionists an important tool to see and improve performance.  More information about STANLEY Healthcare and our offerings can be found at www.stanleyhealthcare.com.


For more information on SMART hand hygiene compliance solutions and the scientific evidence behind them,
contact Paul Alper, Chairman EHCO, at palper@ehcohealth.org or call (843) 870-4801.





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