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About the Hand Hygiene Targeted Solutions Tool®

The Targeted Solutions Tool (TST)® is an innovative application that guides health care organizations through a step-by-step process to accurately measure their organization’s actual performance, identify their barriers to excellent performance, and direct them to proven solutions that are customized to address their particular barriers.

If you have a login and password, click on the Login button to access the TST. If you do not have a login and password, click on the Request Access button.

Health care organizations that are using the Targeted Solutions Tool for Hand Hygiene have:

  • Decreased health care-associated infections.

  • Increased hand hygiene compliance in 12 short weeks?

Organizations that have used the TST increased their hand hygiene compliance.


Who do I contact with any questions about the TST?

Call Joint Commission Customer Service at (630) 792-5800 or send an e-mail to  with your name, organization name and organization number. Center staff will respond to your e-mail within two business days.

Video: "Hand Hygiene Targeted Solutions Tool®”


The Hand Hygiene Project

An estimated 2 million patients get a hospital-related infection every year and 99,000 die from their infection. – Centers for Disease Control and Prevention

In December 2008, the Joint Commission Center for Transforming Healthcare began work on its first Targeted Solutions Tool improvement project: addressing failures in hand hygiene. The Hand Hygiene Project focuses on improving and sustaining hand hygiene compliance. Hand hygiene is critically important to safe, high quality patient care. Unfortunately, many infections are transmitted by health care personnel. To sustain improvement and make a difference, a simple slogan or campaign is not enough; demanding that health care workers try harder is not the answer. Comprehensive, systematic and sustainable change is the only solution.

Participating organizations included:

Cedars-Sinai Medical Center

Exempla Lutheran Medical Center

Froedtert Hospital

Memorial Hermann The Woodlands

The Johns Hopkins Hospital

Trinity Health


Wake Forest Baptist Health

To download the Facts about the Hand Hygiene project, Click Here.

In Their Words...Participating Hospitals Tell Their Stories



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