Impact of a Comprehensive Workplace Hand Hygiene Program on Employer Health Care Insurance Claims and Costs, Absenteeism, and Employee Perceptions and Practices

James W Arbogast, Laura Moore-Schiltz, William R Jarvis, Amanda Harpster-Hagen, Jillian Hughes, Albert Parker, James W Arbogast, Laura Moore-Schiltz, William R Jarvis, Amanda Harpster-Hagen, Jillian Hughes, Albert Parker

Abstract

Objective: The aim of this study was to determine the efficacy of a multimodal hand hygiene intervention program in reducing health care insurance claims for hygiene preventable infections (eg, cold and influenza), absenteeism, and subjective impact on employees.

Methods: A 13.5-month prospective, randomized cluster controlled trial was executed with alcohol-based hand sanitizer in strategic workplace locations and personal use (intervention group) and brief hand hygiene education (both groups). Four years of retrospective data were collected for all participants.

Results: Hygiene-preventable health care claims were significantly reduced in the intervention group by over 20% (P < 0.05). Absenteeism was positively impacted overall for the intervention group. Employee survey data showed significant improvements in hand hygiene behavior and perception of company concern for employee well-being.

Conclusion: Providing a comprehensive, targeted, yet simple to execute hand hygiene program significantly reduced the incidence of health care claims and increased employee workplace satisfaction.

Conflict of interest statement

There are no significant conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Flow diagram of study design with data collection.
FIGURE 2
FIGURE 2
Health care claims per month per 1000 employees for the study period and prior four years.
FIGURE 3
FIGURE 3
Absences per month per 1000 employees for the study period and prior four years.
FIGURE 4
FIGURE 4
Overall frequency of carrying and using alcohol-based hand sanitizer per study group and pre- versus postsurvey.

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