Since the early 2000’s, lack of handwashing has been targeted as a main cause of spreading infections. Over the years, Joint Commission has required organizations to develop and implement hand hygiene programs. As of January 1, 2018, the Joint Commission has decided to take another step to ensure hand hygiene is top of mind while providing direct patient care. Surveyors will now cite a deficiency to a hospital if they see any individual failing to perform hand hygiene.