Below are questions to help frame the discussion re: your role with INDEX. Please let me know if you have other questions, wish to address these in writing rather than by phone, or neither or both!
- Leveraging ECRI and Institutional Influence
Question: Given your leadership experience at ECRI and your work with APIC and IPC, how can we leverage these and other relationships to position the BEMI standard as a benchmark for patient safety and “Environment of Care” audits?
Goal: Move BEMI from a “voluntary pilot” to a “recommended best practice.”
- Implementation Across Diverse Care Settings
Question: Your experience spans acute care, long-term care, and ambulatory surgery centers. Which of these sectors do you believe is most “ripe” for a BEMI pilot, and how should we adapt the standard’s implementation to meet the unique regulatory requirements of each?
Goal: Given the nuances of different facilities, help us devise a strategy for, say, a large hospital versus a specific clinic.
- Funding and Economic Justification
Question: Using your Lean/Six Sigma Green Belt expertise, how can we best structure the “Value Proposition” for BEMI to healthcare CFOs—specifically focusing on the ROI of infection reduction versus the cost of implementation?
Goal: Since healthcare funding often relies on proving a new standard saves money, demonstrate BEMI’s value.
- Navigating the “Bundle” Methodology
Question: Could BEMI be integrated into an existing clinical bundle, or does it require a standalone implementation framework to be effective in a clinical setting?
Goal: As clinicians often suffer from “initiative fatigue,” possibly integrate BEMI into existing workflows (bundles) rather than introducing a separate, new process.
- Research and Validation for Adoption
Question: What specific data points or epidemiological outcomes should we measure during the pilot phase to ensure the BEMI standard gains the peer-reviewed validation necessary for widespread embedding in the healthcare sector?
Goal: Develop an evidentiary base by designing the research methodology that proves the standard works to reduce exposure.
Thank you!

