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Updated: May 1, 2026

Watershed Planning within a Quantitative Scenario Analysis Framework
Published on: July 24, 2016
A comprehensive water management program for multicampus healthcare facilities
Dale A Krageschmidt1, Allen F Kubly, Mark S Browning
1Mayo Clinic, Rochester, Minnesota.
Implementing the Hazard Analysis and Critical Control Point (HACCP) process effectively managed waterborne pathogens in hospital water systems. This approach ensured good water quality and identified areas needing further hazard control.
Area of Science:
- Environmental Health
- Hospital Water Management
- Infection Control
Background:
- Healthcare facilities face risks from waterborne pathogens.
- Effective water management programs are crucial for patient safety.
Purpose of the Study:
- To develop and implement an effective Hazard Analysis and Critical Control Point (HACCP) program for waterborne pathogen control.
- To establish a comprehensive water management program (WMP) across a multicampus hospital network.
Main Methods:
- A longitudinal study involving 26 building water systems.
- Utilized the HACCP process to systematically identify and control waterborne hazards.
- Validated the WMP through microbiological, chemical, and disease surveillance data.
Main Results:
- Hazard analysis indicated good control of waterborne pathogens and overall water quality.
- Identified pressure tanks and electronic automatic faucets as requiring additional hazard control.
- No confirmed hospital-acquired legionellosis cases were substantiated by water testing.
Conclusions:
- The HACCP process proved practical and effective for long-term water system management.
- Emphasized critical control point management for temperature, flow, and chlorine residual.
- The study highlighted the need for ongoing hazard control for specific water system components.
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