One Percent Wins: Building a Strong IP Program in a Critical Access Hospital

In this episode of the Transmission Control podcast, Garrett and Jill sit down with Emily Barnard, Infection Prevention Manager at Mountains Community Hospital, for a candid look at what it really takes to rebuild an infection prevention (IP) program in a rural, resource-limited setting. Emily shares what it was like stepping into a hospital with no dedicated IP for more than two years—and how she didn't waste a minute getting to work. From Gemba walks and real-time observation to relationship-building on the front lines, she breaks down the practical moves that helped uncover gaps and kick-start meaningful improvement. Listeners get an inside look at the realities of critical access hospitals, where aging infrastructure, limited resources, and unexpected environmental challenges demand creativity, adaptability, and grit. Through humor, honesty, and hard-earned insight, Emily reminds us that real progress doesn't come from perfection—it comes from consistent, strategic wins. If you've ever felt like you're facing "mountains beyond mountains," this episode is proof that the climb is possible. Tune in today!

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