“…In Tasmania, approximately 2,200 HAI cases occur each year among admitted hospital patients ( 2 ). The leading causes of HAIs in the state are Enterococcus faecium , Staphylococcus aureus , and Clostridium difficile ( 3 ). While the incidence of health care-associated bacteremias due to Staphylococcus aureus , a possible sentinel for hand hygiene compliance ( 4 ), has remained relatively stable in Tasmania in recent years, notifications of vancomycin-resistant E. faecium (VREfm) have increased significantly in the state’s acute public hospitals since the beginning of 2015 ( 3 ).…”