A method for assessing improvement in hand hygiene practices using sanitationsolution dispensers deployed within in healthcare facilities or the like. Eachdispenser has an associated counter producing a count indicative of a handsanitizing event. Other data acquired impacts the number of anticipated handsanitation events in the particular area of interest. From this data, a numberof anticipated hand sanitation events is determined. Finally, a determinationis made, from information obtained through actual observation, of the numberof opportunities that healthcare workers will have for hand sanitation in thatarea over a particular period of time. A performance index, indicative ofcompliance with hand hygiene protocol, is then obtained by dividing thedifference between the actual number of hand sanitizing events and the numberof anticipated hand hygiene events by the number of opportunities for suchhand hygiene events. This index may indicate improvement or regression in handhygiene practices.
