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Continuing Education for Infection Prevention Professionals
Legionella Specialties offers focused continuing education designed specifically for Infection Preventionists (IPs), facility leaders, and healthcare professionals responsible for water safety and compliance. Our programs bridge the gap between regulatory requirements and real-world application, covering topics such as Legionella risk management, water management programs, ST108 compliance, testing strategies, and corrective action documentation.
R3 Report Compliance
The R3 report is used to document how a healthcare organization identifies, manages, and controls risks associated with waterborne pathogens. It brings together risk assessments, testing results, control measures, and corrective actions in a clear, organized format that supports Joint Commission survey readiness. A well-maintained R3 report helps Infection Prevention teams demonstrate oversight, accountability, and ongoing compliance with water safety requirements.
R3 Report Podcast
ANSI/AAMI ST108:2023
ANSI/AAMI ST108:2023 establishes standardized requirements for managing water quality used in medical device processing and other critical healthcare applications. The standard outlines risk-based approaches for water system design, monitoring, testing, documentation, and corrective actions to reduce infection risk and support patient safety. For Infection Prevention teams, ST108 provides a clear framework for aligning water management practices with regulatory expectations and demonstrating consistent, defensible compliance.
ST108 Animated Video
R3 Water Safety & Compliance Guide
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This practical booklet, A Guide to the Joint Commission’s R3 Report: Water Safety and Compliance in Healthcare Facilities, is designed to help Infection Prevention and facilities teams understand and operationalize current water management requirements. Published by Legionella Specialties, it walks readers through risk assessment, water management planning, testing, documentation, corrective actions, and survey preparation, with an included compliance checklist to support day-to-day readiness. The guide translates R3 expectations into clear, actionable steps that support patient safety and defensible compliance during Joint Commission surveys.
Flushing Protocols and Logs
​Regular flushing plays a critical role in supporting water system performance and minimizing conditions that allow Legionella to develop. Consistent water movement helps maintain disinfectant residuals, limits stagnation, and disrupts environments where biofilm can establish. This section includes printable resources and guided instructional videos that walk facilities through building effective flushing schedules and properly recording each action to support a documented, compliant water management program.
Flushing Tutorial Video
CMS Memorandum on Water Management
The CMS memorandum establishes expectations for healthcare facilities to reduce the risk of Legionella and other opportunistic waterborne pathogens through effective water management practices. It emphasizes the need for documented policies and procedures, facility risk assessments, defined control measures, routine monitoring, and corrective actions when control limits are not met. The memorandum reinforces that water management is a core component of infection prevention and is subject to review during CMS surveys to ensure patient safety and regulatory compliance.
CMS water standard requirements
Infection Prevention Education Presentation
This Infection Prevention-focused presentation by Dave Merhi, on behalf of Legionella Specialties, is designed to help IPs navigate today’s evolving water management and Legionella compliance landscape with clarity and confidence. The session connects regulatory expectations, industry standards, and real-world facility challenges, translating complex requirements into practical strategies that support patient safety, survey readiness, and defensible documentation.
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Mineral Oxychloride Publication
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This peer-reviewed publication examines mineral oxychloride as a continuous disinfection method for controlling Legionella in healthcare water systems. Drawing on data collected from more than 100 healthcare and long-term care facilities, the study evaluates measurable outcomes such as ATP reduction, oxidation-reduction potential (ORP), and sustained microbial control over time. The findings support mineral oxychloride as a data-driven approach that aligns with modern infection prevention expectations by emphasizing continuous monitoring, documented performance, and long-term risk reduction within complex building water systems.
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This is peer-reviewed, applied research focused on real healthcare water systems, not a lab-only study. It emphasizes measurable control, documentation, and compliance