About EvSOP

EvSOP© is built on collaboration, continuous readiness, and a professional mindset that adapts to the evolving demands of healthcare and non-healthcare sectors alike. With support from an expert Advisory Panel, peer-reviewed publications, and conference presentations, this program is designed to scale impact and share success.

Ready to optimize your environment? Start with the Playbook. Stay for the transformation.

about evsop: DISCOVER OUR VISION AND MISSION

EvSOP© empowers environmental services professionals, infection preventionists, and healthcare leaders to reduce healthcare-associated infections (HAIs) through evidence-based cleaning, standardized protocols, and collaborative training. We believe that every surface matters, every technician deserves respect, and every patient deserves a hygienic environment.

EvSOP© is built on four essential pillars:

Knowledge: Grounded in microbiology, implementation science, and regulatory standards
Tools: HGUM© textiles, validated disinfectants, and standardized workflows
Time: Sufficient staffing and dwell-time protocols for proper disinfection
Respect: For patients, professionals, and the environments we serve

EvSOP© envisions a future where:
• Every EVS technician is trained, certified, and respected
• Every hospital embraces science-based cleaning
• Every patient receives care in a truly hygienic environment
• Every decision is guided by cost, quality, and outcome (CQO)

EvSOP© has been implemented in hospitals across the U.S., Canada, and Kenya. Our protocols have:
• Reduced HAIs and improved patient outcomes
• Elevated EVS training through CHEST and CSCT certification
• Standardized cleaning workflows and responsibility matrices
• Informed national policy through PACCARB and CMS advisory roles
• Inspired legislation like Nile’s Law for public infection reporting

The EvSOP© Playbook is a free, open-access guide designed to help facilities:
• Conduct self-assessments
• Implement a four-step improvement plan
• Standardize cleaning protocols
• Train and certify EVS teams (CHEST, CSCT)
• Align multidisciplinary teams with Service Level Agreements (SLAs)

EvSOP© is shaped by a multidisciplinary advisory board of more than 53 professionals, including:
• Infection preventionists
• EVS directors and trainers
• Microbiologists and textile scientists
• Patient advocates
• Healthcare leaders from systems like CommonSpirit Health


EVSOP IS LED BY AN EXPERT ADVISORY BOARD WHOSE EXPERIENCE IS UNPARALLELED

Discover the disciplines represented by the EvSOP Advisory Board members:

cic-PREPARED INFECTION PREVENTIONISTS

Experts in HAI reduction, surveillance, and evidence-based protocol design
EVS Directors & Managers


Operational leaders in cleaning workflows, staffing models, and quality assurance
Clinical Microbiologists


Specialists in pathogen behavior, disinfectant efficacy, and surface testing
Healthcare Epidemiologists

Advisors on outbreak response, risk stratification, and data interpretation
Facilities & Safety Officers

Experts in compliance, air and water safety, and environmental risk mitigation
Nursing Leaders

Advocates for patient-centered care and interdisciplinary collaboration
Quality & Accreditation Specialists

Navigators of Joint Commission standards, CMS requirements, and audit readiness
Public Health Consultants


Strategists in community health, cross-sector application, and policy alignment
championing environmental hygiene and infection prevention

Voices That Drive EvSOP

“Patients must never be relegated to disease status.”

Alicia Cole, patient advocate and HAI survivor

They don’t just consult—they empower. EvSOP didn’t come in with a checklist—they came in with curiosity. They asked questions no one else had.

Elaine Decker, infection control nurse

“We had to hit the reset button—not just to celebrate our rose bushes, but to confront the thorns.”

Tim Livesay, Tim Livesay, national director of EVS, CommonSpirit Health

“The Playbook is not just a manual—it’s a movement.”

John Scherberger, EvSOP co-founder

“Working together isn’t just about achieving results—it’s about building meaningful connections and creating lasting impact.”

Michael Parker, consultant, educator, speaker and author

“EvSOP is built on truth, not trends.”

Flash Fiegel, EvSOP Advisory Board member

“Finally, a partner who respects the science.”

Paul Pearce, retired clinical microbiologist

“EvSOP doesn’t just follow the science—they elevate it.”

Allyson, infection prevention specialist

about evsop

Designed for healthcare, hospitality, and beyond, EvSOP is a self-directed, multidisciplinary program empowering teams to standardize environmental cleaning and disinfection practices using proven, evidence-based strategies

  • A 4-step improvement framework tailored to your facility’s needs
  • Tools for gap analysis, stakeholder engagement, and sustained success
  • Training aligned with respected healthcare and allied organizations
  • A vision for safer environments and better patient outcomes—everywhere

evsop delivers results

The EvSOP Playbook is helping Hospitals and Healthcare Systems improve their environmental hygiene and boost patient experience and outcomes

Here’s a look at how EvSOP is making a difference in the lives of healthcare professionals and patients:

38
STUDY SITES
194
FACILITIES ASSISTED
53
ADVISORY BOARD MEMBERS

What Healthcare Professionals are Saying About EvSOP

  • “EvSOP doesn’t just follow the science—they elevate it. In a field where cutting corners can have serious consequences, EvSOP stands out for their unwavering commitment to evidence-based practices. Their team doesn’t just talk about infection prevention—they live it. They asked the right questions, challenged assumptions, and helped us implement protocols that actually worked. The difference was measurable, and the integrity behind their approach was refreshing.”
    ALLYSON
    infection preventionist
  • “EvSOP listens like no one else. Most consultants come in with a script. EvSOP came in with ears open and minds engaged. They respected our frontline experience, asked for our input, and built solutions that made sense for our reality—not just the boardroom. It felt like we were finally part of the conversation, and that made all the difference.”
    LIZ
    EVS system director
  • “They don’t promise miracles—they deliver results. EvSOP’s honesty is what first caught my attention. They didn’t sugarcoat our challenges or offer quick fixes. Instead, they laid out a clear, science-backed roadmap for improvement. Their transparency built trust, and their results earned respect. We saw a noticeable shift in both outcomes and morale.”
    BRIAN
    hospital administrator
  • “EvSOP is the rare partner that values truth over convenience. When we hit a wall with outdated protocols and resistance to change, EvSOP helped us navigate through it—not by pushing an agenda, but by presenting facts, listening to concerns, and building consensus. Their approach was methodical, respectful, and grounded in reality. We’re better because of it.”
    LISA
    facilities manager
  • We were drowning in conflicting protocols and vague expectations. EvSOP stepped in with a calm, methodical approach rooted in science and truth. They didn’t just clean up our procedures—they cleaned up our thinking. Their guidance helped us streamline operations, reduce waste, and improve outcomes across the board.”
    JESSE
    market director of environmental services
  • “They don’t just consult—they empower. EvSOP didn’t come in with a checklist—they came in with curiosity. They asked questions no one else had, listened to our concerns, and helped us build a system that actually worked for our facility. Their respect for frontline insight made me feel seen, and their science-backed solutions made me feel safe.”
    KAREN
    infection control nurse

THE IMPACT OF EVSOP

Environmental Services Optimization Playbook Advancing infection prevention through science-based cleaning, training, and collaboration

Reach and Implementation

• 165 hospitals participating or impacted across the U.S., Canada, and the United Kingdom, originating from 35 study sites

Contributed to, adopted, or implemented by leading healthcare systems, including: CommonSpirit Health · Stanford Health Care · Kaiser Permanente · UCLA Health · NYP · UCSF Health · Duke Health · UCHealth · Orlando Health · UW Health · Vanderbilt Health · Memorial Sloan Kettering · Gertrude’s Children’s Hospital (Kenya) · Loma Linda University Health · Weill Cornell Medicine · Baylor College of Medicine · MultiCare Health · Penn State Health · The University of Kansas Health System · ProMedica · UNC Health · Mather Hospital Northwell Health · Adirondack Health · Norton Rural Hospital (Kansas) · Corona Regional Medical Center · Jefferson / Lehigh Valley Health Network

Study sites include acute-care hospitals, long-term care facilities, academic medical centers, and international outreach clinics

Supported by the Pearce Foundation for Scientific Endeavors, Healthcare Risk Mitigation, and a multidisciplinary advisory board of 55+ professionals

measurable outcomes

Participant Satisfaction
• 98.78% of participants in the EvSOP Playbook reported being “satisfied” or “very satisfied”


HCAHPS Scores
• Patient experience scores improved by 10 percentage points
Infection Reduction
• C. difficile: ↓ 5.78% → 2.66% (cut in half)
• MRSA: ↓ 67%
• VRE: ↓ 59%
• CLABSI: ↓ 78%
• CAUTI: ↓ 62%
• SSI (Colon): ↓ 71%
• SSI (Hysterectomy): ↓ 43%
• Other infections: ↓ 76%

the impact of evsop

Discover Additional Ways that EvSOP has Impacted the Healthcare Sector

WORKFORCE IMPACT

• Frontline turnover rate reduced by one-third
• Increased collaboration between environmental services and clinical staff

OPERATIONAL GAINS

• Improved room turnaround efficiency without compromising dwell time
• Validated cleaning responsibility matrices and zone-based OR protocols
• Expanded use of HGUM© for biofilm disruption and pathogen removal

TRAINING & CERTIFICATION

• CHEST and T-CHEST programs deployed across facilities
• CSCT certification adopted for perioperative EVS teams
• “Super Trainer” model scaled for consistency
• Weekly coaching and site visits during implementation.

ADVOCACY & POLICY

• Alicia Cole, HAI survivor and national advocate, serves on the EvSOP© Advisory Board
• Supported legislation: Nile’s Law (SB158/SB1058) for public infection reporting and mandatory education
• PACCARB representation: EvSOP© voices included in federal advisory discussions
• CMS and CDPH collaboration: EvSOP© contributors serve on infection prevention committees
• Patient-centered hygiene model promoted across all levels of care

SUSTAINABILITY & REUSABLES

EvSOP© promotes reusable healthcare products where clinically appropriate, with proven benefits across 22 product categories:
• 27%–66% reduction in carbon footprint
• 23%–64% energy savings
• 80%–96% reduction in landfill waste
• Up to 47% annual cost savings
• No significant increase in HAI risk when processed per CDC/CMS guidelines

• Reusable healthcare-grade textiles like HGUM© are smart, safe, and aligned with the future of healthcare hygiene.

sTRATEGIC TOOLS

• EvSOP© Playbook: Four-step guide to diagnose, design, and deliver world-class outcomes
• CDC/HICPAC Product Review Worksheet for disinfectant and textile evaluation
• Responsibility Matrices & SLAs to define roles across multidisciplinary teams
• Microbial testing protocols refined for field use
• Standard Work Operating Practices (SWOP), cart setups, and laundry workflows standardized systemwide

KEY LEARNINGS FROM FIELD PARTNERS

• High demand for training in infection prevention and emerging pathogens
• Innovation welcomed, but requires evidence-based guidance
• Variation in tools and protocols leads to inconsistent outcomes
• Staffing challenges intensified by COVID-19
• Quality assessment tools lack standardization
• Role confusion across departments
• Accountability for high-touch surfaces remains a universal challenge—addressed through SLAs and matrices

VISION FOR THE FUTURE

EvSOP© is more than a protocol—it’s a movement.
We envision a healthcare system where:
• Every EVS technician is trained, certified, and respected
• Every patient receives care in a hygienic, dignified environment
• Every decision is guided by Cost, Quality, and Outcome (CQO)
• Every facility embraces science-based cleaning as a clinical imperative

Contact Us

Have a Question? Need more information? ready to get started with the playbook?

Send us an email and EvSOP will be in touch!

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