It's quite disturbing that Pronovost had to beg hospitals to adopt a free technique that could cut the average 100,000 deaths from hospital acquired infections down to ~30,000 overnight with nothing but telling your doctors to wash their hands.
This was adopted a long time ago in the UK and became cemented in place with the MRSA outbreaks. Visitors can actually be removed from the hospital if they're seen not using the alcohol based sanitizer.
The last paragraph of the article addresses this specifically:
"Imagine my father’s hospital had to present the bill for his “care” not to a government bureaucracy, but to my grieving mother. Do you really believe that the hospital—forced to face the victim of its poor-quality service, forced to collect the bill from the real customer—wouldn’t have figured out how to make its doctors wash their hands?"
This was adopted a long time ago in the UK and became cemented in place with the MRSA outbreaks. Visitors can actually be removed from the hospital if they're seen not using the alcohol based sanitizer.