2026 CSHE Annual Institute

May 13 -15 | Santa Clara, CA

Look at the agenda for this year’s CSHE Annual Institute, and a familiar set of standards keeps coming up. The Joint Commission’s survey expectations. ICRA 2.0 for infection prevention during construction. ANSI/AAMI ST108 for medical device water. HCAI’s 2026 code updates. California healthcare facility teams are walking in with a tightening regulatory checklist — and water management programs run through most of it.

That’s what brings Garratt-Callahan to CSHE. We’ll be in the exhibitor area at the 2026 Annual Institute with our water safety team and ASSE 12080-certified specialists, ready to discuss how California facilities are documenting, monitoring, and validating water systems against this growing list of standards.

Where Regulatory Pressure Actually Lands

The CSHE agenda organizes that pressure into three tracks: Compliance, Technology, and Infection Prevention. On the program, they read like distinct disciplines. In a hospital, they tend to converge. A single renovation project may bring ICRA review, the Water Management Program team, and HCAI permitting into a single conversation. A positive Legionella culture can set off Joint Commission documentation, an infection control review, and a corrective action plan in parallel. For facility teams, compliance and operations are running on the same track — every day, often in real time.

The regulatory bar for documentation continues to rise. Surveyors and accreditors increasingly look for continuous proof — daily logs, validated control limits, and audit-ready records — rather than a binder pulled together close to survey week. The speaker roster this year reflects that pressure: leaders from many of California’s largest health systems are sharing what’s working in their facilities. Water systems sit inside almost every standard the CSHE agenda touches, which means they tend to be where that higher bar is most visible and where teams feel it first.

What G-C Brings to Santa Clara

Our healthcare water safety services are built for the kind of evidence work the agenda describes. The team supports facilities through every part of a water management program — from initial development through ongoing validation:

• ASSE 12080-certified specialists who can support documentation that holds up under Joint Commission and HCAI scrutiny
• ASHRAE 188 Water Management Programs developed and implemented end-to-end, including the team structure and process the standard requires
• Third-party Legionella sampling and testing through Garratt-Callahan’s ELAP-accredited laboratory
• Secondary disinfection with chlorine dioxide to maintain residual protection across complex distribution systems
• ANSI/AAMI ST108 expertise for sterile processing and medical device water quality

Whether you’re building a program from the ground up, refining one ahead of a survey, or managing risk during a renovation, each of these connects to the same core work: keeping water safety running quietly in the background and keeping the proof of it ready when someone asks.

“It doesn’t replace the work facility teams do. It organizes it into a form that holds up when surveyors ask for evidence.”

Real-Time Visibility Across Multi-Site Systems

For health systems running multiple campuses, the documentation pressure builds with each site. Every facility brings its own boilers, cooling towers, RO systems, and water management requirements — each generating its own logs, readings, and alerts.

Garratt-Callahan’s Water Management System (WMS) is built for that environment: one dashboard, real-time data from every connected site, customizable thresholds, and automated alerts when readings move outside expected ranges. It doesn’t replace the work facility teams do. It organizes it into a form that holds up when surveyors ask for evidence. We’ll be showing WMS in action at the booth. If you’re managing water systems across multiple campuses, the booth is where you can see them in action.

Connect With Us at CSHE 2026

Look for Kevin Pranaitis and Maria Fleming our Corporate Accounts Managers, and the Garratt-Callahan team in the exhibitor area at CSHE this month. Whether you want to walk through a Water Management Program, see WMS in action, or talk about ANSI/AAMI ST108 compliance with someone who works on it daily, the booth is built for those conversations. To connect before the conference, reach out directly or explore our healthcare services.