The Joint Commission (TJC) has issued a new standard on water management programs to specifically address Legionella and other waterborne pathogens. The standard will go into effect on January 1, 2022. This webinar will discuss the requirements of the new water management standard, in addition to an overview of a variety of pathogens found in water systems and how they amplify. The Centers for Disease Control and Prevention (CDC) Water Infection Control Risk Assessment (WICRA) will be reviewed as well as the primary components necessary for a water management plan.


  • Describe different pathogens potentially found in a water system and how they amplify.
  • Discuss the requirements of the Joint Commission’s new water management standard.
  • Explain the utilization of the CDC’s Water Infection Control Risk Assessment (WICRA) tool.
  • Identify the primary components of a water management plan.



Steven Cutter joined MSL in 2018. He has 42 years of experience in healthcare facilities management including responsibilities for all aspects of facility and plant operations, design and construction, energy management, clinical engineering, and life safety management.

Most recently prior to joining MSL, Steven spent over 20 years as the Director of Engineering Services for the Dartmouth-Hitchcock Medical System in New Hampshire. The system’s flagship is the DH Academic Medical Center, a 2 million plus square foot facility that includes the regional Trauma Center as well as research facilities. The system also includes an outpatient surgical center in Lebanon and numerous outpatient and ambulatory clinics throughout the state.

Steven has been active in the American Society for Healthcare Engineering (ASHE) for many years where he is recognized as a Fellow of the organization. He is also an active member of the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) and both the New England and New Hampshire Healthcare Engineer Societies. Steven has served in leadership roles and on numerous committees within these organizations as well as serving on the founding committees for the Certified Healthcare Facilities Manager (CHFM: ASHE) and the Healthcare Facility Design Professional (HFDP: ASHRAE) courses. He also chaired the Building Systems committee for the 2018 edition of the FGI Guidelines.

Steven serves as a Faculty Member for ASHE teaching the Infection Control During Construction/Maintenance program and the Health Care Water System and Management of Waterborne Pathogens program. Steve co-authored the ASHE monograph, “Water Management in Healthcare Facilities” and represents ASHE on the ASHRAE Standard 188: Legionellosis: Risk Management for Building Water Systems Committee. Steven completed his undergraduate degree in Management and his master’s degree in Leadership at Franklin Pierce University in Rindge, NH.

This speaker has no real or perceived conflicts of interest that relate to this presentation.