Standardized processes for training and accountability, for an Environmental Services department within a healthcare system, were implemented to see the impact they would have on key performance indicators (KPIs). The KPIs involved infection rate for hospital acquired Clostridium Difficile (CDI), cleaning verification compliance, patient satisfaction, concerning the cleaning of their environment, and employee turnover. The results show that standardizing training and an accountability measure can have a significant impact on turnover, contribute to the reduction in CDI cases, ensure cleaning is performed at a high level and that the patient perception requires additional tools to meet their expectations on a consistent basis.