A hand hygiene monitoring system is provided. The hand hygiene monitoring system includes a wearable device coupled to a user, and a beacon associated with a hand hygiene station and configured to communicate with the wearable device. The wearable device is configured to initiate monitoring for a hand hygiene operation based on determining the wearable device is located within a predetermined distance from the beacon, and monitor hand hygiene parameters associated with the hand hygiene operation. The hand hygiene parameters are associated with a quality level of the hand hygiene operation performed by the user.