Director Infection Control

What are the nicetohave skills

• Would like to have a nursing license
• Experience developing and growing IP programs

Job Summary:

Directs the management planning development implementation evaluation/continuous improvement of an infection prevention and control program across the entire care continuum for the Hawaii Market. Collaborates with and makes recommendations to Medical Center and facility leadership teams to ensure compliance with regulatory agencies and assure facilitywide and departmental policies and procedures comply with current Regulatory standards. Through strategic planning expert leadership and consultation directs the identification and implementation of infection control goals and objectives related to: surveillance data analysis and reporting infection prevention and control practices that eliminate potential infection hazards for members physicians staff and visitors appropriate selection and usage of products and equipment related to cleaning antisepsis disinfection and sterilization facility design and construction. Assures compliance with all mandated regulatory reporting requirements including but not limited to Centers for Medicare and Medicaid (CMS) Provides infection prevention and control programs/services that add value and integrated with departmental facility Medical Center and organizational business and clinical goals/objectives. Supervises defined staff.

Essential Responsibilities:

• Upholds Policies and Procedure Principles of Responsibilities and applicable state federal and local laws.
• Directs the management of the planning development implementation evaluation/improvement of infection prevention and control services/programs that meet or exceed established standards/performance measures for quality member/patient satisfaction cost employee quality of work life physician/client department satisfaction clinical outcomes and regulatory compliance.
• Directs infection prevention and control services/programs across the continuum of care (primary secondary continuing care) and ensures that services/programs are of uniform and consistent value quality performance and cost throughout all departments in a medical center and its associated outpatient/satellite buildings.
• Directs development and implementation of evidencebased interventions designed to reduce/eliminate the risk for Healthcare Associated Infections (HAIs) and/or disease transmission. Distributes the findings and recommendations of the infection control program to the appropriate individuals committees departments and units maintaining confidentiality in accordance with HIPPA regulations. Maintains communication with administrative/management staff and physicians/health care providers.
• Develops and reviews facilitywide and departmentspecific infection prevention and control policies and procedures and ensures that they are compliant with current regulatory standards.
• Maintains ongoing communications and provides consultative expertise and oversight/coordination of projects as needed for local committees (e.g. Safety Employee Health Critical Care/Med Surg Teams Quality Committee) regional committees (e.g. IC Peer Group) and external agencies (e.g. Dept Health Services). Participates in other facility level/regional committees as needed representing Infection Control.
• Develops and maintains excellent collaborative relations with key stakeholders/departments including but not limited to: Employee Health Occupational Health Nursing Perioperative Perinatal Emergency Services Urgent Care Ambulatory including Ambulatory Surgery Centers and various physician specialties.
• Develops submits annually and maintains accountability for Hawaii Market Infection Control budget for applicable inpatient and outpatient facilities. Completes Infection Control needs assessment development presentation and evaluation of educational sessions relating to topics including infection prevention & control emerging infectious diseases new initiatives and regulatory affairs. Provides education as needed during: staff meeting presentations new employee orientation classes presentations to operational leaders.
• Develops Hawaii Market Infection Control education/criteria for orientation and Annual employee/MD education. Develops and conducts Hawaii Market Infection Control/Prevention Program Planning addressing risks for the acquisition and transmission of infectious agents and establishing priorities/setting goals and strategies accordingly.
• Evaluates the Program Plan once a year addressing effectiveness of Infection Control interventions and redesigning them as needed. Assists Safety with development and maintenance of the Bloodborne Pathogen (BBP) Aerosol Transmissible Disease (ATD) and Bioterrorism exposure control plans in the Hawaii Market.
• Provides expert review and consultation for all facility construction/remodels as described in the Organizations PreConstruction Risk Assessment (PCRA). Manages multidisciplinary and interdepartmental efforts to improve performance of infection prevention/control programs and services including introduction of products found to assist with infection prevention and control. Evaluates patient care environments and facility services (Dialysis Sterile Processing Construction Environmental Services) for infection control practices and hazards as needed.
• Initiates and completes epidemiological investigations of significant clusters or outbreaks of infection above established standards and of unusual organisms. Applies epidemiological principles directed at outbreak investigations. Initiates/educates health care teams regarding precautions for individual patients/visitors when indicated.Assists with Quality review and reporting of sentinel events of cases of healthcare associated infection contributing to death or major permanent disability when identified.
• Develops and completes annual evaluation/updating of surveillance plan based on population served services provided and previous surveillance data.Coordinates the process and methods by which surveillance is conducted to identify rates of infections occurring above Centers for Disease Control (CDC)/National Healthcare Safety Network (NHSN) Regional and/or Local average infection rates.Applies Center for Disease Control (CDC) and National benchmarking to data over time.
• Acts as a liaison between the health care facility medical staff and community. Communicates with Public Health/Dept of Health Services as required for outbreak reporting and provision of requested information. Maintains knowledge base of current infection prevention and control information through continuing education published literature internet access and professional meetings.
• Participates in National IC Steering Committee. CoFacilitates IC Committee meetings with Infectious Diseases Chief or Epidemiologist.
• Hires trains supervises counsels disciplines and terminates assigned staff as appropriate.
• Communicates goals objectives accountabilities priorities and authority parameters to assigned staff.

Qualifications:

Basic Qualifications:

Experience