Director, Infection Prevention

Responsibilities In collaboration with the leaders and medical staff, this role is instrumental in coordinating and providing oversight to the infection prevention program at Norton Healthcare in accordance with regulatory requirements and evidence-based practice. This role will build effective relationships with the interdisciplinary team and leadership to facilitate the integration of performance improvement into the work environment and to actively promote a culture of patient safety, proactive risk management, and on-going regulatory readiness and compliance with standards of care. Key Accountabilities Providing annual performance evaluations for direct reports and provides feedback to other system leaders re: performance of members within the Improvement Network. Provides staff management for direct reports. Evaluate annual employee engagement results and works with teams to establish action plans to ensure workforce concerns and needs are being addressed. Ensure resources, including workforce, have been accurately deployed to ensure optimal outcomes. Assists with problem solving and providing just-in-time, at the elbow advising, coaching and education to medical staff and clinical colleagues to facilitate compliance. Co-chairs the Employee Health and Infection Prevention Matrix with Director, Employee Health. Is responsible for planning, directing, guiding, and supporting in the administration of hospital functions to support Infection Prevention standards. Facilitates the achievement and maintenance of clinical targets for the infection prevention program. Demonstrates thought leadership in and execution of innovative programs to improve the quality of care as it relates to infection prevention. Plan and develop relevant programming to support current and new programs. Performs concurrent review for key clinical quality/patient safety indicators and associated documentation; identifying problems and potential problems with initiation of problem solving with clinical care-givers. Work closely with other leaders to establish Quality and Safety Goals that are directly aligned and integrated with the mission and vision of Norton Healthcare. Maintains and obtains knowledge independently, and bases decisions on current clinical practice guidelines, trends, research, data, regulatory standards, legislation and developments, which pertain to Infection Prevention. Coordinates and integrates federal, state, and local standards into the Infection Prevention program by developing and implementing policies, procedures and guidelines that support the system’s Infection Prevention’s compliance with standards and regulatory agencies. Leading process improvement initiatives at the facility through planned, systematic, and ongoing processes for monitoring, evaluating and improving infection prevention practices in the quality of care provided and ensuring care delivered adds value to the patient experience (best possible care/ outcomes at the lowest possible cost). Utilizing quality assessment results to improve processes that affect patients care outcomes. Identifies work related problems with possible solutions and implements appropriate solutions. Mentoring and coaching to key change leaders. Facilitates the sharing of multiple viewpoints while recognizing, respecting and valuing differing viewpoints. Qualifications Required: Three years in leadership experience. Three years relevant clinical experience in an acute care setting. Bachelor Degree Registered Nurse (RN), Certification in Infection Prevention and Control. Desired: Five years relevant clinical experience in an acute care setting. Master Degree Six Sigma Certification #J-18808-Ljbffr Norton Healthcare, Inc.