Director Infection Control

Director Infection Control

Onsite in Honolulu, HI

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 facility-wide 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 Healthcare Permanentes 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 evidence-based 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 facility-wide and department-specific infection prevention and control policies and procedures, and ensures that they are compliant with current regulatory standards.
• Maintains on-going 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 Pre-Construction Risk Assessment (PCRA). Manages multi-disciplinary and interdepartmental…