Infection Prevention Manager
4 weeks ago
Position Summary:
The Infection Prevention Manager at Humboldt Park Health is responsible for identifying, investigating, monitoring, and reporting healthcare-associated infections. This role collaborates with teams and stakeholders to create plans of action, infection prevention strategies, and provides feedback to sustain infection prevention strategies.
The Infection Prevention Manager identifies, investigates, and records data concerning hospital-acquired infections, those present on admission, and potential infections. This individual initiates infection control measures as directed by national protocols and regulatory agencies.
The Infection Prevention Manager directs the program utilizing the standards set forth by the US Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN), CMS accrediting organizations, the Illinois Department of Public Health, and the Federal Government.
This role ensures compliance with regulatory and accreditation agencies, collaborates with local and state health departments for reporting and investigation.
Essential Duties and Responsibilities:
Program Management
- Develop, implement, and evaluate the organizational infection prevention program.
- Prepare and present surveillance reports to designated committees.
- Develop an annual surveillance program based on the population served, services provided, and analysis of surveillance data.
- Utilize epidemiologic principles to conduct surveillance and investigations.
- Evaluate and modify the surveillance plan as necessary.
- Develop, interpret, and assist with implementation of infection prevention and control policies and protocols utilizing evidence-based resources.
- Communicate infection prevention information and data to various committees and healthcare workers.
- Assess, develop educational objectives, goals, and strategies using learning principles and available educational tools and technology.
- Provide education to various disciplines.
- Evaluate the effectiveness of educational programs and learner outcomes.
- Conduct prospective prevalence studies periodically to evaluate surveillance system effectiveness.
- Identify and promptly report epidemiological variations in level of disease to the Chairperson of the Infection Control Committee, and vice president of Quality/Designees, and implement recommendations for prevention and control.
- Inspect and observe personnel activities to detect possible infection hazards and to evaluate compliance with standards set by the Infection Control Committee.
- Investigate all hospital-acquired infections and develop collaborative multidisciplinary programs to mitigate risk of future occurrences in collaboration with key stakeholders.
- Actively participate and serve as a member of the committee responsible for the evaluation of products and Environment of Care Committee.
- Notify the applicable CDC, and Departments of Health and appropriate authorities for all reportable communicable disease.
- Reviews construction and renovation documents to develop recommendations to reduce patient risk.
Regulatory Requirements
- Comply with regulatory and mandatory reporting requirements at the local, state, and federal levels.
- Facilitate compliance with regulatory and accreditation standards.
- Stay current on infection prevention and control regulatory and accreditation standards.
- Develop, review policies as needed, and edit to remain in compliance with current evidence best practices.
Performance Improvement (PI)
- Utilize PI methodology as defined by the organization QAPI Plan.
- Define the scope of the project and select appropriate PI tools to aid in efficiency, reliability, effectiveness, and ensure sustainability of the initiative.
- Ensure that customer needs and expectations are considered in the development of and continuous improvement of processes, products, and services.
- Monitor and analyze process and outcome measures to evaluate the effectiveness and sustainability.
- Participate in PI committees, teams, and initiatives as indicated.
Qualifications:
Minimum of 3-5 years of experience.
Bachelor's Degree. Master's in Public Health or Nursing preferred.
Certificate of Infection Control (CIC) or within 1 year of hire is required.
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