Infection Control and Performance Improvement Manager

4 weeks ago


Leavenworth, Kansas, United States Prime Healthcare Full time
Job Summary

This is a Full-Time Day shift Position at Saint John Hospital, a full-service, community hospital in Leavenworth, Kansas. The hospital has garnered five stars from Healthgrades for its treatment of sepsis and consistently receives the highest accolades for health care quality and safety.

Responsibilities
  • Supervise, assess, plan, implement, and evaluate the hospital surveillance, prevention/control of infection management.
  • Develop, manage, and integrate a comprehensive Performance Improvement (PI) Program to achieve positive results in quality, efficiency, safety, and satisfaction.
  • Assist with policy and procedure development and implementation while maintaining CDC, OSHA, TJC or AOA HFAP/DHS/CMS and other regulatory agency directives.
  • Act as a primary education consultant to hospital employees, physicians, patients, volunteers, and visitors in safe Infection Control/Prevention practices.
  • Coordinate all hospital infection control activities and interventions with the Pharmacy, Therapeutics, Nutrition, and Infection Control (PTNIC) Committee, Medical Staff, and hospital employees.
  • Respond to potential exposures by communicating with patients, physicians, employees, and regulatory agencies.
  • Assist in coordinating the hospital employee health and worker's compensation program.
  • Perform safety rounds of the physical plant to ensure basic Infection Control/Prevention and safety practices are adhered to in all hospital departments.
  • Conduct and/or facilitate internal audits, reviewing supporting documentation, and appraise preparedness of the other Infection prevention personal in the hospital/department.
  • Develop and share best practices for improving performance in quality, safety, perception of care, value, and efficiency.
  • Develop and maintain scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction, and Value.
  • Complete Clinical Assessment, Diagnosis, and Treatment for the Service Lines.
Qualifications
  • Associate's Degree in nursing or related field.
  • Current and valid state RN or LPN license.
  • Current BLS certificate upon hire and maintain current.
  • Must maintain knowledge of local regulatory standards and OSHA regulations.
  • Experience in reviewing charts for quality care issues.
  • Good computer skills, detail-oriented organizational skills, and ability to handle multiple cases, directions, and follow-through.
  • Good communication skills, both verbally and written, and experience with Medical Staff communication.
  • Experience with coordination of internal departments and external entities to ensure compliance with company policies, and state/federal regulatory and accreditation standards.


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