Director Infection Control & Prevention

Job description

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better. Summary: Oversees and is responsible for the Infection Control and prevention activities by establishing policies, procedures, and protocols which minimize hospital acquired infections within the institution and monitors compliance to assure a top-quality experience for patients. Develops and articulates a short-term (6-month to 1-year) strategic vision for the department, creates and implements patient safety initiatives, and develops long-term plans aligned with organizational goals. Monitors the effectiveness of risk mitigation strategies based on surveillance and risk assessment data, initiating changes as needed. Provides strategic direction to drive departmental goals and improve performance. assures compliance with all regulatory agencies and manages the development, design, implementation and evaluation of the infection control and prevention program at Danbury and New Milford Hospital (DH/NMH) in accordance with regulating agencies (CMS, OSHA, State DOH, and TJC). Manages monitoring and surveillance and identifies opportunities for improvement in infection control and prevention activities at Danbury and New Milford Hospital. Responsibilities: 1. Anticipates potential infectious risks, implements pro-active preventive measures throughout facility. Analyzes risk/data and recommends measures to reduce infectious risks through systemic facility wide strategies. Leads facility wide infection risk identification and elimination initiatives to support hospital compliance with government and agency regulations. 2. Leads site departmental meetings. Analyze workflows and documents best practices to enhance efficiency. Collaborates and develops surveillance tools and electronic databases to manage data and reports to ensure accuracy. Provides just-in-time training when needed to enhance staff growth. 3. Leads and oversees facility wide readiness initiatives for upcoming regulatory reviews. Plans and recommends programs to accomplish objectives. Maintains documents and a survey ready environment. Implements/monitors strategies/actions to minimize recommendations or citations based on the review/survey. 4. Coordinates comprehensive facility audits, communicates significant findings with actionable plans and ensures interventions are achieving desired outcomes. Reports to external agencies when applicable. 5. Actively leads in depth discussions to identify causal factors during a Root Cause Analysis (RCA). Guides facility audits that focus on systemic improvement strategies. 6. Finalizes the agenda and leads the site Infection Prevention Committee Meetings and acts as an advisor to facility leadership on the improvement and development of overall policy/procedure/ guidelines and assesses progress of long-term goals. Aligns training material with organizational goals and standards. 7. Analyzes outcomes and implements enhanced improvement practices from infection prevention rounds, audits, orientation, educational in-services that address standards of care, infection risks, evidence-based practices, sterilization, high/low level disinfection, hand hygiene, instrument, and equipment storage, etc. Extends knowledge beyond the walls of the institution and collaborates with other agencies. 8. Provides direction, guidance and career development planning to site infection prevention specialists and managers. 9. Takes ownership of self-identified goals and professional development. Responsible for performance reviews, corrective actions, promotional decisions, and pay actions for direct reports. Provides guidance and direction to managers as appropriate. Performs other related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Fulfills all compliance responsibilities related to the position. 10. Maintains and models the organization's values. 11. Demonstrates regular, reliable, and predictable attendance. 12. Performs other duties as required. Education Skills Experience: Bachelor's Degree Microbiology, Medical Technology, Public Health, Nursing or related field, required. Master's Degree preferred, or equivalent combination of education and related experience. Current certification by the Certification Board of Infection Control and Epidemiology (CBIC), required. 5 years of relevant experience required. 2+ years of leadership/management experience, required. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Some occupational risk Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force Physical Environment: Some exposure to dirt, odors, noise, human waste, etc. Company: Danbury Hospital Org Unit: 172 Department: Infection Control Exempt: Yes Salary Range: $59.84 - $111.12 Hourly