Overview
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Director of Infection Prevention , in conjunction with the Hospital Epidemiologist, Regional Chief Quality Officer, Medical Director, Quality and System Improvement, and HMH VP of Infection Prevention and Control oversees the development, implementation and management of an Infection Prevention program that minimizes infectious risk to patients, families and Team Members and complies with current requirements of regulatory, government and accrediting/licensing agencies and organizational policies and procedures. Duties include analysis, interpretation and reporting of surveillance data; designing, implementing and leading organizational performance improvement initiatives, evaluating the effectiveness of the Infection Prevention program and overseeing outbreak investigations and educational programs for Team Members (TMs) and patients.
Responsibilities
A day in the life of a Director of Infection Prevention at Hackensack Meridian Health includes:
Essential Skills
- Analytical Problem solving
- Collaboration
- Strong oral and written communication skills
- Ability to implement evidence-based guidelines
- Conflict resolution
- Program and project management
- Expertise in data collection and analysis, report writing, and data presentation
- Leadership
- Computer experience with multiple programs including Google applications
- Strong working knowledge of infection prevention programs (e.g. NHSN, CDRSS, EPIC `Bugsy` program)
- Working knowledge.
Program Management
- Develops, implements, and evaluates the organizational infection prevention program.
- Conducts an annual risk assessment and develops an annual Infection Prevention plan based on population(s) served, services provided, and analysis of surveillance data.
- Develops initiatives and interventions to successfully meet Network and Hospital level infection prevention goals.
- Communicates infection prevention information and data to the Infection Control Committee, administrative/medical/nursing leadership and other committees as assigned.
- Analyzes and identifies any trends in infection prevention data and reports in an appropriate time frame.
- Develops and provides timely, actionable feedback and reports to clinical, administrative and support staff on all Infection Prevention initiatives
- Oversees the surveillance for hospital-acquired infections and ensures compliance with CDCs NHSN definitions and CMS regulations for participation as well as reporting requirements to the State and local health departments.
- Manages the NHSN database for accuracy, analytics and reporting.
- Oversees documentation and reporting communicable diseases as defined by federal, state, and local levels.
- Evaluates and manages investigations of infection related outbreaks, implements appropriate control measures and monitors effectiveness of control measures.
- Develop, interpret, and assist with implementation and education of infection prevention policies and procedures.
- Reviews and maintains all department policies that relate to infection control annually.
- Oversees standards, practices and compliance involving sterilization, disinfection, construction and sanitation as they pertain to Infection Prevention.
- Oversees Infection Prevention and Control Construction Risk Assessments (ICRAs) for construction, renovation and maintenance projects and monitors compliance with infection prevention recommendations to reduce risk of communicable disease exposures to patients and TMs.
- Participates and ensures team members round on units/departments to observe compliance with infection prevention policies/procedures and provide just in time coaching (e.g. Disinfection processes, hand hygiene and PPE).
- Acts as a liaison between the community and/or public health department for potential or actual communicable disease issues.
- Collaborates with the Value Analysis Committee in establishing infection control criteria for medical/surgical products and assists in the evaluation of new products.
- Performs other related duties as assigned.
- Assures 24/7 coverage of the department.
- May be required to work or be on call weekends and/or second shift based on department needs.
Design and Deliver Education
- Develops written education and information documents about infection prevention and control.
- Assists in the development of employee, volunteer and clinical staff orientation and continuing education programs regarding infection prevention.
- Including but not limited to commu