Manager Infection Prevention

Overview: The Infection Prevention Manager, under the direction of the Director of Quality and the Infection Prevention and Infection Control Committee, has accountability for the effective direction, management, and operation of the Infection Prevention program across all Northern Arizona Healthcare (NAH) facilities, including inpatient and outpatient settings. Partners with senior leadership. unit level management, medical staff, and other stakeholders to determine the vision and strategic direction for NAH's infection prevention and control plan and communicates a shared vision. Educates hospital personnel and consults with the organization, CDC, the county and state health departments. Provides collaborative leadership and mentorship to the Infection Prevention team and ensures that the program is in compliance with professional standards, local, state and federal regulatory requirements as well as Joint Commission standards and National Patient Safety Goals related to infection control.Responsibilities: Team Management and Leadership

• Manage Infection Preventionists and any other staff to include hiring and onboarding, education, development and performance management.

• Work collaboratively with NAH leadership and Infection Prevention and Infection Control Committee to set the vision for NAH's infection prevention and control program.
• Ensure that team goals align with and enhance the organization's mission, vision, values and strategic plan.
• Readily share knowledge and expertise.

Program Management

• Develop, implement, and evaluate the NAH infection prevention program.

• Design an annual surveillance plan based on the populations served, services provided, and previous surveillance data.
• Select indicators and design surveillance based on the projected data.
• Periodically evaluate the effectiveness of the surveillance plan and modify as necessary.
• Complete an annual organization-wide risk assessment to identify and mitigate infection risks.
• Assume operational leadership for the Infection Prevention and Infection Control Committee.
• Conduct ongoing review of policies, procedures and guidelines to identify infection prevention and control discrepancies and implement revisions as necessary. Work with stakeholders to ensure adherence to new and existing infection prevention and control policies and protocols.
• Initiate epidemiological investigations of significant clusters of infection and single cases of infection.
• Critically evaluate the significance of findings and make recommendations for improvement based on those findings.
• Consider the financial/safety implications and clinical outcomes when making recommendations, evaluating technology and products, and developing policies and procedures.
• Maintain knowledge of current scientific literature, recommendations, guidelines, and regulatory requirements which may impact the Infection Prevention Program.

Reporting and Regulatory Requirements

• Provide leadership to ensure compliance with federal and state regulatory programs, accreditation requirements, and organizational policies and procedures.

• Use statistical techniques to describe data, calculate risk-adjusted rates, and establish benchmarks.
• Incorporate information technology and systems applications into the analysis and dissemination of data.
• Prepare regular reports for administrative and clinical decision making.
• Report epidemiologically significant findings to key stakeholders.
• Consult and collaborate with local, state, and federal public health officials, and community health organizations.
• Proactively ensure that the organization is prepared for changes to regulatory reporting requirements related to infection prevention and control.

Education and Consultation

• Serve as a content expert for designing and providing formal and informal training and education for providers, clinical leaders, other hospital staff, and patients/caregivers related to infection prevention.

• Consult and provide guidance to the hospital system, medical staff, patients, and the community in infection prevention and control.
• Partner with leadership to design and implement organizational strategies to achieve safe, quality standards within infection control and communicate a shared vision.
• Prepare and deliver presentations to internal and external audiences.
• Ensure education and communications from Infection Prevention are clear and effective.

Change Management and Process Improvement

• Conduct high-level assessments, gather information, and collaborate with appropriate process owners to identify opportunities for improvement.

• Utilize the established NAH DMAIC framework for process improvement.
• Ensure that customer needs and expectations are considered in the development or improvement of processes, products and services.
• Participate in process improvement committees, teams and initiatives that impact infection prevention and control activities.
• Design process and outcome measures to promote consistency of interventions over the long-term.
• Involve multi-disciplinary teams to ensure changes are vetted by all stakeholder groups prior to implementation.

Compliance/Safety

• Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

• Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
• If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
• Completes all company mandatory modules and required job-specific training in the specified time frame.

Qualifications:Education

Master of Science in healthcare related field or 5+ years in an infection prevention leadership role - Required
Nursing Degree - Preferred
Certification and Licensure
Certified Infection Control Practitioner (CIC) - Required
Lean Six Sigma Greenbelt or higher - Preferred
Arizona RN Licensure - Preferred
Experience
Minimum 3 years' experience in infection prevention or disease surveillance experience in a public health setting - Required
Experience working in clinical environments applying principles of infection prevention and control - Required
Demonstrated experience as a formal leader improving clinical practices related to infection prevention and control - Required
Experience using software and computer programs to perform surveillance, analyze data, and prepare presentations - Required
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.