Quality & Infection Prevention Coordinator

Quality & Infection Prevention Coordinator

EOE STATEMENT

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

ABOUT THE ORGANIZATION

Wills Eye Hospital, located in Philadelphia, Pennsylvania, is a global leader in the treatment of eye disease. Established in 1832 as the America's first eye hospital, we are one of the world's premier eye care facilities and the #2 best hospital in the nation for ophthalmology as ranked by U.S. News & World Report. Our clinical expertise, state-of-the-art diagnostic testing and advanced surgical capabilities make Wills Eye a worldwide referral center where more than 250,000 patients are treated annually. From common eye problems to rare sight-threatening diseases, Wills Eye provides general eye care and comprehensive ophthalmic specialty services that attract patients throughout the Philadelphia metropolitan area, across the country and around the world. Today, we continue to shape the science and medicine of ophthalmology, thanks to our talented, skilled physicians and staff who are dedicated to improving and preserving sight.

DESCRIPTION

Primary Function:

Under the Direction of the Director, Quality, supports the facilitation of the Hospital's Quality/Patient Safety plans, Additionally, this position is responsible for the facility infection prevention and control program (IPCP), which is designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.

Essential Duties and Responsibilities:

1. Supports the analysis of quality, patient safety and infection prevention data. 2. Serves as subject matter expert to Hospital, physician, ancillary and operations leaders and staff in the development and implementation of strategies to achieve optimal results; 3. Mentors and coaches unit and department directors/managers in infection prevention, quality and patient safety goals as well as contributes to the development of unit based action plans that translate into positive patient outcomes; 4. Analyzes facility specific results to identify opportunities for risk reduction and the development of successful action plans; 5. Complies with the reportable disease requirements of the County and/or State Health Department and any data submission requirements of NHSN. 6. Provides infection control surveillance applying epidemiologic principles and statistical methods, including risk stratification. 7. Analyzes trends and risk factors and designs and evaluates hospital infection prevention and control strategies. 8. Coordinates with federal, state and local emergency preparedness and health authorities to address communicable disease threats, bioterrorism, and outbreaks. 9. Communicates and collaborates with the antibiotic stewardship program. 10. Serves as an active member on various Hospital councils and committees to provide insights relating to the development of ongoing quality initiatives; 11. Supports efforts to maintain perpetual readiness for

ACHC, PA

DOH, and CMS accreditation and licensing surveys; 12. In the absence of the Director of Quality Management a. Provides continuous, Hospital-wide accountability for all quality and risk issues; b. Communicates Sentinel, critical or reportable events as appropriate, completes root cause analysis, and communicates information, lessons learned and findings to key Hospital/community stakeholders; 13. Maintains current knowledge of ACHC and PA licensing standards. 14. Oversight of the IPCP, which includes, a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases. 15. Collaborate with the facility leadership and the medical director to develop, implement, and evaluate the annual infection prevention goals and action plan 16. Establish a Hospital-wide system for the prevention, identification, investigation, and control of infections, including surveillance designed to identify possible communicable diseases or infections before they spread. 17. Collaborate with Nurse leadership and education to assess the need for, develop, and present IPCP in-service education for individual departments, general orientation, and annual review as needed; education includes but is not limited to: a. Hand hygiene b. Cleaning, disinfection, and sterilization c. Specific direct and indirect care settings d. Therapeutic and diagnostic procedures and devices e. Use of isolation/barrier precautions when indicated f. Resident placement, transfer, and discharge g. Environmental hazards h. Use of patient care products and medical equipment i. Hospital immunization programs 18. Assess the need for, develop, review and implementation of written policies and procedures for infection control, including those for standard precautions and for transmission-based precautions. 19. Be accountable for surveillance of healthcare-acquired infections. 20. Maintain current knowledge of federal, state, and local regulations and ensure that the facility leaders are informed of appropriate issues; understand and comply with infection control, safety, and OSHA procedures and regulations

POSITION REQUIREMENTS

Qualifications Educational requirements:

• Bachelor's degree in Nursing required.

Master's degree preferred

Licensure/Certification:

• Certification in Infection prevention( required within 1 year of hire)
• Certification in Health Care Quality or Lean Six Sigma preferred or proven experience in quality/process improvement and regulatory compliance.

(preferred)

Experience:

• Five to ten years of healthcare experience, preferably in an acute care or Hospital facility
• Prior experience in regulatory accreditation process preferred
• Highly effective analytical, organizational, and problem-solving skills
• Strong knowledge of performance improvement methodologies and statistical process control tools Working conditions Works in a clean, well-lit, and ventilated work area.

Physical requirements Walking and standing; stooping, bending, balancing and sitting. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CATEGORY

Nursing

FULL-TIME/PART-TIME

Full-Time

POSITION

Materials Coordinator

NUMBER OF OPENINGS 1 EXEMPT/NON-EXEMPT

Exempt

LOCATION

Wills Eye Hospital