What are the responsibilities and job description for the Director of Quality, Infection Prevention and Risk Management position at Daviess Community Hospital?
Job Description
Responsible for oversight of hospital-wide Quality, Infection Prevention, Risk Management and Patient Safety.
Responsible for identification, investigation, reporting, prevention and prevention of healthcare associated infections (HAIs) and healthcare acquired conditions (HACs) among patients and personnel.
Plans, implements and facilitates performance improvement activities focusing on quality improvement and infection prevention to meet the needs of the hospital.
Provides education to medical staff, hospital staff and Governing Body. Acts as resource person to administrative team, department managers and medical staff.
Assists managers with departmental quality and infection prevention preparation for all regulatory surveys, i.e. Joint Commission, State Licensing Review, and CMS Validation Surveys.
Demonstrates Competency in the Following Areas :
Ability to facilitate performance improvement activities throughout the hospital, including Root Cause Analysis and Failure Mode Effect and Analysis.
Demonstrates effective organizational skills through ongoing interaction with Chairpersons, department managers, administrative team and Governing Body to assist in facilitating the hospital-wide quality and infection prevention programs.
Demonstrates knowledge of current methodology and practices related to quality and infection prevention and maintains awareness of changes in the regulations and requirements by accrediting bodies.
Communicates professionally and clearly to physicians, staff, Quality Board and other team members.
Accurately demonstrates use of computer systems to track performance data, document occurrences, medical staff review functions, committee review / actions and compiles reports accordingly.
Investigates infections housewide related to patient and hospital personnel.
Monitors proper use of germicides, cleaning products, antiseptics and disinfectants in use throughout the facility.
Prepares statistics and other pertinent data and reports to the Infection Prevention Committee at least quarterly.
Submits community risk assessment for Infection Prevention Committee approval on an annual basis.
Qualifications
High School diploma with 5 years of applicable cumulative job-specific experience with 2 of those years being in leadership / management. OR Associate's / Bachelor's degree with 3 years of applicable cumulative job-specific experience required, with 2 of those years being in leadership / management.
Certification in Infection Control preferred.
Member of the Association of Practitioners of Infection Control and Epidemiology preferred.
Working knowledge of microbiology, epidemiology, infectious diseases, aseptic techniques, and current infection prevention practices.
Working knowledge of local, state, and federal Standards and Regulations pertaining to quality and infection control practices.
Able to communicate effectively in English, both verbally and in writing.
Strong written and verbal skills.
Advanced computer knowledge.
Word processing and database management preferred.
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