The Director of Infection Prevention and Control will oversee the development, implementation, management, maintenance and evaluation of the System (Ann Arbor, Livingston and Chelsea Infection Prevention & Control (IPC) Program for effectiveness in prevention of health care-associated infections (HAIs) and enhancement of patient and personnel safety in partnership with the Medical Director for IPC. In addition, this individual will work with the IPC Medical Director to ensure prevention measures are in place and facilitate adherence with regulatory requirements, accreditation standards, and other recommended practices and evidence aimed at prevention of HAIs and other communicable infectious diseases encountered in the population served.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Perform other supervisory duties and activities as assigned to coordinate the IPC functions and operations.
Oversee HAI surveillance program that includes data collection, analysis and distribution of findings, IPC process measurement and investigate potential clusters, sentinel events, or outbreaks of HAI(s) and other communicable diseases through application of epidemiologic methods.
Provide executive summaries and detailed reports on findings from investigations and improvement plans to organizational leadership as needed.
Provide supervision of the IPC program personnel, including staff recruitment, training, retention and advancement.
Facilitate and participate on performance improvement teams or collaboratives across the system.
Facilitate involvement with the System’s overall patient, personnel, and environmental of care safety activities.
Coordinate with the Medical Director for IPC the development and execution of a strategic plan for the IPC Program, periodic review/revision of this plan, and identification of specific goals and objectives to achieve continuous improvements in effectiveness.
Serve or assign IPCS designee as a representative and resource to other appropriate performance improvement teams, committees, departments, units, and personnel.
Facilitate input into supply chain system on evaluation, selection and implementation of products and equipment for prevention of infection.
Serve with the Medical Director for IPC as subject matter expert on: research study design, outbreak investigation, evidence-based practice, cleaning, disinfection, sterilization methods and products and design and planning for the built environment across the System.
Assure and coordinate proactive infection control risk assessment and provide infection control risk mitigation recommendations involving the environment of care (EOC) to include planning, design, renovation and new construction of facilities and areas plus response to problems impacting the safety of the EOC for patients, personnel and visitors.
Review at least annually, and more often as needed, changes in accreditation, licensure and regulatory requirements, and new findings from the scientific literature for IPC and recommends changes in system-wide policies, practices, products, and other interventions based on this review.
Oversee the application of information technology and management systems and assures maintenance of these systems to support for surveillance program.
Facilitate assistance to Employee Health Services with a variety of functions including, but not limited to, personnel health practices for newly hired employee, recommended immunizations, work restrictions related to employeecommunicable diseases,and other infectious exposures/communicable diseases, and assist with evaluation and procurement of devices and equipment to prevent exposure.
Provide education to personnel, patients and visitors on IPC.
Ensure reporting and collaboration with public health agencies to include but not limited to reporting of communicable diseases and planning, preparedness & response activities aimed at infectious diseases that emerge from natural or intentional causes.
Demonstrate and maintains competency in IPC and healthcare epidemiology.
Participate in the development of tools and strategies to achieve optimal patient care outcomes such as disease-specific indicators, readmission, and length of stay.
Be willing to learn new skills and tools necessary to facilitate inpatient care and delivery activities
Maintain a good rapport and cooperative relationships. Approach conflict in a constructive manner. Help to identify problems, offer solutions, and participate in their resolution.
Maintain the confidentiality of information acquired pertaining to patients and employees.
Behaves in accordance with the Mission, Vision and Values of Trinity Health
Assumes responsibilities for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
OTHER FUNCTIONS AND RESPONSIBILITIES
Performs other duties as assigned.
Reports to the SJMHS West Market Chief Quality Officer
REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE
Education: Master’s degree in in Public Health, Nursing, or other related field preferred.
Experience: Five or more years experience in IPC in acute care setting(s).
Other credentials: Certification in Infection Control & Epidemiology (CIC) from the Certification Board of Infection Control & Epidemiology, Inc. required .
REQUIRED SKILLS AND ABILITIES
Demonstrated experience with data management and analysis Report development, project management and monitoring activities Strong organizational, analytical, communication (verbal and written) Ability to work independently and think critically. Ability to analyze data and information and to present it in ways that are understandable to the audience Work collaboratively with the Medical Director to advance the IPC program Ability to work with multi-disciplinary teams and members across the health system
Additional Salary Information: Benefits, Management Incentives in addition to competitive salary.
Internal Number: 00152084
About St. Joseph Mercy Health System
St. Joseph Mercy Ann Arbor Hospital is a 537-bed teaching hospital located on a 340 acre campus in Ann Arbor, Michigan. St. Joseph Mercy Hospital has been named a Top 100 Hospital and is at the forefront of many clinical specialty areas including:
•Designated by the National Cancer Institute as a Clinical Community Oncology Program, or CCOP, one of only 50 programs in the United States
•Through affiliation, SJMH oncologists have access to information with the world-renowned Mayo Clinic
•Participates in more Phase III and IV cancer research studies than any other hospital in the Ann Arbor area including the DNA-based colorectal cancer screening study, SELECT, selenium and STAR clinical trials
•One of the best hospitals in Ann Arbor and Michigan for heart care, St. Joseph Mercy Ann Arbor, is the home of the one of the top three cardiovascular programs in the state of Michigan based on volume
•Participates in research, including a cutting-edge procedure to eliminate arterial plaque and was one of the first in the area to use the drug eluting stents
•Led a conference instructing physicians from across the United States on the insertion of the Patent ...Foramen Ovale device
•Participates in cutting edge clinical trials measuring the effectiveness of replacing diseased lumbar and cervical disks with artificial disks
•Use of the KyphX Inflatable Bone Tamp (balloon device) in a minimally invasive procedure to repair spine fractures
•Comprehensive craniotomy and stroke programs
Women and Children
•Neonatal Intensive Care Unit (NICU) at St. Joseph Mercy Ann Arbor Hospital was the first to open under the new space guidelines requiring 150 square feet for each newborn
•NICU participates in Vermont Oxford Database, sharing neonatal data nationally
•One of the lowest c-section rates in the state
•Home of the Ellen Thompson Women's Health Center which offers an array of services for women
•Extensive program in hysteroscopic surgery and laproscopy for pelvic area conditions
•Experts in an array of areas from perinatology (maternal fetal medicine) to menopause
•Provides training for vaginal ultrasound to residents of other southeast Michigan hospitals
•Has been noted as a Top 100 Hospital for Orthopedic procedures, and is specifically noted as one of the best hospitals in Ann Arbor and Michigan for knee replacements
•SportsNet program provides athletes and coaches with experts to help with performance, disease and injury management, activity specific management, personal fitness and team sports services
•Team of experts provide customized treatment plans for individuals with hand and upper arm problems
•Huron Woods Residential Home is available for those with Alzheimer’s or dementia
•Includes programs and services specifically for seniors including senior health clinic, on-site gerontologists and Silver Advantage Program
•Home of The Village at St. Joseph Mercy Hospital, a new assisted and independent living center for seniors
•Older Adult Medicine and Stroke unit located at the hospital