Director - Performance Improvement and Infection Prevention in National City, CA at PARADISE VALLEY HOSPITAL

Date Posted: 7/12/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    2400 East 4th Street
    National City, CA
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    7/12/2018

Job Description

The Director of Performance Improvement (PI) and Infection Prevention develops, manages and integrates comprehensive PI and Infection Control programs to achieve unprecedented results in quality, efficiency, safety, satisfaction and value with transparency.

The Managerial oversight responsibility of the Performance Improvement Program is to develop and share best practices for improving performance in quality, safety, perception of care, value and efficiency; to develop/ maintain scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction and Value; to complete Clinical Assessment, Diagnosis and Treatment for the Service Lines. Responsible for coordinating and managing hospital wide performance improvement activities including continued survey readiness. Responsible for oversight of ongoing publicly reported quality initiatives undertaken by the organization, like Core Measures, Patient Satisfaction, etc. Work collaboratively with Administration and Leadership. Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees.

The scope of activities in managing the PI Program, includes creating collaborative customer relationships; planning appropriate group processes; creating & sustaining a participatory environment; guiding the group to appropriate & useful outcomes; building and maintaining professional knowledge; employing evidence-based practice; integrating best research with expertise & patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care.

In addition, the Director supervises, assesses, plans, implements and evaluates the hospital surveillance, prevention/control of infection management. Assists with policy and procedure development and implementation while maintaining CDC, OSHA, TJC or AOA HFAP/DHS/CMS and other regulatory agency directives. Acts as a primary education consultant to hospital employees, physicians, patients, volunteers and visitors in safe Infection Control/Prevention practices. Coordinates all hospital infection control activities and interventions with the Pharmacy, Therapeutics, Nutrition and Infection Control (PTNIC) Committee, Medical Staff and hospital employees. Responds to potential exposures by communicating with patients, physicians, employees and regulatory agencies. Supervises the Employee Health Nurse and assists in coordinating the hospital employee health and workmans comp program. Performs safety rounds of the physical plant to ensure basic Infection Control/Prevention and safety practices are adhered to in all hospital departments in order to maintain a safe environment for patients, physicians, volunteers, visitors and hospital employees.

Team facilitation and experience with hospital accreditation standards and survey process preferred. Knowledge of local regulatory standards & OSHA regulations a plus