Medical Director Infection Control & Prevention
Detroit, MI, US
General Summary: Reporting to the Associate Chief Clinical Officer/Chief Quality Officer (ACCO, CQO), the Medical Director Infection Prevention and Control is responsible for the oversight and implementation of the Infection Prevention Plan in conjunction with the Administrative Director, Infection Prevention and Control and the hospital Medical Directors, Infection Prevention and Control and hospital Infection Prevention Specialists. The medical director is responsible for overall quality, safety, regulatory activities and performance excellence.
Reporting Relationships
Directly reports to ACCO/CQO
Matrix reporting to Division Head, Infectious Diseases
Direct reports include: Hospital Medical Directors of Infection Control/Prevention
Principle Duties and Responsibilities: The primary roles and responsibilities will be to serve as the Medical Director of Infection Prevention and Control. Responsibilities include but are not limited to providing subject matter expertise in infection prevention and healthcare epidemiology; reviewing health-care associated infections with subsequent implementation of infection control and process improvement efforts to reduce HAIs; development and implementation of infection control principles and policies in general and as they relate to reduction of multi-drug resistant organisms (MDROs), outbreak response and special pathogens; interpretation of epidemiologic data, and improvement of data infrastructures and data reporting in compliance with NHSN, CMS and other internal metrics.
The Medical Director’s goals include:
Develops the annual goals and plan for implementation of the Infection Control Program for review and approval.
Maintenance of infection specific rates at or below national best practice
Maintenance of regulatory requirements, including review of relevant clinical areas to ensure adherence to the environment of care standards including disinfection, sterilization and surveillance
Leading system efforts to achieve hand hygiene goals
Leads the development, implementation, and supervision of a health systemwide program for the prevention and control of healthcare-associated infections
Leading system infectious outbreak investigations and ensuring emergency preparedness
Design and participate in quality improvement initiatives to ensure a reduction in harm
The Medical Director will coordinate infection prevention initiatives across the health system including:
Implementation of infection control policies designed to reduce or eliminate outbreaks in the health system, develops and implements facility-wide infection prevention and control measures to protect patients, staff and visitors.
Monitoring patient care for compliance with established standards and investigates known or suspected sources of infections in order to determine the source and ensure control.
Oversees preparation of Risk Assessment and Infection Control (IC) Surveillance data presented to the IC Committee. Conducts epidemiologic investigations of these findings.
Develops and provides related education to staff in partnership with operational leaders.
Participates in input on staffing needs and department operating budgets on an annual basis and monitors areas of responsibility for compliance.
Participates in direction, supervision and support functions of the infection control staff.
Monitors detection and reporting of nosocomial infections on a systematic and current basis using National Healthcare Safety Network definitions.
Performs reviews of Epidemiological Reports to detect clustering of pathogenic organisms or increases in rates of infection in patient population.
Monitors isolation practices and Standard Precautions while conducting surveillance activities on nursing units and in hospital departments. Reports identified problems to the manager of that particular unit.
Informs hospital leadership, Quality Office and Risk Management of acute issues and assists in the management and follow-up of Infection Control-related events.
Supervises identification of reports and information on specific communicable diseases to the local Health Department and other official bodies as required by law.
Reviews relevant department, nursing, and outpatient clinics Infection Control Guidelines with appropriate leaders; submits reports of review and/or revisions to the Infection Control Committee.
Chairs, attends and participates in the Infection Control Committee meetings, and policy and procedure meetings.
Participates on the Quality, Safety and Reliability committee to ensure achievement of goals and objectives.
The Medical Director will coordinate epidemiologic activities across the health system including:
Maintains a system for surveillance and reporting of infections among patients and personnel. Provides oversight and quality assurance for the Department’s surveillance activities. Recommends and implements changes in the system when indicated. Maintains a formal internal and external system of communication to inform and direct personnel concerning potential and existing problems.
Leads investigations of known or suspected occurrences of infection among patients, personnel or visitors to the hospital.
Participates in product recalls associated with potential or identified healthcare associated infections.
Serves as a liaison to the City and County and State Health, Departments, the Centers of Disease Control and Prevention as needed to fulfill the hospital’s mandatory reporting requirements for infections and in the conduct of outbreak investigations as appropriate.
Assures that the hospital infection control program is in compliance with relevant requirements promulgated by city, state, and federal government agencies as well as those published by accreditation and payor agencies.
Education/Experience Required
Must have an M.D. degree, or equivalent, from an approved LCME medical school, and have satisfactorily completed an Internal Medicine residency program, and an Infectious Diseases fellowship program, from an ACGME accredited program.
Minimum of 10 years in direct patient care experience and 5 years in healthcare quality and/or performance improvement.
Minimum of 5 years of supervisory and/or leadership experience in a healthcare setting.
Two plus (2+) years of experience in Infection Control with strong/expert working knowledge of infectious diseases, data collection, and/or basis statistics
Strong leadership skills with the ability to advance and develop a superior infection prevention program.
Able to function effectively and drive the creation and management of projects and programs to successful outcomes in a highly matrixed organization.
Excellent interpersonal communication skills and presentation skills for both clinical and non-clinical audiences, in-group settings or one-on-one.
Expertise in establishing physician relationships combined with the ability to manage an interdisciplinary team while appreciating and fostering collegial and peer participation from all disciplines.
Effective supervisory skills, including clinical mentoring and coaching expertise.
Certifications/Licensures Required
Must be eligible for Michigan medical licensure and be board-certified in Internal Medicine and Infectious Disease.
MPH or MHA preferred.
Responsibilities
Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS’ Customer Service Policy and summarized below
Communication
Ownership Understanding
Motivation
Sensitivity
Excellence
Teamwork
Respect
Must practice the customer skills as provided through on-going training and in-services.
Must Possess The Following Personal Qualities
Be self-directed
Be flexible and committed to the team concept
Demonstrate teamwork, initiative and willingness to learn
Be open to new learning experiences
Accepts and respects diversity without judgment
Demonstrates customer service values
Physical Demands/Working Conditions: Normal office environment with minimal exposure to noise, dust, or extreme temperatures.
Seniority Level
Director
Industry
Hospital & Health Care
Insurance
Health, Wellness & Fitness
Employment Type
Full-time
Job Functions
Health Care Provider
TO APPLY
Forward resume/CV to Amanda Sonus, Senior Consultant at asonus@pailingroup.com
PailinGroup.com
