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Director of Infection Control and Quality

Company: Children's Hospital & Research Center Oakland
Location: Cullman
Posted on: February 23, 2021

Job Description:

Director of Infection Control and Quality Cullman Regional Medical Center -- Infection Control Cullman , AL Professional & Management Full Time , Days Posted 02/10/2021 Director of Infection Control and Quality The Director of Infection Control / Quality will oversee and coordinate continuous regulatory efforts and is responsible for supporting the Infection Control and Quality departments scopes of work, providing leadership assistance and support for reaching established goals related to but not limited to Performance Improvement, Regulatory Compliance, Clinical Safety, Patient Experience, and Value Based Quality Initiatives. This position serves as a resource to hospital and medical staff to ensure compliance with Joint Commission and other regulatory agency standards. The Director of Infection Control / Quality oversees and coordinates the collection, analysis, and data reporting related to quality project measures. Job Duties:

  • Ensures surveillance plan is consistent with selective external and internal comparative data base.
  • Collaborates in the integration of pertinent regulatory requirements, accreditation standards and guidelines.
  • Leads the hospital and department in meeting and exceeding the commitment to continuous regulatory compliance, clinical safety, quality projects and ongoing performance improvement.
  • Conducts reviews for quality scopes of work as assigned.
  • Maintains timely, accurate, and complete records and documents related to quality measures and performance improvement.
  • Educates staff on performing quality measures, including the in use of computer programs to track, trend and analyze regulatory compliance data.
  • Oversees the design, implementation and reporting related to assigned performance improvement activities.
  • Facilitates the use of evidence based research as appropriate in all quality scopes of work.
  • Oversees the development and maintenance of policies and procedures related to assigned scopes of work.
  • Demonstrates and encourages team behavior and exceptional patient/guest experiences.--
  • Upholds and promotes patient safety and quality. Qualifications:
    • BSN or BS required. Master's degree in Nursing, Epidemiology or related field preferred
    • Current Certification in Infection Control (CIC) preferred or equivalent experience and training
    • Minimum of three years' experience as an Infection Prevention in an hospital setting.
    • Minimum five year's experience in healthcare quality and patient safety.
    • Minimum five years experience administrative leadership in quality improvement.
    • Certified Professional in Healthcare Quality (CPHQ) designation preferred.

Keywords: Children's Hospital & Research Center Oakland, Huntsville , Director of Infection Control and Quality, Executive , Cullman, Alabama

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