Job Code: 02660-AVPIP
Gulf Coast Division Office - Houston, Texas
Assistant Vice President (AVP) - Infection Prevention
Serving patients throughout Greater Houston and South Texas, HCA Gulf Coast Division offers comprehensive health solutions—including advanced medical care, education, and community outreach—at its ten hospitals and other free-standing facilities. This network model gives our patients access to a circle of care that is unrivaled in the region. From simple outpatient procedures to complex surgeries performed by specialists, HCA Gulf Coast Division offers comprehensive care close to home.
Serving such a large and diverse region requires HCA Gulf Coast Division to offer a range of programs that meets the needs of young and old, acutely ill and chronically ill. Just some of our services and outreach efforts:Twenty-four-hour emergency care, both at designated Hospital Emergency Centers and off-site Emergency Care locations
Life-saving intervention during cardiovascular and neurological incidents
Comprehensive women’s care, from obstetric care to minimally invasive gynecological surgery
Neonatal and pediatric intensive care
Inpatient and outpatient surgery, rehabilitation, and monitoring support
Education programs – child birth and child care classes, surgical seminars, physician speaker series
Management centers for diabetes, heart failure, and other complex conditions
Community partnerships with the American Heart Association, Joe Niekro Foundation, March of Dimes, and others.
The Gulf Coast Division Office is looking for an Assistant Vice President (AVP) - Infection Prevention.
The Assistant Vice President (AVP) - Infection Prevention will be responsible supporting the Division Vice President of Quality by communicating and implementing strategic, operational and programmatic plans and policies to further strengthen a culture where patient safety and quality is a central consideration for all staff. He/she is responsible for providing direction to and management of Infection Prevention Directors, Managers, and Coordinators at the facility.
The successful candidate will have experience leading effective infection prevention and control programs for hospitals and outpatient services in areas of surveillance, reporting, prevention and control of infections including related regulatory compliance, accreditation standard compliance and quality/performance improvement.
The role of the AVP Infection Prevention will assist the Division Vice President Quality in the duties including but not limited to:
Provides strategic and operational direction for the framework of an integrated approach to Infection Prevention and Control program.
Prioritizes objectives to align with strategic initiatives and budgets; keeps entity programs focused on clinical priorities and evaluates progress and revises strategic plan as needed.
Manages infection prevention daily operations, providing assistance to facility IP Directors/Manager and/or Coordinators with clinical or customer-service issues as needed.
Serves as division NHSN (National Healthcare Safety Network) Facility Administrator for purposes of internal surveillance, accurate and timely public reporting and CMS compliance.
Provides leadership for analysis and reporting of infection data, developing action plans and interventions, and assessing success of actions in follow-up.
Designs, with key stakeholders, data-driven, cost-effective interventions to reduce healthcare associated infections and occupational exposures, and facilitates implementation of interventions.
Provides administrative direction to ensure that surveillance programs and interventions to reduce infections and occupational exposures are supported by scientific research, or are innovative but based on sound principles of epidemiology and knowledge of disease transmission, and demonstrate potential for improving clinical outcomes and decreasing costs were possible.
Evaluates annually effectiveness of facility infection prevention programs and recommends changes as needed.
Serves on healthcare committees as appropriate as representative for infection prevention and control.
Serves as regulatory chapter expert for Joint Commission Standards and state standards on Surveillance, Prevention and Control of Infections.
Provides division support for all epidemic investigations related to Healthcare associated or community-acquired infections and/or occupational exposures in order to assure necessary patient safety and risk management practices are addressed following current evidence-based approach and regulatory requirements.
Coordinates, develops and provides education and educational materials regarding disease transmission and practices for infection prevention and control for all division facilities as needed.
Partners with all business units to provide additional “just in time” education as deemed necessary or as requested.
Maintains effective communication to keep senior leadership, medical staff, sponsors, and stakeholders informed of infection prevention and control plans, activities and progress in meeting goals and objectives.
Provides updates regarding infection prevention and control issues.
Serves as division expert consultant to leadership, medical staff, and key stakeholders on matters related to infection prevention and control including surveillance, epidemiology, outcomes measurement, quality/performance improvement and employee health.
Acts as a resource and advocate for Infection Prevention and Control Coordinators as they interact with clinical units on procedures, techniques and equipment related to infection prevention and control.
Acts as a resource to facilities in developing infection prevention and control policies.
Serves as division liaison with local and state public agencies and the CDC, and seeks their expertise as needed.
Directs performance improvement process and reporting for infection prevention and control on behalf of the division.
Participates in quality management/performance improvement planning activities and attends meetings as requested or assigned.
Maintains a working knowledge of and provides information to ensure compliance with rules, regulations and recommendations from Federal, State, and accrediting agencies as they relate to infection prevention and control.Ensures compliance with relevant Joint Commission standards by reviewing and understanding the intent for infection prevention and control activities.
Ensures compliance with OSHA regulations, in particular the Bloodborne Pathogen and Tuberculosis Exposure Control Plan requirements.
Ensures compliance with CMS Conditions of Participation as they relate to infection prevention and control.
Provides administrative direction and leadership in emergency preparedness related to infection prevention and control, including emerging and reemerging diseases, bioterrorism, natural disasters and other issues.
Serves as the system Infection Prevention and Control administrative representative to the Emergency Preparedness Advisory Committee.
Develops or coordinates development of infection prevention and control plans for bioterrorism, and other infection disease emergencies in consideration of disaster plans and the incident command system.
Serves as liaison with the state Department of Health and local public health agencies on disaster planning and emergency response activities.
Directs and coordinates the dissemination of CDC Health Alert Network (HAN) communications related to infection prevention and control.
Collaborates with director of emergency preparedness on planning, education and drills related to infectious disease threats.
Provides administrative direction on matters related to environmental contamination remediation (i.e. water damage) to support infection prevention and control for the safety of patients and healthcare personnel, in collaboration with Plant Operations, Environmental Services and other departments as appropriate to the event.
Qualifications:Master’s degree in healthcare clinical or healthcare administration related field required.
Clinical background preferred, will require proof of current state license.
Current Certification in Infection Control (CIC)
Minimum of 5 years’ previous experience in acute care setting
At least 3 years in infection prevention and control
2 years of management experience (including experience working with physicians and various levels of hospital management) preferred
Varied combinations of the above experience will be considered.
Effective skills in review of scientific literature and evidence-based research.
Ability to take complex scientific concepts and simplify into practical understandable terms.
Knowledge of quality/performance improvement methodologies.
Knowledge of infection prevention and control practices.
Knowledge of epidemiologic investigative methodologies.
Clinical knowledge related to processes of care
Knowledge of regulatory requirements (OSHA, CMS, State Department of Health), accreditation standards (Joint Commission, state regulatory agencies) and evidence based practice guidelines (CDC).
Ability to initiate, interpret, and act upon oral and written communication from or with physicians, peers, patients, family/visitors, supervisors and departments.
Ability to relate to medical, administrative, clinical and professional staff to facilitate quality/performance improvement and infection prevention and control activities.
Ability to establish effective interpersonal relationships and utilize team facilitation skills.
Knowledge of electronic medical record and surveillance software programs for data analysis and presentation.
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Last Edited: 08/27/2018
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