Quality Infection Control and Employee Health Coordinator - PSN Affiliates : Job Details

Position – Quality Infection Control & Employee Health Project SupervisorLocation: Sagecrest Hospital Carrollton, TX

Position Summary

The Quality and Medical Affair program manager, will organize, and manage the quality improvement and medical affair program for the company. The incumbent will also develop, implement and evaluate goals, objectives, policies and procedures related to quality management, and medical affairs including patient safety in accordance with federal and state laws and accreditation standards to meet the needs of the organization.

The incumbent will support the mission, vision, values and strategic initiatives of the company and will demonstrate a commitment of quality service to our patients, the public and our co-workers.

Position Responsibilities

• Collaborates with the clinical director to assure the development, implementation, and maintenance of a comprehensive Quality, Patient Safety, and Medical Affairs Program for the company.

• Directs, implements and evaluates the Quality/Patient Safety Plan, and MEC program for the company, and works with identified units or delivery components to design processes specific to their needs.

• Develops, implements and evaluates goals, objectives, policies and procedures related to quality management; reviews and revises as needed.

• Works with the actions of team members in regards to the Quality Department processes and procedures to assure compliance with the organization's goals and strategic plan. Provides feedback on performance to the Clinical Director.

• Directs and refines the quality program based on patient safety data, infection control data, MEC and annual program evaluation.

• Oversees the collection, analysis and reporting of financial and quality data related to quality improvement and clinical outcomes.

• Promotes interdisciplinary collaboration, fosters teamwork and champions service excellence.

• Serves as a patient safety resource to Employees, Medical Staff, Managers, Physicians and leadership in the organization.

• Educates and trains the leadership, staff and Associates on the quality improvement program, infection control program, MEC and their respective responsibilities in carrying out the programs.

• Facilitates and advises internal quality improvement teams.

• Develops and provides ongoing Quality Management and MEC education to staff and team members.

• Implementation of Performance Improvement Plans.

• Shares results of efforts through system-wide reports and other communication methods.

• Implements a system for distribution of monthly reports of event data to department managers and committees as applicable.

• Actively facilitates committees such as Quality Council, Infection Control, MEC, and Patient Safety.

• Maintain professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in the field of performance improvement/quality.

• Conducts surveillance and follow-up of employee exposures to communicable diseases.

• Functions within the RN scope of practice.

• Demonstrates awareness of an adherence to legal requirements pertinent to Quality, safety, MEC, and infection control.

• Assists with the compilation of data and computer input for Quality Assessment/Process Improvement and MEC.

• Provides concise data and tracking of all exposures.

• Evaluates and revises education programs for MEC, Quality and Safety.

• Identify learning needs, strengths and limitation within the facility.

• Ability to collaborate with other disciplines to plan and deliver a sound educational programs for Quality and MEC.

• Assist with nursing policies, train new staff members, understand clinical practice, be able to assess staff, develop programs and evaluate the efficiency, and integrate well performing practices into educational course.

• Performs other duties as assigned.

Other Responsibilities

• Completes required orientation as directed by facility
• Follows facility and OSHA safety rules and procedures while on assignment
• Follows facility Unusual Occurrence Protocol
• Respects cultural and religious practices of patients
• Upholds HIPAA regulations
• Punctual and dependent for assigned/confirmed shifts

Position Requirements

• Current RN license required.

• Bachelor's degree required. Master's Degree preferred.

• Five years of clinical experience in an acute care health facility required.

• Two years of managerial/supervisory experience required.

• A minimum of three years' experience in Health Information, Quality Utilization or Risk Management helpful.

• Certification as a Professional in Healthcare Quality (CPHQ) preferred.

• Experience and knowledge of statistics, data collection, analysis, and data presentation required.

• Excellent interpersonal communication and problem-solving skills required.

• Experience with, knowledge of, and ability to apply Joint Commission performance improvement standards and core measures required.