Administrative Director - Infection Prevention and Control - Durham
Duke University Health System
Location: Durham, North Carolina
Internal Number: 141219
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
General Description of the Job Class
Provide overall direction and administrative leadership for the Infection Prevention and Hospital Epidemiology Program throughout the Duke University Hospital care continuum including diagnostic, perioperative, inpatient and ambulatory settings on a 24-hour basis. Ensure effective administrative management of clinical and ancillary functions related to personnel and policy in order to meet the mission of patient care, education and research within a fiscally responsible organization with major focus on infection prevention strategies for all disciplines.
Duties and Responsibilities of this Level
Direct and coordinate work of Infection Prevention Specialists and IP auditors in collaboration with the nurse manager, medical director, and other physicians. Coordinate and direct the work of staff assistant, clinical nurse specialist, Clinical Services Nurse, state funded roles and other roles to achieve programmatic and institutional objectives. Ensure personnel activities meet departmental and hospital objectives related to infection prevention.
In collaboration with the CNO and Medical Director, develop and obtain approval for budget for Infection Control and Epidemiology Program.
Develop and communicate vision for identification, management and prevention of emerging infectious diseases and trends.
Oversee the collection and analysis of surveillance data. Take an active role in regularly reviewing time-trended surveillance data.
Coordinate the organization and preparation of an Infection Control Annual Report summarizing key activities for the year, time-trended surveillance data, rates of HAI and SSI, areas of focus for future years, etc. This report should be completed by March 1st of each year.
Meet with Medical Director, Nurse Manager, and other physician epidemiologists in the Infection Prevention Program on a regular basis to discuss operations and set goals for the program.
Serve as an Infection Prevention liaison with other Duke-affiliated hospitals (Duke Regional and Duke Raleigh), clinics and ambulatory surgical sites. This role may include periodic DUHS meetings of Infection Prevention personnel (including Duke Primary Care and Duke Private Diagnostic Clinics), facilitating requests for information and collaborations on DUHS-wide initiatives.
Provide developmental opportunities for direct reports and team.
Serve as clinical operational liaison with administrative and professional personnel concerning incorporation of national standards and research into hospital policies and procedures, personnel administration and budgetary preparation and control.
Maintain interface with departmental personnel to coordinate clinical operational activities to ensure adequate staffing, space and facilities, coordination of purchasing, maintenance and renovation activities for the operational areas, administer a program of property management and accountability.
Determine and recommend necessary space, equipment, supplies and support systems to ensure effective functioning of department and clinical services to promote infection prevention.
Ensure a safe environment of care for all staff, patients, and visitors.
In collaboration with the IP Nurse Manager, ensure effective processes for staff development, recruitment and retention.
Collaborate with FPDC personnel to approve renovations, new projects and mold remediation as needed.
Review blueprints and make recommendations regarding design of new area/s to promote flow from dirty to clean, placement of hand hygiene sinks, waterless agents, adequate space for reprocessing instruments and proper airflow/ventilation/filtration.
Develop and maintain annual Infection Prevention plan to evaluate objectives from previous years, identifying infection risk potential and identify goals and objectives for the year.
Review and update policies and procedures as needed to maintain compliance with latest recommended and regulatory standards, including but not limited to; Center for Disease Control and Prevention, The Joint Commission, NHSN, OSHA, State Health Department, and CMS as indicated.
Assist with preparation for Joint Commission surveys and attend the surveys as needed.
Required Qualifications at this Level
Master's Degree required.
Minimum of 3-5 years of experience in hospital infection prevention and control as well as administrative leadership experience.
OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE
Degrees, Licensure, and/or Certification
Master's Degree Certification in Infection Control & Epidemiology (CIC)
Knowledge, Skills and Abilities
Ability to manage multiple organization missions. Facilitation, consensus-building, and negotiation skills
Sensitivity for and understanding of clinical disciplines and issues. Understand cost containment and managed care systems.
The ability to work with all types of individuals in multiple settings and locations and to promote diversity in the workplace. Ability to interface positively with physicians, nurses, department managers, administrators, and staff.
Basic computer skills with Word, Excel, Access, PowerPoint, and email.
Knowledge of necessary regulatory bodies including North Carolina Nurse Practice Act.
Knowledge of infection control, surveillance and prevention concepts and literature. Participation and active involvement in the meetings of the local and national Association of Professionals in Infection Prevention (APIC) is encouraged. In addition to attendance at local and national APIC and SHEA meetings involvement in research projects related to infection prevention is encouraged
Excellent communication skills-verbal presentation and writing skills
Excellent customer service skills
Distinguishing Characteristics of this Level
The intent of this job description is to provide a representative and level of the types of duties and Responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.