Coordinates comprehensive organization-wide infection surveillance, prevention and control program in accordance with current requirements of regulatory, government and accrediting/licensing agencies and organizational policies and procedures. Duties include surveillance for healthcare-associated infections (HAIs); collection, analysis, interpretation and reporting of surveillance data; outbreak investigation; and program evaluation.

• Program Development and Evaluation
• Participates in the development of the plan for infection surveillance, prevention and control activities based on the facility risk assessment.
• Utilize epidemiologic principles to conduct surveillance and ability to independently initiate a risk assessment with pertinent issues identified for further improvement.
• Evaluate and modify the surveillance plan, as necessary.
• Develop, interpret and assist with implementation of infection prevention and control policies and protocols.
• Prepare and communicate infection prevention and control information and data to various committees and healthcare workers across the organization as assigned.
• Performance Improvement
• Utilize PI methodology as a means of enacting change.
• Define the scope of the project and select appropriate PI tools to aid in efficiency, reliability, effectiveness and ensure sustainability of the initiative.
• Ensure that customer needs and expectations are considered in the development of and continuous improvement of processes, products, and services.
• Monitor and analyze process and outcome measures to evaluate the effectiveness and sustainability.
• Participate and provides subject matter expertise in PI committees, teams and initiatives as indicated.
• Round, daily or monthly, depending on needs per Unit/Department.
• Design and Deliver Education
• Assess and address learning needs of those served.
• Create educational goals, objectives, and strategies using learning principles and available educational tools and technology.
• Evaluate the effectiveness of educational programs and learner outcomes.
• Performance Standards1. Professional Accountability
• Pursue professional growth and development of required knowledge and skills.
• Maintain certification and licensure requirements.
• Establish at least 1 professional goal per year.
• Advocate for patient safety, health worker safety, and safe practices.
• Participate in an infection prevention and control professional organization/association (i.e.: APIC).

1. Collaboration

• Consult and collaborate, as needed, with local, state, and federal public health officials, and community health organizations.
• Involve multidisciplinary teams to ensure changes are vetted by all stakeholder groups.

1. Leadership

• Utilize principles of influence, leadership and change management.
• Bring enthusiasm, creativity and innovation to practice.
• Work collaboratively with others, providing direction when necessary.
• Readily share knowledge and expertise.
• Contribute to the development of less-experienced healthcare providers through education and mentorship.
• Prepare and deliver infection prevention presentations to external groups.

1. Research and Implementation Science

• Evaluate (critically) research and evidence-based practices and incorporate appropriate findings into routine practice.
• Integrate evidence-based practices into policies, guidelines, protocols and educational strategies.
• Identify barriers for implementation and develop strategies to minimize or remove barriers.
• Implement strategies to sustain efforts such as audit tools and meaningful feedback.
• Regulatory Requirements
• Comply with regulatory and mandatory reporting requirements at the local, state and federal levels.
• Facilitate compliance with regulatory and accreditation standards.
• Stay current on infection prevention and control regulatory and accreditation standards.
• Performs miscellaneous job related duties as requested.