The mission of the Tennessee Center for Patient Safety (TCPS) is to advance Tennessee hospitals’ adoption of proven strategies that enhance the reliability, safety and quality of care received by patients. The TCPS provides extensive education, resources and direct support to hospitals to accomplish the mission of better outcomes for patients.
The Infection Preventionist (IP) is responsible for developing and implementing quality improvement strategies and interventions related to the TCPS initiatives and the Hospital Improvement Innovation Network (HIIN) contract to meet the Centers for Medicare and Medicaid Services (CMS) harm reduction goals. The IP provides education and facilitates member collaboratives that focus on preventing infections and improving the quality and safety of healthcare delivery. The IP develops topic-specific project plans and is responsible for the efficient and effective execution of interventions with hospital teams. The IP is responsible for leading the TCPS project work on healthcare associated infections (HAI), which may include:
• Catheter-associated urinary tract infections (CAUTI)
• Central line-associated blood stream infections (CLABSI)
• Clostridium difficile (C. diff)
• Methicillin-resistant Staphylococcus aureus (MRSA)
• Multi drug-resistant organisms (MDRO)
• Surgical-site infections (SSI)
• Ventilator-associated events (VAE)
• Other emerging infections
The IP uses clinical judgment and leadership skills to provide direct support to hospital teams to assist with development and implementation of strategies, identify and overcome barriers to success and facilitate the capture and dissemination of best practices.
ESSENTIAL FUNCTIONS OF THE JOB: (listed in order of importance) Principal accountabilities; identify what you do, what end results you are accountable for, and how you measure your success.
1. Ability to adapt to a changing work environment and meet challenges presented throughout the day.
2. Assist with the planning, development, coordination and implementation of quality improvement strategies and interventions to address the TCPS priority topics.
3. Serve as lead for specified healthcare associated infection topics and coach hospital teams to apply interventions to prevent/reduce harm.
4. Develop educational opportunities and facilitate member collaboratives that focus on preventing infections and improving the quality and safety of healthcare delivery.
5. Master expert resources on HAIs from Health Research & Educational Trust (HRET), Institute for Healthcare Improvement (IHI), Association for Professionals in Infection Control and Epidemiology (APIC) and others and disseminate best practices and resources to hospitals for education and adoption.
6. Work with member hospitals to hardwire and sustain infection prevention processes.
7. Monitor and act on data in a timely manner.
8. Collaborate with key internal and external stakeholders to provide tools related to infection prevention, transparency and culture of safety.
9. Review monthly submission of each target facility’s clinical measures and facilitate identification of individual opportunities for improvement and the design and implementation of interventions to reach targeted goals.
10. Work with the HRET and other organizations to supply hospitals with the tools and resources necessary to achieve quality improvement.
11. Represent THA on the Tennessee Department of Health Multi-Disciplinary Advisory Group (MDAG).
12. Assist in the development, implementation and evaluation of THA quality improvement initiatives and activities, including clinical databases.
13. Provide timely submission of project reports.
14. Provide direct assistance to hospitals with challenges and opportunities to improve.
15. Identify strategies to engage member hospital IPs and frontline staff in relevant safety initiatives.
16. Work with other team members to ensure that all project tasks under the HIIN contract and other projects are complete and timely.
17. Communicate and work cooperatively with other team members, partner agencies and subcontractors.
18. Foster strategic partnerships and collaborations with the Tennessee Department of Health, Quality Improvement Network (QIN), affiliate organizations and other stakeholders.
19. Must be available for out-of-town travel, be able to drive an automobile and maintain a valid driver’s license. Regular in-state travel expected for onsite visits to hospitals at approximately 25 percent of time.
20. Must be available in the office during regular office hours, unless job responsibilities require otherwise.
MARGINAL JOB FUNCTIONS:
SKILLS REQUIRED TO PERFORM THE DUTIES OF THE JOB:
1. Infection prevention training and quality improvement expertise
2. Strong interpersonal skills
3. Strong customer-service orientation, both internally and externally
4. Ability to work in a team environment while possessing strong self-directed capabilities
5. Ability to facilitate/lead change in healthcare settings
6. Ability to work on multiple projects concurrently and to effectively handle changes in project requirements
7. Ability to maintain a highly detail-oriented approach along with an understanding of the long-term goals and objectives of the program
8. Strong team leadership and project management skills
9. Ability to develop a framework for management and coordination of quality improvement and clinical interventions
10. Ability to plan and organize improvement efforts and programs and roll them out to a broad and varied audience
11. Strong written and oral communication skills
12. Ability to learn new subject areas quickly
13. Ability to research and identify best practices for quality improvement to accomplish requisite goals and objectives
14. Strong critical-thinking and decision-making skills
15. Ability to objectively analyze and act on data
16. Advanced proficiency in Microsoft applications
17. Ability to effectively develop and deliver presentations to groups
EDUCATIONAL AND EXPERIENCE REQUIREMENTS NEEDED TO PERFORM THE DUTIES OF THE JOB:
1. Bachelor’s degree in a clinical or health-related program is required. Masters of Science degree in related health field preferred.
2. Minimum of five years direct experience in patient safety or clinical performance improvement required.
3. Certification in infection prevention required.
4. Experience working with healthcare-related data collection activities preferred.
5. Experience working with individuals and groups from diverse backgrounds preferred.
6. Experience working in multi-disciplinary team-based settings preferred.
LICENSING OR OTHER SPECIAL CERTIFICATIONS REQUIRED:
1. Current certification or license in professional field
2. Certification in infection prevention
Number of people supervised (direct reports): None
ORGANIZATIONAL STRUCTURE: (Positions reporting directly to you, if any, and their areas of responsibility)
GUIDANCE & DIRECTION: (Policies, precedents or procedures that guide your work)
1. The Tennessee Center for Patient Safety (TCPS) and the THA Hospital Innovative Improvement Network (HIIN) are under the leadership of the Senior Vice President, Tennessee Center for Patient Safety.
2. The THA Board of Directors and President guide the priorities and initiatives of the TCPS and HIIN.
3. The TCPS Advisory Council and the THA Quality Committee may provide input and recommendations to the TCPS and HIIN.
4. The HIIN contract, modifications and extensions outline the program and outcome expectations.
THIS COMPANY RESERVES THE RIGHT TO MODIFY, INTERPRET, OR APPLY THIS JOB DESCRIPTION IN ANY WAY THE COMPANY DESIRES. THIS JOB DESCRIPTION IN NO WAY IMPLIES THAT THESE ARE THE ONLY DUTIES, INCLUDING ESSENTIAL DUTIES, TO BE PERFORMED BY THE EMPLOYEE OCCUPYING THIS POSITION. THIS JOB DESCRIPTION IS NOT AN EMPLOYMENT CONTRACT, IMPLIED OR OTHERWISE. THE EMPLOYMENT RELATIONSHIP REMAINS “AT-WILL.” THE AFOREMENTIONED JOB REQUIREMENTS ARE SUBJECT TO CHANGE TO REASONABLY ACCOMMODATE QUALIFIED DISABLED INDIVIDUALS.
Salary: $78,000-$95,000 annually, DOE
Equal Employment Opportunity Statement
The Tennessee Hospital Association (THA) is an equal opportunity employer and does not discriminate against applicants or employees on the basis of race; color; creed; religion; sex; age; national origin; citizenship status; ancestry; pregnancy; sexual orientation; gender identity or expression; genetic information; or past, present or future membership in a U. S. Uniformed Service. In addition, THA does not discriminate against qualified individuals with physical, visual or mental disabilities. Also, THA does not discriminate against employees or applicants who inquire about, discuss or disclose their compensation or the compensation of other employees or applicants, however, an exception exists where the employee or applicant makes the disclosure based on information obtained in the course of performing their essential job functions.