A Brief Overview Under the direction of the Vice President of Quality, the Administrative Director of Patient Safety, Infection Prevention & Control and Antimicrobial Safety & Sustainability plans, directs, and leads all of the patient safety, infection prevention and antibiotic stewardship resources for Stanford Health Care: which continues to expand its' footprint as well as the complexity of patients served. These efforts include design and execution of the Medical Center's annual Patient Safety, Infection Prevention & Control and Antibiotic Safety & sustainability Risk Assessment Plan and Program, establishing systems and standards for timely, accurate and complete infection prevention, patient safety and antimicrobial safety-related reporting, developing and maintaining a coordinated approach to infection prevention -related, patient safety and antimicrobial safety programs among the inpatient and outpatient care continuum. In addition, the Administrative Director establishes and implements strategies to ensure SHC is continuously prepared for The Joint Commission, federal & state laws and surveys as they relate to Infection Prevention, Patient Safety and Antimicrobial Safety and maximizes integration with current systems while creating a vision for the future of the three programs at SHC.
The Administrative Director of Patient Safety, Infection Prevention & Control and Antimicrobial Safety & Sustainability serves as the authority and subject matter expert to speak on behalf of all Vizient Healthcare Associated Infections (HAIs)/CMS metrics: twenty percent of which account for the Vizient ranking.
Locations Stanford Health Care
What you will do
Serves as the subject matter expert both internally and externally on all Patient Safety and HAI reduction efforts.
Serves as the spokesperson educating the lay public including community boards regarding Patient Safety and HAIs, and the prevention efforts instituted by SHC to decrease Patient Safety events, and HAIs to the irreducible minimum.
Analyzes in conjunction with the Director of Infection Prevention & Control all HAI metrics/data and provides responses to Sr. Leadership and Communications regarding HAI ranking for Vizient, Leapfrog, as well as responses to union, media and other queries.
Evaluates, in consultation with the Directors of Patient Safety and Infection Prevention & Control the Medical Center’s annual Patient Safety, Infection Prevention & Control Risk Assessment programs and plans to identify appropriate risk-reduction strategies and resource efforts to prevent adverse patient safety events and healthcare associated infections (HAI’s)
Directs the planning, design, implementation and evaluation of institution wide patient safety, infection prevention and control and antimicrobial stewardship projects as commissioned by the Patient Safety Committee, Infection Control Committee and related Medical Center Committees.
Accountable for leading multidisciplinary and multi-departmental strategic patient safety, infection prevention and antimicrobial stewardship projects.
Provides leadership and direction towards the development of patient safety, infection prevention and control and antimicrobial safety and sustainability initiatives in collaboration with clinical leadership in clinical areas.
Is a key member of the Patient Safety Committee and the Infection Control Committee.
Interprets and communicates current information on national, state or regional patient safety and infection prevention and control requirements and/or standards.
Facilitates, interprets, coordinates and communicates regulatory compliance for patient safety, infection prevention and control and antimicrobial stewardship activities including; The Joint Commission, Centers for Medicare and Medicaid Services (CMS), federal, state and local Departments of Public Health.
Oversees educational activities regarding the integration of patient safety and Infection prevention and control methodologies into clinical departments and patient care areas.
Develops systems which integrate patient safety, infection prevention and control and antimicrobial stewardship efforts among various clinical and functional departments.
Directs activities to support and report defined patient safety, infection prevention and control and antimicrobial stewardship priorities, such as: accurate and timely National Healthcare Safety Network data submission; accurate and timely reporting as required by state and federal laws, regulations, codes, etc.; SHC-defined infection prevention and control initiatives (including, but not limited to: Magnet, Beacon, Leapfrog, etc.); Joint Commission -defined Standards and Elements of Performance compliance; Joint Commission National Patient Safety Goal performance.
Has experience managing high profile patient safety and infection prevention situations.
Has experience managing improvement capability projects
Regularly acts as VP for Quality covering Tier 4 huddles and dealing with leadership issues that may arise as needed.
Responsible for serving as a liaison with outside hospitals and agencies, including the public health department, when dealing with infection prevention or public reporting services.
Responsible for overseeing the Infection Control manual process
Supervises Director Patient Safety & Reliability, Director Infection Prevention & Control, Manager Antimicrobial Safety & Sustainability.
Performs other related and incidental duties as assigned or needed.
Master's Degree in Public Health, Nursing, Business Administration, Health Care Administration, Public Administration or other health-related field from an accredited college or university, Required
Seven (7) years experience in a management or leadership role in infection prevention and control OR patient safety for a hospital or health care institution.
Required Knowledge, Skills and Abilities
Expert demonstrated knowledge of CMS, Title XXII and Joint Commission requirements in inpatient, outpatient and ambulatory surgery.
Expert demonstrated knowledge of federal, state and local regulations as related to infection prevention and control.
Knowledge of principles and practices of organization, administration, fiscal and personnel management.
Knowledge of computer systems and software used in infection prevention and control and patient safety.
Excellent interpersonal and communication skills with ability to cultivate professional and business partners.
Relevant subject matter expertise
Managing outbreaks of novel infections with a focus on preparation, investigation, timely investigation, control and communication to leadership and the public as needed.
Ability to manage, organize, prioritize, multi-task and adapt to changing priorities.
Ability to provide leadership and influence others.
Ability to foster effective working relationships and build consensus.
Ability to mediate and resolve complex problems and issues.
Licenses and Certifications
CIC - Certified Infection Control or
CPPS - Certified Professional in Patient Safety or
CPHRM - Certified Professional In Healthcare Risk Management
Internal Number: R214755
About Stanford Health Care
We believe that great things happen when you put talented people together and then empower them to reach beyond the ordinary. Every day is an inspiration and an opportunity to lift up our patients with the kind of care that has earned us a worldwide reputation for excellence.
As an organization with more than 300 facilities throughout the Bay Area, we are a team united by our culture of respect. Our C-I-Care philosophy invites each employee to elevate the patient experience, because every interaction is a chance to make a positive impact in the lives of those around us. Of course, that same commitment extends to the way we work together. We prize open communication and intensive collaboration as we strive to recognize every contribution. Because that's how true innovation happens again and again.