UCSF

Public health sciences university in San Francisco

System Director Hospital Epidemiology and Infection Prevention

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours

Full-timeSan Francisco, CA, USA$154.7k - $375.3kIn-person

About the Job

Requirements

A Master's degree in Nursing, Business Administration, Health Care Administration, Public Administration, or another health-related field is required.
At least five years of experience in infection prevention management is required.
Certification in Infection Prevention is required.
Comprehensive knowledge of relevant regulatory requirements and related legislative, accreditation, licensing, and compliance environments is required.
Comprehensive project management, interpersonal, and communication skills to convey complex information and instructions verbally and in writing, and cultivate teamwork, quality, and achievement of objectives are required.
Experience serving local and national professional organizations in leadership roles is required.
Strong leadership and fiscal management skills, including the ability to create a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives, are required.
Strong analytical, organizational, and problem-solving skills, including the ability to identify system vulnerabilities and develop and apply innovative solutions, are required.
Strong hospital management experience and advanced expertise in infection prevention, quality improvement methodologies, and management in an academic facility are required.
Strong leadership, interpersonal, and communication skills to promote, support, and introduce infection prevention systems and processes across departments are required.
Ability to convey complex information clearly and concisely to staff, management, and outside personnel, and to motivate, influence, and persuade others, is required.
Ability to organize, manage multiple priorities, meet deadlines, and assign work efficiently is required.

Responsibilities

Direct all infection prevention activities of UCSF Health and its licensed facilities in partnership with the HEIP Medical Directors for adult and pediatric services within a dyad leadership structure.
Provide expertise, strategic direction, leadership, planning, organization, and general management for all aspects of Hospital Epidemiology and Infection Prevention at UCSF Health.
Develop, direct, and prioritize institutional Infection Prevention program activities for adult and pediatric populations across UCSF Health facilities and licensed ambulatory services in collaboration with the Medical Directors.
Create a structure for daily, 24-hour planning, organizing, directing, controlling, and consultation of operations to support the mission and priorities of the HEIP department.
Ensure prompt responses, information exchanges, and issue resolution concerning UCSF Health infection prevention policies and practices.
Ensure accurate and timely reporting of mandated legal, regulatory, and institutional infection-related surveillance data.
Direct institutional compliance with The Joint Commission accreditation standards for hospital and laboratory programs, California Department of Public Health reporting regulations, and Centers for Medicare and Medicaid Services Conditions of Participation for hospitals, transplant services, and ESRD.
Provide direction for the managers of the Field Unit and Surveillance and Clinical Analytics Unit, who oversee operational management of HEIP personnel.
Manage assets within a 4.6 million budget.
Collaborate with groups within Quality and Safety, including Regulatory Affairs and Patient Safety, Risk Management, Patient Relations, Nursing, Hospitality, Facilities and Design & Construction, Environment, Health, and Safety, Occupational Health Services, and other core services to align regulatory, quality, risk, and patient safety initiatives.
Ensure institutional infection prevention preparedness for epidemic and pandemic responses, including emerging and high-consequence pathogens.
Develop partnerships and interface with all levels of the organization.
Represent HEIP publicly in institutional and public forums.
Liaise with the local Department of Public Health and the state Healthcare Associated Infections program.
Recruit and develop highly skilled, diverse, and engaged team members.
Lead strategic planning and design of system-wide Infection Prevention activities with the HEIP Medical Directors, including setting institutional strategy and priorities and developing and shepherding approval of the annual Infection Prevention plan to meet external and institutional patient-outcome goals.
Direct and participate in acquiring information to interpret and communicate current science regarding infection prevention requirements and standards.
Lead and direct planning, design, implementation, and evaluation of institutional infection prevention improvement projects commissioned by the Infection Prevention Committee and related UCSF Health committees, in collaboration with health system partners.
Collaborate with the HEIP Medical Directors, Surveillance and Clinical Analytics Manager, Field Unit Manager, and institutional leaders to align infection prevention, quality, and patient safety goals and initiatives.
Direct compliance with and responses to policies, systems, processes, and staff training for accreditation and certification surveys and site visits; lead and direct investigation and follow-up of infection-related complaints and findings.
Direct and oversee the technical and administrative development, evaluation, acquisition, implementation, and ongoing integrity of data systems for required reporting, integration of infection prevention data into institutional analytics, and translation of data into actionable information.
Lead and direct development, evaluation, acquisition, and implementation of educational materials to further compliance with infection prevention strategies for patients, students, staff, and faculty.
Recruit, develop, retain, and manage departmental staff and maintain an engaged team.
Direct infection prevention staff assignments, activities, and time to carry out priorities of the annual plan efficiently and effectively.
Communicate through policies, education, systems, and activities to operational leaders and all levels of the organization; represent HEIP on interdisciplinary committees with the Medical Directors; and advise senior management on institutional infection prevention-related safety topics.
Maintain active professional contacts through local, state, national, and international associations and participate in shared leadership for the UCOP Healthcare Epidemiology Collaborative.
Perform other duties as assigned.

Desired Qualifications

A clinical license in a healthcare-related field is preferred.

The Director of Hospital Epidemiology and Infection Prevention (HEIP) is responsible fordirecting all infection prevention activities of UCSF Health and its licensed facilities in partnership with the HEIP Medical Directors for the adult and BCH-SF and BCH-Oakland pediatric services, functioning within a dyad leadership structure. Under the general direction of the Vice President for Quality and Patient Safety, and in collaboration with the HEIP Medical Directors, the Director providesexpertise,strategicdirection,leadership,planning,organizationandgeneralmanagementforallaspectsof HEIP at UCSF Health. This includes but is not limited to:

Developing, directing, and prioritizing activities related to the institutional Infection Prevention program for adultandpediatricpopulationsatParnassus,MountZion,MissionBay, Oakland, LangleyPorterPsychiatric Institute, Stanyan, Hyde, and UCSF Health-licensed ambulatory services in collaboration with the Medical Directors
Responsibility for creating a structure for daily, twenty-four (24) hour planning, organizing, directing, controlling, and consultation of daily operations in order to support an environment that optimizes the mission and priorities of the HEIP department
Ensuring prompt responses, information exchanges, and issue resolution in response to questions relevant to UCSF Health infection prevention policies and practices
Ensuringaccurateandtimelyreportingofallmandatedlegal,regulatoryandinstitutionalinfection-related surveillance data
Directing activities for institutional compliance with The Joint Commission (TJC) accreditation Infection Prevention and associated standards for the hospital and laboratory programs and other certifications, CaliforniaDepartmentofPublicHealth(CDPH)reportingregulations,CentersforMedicareandMedicaid Services (CMS) Conditions of Participation (CoP) for Hospitals, Transplant Services, and ESRD
Providing direction for the managers of the Field Unit and Surveillance and Clinical Analytics Unit who oversee operational management of Field Unit and Surveillance and Clinical Analytics Unit HEIP personnel
Managing assets within a 4.6 million budget
Working collaboratively with other groups within the Department of Quality and Safety including Regulatory Affairs and Patient Safety, Risk Management, Patient Relations, Nursing, Hospitality, Facilities and Design & Construction, Environment, Health, and Safety, Occupational Health Services, and other Core services to assure alignment of regulatory, quality, risk and patient safety initiatives
Ensuring institutional infection prevention-related preparedness for epidemic and pandemic responses including emerging and high consequence pathogens
Developing partnership with and Interfacing with all levels of the organization
Publicly representing HEIP in institutional and public forums
Liaison to the local Department of Public Health and the state Healthcare Associated Infections program
Recruiting and developing highly skilled, diverse and engaged team members

DepartmentOverview:

The Department of Quality & Safety consists of Adult Quality & Safety, Benioff Children’s Hospitals (BCH) Quality & Safety, Hospital Epidemiology & Infection Prevention, Regulatory Affairs, Health Equity and Clinical Documentation Integrity. The teams are made of multidisciplinary professionals with diverse backgrounds. The role of the Department is the support UCSF Health to deliver safe, equitable and high-quality care to the communities we serve.

Minimum Requirements:

Master’s degree in Nursing, Business Administration, Health Care Administration, Public Administration or other health-related field
Minimum five years of experience in infection prevention management
Certification in Infection Prevention
Comprehensive knowledge of relevant regulatory requirements, as well as related legislative, accreditation, licensing and compliance environments
Comprehensive project management, interpersonal, and communications skills to effectively convey complex information and instructions both verbally and in writing, and to cultivate a strong commitment to teamwork, quality, and achievement of objectives
Serves local and national professional organizations in leadership roles
Strong leadership skills and fiscal management skills, with the ability to create a goal-oriented climate of teamwork, collaboration and consistent achievement of objectives
Strong analytical, organizational, and problem-solving skills, with ability to identify system vulnerabilities and develop and apply innovative solutions
Serves local and national professional organizations in leadership roles
Demonstrates strong hospital management experience and advanced expertise in and knowledge of infection prevention, quality improvement methodologies and management in an academic facility
Strong leadership, interpersonal and communications skills to promote, support, and introduce infection prevention systems and processes across a broad spectrum of departments
Strong ability to convey complex information clearly and concisely to all levels of staff, management, and outside personnel, with the ability to motivate, influence, and persuade others
Strong ability to organize, manage multiple priorities, meet deadlines and assign work efficiently

Preferred Qualifications:

Clinical license in a healthcare-related field

% of time	EssentialFunction(Yes/No)	KeyResponsibilities (TobecompletedbySupervisor)
10	Yes	Leads strategic planning and design of all Infection Prevention activities across the UCSFHealthsystem in partnership with the HEIP Medical Directors,includingsettingcohesiveinstitutionalstrategyandpriorities, developingandshepherdingapprovaloftheannualIPplaninordertomeetexternal and institutional goals for patient outcomes in collaboration with the HEIP Medical Directors
10	Yes	Directsandparticipatesinacquiringinformationtointerpretandcommunicatecurrent science regarding all levels of infection prevention requirements and standards
10	Yes	In collaboration with the HEIP Medical Directors and health system partners, leads and directs the planning, design, implementationandevaluationofinstitutionalinfectionpreventionimprovementprojects as commissioned by the Infection Prevention Committee and related UCSF Health committeesandincollaborationwithkeypartnershipswithinandoutsideofUCSF Health
10	Yes	Collaborates with the HEIP Medical Directors, HEIP Surveillance and Clinical Analytics Manager and Field Unit Manager, along with other institutional leaders toassure alignment of infection prevention, quality and patient safety goals and initiatives
10	Yes	Directscompliancewithandresponsestopolicies,systems,processesandstafftraining to support successful institutional response to unannounced accreditation and certificationsurveysandsitevisits;leadsanddirectsinvestigationandfollow-upof infection-related complaints and findings
10	Yes	Directsandoverseestechnicalandadministrativedevelopment,evaluation,acquisition, implementationandongoingintegrityofdatasystemstomeetregulatoryandinstitution- required reporting, to integrate infection prevention data into the broader institutional dataanalyticsplanfordatamanagement,andtotranslateinfectionpreventiondatainto actionable information at all levels of the organization
10	Yes	Leads and directs the development, evaluation, acquisition and implementation of educationalmaterialstofurthercompliancewithinfectionpreventionstrategiesatall levels of the organization, by all patients, students, staff and faculty
10	Yes	Recruits,develops,retainsandmanageshighlyskilleddepartmentalstaff,andthrough strong leadership maintains a highly engaged team
5	Yes	Directsinfectionpreventionstaffassignments,activitiesandtimetoefficientlyand effectively carry out the priorities of the annual Plan
5	Yes	Communicateseffectivelydirectlyandindirectlythroughpolicies,education,systems, activities to operational leaders and all levels of the organization; along with the HEIP Medical Directors, represents HEIP acrossthehealthsystemininterdisciplinarycommittees;advisesseniormanagementon a range of topics impacting institutional infection prevention-related safety.
5	Yes	Maintains active professional contacts through local, state, national and international associations;prioritizesandparticipatesinsharedleadershipfortheUCOPHealthcare EpidemiologyCollaborative
5	Yes	Otherdutiesasassigned
100%		(Toupdatetotal%,entertheamountoftimeinwholenumbers(withoutthe%symbol-e.g., 15,20)thenhighlightthetotalsum(e.g.,1%)atthebottomofthecolumnandpressF9.The totalsumshouldaddupto 100%.)

Budgeted Job Salary Range: 154,700 - 375,300

About the Company

UCSF

Public health sciences university in San Francisco

UC San Francisco is a public research university in San Francisco focused solely on health sciences, combining professional education with biomedical research and patient care. Its schools of dentistry, medicine, nursing and pharmacy train clinicians and scientists, while teams investigate cancer, immunology, genomics and neuroscience. UCSF Medical Center and Benioff Children's Hospitals connect clinical care with faculty research and training, and university clinics serve patients across Northern California. Founded in 1864, UCSF is the University of California campus dedicated to graduate and professional education and biomedical research, based in San Francisco.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: 1864

Recently Posted Jobs

Explore more opportunities at UCSF

See more jobs