KP Fremont Medical Center - Fremont, CA
Infection prevention Program Manager
Job Summary
Infection Prevention Program Manager
We are looking for a candidate to fill the new role of Infection Prevention Program Manager at Fremont Medical Center in Fremont, California. This 100 bed facility is part of Kaiser Permanente, a managed care consortium. Though you will not have direct reports, you will supervise the Infection Prevention program for Fremont Hospital.
To qualify for this position, you must have three years of infection prevention experience in an acute health care facility and a Bachelor’s degree in health-related fields such as nursing, epidemiology, microbiology, or public health.
About KP Fremont Hospital
Kaiser Permanente:
Founded in 1945, Kaiser Permanente is recognized as one of America’s leading health care providers and nonprofit health plans. We currently serve 12.5 million members in 8 states and the District of Columbia.
Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management.
We are dedicated to care innovations, clinical research, health education, health equity, and improving community health.
Fremont Medical Center:
Recognized with a Silver Plus Performance Achievement Award for its use of evidence-based guidelines to provide the best possible care to patients through The American Heart Association/ American Stroke Association’s Get With The Guidelines® program.
Fremont Medical Center Bariatric Program has successfully achieved a level 1A Accreditation with the American College of Surgeons (ACS) Bariatric Surgery Center Network (BSCN).
About the town
Fremont, CA
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Leapfrog Hospital Safety Scores
Kaiser Foundation Hospital - Fremont
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Dangerous object left in patient’s body What’s This? | 0.000 | 0.359 | 0.02 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.036 | .0004 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Patient falls and injuries What’s This? | 0.000 | 1.778 | 0.42 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Infection in the blood What’s This? | 2.742 | 3.420 | 0.81 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Infection in the urinary tract What’s This? | 0.695 | 2.644 | 0.75 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Surgical site infection after colon surgery What’s This? | 0.540 | 2.887 | 0.80 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| MRSA Infection What’s This? | Not Available | 3.055 | 0.84 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| C. diff. Infection What’s This? | 0.298 | 1.949 | 0.54 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Death from treatable serious complications What’s This? | Not Available | 206.08 | 159.67 | 95.65 | CMS | 07/01/2018 – 12/31/2019 |
| Harmful Events What’s This? | 0.97 | 3.35 | 1.00 | 0.60 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous bed sores What’s This? * | 0.53 | 8.80 | 0.58 | 0.04 | CMS | 07/01/2018 – 12/31/2019 |
| Collapsed lung What’s This? * | 0.23 | 0.48 | 0.23 | 0.12 | CMS | 07/01/2018 – 12/31/2019 |
| Falls causing broken hips What’s This? * | 0.10 | 0.16 | 0.09 | 0.07 | CMS | 07/01/2018 – 12/31/2019 |
| Blood Leakage What’s This? * | Not Available | 5.58 | 2.54 | 1.26 | CMS | 07/01/2018 – 12/31/2019 |
| Kidney injury after surgery What’s This? * | Not Available | 3.45 | 1.42 | 0.58 | CMS | 07/01/2018 – 12/31/2019 |
| Serious breathing problem What’s This? * | Not Available | 17.09 | 5.18 | 1.66 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous blood clot What’s This? * | 3.57 | 8.41 | 3.61 | 1.65 | CMS | 07/01/2018 – 12/31/2019 |
| Sepsis infection after surgery What’s This? * | Not Available | 9.73 | 4.96 | 2.31 | CMS | 07/01/2018 – 12/31/2019 |
| Surgical wound splits open What’s This? * | Not Available | 1.54 | 0.86 | 0.57 | CMS | 07/01/2018 – 12/31/2019 |
| Accidental cuts and tears What’s This? * | 1.19 | 3.97 | 1.21 | 0.37 | CMS | 07/01/2018 – 12/31/2019 |
| * This measure is a part of the Harmful Events Composite and is not used for scoring. | ||||||
Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Doctors order medications through a computer What’s This? | 100 | 5 | 85.77 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Safe medication administration What’s This? | 100 | 5 | 83.25 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Specially trained doctors care for ICU patients What’s This? | 100 | 5 | 62.82 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Effective leadership to prevent errors What’s This? | 120.00 | 46.15 | 116.85 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Staff work together to prevent errors What’s This? | 120.00 | 0.00 | 116.49 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Enough qualified nurses What’s This? | 100.00 | 17.65 | 98.16 | 100.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Handwashing What’s This? | Not Available | 15 | 74.36 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Communication with nurses What’s This? | 90 | 73 | 91.10 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Communication with doctors What’s This? | 93 | 80 | 91.00 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Responsiveness of hospital staff What’s This? | 82 | 60 | 84.38 | 94 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about medicines What’s This? | 77 | 53 | 77.66 | 92 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about discharge What’s This? | 87 | 67 | 86.51 | 96 | CMS | 01/01/2019 – 12/31/2019 |
Official job description
Infection Prevention Program Manager - Fremont Hospital
Job Summary:
Manages the medical center Infection Prevention Program to ensure activities are directed toward preventing and decreasing healthcare associated infections and improving patient safety across the continuum of care (including hospitals and associated medical office buildings). Participates in the medical center’s continuous survey readiness program to maintain compliance with regulatory standards.
Essential Responsibilities:
Provides strategic support to achieve high level of quality performance through collaboration with local leaders and regional initiatives and standardization to improve health.
Accountable for the annual development, implementation, and evaluation of the Infection Prevention goals and objectives, plan, and risk assessment to reduce and control the risk of health care associated infections.
Collaborates with leadership team to ensure compliance with regulatory and accrediting agency requirements, timely and accurate reporting to Department of Public Health and other external agencies as appropriate.
Acts as content expert to physician leaders, patient care service leaders and quality leaders to improve patient safety.
Provides consultation to medical center leaders and staff.
Actively participates in leadership meetings to ensure alignment of priorities and strategies.
May provides direct supervision for other Quality department staff.
Provides direct supervision to Infection Prevention Coordinator(s) and Associate.
Accountable for departmental budget.
Co-chairs the Infection Control Committee with the Infectious Disease Chief to provide leadership which will ensure surveillance activities and improvement plans are analyzed, implemented and reported to leadership.
Collaborates with Occupational/Employee Health to institute measures to protect and prevent healthcare workers from injuries due to communicable diseases.
Collaborates with Facility Services to ensure an integrated Environment of Care program.
Keeps abreast of current scientific literature, recommendations, guidelines, and regulatory requirements which may impact the Infection Prevention Program.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Experience:
Minimum three (3) years of infection prevention experience in acute health care facility.
Education
Bachelor’s degree in health related field such as nursing, epidemiology, microbiology or public health.
License, Certification, Registration
Current Certification in Infection Control (CIC) required within 2 years of hire.
Additional Requirements:
Demonstrated leadership skills.
Demonstrated skills in program management, project management, time management, and/or resource management.
Demonstrated ability to influence change.
Demonstrated skills in collaborative team work.
Demonstrated problem-solving, analytic, and decision making skills.
Demonstrated written and oral communication skills.
Demonstrated ability to develop and present educational programs.
Demonstrated ability to apply adult learning principles.
Demonstrated computer software application skills such as Lotus Notes, Words, Excel, and Powerpoint.
Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
Valid California license or certification in clinical healthcare discipline such as nursing, clinical laboratory science, or public health preferred.
Experience in Quality/Risk/Patient Safety/Just Culture/Project Management/Lean preferred.
Current Certification in Infection Control (CIC) preferred.
Master’s degree preferred in nursing, epidemiology, microbiology, public health or other discipline.
Primary Location: California, Fremont, Fremont Hospital
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee
Job Level: Team Leader/Supervisor
Department: Fremont Hospital – Hosp Adm-Quality Improvement – 0201
Travel: No
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FAQ
Most frequent questions and answers
Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating.
Yes. We will prep you for every interview you take. We know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.
Yes. If you connect us with another Infection Prevention professional that is interested in this position, and ultimately gets hired – we will send you a $500 referral bonus.
Of course. We work to get you the highest possibly financial package – and communicate our progress throughout the process. We are financially incentivized to get you the most lucrative offer possible.
Absolutely. We will review your resume before we submit it to the client to make sure it communicates everything it needs to.
First, everything we offer to our candidates is completely FREE.
We operate as advisors and consultants for your Infection Prevention career. We’ve recruited in this industry for a long time and understand the profession as well as anyone.
If you decide you’d like us to represent you and apply for a position, the first thing our team will do is examine your resumé closely. We will fix up your resumé to ensure it communicates exactly what our client is looking for – demonstrating not only what you’ve been responsible for in previous Infection Prevention positions, but also how effective you’ve been in those roles.
We have direct access to the hiring managers in the positions we search on which allows us to present your resumé directly to them, knowing exactly what they want to see in a candidate. We will keep you in the loop when this happens and what their initial feedback is. No more waiting in the dark hoping to hear back from HR.
Because of our relationships with the hiring manager, we have the ability to make a case for them to speak with you. It also allows us to get quick, honest feedback following each interview you have. And we will provide that feedback to you, good or bad.
In addition to preparing your resumé and presenting directly to the hiring manager, we also will prep you for each and every interview. Again, we know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.
In terms of the interview process, we’ll work with you and the client to get those scheduled during a time that makes sense for you.
Perhaps the most beneficial piece of being represented by Clutch Recruitment is that we’ll negotiate an offer for you – securing the highest possible offer the client can make. Don’t worry about your salary demands rubbing your future employer the wrong way; we do all of that for you, ensuring a completely fair offer, without the awkwardness that potentially comes with it. We are financially incentivized to get you the highest possible offer, and we will ensure that happens.
Once you accept an offer, our work doesn’t stop. We’ll be there to talk you through your resignation and prepare you for how to handle a counter offer, along with all other complications that may arise.
We have a large in house sourcing team that collects information from various databases online including LinkedIn, certification boards, and professional associations.
