The Mgr (RN) Home Health PI is responsible for developing, implementing and evaluating the Performance Improvement and Infection Control Programs and activities that support the Home Care Agency's objectives in delivering quality, safe home care services. This position ensures the desired outcomes are achieved and maintained within the programs. In addition, this position will serve as the Home Care Corporate Compliance Officer, HIPAA Privacy Officer, and a member of Agency PAC and UR committees.
Develops policies and procedures as it relates to the coordination of the Infection Control Program.
Ensures quality of patient care by analyzing incident reports and patient infections for trends in order to provide appropriate interventions.
Assists Home Care staff in identifying special safety precautions for patients when needed.
Reports departmental infection control activities to the Home Care Management Team, PI, PAC, Hospital Infection Control Committee, Care Management Council, and Quality Committee of the Board.
Provides feedback to Sr. Management regarding the needs and accomplishments in PI as a result of PI activities.
Ensures ongoing compliance and coordinates all activities associated with Federal, State, local and other regulatory agencies (i.e. DOH, OSHA, Joint Commission, CDC).
Assists management with organizational needs and recommends process improvements.
Oversees the development of PI education offerings and conducts training to staff on topics about infection control, changes in federal or state regulations, JCAHO standards, OSHA standards, and CDC guidelines.
Conducts patient satisfaction surveys in order to analyze results and formulate improvement plans as appropriate.
Functions as the Home Care liaison with the Hospital PPR Committee.
Completes Performance Improvement reports and Infection Control reports in a timely manner.
Obtains and interprets patient outcome data from external sources to formulate improvement plans (i.e. OBQI, OBQM, OCS, IPRO, Etc.).
Identifies and tracks data necessary for QAPI and PIP initiatives for the agency.
Attends a minimum of six in-service programs annually.
Performs other duties as assigned.
QUALIFICATIONS / REQUIREMENTS:
Minimum two years experience in a Certified Home Health Agency.
Previous experience in facilitating Performance Improvement programs.
Education: BSN preferred or successful completion of BSN within 5 years of hire.
Licenses / Certifications: Current New York State RN licensure required.
If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
Comprehensive knowledge of Federal, State and local regulations and JCAHO standards for Home Care.
Ability to work well leading and being a member of a team.
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Westchester Medical Center