Oversaw Infection Prevention staff and served as the primary contact person for administrative issues related to Infection Prevention.Worked in collaboration with senior leaders, management, and staff, as well as Risk, Quality, and Accreditation to trend data and identify areas of opportunities for continuous improvement in preventing harmful events:Created daily central line and urinary catheter maintenance bundle reports with daily summaries to leaders - increasing compliance of documentation from 60% to consistently above 90% over 10-monthsDecreased CLABSI incidence by 80%Decreased CAUTI incidence by 75%Managed outbreaks of Acinetobacter baumannii and Candida auris with 100% resolution

Instituted tracking mechanisms for employee influenza vaccinations increasing compliance from 50% to 85%Instituted tracking for team members NHSN/CDC education, with 100% complianceDeveloped workgroups with multidisciplinary teams to investigate and develop action plans with 100% follow-up to reduce HAIsDecreased CDIF incidence by 79%Developed tracking mechanisms for EOC/Construction Rounding with 100% follow-up from each area

Developed, coordinated, and managed the review and assessment functions of the infection control programServed as liaison with all regulatory agencies and the healthcare community concerning infection prevention issues to assure hospital compliance with infection prevention regulations

Performed targeted surveillance and prepared reports and statistics on healthcare-associated infectionsDeveloped and promoted consistent application of infection prevention policies and proceduresSupported emergency management activities and EOC through participation in environmental rounds, bioterrorism and patient influx planning, and emergency response drills

Conducted regular surveillance of healthcare-associated infections within the facilityCollected and analyzed data, identified trends, and implemented appropriate interventions to prevent the spread of infectionsCollaborated with various departments and stakeholders to promote a culture of infection control and patient safetyEnsured processes were implemented to evaluate and identify opportunities for improvement in the provision of high-quality, safe, and resource-effective medical care to its patientsImplemented the facility's commitment to the quality initiative and ensured goals were met

Coordinator Infection Control/Risk Management/Performance ImprovementProvided education and training to healthcare staff, patients, and visitors on infection prevention measures, such as hand hygiene, proper use of personal protective equipment, and isolation precautionsEnsured processes were in place for compliance with Quality and Performance Improvement and as applicable with Utilization Management, Infection Control, Risk Management, patient Safety, and Accreditation functionsEnsured documentation of the results of hospital-wide, clinical-quality activitiesEnsured hospital compliance with accreditation, licensing, and regulatory agenciesConducted regular surveillance of healthcare-associated infections within the facility