Responsible for planning and implementing a systematic approach to ensure compliance with regulations, licensure, and accreditation for Fairview Home Infusion (FHI). Evaluates and reports the organization level of compliance through the use of appropriate statistical techniques. Continually uses data and trends identified in the reports to enhance clinical and operational/delivery system processes through redesign and process improvement strategies to improve efficiency and control costs. Serves as a consultant, educator and resource for staff, managers and regional home care agency nurses. . Facilitates the change process through support of clinical/support staff in reorganization strategies dictated by quality improvement initiatives and changes in the health care environment.
Participate in ongoing compliance activities for state licensure and accreditation standards including Minnesota Home Care license, , Joint Commission, and Association for Professionals in Infection Control and Epidemiology (APIC).
Participate in activities related to maintaining readiness for surveys conducted by accrediting bodies.
Be a member and participate on Fairview system committees as well as FHI Clinical Safety Committee
Communicate any areas of noncompliance to appropriate management. Lead or assist with process improvement initiatives to assure compliance or improve patient safety.
Prepare reports for FHI Quality Manager upon request
Monitor and evaluate infection control activites
Monitor central line associated blood stream infection (CLABSI) in home infusion patients; collect, aggregate, analyze and report infection rates.
Maintain knowledge of infection control practices; assess policies to assure they are in compliance with standards; educate staff as indicated.
Complete required infection control related assessments and report findings
Develop and continuously evaluate the infection control plan for FHI
Provide orientation, education and training of FHI staff
Participate in new employee orientation for FHI nurses related to clinical skill development.
Work with the FHI management team identifying qualified mentors, and timeframes for competence assessments in accordance with law and regulations.
Work with FHI managers to identify competencies that need to be assessed and reassessed on an ongoing basis, based on techniques, procedures, technology, equipment, or skills needed to provide care, treatment and services.
Participate in the coordination of educational opportunities for FHI staff related to changes in practice, new equipment, new therapies, etc.
Conduct field RN co-visits in collaboration with nursing leadership as needed
Lead review of policies as indicated by topic, utilize best practice standards to update policies
Educate internal and external staff as indicated by policy changes
Education: Minimum Education
Degree in nursing,
Bachelors degree or Masters in healthcare, or equivalent combination of education and experience required.
Registered Nurse or Pharmacists license
Certified Registered Nurse in Infusion (CRNI); infection prevention certification, Certified Professional of Healthcare Quality (CPHQ), Lean Six Sigma
Experience: Minimum Experience
Three years recent Home Infusion Therapy experience.
Previous experience in a similar position. Recent experience with responsibility for regulatory compliance, accreditation and policy development
Recent experience in training and education
Computer database management, keyboarding, spreadsheets and database experience.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership ...with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.