Director Infection Control

2019-R0219096 Requisition #
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Baylor St. Luke’s Medical Center

A quaternary care facility that is home of the Texas Heart® Institute, a world-class cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD–consistently ranked as one of the nation’s best in Cardiovascular Services & Heart Surgery.
The first hospital in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award four consecutive times. Baylor St. Luke’s is home to three freestanding community emergency centers (Holcombe, Pearland, and San Felipe) offering adult and pediatric care–treating more than 51,000 patients annually. The hospital holds a collaborative partnership with Baylor College of Medicine and affiliations with The University of Texas Medical School at Houston, The University of Texas Medical Branch (Galveston), Houston Baptist University, and Prairie View A&M University.


Responsible for Infection Control, Epidemiology, Infection Prevention, and HAI-public reporting oversight for all of the Health System's acute care facilities. Responsible for planning, development, implementation, and administration of practices, procedures, and policies for the identification, collection, analysis, and best-use of infection-related data for the Infection Control program; this includes: data-mining, antimicrobial stewardship, and other advanced strategies and techniques designed to optimize safe patient care.


Education and Licensure Required:
Bachelor’s Degree
Certified in Infection Control / CIC

Minimum Experience:
Minimun of seven (7) years experience in the discipline and five (5) years leadership experience


1. Directs the development and implementation of programs and practices designed to ensure appropriate surveillance and other measures are taken to identify trends, clusters, and outliers of Healthcare acquired and selected community acquired infections, and used to support interventional activities to decrease patient morbidity/mortality and excess hospital stay
2. Oversees the continued development of the TheraDoc Electronic Surveillance Program, EPIC, and other data- mining resources as appropriate to allow continued enhancements and implementation of infection prevention and antimicrobial stewardship programs system-wide
3. Serves as a consultant to administration, medical staff, department managers, employees, patients, and the community regarding infection control practices
4. Integrates theory and practice of microbiological applications to enable the detection of potential microbial pathogens in the environment of care; Oversees the adoption of evidence-based infection prevention practices
5. Oversees activities necessary for mandatory requirements related to public reporting of Infection Control data
6. Develops or Provides leadership in the development of the design and implementation of educational programs as required by regulatory agencies for all employees
7. Develops and reviews infection control policies to ensure that current practice meets professional and regulatory standards
8. Following notification, Implements the investigation, identification, and follow-up of patients exposed to significant communicable diseases.
9. Establishes mechanisms for the reporting of communicable diseases to the appropriate city, state, or regional health authorities as required by law
10. Provides leadership and expertise in assessment and action planning related to DNV, TJC, and CDC recommendations and standards; Participates in continuous survey readiness programs
11. Develops and Implements orientation programs for infection control

About Us

Chances are, you’re here because you’re looking for a career offering greater opportunity, challenge and fulfillment. We’re confident you’ll find all three at CHI. As one of the nation’s largest nonprofit health systems, we offer a wealth of careers across more than 101 hospitals in 18 states. Our faith-based health system welcomes you to share in our mission of building healthier communities, whether as a surgeon in the operating room or an administrator in a conference room. When you work in a supportive environment with like-minded professionals, wonderful things happen. Learn More

Equal Opportunity Employment

Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic

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