Infection Control Medical Director: MD/DO

Company: Wellstar Health System
Location: Augusta
Posted on: May 18, 2025

Job Description:

locationsWellstar MCG Healthtime typeFull timeposted onPosted 30+ Days Agojob requisition idJR-27281How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.Job Summary:TITLE:Medical Director Infection Prevention QUALIFICATIONS:Active member of the medical staff. Full-time faculty appointment and appointed by the Board of Directors following its receipt of a recommendation from the President, Chief Medical Officer, and the Executive Committee. Board certification by a specialty board that is relevant to the services provided by the clinical service. Georgia licensure. EXPERIENCE:Practicing Physician with a minimum of 5 years' active practice experience. Knowledge of the organization and operations of an integrated health care system including: information systems, and medical staff, vendor and community relations. Available for on-going education in management/leadership.RESPONSIBLE TO:President, Vice President Medical Affairs/Chief Medical Officer, Department ChairPOSITION SUMMARY:The Medical Director is a medical staff leader who establishes, together with the medical staff and health system administration, the type and scope of services required to meet the needs of patients and the health system; develops and implements policies and procedures that guide and support the provision of services; recommends to the medical staff the criteria for clinical competencies and privileges for each service member; conducts continuous surveillance of the professional performance of all individuals with clinical privileges and scopes of practice on the service; and assesses and improves the quality of care and services provided by the service. Medical Directors shall work cooperatively with the other Officers of the Medical Staff and the President, Vice President Medical Affairs/Chief Medical Officer, Chief Nursing Officer, Department Chair, or their assigned administrative counterparts.DUTIES & RESPONSIBILITIES:The Medical Director will carry out the duties and responsibilities in accordance with the Wellstar MCG Health Medical Staff Bylaws. Responsibilities may include both clinical and administrative duties.a) Ensure compliance with Wellstar MCG Health's Mission, values, medical staff bylaws and all related policies, procedures, and protocols. b) Provides support for medical staff governance which includes the direct involvement in and oversight responsibility for compliance issues (i.e., EMTALA, HIPPA), physician services, medical staff applications, credentialing, reappointments, and new physician orientation; assists in the identification, development and implementation of the medical information infrastructure that will support sound clinical decision making across the organizationc) Assists in the identification, development, and implementation of the clinical information infrastructure that will support sound clinical decision-making d) Participates in the assessment of new technology for the department e) Participates in the strategic planning process for the development of proposed priorities for departmental programs and services f) Participates in department's operating and capital budgeting processg) Assists Wellstar MCG Health in meeting accreditation and licensure requirements by actively promoting and achieving practice standards that meet Joint Commission standards, standards set forth by federal programs, and state licensure requirements h) Assists in the development and provision of continuing professional education programs for the medical staff, support staff, graduate, and post-graduate medical education and acts as a liaison with residency and clerkship directors in matters concerning resident and medical student rotations ) Represents the hospital on assigned internal and external committees, task forces, commissions, agencies and promotional or public relations efforts regarding clinical/medical affairs; assists with the coordination of any regulatory certifications, licensure, or other designations as appropriate to the functional areas for which the position has responsibilityj) In collaboration with the medical staff leadership, assures that appropriate quality improvement systems are in place to fulfill the operational and strategic goals of Wellstar MCG Health k) Actively promotes and participates in ongoing performance improvement efforts of Wellstar MCG Health l) Coordinates with CQE and Utilization Management to assure the proper analysis of clinical and financial data for identifying trends and reporting ongoing results m) Ensures that clinical protocols, policies, and procedures are effective, efficient, evidence-based when evidence is available, and consistent with internal and external quality and patient safety standards n) Supports Wellstar MCG Health's strategies in the area of quality, patient safety, patient satisfaction, and Patient-and-Family-Centered Careo) Makes recommendations regarding space, equipment, and other resources needed by the clinical servicep) Ensures that research being conducted within the clinical service is in accordance with Augusta University and Wellstar MCG Health Policiesq) Fulfills other duties as delineated by the Medical Staff Bylaws PERFORMANCE EXPECTATIONS GOALS AND MONITORING:1) Direct surveillance activities for IP:r) Direct, antimicrobial subcommittee in conjunction with ID Pharmacists) Develop, review, and revise antimicrobial utilization guidelines for the medical stafft) Annual surveillance plan and performance indicators for antimicrobial resistance patterns. u) Review and analyze surveillance data on a regular basis.v) Plan for and advance computerization of surveillance data to facilitate analyses.w) Identify outbreak situations and plan for their evaluation and containment.x) Identify endemic infection problems and plan for their evaluation and improvement.y) Interface with professional staff and governmental agencies in related matters.z) Serve on appropriate institutional committees and appropriate external committees and agencies.aa) Assure compliance with appropriate accreditation and regulatory standards.bb) Participate in Joint Commission preparation and site visits.cc) Present Antimicrobial Subcommittee recommendations to the Executive Committeedd) Generate appropriate antimicrobial utilization criteria in order to decrease total antimicrobial use. This will:ee) Decrease development of resistant organismsff) Decrease adverse effects from antimicrobialsgg) Decrease MDR superinfectionshh) Decrease C. difficile infections ii) Provide stewardship regarding appropriate diagnostic assays used in Infection control and infectious diseases in conjunction with the microbiology department and medical director.jj) Develop transition team with the Antimicrobial Stewardship PA and pharmacist regarding patients being discharged on outpatient antimicrobial therapy (OPAT). This will:kk) Improve antimicrobial stewardshipll) Improve transition to outpatient settingmm) Decrease length of staynn) Decrease use of central lines, PICC lines and midline cathetersoo) Decrease adverse effects from OPATpp) Decrease readmissions due to AEs or re-infections2.) Provides consultation services:a) Recommend control measures to the Infections Committee, professional staff and Department Heads.b) Provide Infection Prevention consultation Employee Health on pertinent employee problems.c) Facilitate the implementations of the pharmacy's antibiotic stewardship program and liaison with the Antibiotic Sub-Committee and the ID Pharmacist.d) Provide antimicrobial stewardship consultations to faculty and staffe) TV/radio/newspaper interviews (-8 per year).f) Provide infection control assistance to Georgia hospitals.3.) Provides educational services:1. Infection control lectures2. Antimicrobial Utilization lectures Measure:Quality Metric Triggers:LOS IndexMortality Index30 Day ReadmissionsPSI 3,5,6,9,10,11,12,13,15Goals:Improve antimicrobial stewardship and utilization throughout the system (inpatient and outpatient)Decrease incidence of MDR bacteria and infectionsDecrease length of stay by improving transition to outpatient (OPAT)Decrease use of central lines, PICC lines and midline catheters and thus line-associated infectionsDecrease adverse effects from OPAT therapyDecrease readmissions due to AEs or re-infections during OPAT Improve use of diagnostic assays to establish infectionsQuality Goals:Quality Review via Vizient Provider InsightJoin us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

Keywords: Wellstar Health System, Greenville , Infection Control Medical Director: MD/DO, Executive , Augusta, South Carolina