Presentation to APIC BOD National Corporate IP Director Network December 4, 2017

About us: Corporate IP Director Network IP Directors for multi-hospital systems in the US Group convened 2013 with two members 105 members as of November 1, 2017 Virtual meetings every two months and Face to face meeting at APIC conference annually Work plan, charter and best practices posted on Network website Good afternoon – I’m going to begin with a short description of our Corporate IP Director Network. This group was convened in 2013 and has grown at a fast pace since that time, with a current membership of 105 corporate level IP directors. These are all tremendously experienced directors of more than 100 multi hospital systems in the US. We meet virtually every other month and greatly appreciate the support of National APIC for a room at annual conference to enable a face to face meeting once a year. Our work is directed by a work plan and charter and we maintain a website for the purpose of supporting knowledge and best practice sharing.

What we propose to APIC BOD We propose the scheduling of one meeting between our network and APIC BOD (or designated representatives) annually to share priorities and identify opportunities to collaborate/support the profession. This could be either virtual or face to face. This will position our group to best promote key initiatives of APIC through our hospital system IPs (>1,000) This will give you 105 thought partners – some of the most expert and experienced in our profession As a first step, today we would like to share what we perceive as the top three priorities for our profession this year. Given the unique depth of experience and expertise in our group, we would like to offer our support to the APIC BOD. We propose that one way this may be accomplished is if we were to plan an annual meeting between members of the APIC board and our network. This could optimally position our group to promote APIC’s key initiatives via the system IPs in our member hospitals, which number more than 1,000 And it will provide the APIC board with 105 expert IP thought partners. As a first step today Maureen Spencer and I will share what we perceive to be the top 3 priorities for our profession. We recognize and appreciate that these are to some degree addressed by APIC strategic priorities, and actions taken by APIC to date.

1. Retention and Succession Planning for IP Profession Call to Action IP Attrition Survey of 105 Corporate IP Directors October 2017: 44/105 responses (42%) Your approximate average annual system wide turnover (# who leave/total # IPs for responding systems) 134/982 = average 14% = average annual IP attrition per hospital system Reasons IPs gave for leaving: Go part time 3 Return to clinical RN 4 More $/promotion 39 Move/family/illness 14 Retire 26 Job dissatisfaction 34 Downsize 2 Termination 8 How many of your system IPs will be retiring within 5 years? average 3 per system, range 1 to 36 How many of you, Corporate IP Directors will be retiring within 5 years? 15/44 = 34% (30 years x 15 IPs = 450 years of experience) We believe that the first and most critical priority facing our profession is retention and succession planning. A survey recently completed by IP directors in our network revealed that within our group there is a 14% annual average attrition of front line IPs. The 3 primary reasons that were given for leaving given are: seeking a higher salary or position of greater influence, job dissatisfaction and retirement. The anticipated retirement by frontline IPs in our network in the next 5 years was reported to be average of 3 per system with a range of 1 to 36 An even more significant crisis underscored by the survey is the anticipated retirement of 34% of the exceptionally experienced members of our group of corporate level IP directors in the next 5 years, which will represent more than 450 years of experience. With that I will turn it over to Maureen who will next share what we propose as retention and succession planning strategies.

1. Retention and Succession Planning for IP Profession continued We propose that actions including the following would be important: Multi-society support for most effective IP reporting structure to address current exodus of IPs resulting from: singular focus on data, unrelated job assignments from Nursing and Quality, and the unreasonable expectation that IP’s must prevent HAI’s independent of team efforts (not a shared responsibility within the organization including senior leadership) Job shadow/mentor program for RN, MT, MPH, and other IP applicants IP Resource Certification Program for unit nurses and other disciplines to support IP department and individual career ladders (in collaboration with CBIC) IP Curriculum for Nursing, other allied professional schools and medical schools   Advertisement and promotion of IP role in nursing and other allied professional journals Optimizing infection surveillance process/alternative surveillance models Revisit term “IP” – by alternatively promoting role of IP Director, equal to Nursing and Quality Directors with full responsibility of Program – fiscal, staffing, implementation. 

2. Reliable Design of Hospital Level and Corporate IP Programs The following actions are in process - APIC collaboration would be welcomed: Surveys and articles by Corporate IP Director group (building on APIC IP Competency Model) to describe a Best Practice IP Program and staffing model for hospital level and corporate level IP Programs. One key element of a Best Practice IP Program is an IP Director/Executive (peer to Nursing and Quality Directors) for every program, in order to manage the IC budget, advocate directly for the department needs and have someone whose single focus and priority are these important safety issues.    The purpose of support for standardization of IP programs: Standardization will reduce duplication of effort. Standardization will support best use of constrained resources. Standardization will support optimal patient safety outcomes (including prevention of infection).

3. Standardization of MD Role in IP Programs The following actions are in process - APIC collaboration would be welcomed: Survey development underway with IDSA; Andres Rodriquez, VP Clinical Affairs is project lead; survey to be followed by commentary in peer reviewed journal, webinar, conference presentations. The purpose of support for standardization of MD Role in IP Programs: Standardization will enhance MD participation in IP Programs. Standardization will reduce duplication of effort. Standardization will support best use of constrained resources. Standardization will support optimal patient safety outcomes (including prevention of infection).

Questions? Discussion? Next steps?