Responsible for developing and implementing appropriate quality improvement practices and coordinating the development of appropriate frameworks and processes for the establishment of quality standards and operational procedures. Also responsible for disseminating knowledge pertaining to quality assurance procedures and best practices, quality audits, and statistical analysis.
Roles and Responsibilities: - Create and manage document hierarchy and process systems.
- Frequently conduct document audits confirming they are current and accurately reflect the recorded evidence.
- Support in planning, coordinating and managing the implementation, maintenance and adherence to the facility accreditation and regulatory requirements.
- To work collaboratively with various healthcare staff to ensure compliance with JCI standards.
- Active involvement in JCIA mock tracers and continuous readiness rounds.
- Support auditor in clinical audits and peer reviews as requested.
- Assist PI officer and quality Director to conduct gap analysis study in order to prepare for accreditations.
- Support clinical risk manager to facilitate incident review meetings.
- Conduct patient safety tracer, analyze and generate reports.
- Facilitate clinical practice guidelines meetings and follow-up on action plans.
- Facilitate the annual program review and intimate the respective members for an action plan.
- Provide technical and administrative support to the department in the implementation and monitoring of the effectiveness of existing quality management systems.
- Coordinate and schedule internal/external meetings.
- Coordinate with departmental staff for the smooth running of the daily operations in a timely manner.
- Liaise with other hospital departments as required to acquire statistical data.
General Duties:
- Coordinating the development and implementation of facility-wide policies and procedures that guide and support the provision of services under the guidance of the Director/Senior Officer.
- Liaising with accreditation bodies for implementation of programs.
- Collecting the performance measurement data.
- Facilitating and providing ongoing support to the quality teams.
- Assisting the Director in arranging the logistics for the team meetings.
- Advising the Director regarding team development needs and provides team development activities as required.
- Assisting teams to identify meaningful indicators and benchmarks for effective performance monitoring.
- Advising the Director and making recommendations to focus the team on evidence-based problem solving and decision making.
- Apprising the Director of the current situation regarding the quality initiatives.
- Assisting Director in the development of the reports and documentation.
- Analyzing different data to facilitate the process of decision making for the top management in the facility.
- Acting as a resource to the staff providing relevant training, mentoring, assessment and development plans.
- Ensuring that the work of the department/section is effectively coordinated with other departments/sections and on time.
- Participating in all team efforts as required.
- Collaborating with other members of the team to carry out work smoothly.
Qualification & Experience: - A Bachelor / Diploma degree in Business Administration or equivalent in any healthcare related discipline.
- Previous medical experience as well as 2-3 years Quality related work experience in healthcare environment.
- Professional knowledge and experience in various software program including MS Office (Word, Excel, PowerPoint, Outlook) Strata, Citrix, SAP and Psychological Test Administration.
- In-depth knowledge of medical terminology.
- Active Listening / Speaking / Writing / Monitoring / Critical thinking.
- Customer and personal service.
- Administration and Management.
- Public Safety and Security
Personal Abilities /Competencies:
- Ability to deal with highly sensitive and confidential information,
- Strong work ethic and superior interpersonal, customer service and communication skills both written and spoken.
- Excellent time management skills that allow for the multi-tasking of all responsibilities.
