Job Description
Key Responsibilities of the role
Key Responsibilities of the role
Corresponding Key Activities performed by the role
Develop comprehensive Clinical Quality and Patient Safety Programs
- Responsible to participate, facilitate and support the Corporate Clinical Quality and Patient Safety Section within the Quality Department. The responsibilities include:
- Participate, facilitate and support the development and implementation of a healthcare system Clinical Quality and Patient Safety Strategic Plan which reflects SEHA clinical and patient safety priorities and includes frameworks to effectively measure, monitor and improve outcomes.
- Support the development and execution of system wide clinical quality and patient safety strategic plans,ensuring full alignment with the SEHA Corporate Quality Strategy.
- Actively participate and lead system level taskforces to drive implementation of quality improvement and patient safety initiatives across SEHA.
- Support the Chair of the Corporate Quality Steereing Committee in promoting a culture of continuous clinical quality improvement and patient safety, sharing of best practices to drive clinical quality and patient safety improvements and ensure shared learning across SEHA.
- Contribute to the development, review, and implementation of clincial guidelines, policies and procedures relevant to clinical quality and patient safety priorities.
- Highlight clinical quality and patient safety issues on behalf of SEHA Corporate Quality Department and provide data-based recommendations for corrective actions.
- Facilitate and supportthe identification, research, andevaluation of emerging trends and innovative approaches in clinical quality and patient safety, and advise on implementation of new methodologies.
Clinical Quality
And Patient safety
Performance, Compliance, and Governance
- Participate in and facilitate the development and implementation of a standardized quality measurement framework to identify, assess, and mitigate risks, and improve clinical quality and patient safety, aligned with key partners and stakeholders (e.g., Department of Health (DoH), Jawda and Tasneef).
- Participate in and facilitate the development and alignment of clinical quality and patient safety key performance indicators (KPIs), both internally (i.e., SEHA KPIs) and externally (i.e., DoH Muashir KPIs), to enable benchmarking and continuous improvement.
- Collaborate with SEHA Service Line Councils and subject matter expert taskforces to address clinical quality and patient safety priorities through the development of clinical guidelines, policies, and procedures, and support their implementation through clinical decision support tools and other methodologies.
- Monitor compliance with established performance measures and targets, benchmark against international standards, and identify improvement initiatives to address performance gaps across the healthcare system.
- Facilitate and support SEHA HCFs in the development and implementation of action plans to address identified deficiencies.
- Recommend and support educational initiatives to strengthen quality improvement across SEHA, including workshops and training on clinical quality and patient safety.
- Collaborate with the Business Intelligence (BI) Unit, IT, and Health Informatics teams to enable the electronic capture and reporting of standardized clinical performance measures across all aspects of care delivery within and across SEHA regions.
- Jawda Alignment
- Tasneef (Performance Rating System)
- Regulatory Compliance and Inspections
- Support the planning, coordination, and execution of DoH inspection readiness activities across SEHA HCFs.
- Ensure continuous compliance with DoH regulations, standards, and applicable policies by monitoring implementation and adherence at both corporate and facility level.
- Track and ensure timely closure of findings, recommendations, and corrective actions arising from regulatory inspections and audits.
- Maintain organized documentation and evidence repositories to support audit readiness and regulatory reporting requirements.
- Reporting and Governance
- Contribute to the development and maintenance of SEHA corporate quality reports, dashboards, and performance scorecards.
- Analyze quality and patient safety data to generate actionable insights and support data-driven decision-making at corporate and facility levels.
- Strengthen performance monitoring frameworks by enhancing data visualization, reporting accuracy, and transparency.
- Support benchmarking initiatives across SEHA facilities and external entities to identify performance variation and improvement opportunities.
- Establish and support escalation mechanisms to ensure timely reporting and resolution of critical quality and patient safety issues.
SEHA Corporate Quality Department Strategy
- Participate in the development, periodic review, and evaluation of the SEHA Corporate Quality Department (CQD) strategy.
- Participate in setting the strategic goals, objectives of the CQPS section in collaboration with relevant stakeholders and ensuring their alignment with the SEHA strategy and the CQD strategy.
- Facilitate and support the implementation of the CQPS strategic goals and objectives as planned.
Administrative Responsibilities
- Develop and maintain strong relationships with internal and external stakeholders to ensure optimal performance.
- Liaise and communicate with other departments and other service providers.
- Ensure that all necessary systems, policies and procedures are in place.
- Introduce new systems, policies and procedures where appropriate.
- Deliver training to teams as required.
- Support the CQPS team in leading regular committee and taskforce meetings with representatives from appropriate departments to support work needs.
- Attend various meetings in SEHA and its regions and act on/communicate instructions.
- Prepare written reports and deliver presentations.
- Stay informed and up to date on any changes that may affect the efficient delivery of the role.
- Support the CQPS team in identifying quality improvement opportunities within the organization.
- Supportthe CQPS team in reporting on achievement of targets and identify any actions required.
- Conduct risk assessments of processes and tasks in the section.
- Facilitate discussions across teams to share and leverage best practices.
- Escalate issues and concerns to CQPS Section Manager as appropriate.
Financial and Budget Control
- Participate in setting and managing budget related to CQPS section activities.
Mentoring and Training
- Support the CQPS team in ensuring team development and driving learning and motivation.
- Provide motivation and support to peers and fosters staff cohesion.
Contributing to Team Effort
- Collaborate with other sections within the CQD to develop and maintain manuals, policies, procedures and other documents as needed.
- Attending relevant meetings.
- Promote effective communication strategies within the team and maintaininterdepartmental liaison where necessary.
- Participate in internal & external meetings and discussions as required.
- Participatie in development of unified policies and SEHA CQD initiatives.
Coordinating with other Corporate Quality Sections
- Coordinate team work effectively and efficiency.
- Communicate effectively with team members and supervisor.
- Participate in all team efforts as required time to time.
- Collaborate with other members of the team to carry out work smoothly.
- Participate in cross-functional teams and committees as appropriate
Reporting
- Participate in the preparation of requested reports and presentations on CQPS related reports, for SEHA Leadership and the relevant committees.
- Participate in the preparation of technical reports on CQPS activity and presenting them to Corporate Quality Chief / Director for onward submission to the relevant committee or department.
- Participate in the preparation of performance improvement reports based upon on CQPS activity.
- Propose recommendations and monitor action plans.
- Participate in the preparation of reports on CQPS examining trends and putting forth improvement recommendations for the Corporate Quality Chief/Director and SEHA Leadership for review at the Executive Performance Committee (EPC) meeting.
- Reportreal and potential CQPS issues to Corporate Quality Chief / Director and advise on cause and corrective action plan.
Identifying challenges and suggesting mitigation methods
- Identify and define challenges, develop knowledge and explore solutions in a wide area of complex healthcare management issues.
- Participate in analyzing future opportunities and threats, assessing long term resource uncertainties and risks, and suggesting recommendations to executive management on how best to position SEHA for business.
- Promote change in culture and processes that will promote alignment with the strategic goals of the organization.
- Suggest new ideas and manage special projects related to the Quality Department where appropriate.
Coordinating with other entities across the group
- Continuously liaise and collaborate with counterparts across the group in order to promote knowledge sharing and improvement.
- Interact with quality personnel at SEHA healthcare facilities to ensure care is delivered and documented in accordance with prescribed practices, SEHA standards and core measure requirements.
Managing relationships
- Leverage internal relationships to enhance business performance and customer experiences.
Managing people
- Plan and supervise the day to day activities; streamlining processes wherever possible.
- Evaluate workload, conduct performance evaluation and initiate necessary disciplinary actions.
- Understand the training requirements of the team and communicate the same for the benefit of the training department.
- Providing job training and orientation for the team during course of work.
Collaboration with SEHA Corporate Departments/ Sections and external stakeholders
- Support SEHA Corporate initiatives (Service Line Councils, Committees, Taskforces etc.) as required.
- Support DOH reviews, queries or projects (Jawda and others) as required.
- Maintain a strong working relationship with SEHA departments and external regulatory authorities.
Coordinating educational initiatives
- Participate in the identification of staff education requirements in the healthcare facilities related to CQPS.
- Participate in CQPS related educational activities across SEHA.
- Advise, support, and train staff across SEHA healthcare facilities on Clinical Quality and Patient Safety (CQPS) matters, acting as a key point of contact and subject matter resource.
Manage other projects / tasks
- Participate in the development and review of relevant/required CQPS policies, procedures and guidelines.
- Collaborate with other SEHA healthcare facilities.
Other specific responsibilities of the role
Other specific responsibilities of the role
Corresponding Activities performed by the role
SEHA Compliance guidelines
Corresponding Activities performed by the role
Complying with Policies, Procedures and Practices of the SEHA Corporate and other regulatory requirements
- Comply consistently with policies, procedures and practices and ensure alignment with SEHA corporate policies.
- Complete and maintain regulatory requirements including licensure and certification and other mandatory training within established time frames.
Maintaining Confidentiality
- Maintain confidentiality with regards to any information exchanged or received in the current capacity of role in accordance with organizational policy.
Promoting Customer Service standards
- Assume the role of a brand ambassador for the organization and promote a customer focused philosophy in dealing with any stakeholders
- Maintain positive and effective working relationships within the department/division and with other departments/sections within the organization
- Performany other duties as may be assigned relevant to the basic responsibilities of the role
Adhering to the Occupational Health and Safety, Materials Management and Maintenance standards
- Adhere to requirements of the Occupational Health and Safety and infection control policies and guidelines
- Understandiand adhere to emergency preparedness plans/policies
Ensuring Personal Effectiveness
- Recognize the necessity of continuously developing skills and acquiring additional knowledge appropriate to the position
- Dress appropriately to meet the expectations of the specific work area and in alignment with the Occupational Health and Safety policies
- Build key partnerships within the organization for pursuing client-centered, comprehensive, integrated systems of care.
- Comply with any regulations related to mentoring, training, and development of UAE national staff.
Qualifications, Certifications and Experience
Qualifications
Required:
Bachelor’s degree in a medical, clinical, quality or relevant health related field
Desired:
- Master’s degree in medical, clinical, quality or relevant health related field
Specialist Certifications
Required
- Recognized Quality certifications such as CPHQ, CMQ or equivalent certificate
Desired
Experience Required in addition to the Qualifications mentioned above (Relevant to the Job)
Required:
- 4 - 6 years of experience in healthcare, excellence, safety or compliance for a comprehensive tertiary healthcare facility is required.
- Demonstrated knowledge of clinical quality, patient safety and good clinical practices is required.
- Knowledge of regulatory compliance requirements, as well as clinical quality, patient safety, and healthcare governance principles.
- Experience in data management, including data collection, validation, analysis, and reporting, as well as performance monitoring, KPI tracking, and dashboard reporting.
- Progressive administration, management and leadership responsibility is required.
- Proven knowledge and comprehensive understanding of applicable regulations and guidelines governing the management and handling of clinical and pharmaceutical issues.
- Evidence of strategic planning and new process and programs implementation through data analysis and cost-effective interactions.
Desired:
- Experience in a large healthcare facility
Additional Requirements / Remarks
Required
- Proficiency in English language
- MS Office, Excel and computer proficiency
- Excellent communication skills and ability to present his/her ideas
- Strong analytical and problem-solving skills
- Strong negotiation skills
- Ability to deal with multiple issues simultaneously (multitask) and move them all towards resolution
- Ability to meet goals and deadlines
- Proven organizational skills
- Knowledge of laws and regulatory requirements relevant to his/her section/department
- Good communication skills
Desired
- Arabic language proficiency
