Job Description

Responsible for developing and implementing appropriate quality improvement practices, coordinating the development of appropriate frameworks and processes for the establishment of quality standards and operational procedures and for identifying hazards, assisting in the development of controls and providing support, audits, drills, training and education to ensure the facility is a safe environment for staff, patients and visitors. Also responsible for disseminating knowledge pertaining to quality assurance procedures and best practices, quality audits, and statistical analysis.

• Coordinating the quality improvement program of the facility
• Assisting the Manager/Director in the development of a comprehensive quality improvement program
• Coordinating the development, implementation, and evaluation of the facility's overall quality improvement program with the other sections
• Coordinating the development and implementation of facility-wide policies and procedures that guide and support the provision of services under the guidance of the Manager/Director
• Planning, prioritizing, organizing and implementing assignments or projects
• Liaising with accreditation bodies for implementation of programs
• Assisting in the development of the Safety Management Program
• Assisting in the development of safety standards and procedures consistent with the mission of the facility, current recognized international best practice and applicable national legislation
• Using the safety standards as a framework to create procedures on safe work practices applicable organization-wide, within specific departments/areas, or for particular risk factors and issues within the workplace
• Monitoring facility departments to ensure compliance with safety standards and procedures
• Performing assessments of safety hazards, unsafe conditions, risks and practices within the workplace; based upon this assessment, recommending a plan for safety that minimizes risk and promotes safety
• Overseeing processes and procedures for collection and analysis of relevant data
  
  Collecting the performance measurement data
• Suggesting improvements based on the voice of the customer’s collection methods (patients satisfaction surveys, focus groups, mystery shopper programs, etc.) or incident reports, patient complaints, patient care issues, or other issues as requested by the senior management
• Participating in customer feedback meetings and customer committees
• Consulting on satisfaction measurement initiatives, tools, methodology and associated cost estimation
• Developing satisfaction measurement project timelines and coordinating needed internal support
• Supervising the conduct of qualitative methodology including face-to-face interviews, telephone interviews, focus group/roundtable discussions with patients, stakeholders, employees and customers
• Directly supervising outside research suppliers, including interviewing, selection and training
• Evaluating the customer research reports and supporting information providing interpretation of study results and methodologies
• Monitoring the related staff performance and the quality of the studies, to ensure quality, cycle time and budgetary control of entire patients’ satisfaction research process
• Identifying the quality improvement methodology and concepts to be followed, in coordination with management directions
• Coordinating the quality system all over the facility
• Facilitating and providing ongoing support to the quality teams
• Assisting the Manager in arranging the logistics for the team meetings i.e. agenda items, scheduling of meeting, linkages to background research
• Advising the Manager 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 Manager and making recommendations to focus the team on evidence based problem solving and decision making
• Apprising the Manager of the current situation regarding the quality inititaives
• Assisting Manager in the development of the reports and documentations
• Ensuring a strong liaison between the teams and the facility staff
• Analyzing different data to facilitate the process of decision making for the top management in the facility
• Acting as 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
  
  Implementing training and educational programs
  
  Delivering training/educational programs related to safety topics such as fire drills
• Assisting with the coordination of the emergency preparedness program, ensuring that staff are competent with equipment and procedures
• Acting as a resource for staff members in the area of safety
• Working in close coordination with the HazMat committee in collecting and disseminating safety information related to hazardous materials, personal protective devices and safe work practices
• Collaborating with other departments to identify and reduce safety risks for staff, patients and visitors
• Participating in safety improvement projects
  
  Investigating accidents, incidents and injuries
  
  Investigating accidents, incidents and near misses to determine root causes, trends and adequacy of precautions and training
• Recommending revision of current training programs, development of new training programs and process redesign or new equipment in order to lessen accidents, incidents and injuries
• Performing other applicable tasks and duties as assigned
• Participating in environment care audits and assisting departments with completion of the recommended corrective actions
• Performing random audits to identify opportunities for improvement, distributing reports and completing follow-up to ensure corrective actions are taken
• Coordinating emergency preparedness
• Identifying areas for emergency response plan improvement
• Assisting in maintenance and revision of emergency response plans and procedures
• Investigating and through follow up, assisting all departments with corrective actions for emergencies/disasters
• Coordinating scheduling of drills for all codes for emergency/disaster
• Carrying out drills as planned and identifying corrective action
• Assisting departments to develop department specific action plans
• Managing quality documentation Developing, controlling and delivering all related documents and quality processes including policies, protocols, guidelines and quality plans
• Ensuring appropriate coordination and liaising with multidisciplinary teams in the development and review of documents and quality processes
• Maintaining a register of controlled documents for the quality data
  
  Contributing to team effort Participating in all team efforts as required
• Collaborating with other members of the team to carry out work smoothly
  

Qualification : Bachelors Degree in any medical related field

Required: 4-6 years of relevant experience

Desired: Experience in a large healthcare facility