Job Description
Responsible for implementing and coordinating the consistent readiness of all quality management and quality improvement processes under the guidance of the Manager. Also responsible for coordinating all facility efforts to monitor and maintain all regulatory and accreditation standards and ensuring all operational aspects of the initiatives are in place.
Responsibilities
• Coordinates the development and implementation, and evaluation of the facility’s overall quality improvement program with the other sections.
• Collaborates and partners with all the departments and practices to ensure quality and safety priorities are implemented.
• Facilitates and suggests improvements based on Hospital wide performance measures or other issues as requested by the senior management.
• Contributes to the development of tools and resources to support the quality development program.
• Participates in departmental feedback meetings to provide solutions.
• Assists departments with project timelines and coordinating needed internal support.
• Identifies the quality improvement methodology and concepts to be followed, in coordination with direction from management.
• Facilitates and provides ongoing support to the quality teams.
• Maintains the quality management documents, case files and correspondence in an organized, confidential and secure manner.
• Facilitates committees/taskforce related to Quality improvement and assures that recommendations/ suggestions are carried out and evaluated.
• Coordinates the development and implementation of OSH policies and procedures.
• Liaises with accreditation bodies for the implementation of programs.
• Ensures implementation & compliance with OSHAD requirements.
• Manages Staff, Un- safe, Visitors and Environmental incidents.
• Assists in the development of safety standards and procedures consistent with the mission of the facility, current recognized international best practices and applicable national legislation.
• Delivers training/educational programs related to safety topics.
• Attends relevant meetings and associated activities.
• Assists with the coordination of the emergency preparedness program, ensuring that staff are competent with equipment and procedures.
• Acts as a resource for staff members in the area of safety.
• Performs other tasks and duties as assigned.
• Investigates incidents and assists all departments with corrective actions and needed follow up.
• Oversees and analyzes OSH data, self-assessments, reports, trends and communicates results to hospital management and SRA and recommends plans for correction.
• Ensures implementing, coordinating and maintaining the reports / records submission as applicable.
• Collaborates with all the departments and practices to ensure quality and safety priorities are implemented
Accountabilities
• Ensures a reliable process collection, robust validation and analysis, yielding comparative data and reports that will help the practice team to improve the efficiency of care delivery.
• Develops satisfaction measurement project timelines and is responsible for coordinating and ensuring the timelines are being met.
• Monitors action plans development and progress to ensure closing the loop.
• Ensures quality and safety strategies and priorities are implemented.
• Manages to investigate Staff related accidents and incidents to determine root causes, trends and adequacy of precautions and training.
• Ensures all documents are in the appropriate format with validated data.
• Escalates identified challenges to Manager/Senior Officer.
• Ensures quality and safety strategies and priorities are implemented.
• Maintains timely follow up on action plans for improvement to close the loop and improve outcomes.
• Develops project timelines and is responsible for coordinating and ensuring the timelines are being met.
Qualifications
Experience :-
Required:
• 6 plus years of relevant experience in a healthcare facility
Desired:
• Experience in large facilities
Educational Qualification: Required:
• Bachelor’s degree or equivalent in a relevant field such as quality, Occupational Health, Safety, Environment
Desired:
• Master’s degree or equivalent in a relevant field