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.
Responsibilities
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
Qualifications
Qualification : Bachelors Degree in any medical related field
Required: 4-6 years of relevant experience
Desired: Experience in a large healthcare facility
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