Description

Job Description

Description

Job Purpose / Objective

Responsible for monitoring Quality Improvement and Patient Safety activities across HMG hospitals and participate in maintaining the standards and practices at all times.

Key Responsibilities / Accountabilities

• Review and implement the policies, procedures and plans of the hospital based on national and international healthcare standards.
• Participate and represent quality team in hospital wide committees and provide technical assistance to hospital wide and department committees in meeting program objectives.
• Responsible for the implementation of Quality Improvement and Patient Safety Plan of the hospital and ensure implementation of National/ International Healthcare Accreditation Standards.
• Educate and train staff on Quality Improvement and Patient Safety.
• Participate in processes improvement (Quality Improvement) for all the department in coordination with department coordinators based on the approved criteria.
• Prepare and review Quality Indicators as per the national/ international healthcare requirements and produce these reports to the management on the periodic basis.
• Coordinate and monitor compliance with national and international hospital standards.
• Coordinate data collection, validation analysis, trending and benchmarking.
• Facilitate and monitor the Quality Improvement projects of the hospital.
• Conduct periodic compliance surveys on Quality Improvement and Patient Safety.
• Provide education and training on medical records audits and on Quality Improvement Tools and techniques to concerned staff.
• Assist in the development and implementation of patient satisfaction survey tools.
• Review quality improvement and patient safety findings, and formulate recommendations to improve the quality of standards of care.
• Participate and assist in developing, implementing and monitoring clinical care pathways, guidelines and protocols.
• Participate in person-centered care initiatives undertaken by HMG. CHRD- Organization Effectiveness
• Enrich patient experience with compassion, respect and dignity.
• Perform other relevant tasks assigned as requested by department managers/directors

Requirements

Education/ Professional Qualification

Educational : Minimum a Bachelor’s Degree in Medicine or Nursing or Hospital Management or Administration from a recognized national or international university

Experience

Minimum of five (5) years working experience in a tertiary healthcare organization in the same position.

Must be involved directly in national (CBAHI) and international accreditation (JCIA) process in the previous organization

Professional Licensing / Certification / Training

Certification : N/A