Job Description
- Has in depth knowledge of the standards, measurable elements and objectives of DOH and JCI.
- Develops the hospitals quality improvement plan.
- Participates effectively in the implementation & follow up of Q.I plan activities.
- Undertakes quality improvement initiatives & activities
- Serves as a resource to all departments, division and units and ambulatory and establishes committees relating to Quality Assurance.
- Promotes and facilitates cost-effective resource utilization related to infection control policies and procedures.
- Establishes priorities for investigation of problem areas based on the degree of adverse impact on patient care that can be expected if the remains unresolved.
- Develops and monitors effective patient care review and evaluation mechanisms to assure results are achieved.
- Directs implementation and maintenance of technical guidelines and frameworks within which quality of care is evaluated.
- Liase with quality facilitators to coordinate staff education, variance collection and analysis.
- Establish system-wide variance database for benchmarking, system improvement, opportunities, length of stay and resource management
- Provides ongoing assessment and support for continuous quality improvement, quality assurance and risk management priority programs and supports its infrastructure.
- Based on the evaluation of the patients medical records intensifies concern areas and plans for the improvement.
- Communicates appropriate information form studies and data sources to committees, departments and persons affected by the studies.
- Identifies and shares across the system best practice models and care processes those, which achieves optimal patient outcomes, enhance patient/family and staff satisfaction are cost effective and resource appropriate.
- Maintains all necessary records pertinent to the DOH , JCI, other health regulatory audits and OSH process.
- Facilitates Quality improvement plan meetings.
- Submits monthly reports of quality activities to the PSQ Committee.
- Maintains records of policies, procedures, guideline, forms and other documents and ensures the circulation of current documents and the de-circulation of expired documents.
- Maintains records of all quality assurance activities.
- Provides educational and technical assistance to committees and departments in meeting their quality assurance objective.
- Actively involved in all aspects of clinical space design, construction and hygiene.
- Performs administrative responsibilities.
- Justifies need for training in quality assurance process working with appropriate groups to initiate training to teach in areas of expertise.
- Coordinates and monitors all Joint Commission on Accreditation compliance activities and participates in the survey process.
- Coordinates Mock survey.
- Does an Annual Evaluation of Quality Improvement program and submits reports to the PSQ committee.
- Develops training/orientation program for key members to facilitate system expansion and standardization.
- Demonstrates ability to perform under pressure.
- Promotes a culture of safety in the department /& across the hospital.
- help in formulating and executing the JDC Methodology, JAWDA KPIs process, audits, accreditations, certifications and preparing reports and reporting the status to Head of Department.
Responsibilities
- Has in depth knowledge of the standards, measurable elements and objectives of DOH and JCI.
- Develops the hospitals quality improvement plan.
- Participates effectively in the implementation & follow up of Q.I plan activities.
- Undertakes quality improvement initiatives & activities
- Serves as a resource to all departments, division and units and ambulatory and establishes committees relating to Quality Assurance.
- Promotes and facilitates cost-effective resource utilization related to infection control policies and procedures.
- Establishes priorities for investigation of problem areas based on the degree of adverse impact on patient care that can be expected if the remains unresolved.
- Develops and monitors effective patient care review and evaluation mechanisms to assure results are achieved.
- Directs implementation and maintenance of technical guidelines and frameworks within which quality of care is evaluated.
- Liase with quality facilitators to coordinate staff education, variance collection and analysis.
- Establish system-wide variance database for benchmarking, system improvement, opportunities, length of stay and resource management
- Provides ongoing assessment and support for continuous quality improvement, quality assurance and risk management priority programs and supports its infrastructure.
- Based on the evaluation of the patients medical records intensifies concern areas and plans for the improvement.
- Communicates appropriate information form studies and data sources to committees, departments and persons affected by the studies.
- Identifies and shares across the system best practice models and care processes those, which achieves optimal patient outcomes, enhance patient/family and staff satisfaction are cost effective and resource appropriate.
- Maintains all necessary records pertinent to the DOH , JCI, other health regulatory audits and OSH process.
- Facilitates Quality improvement plan meetings.
- Submits monthly reports of quality activities to the PSQ Committee.
- Maintains records of policies, procedures, guideline, forms and other documents and ensures the circulation of current documents and the de-circulation of expired documents.
- Maintains records of all quality assurance activities.
- Provides educational and technical assistance to committees and departments in meeting their quality assurance objective.
- Actively involved in all aspects of clinical space design, construction and hygiene.
- Performs administrative responsibilities.
- Justifies need for training in quality assurance process working with appropriate groups to initiate training to teach in areas of expertise.
- Coordinates and monitors all Joint Commission on Accreditation compliance activities and participates in the survey process.
- Coordinates Mock survey.
- Does an Annual Evaluation of Quality Improvement program and submits reports to the PSQ committee.
- Develops training/orientation program for key members to facilitate system expansion and standardization.
- Demonstrates ability to perform under pressure.
- Promotes a culture of safety in the department /& across the hospital.
- help in formulating and executing the JDC Methodology, JAWDA KPIs process, audits, accreditations, certifications and preparing reports and reporting the status to Head of Department.
Qualifications
- Graduate in preferably Science stream.
- One year or more experience in healthcare quality.
- Responsibility for own continued professional growth beyond minimum preparation. An understanding of management objectives and ability to implement a system approach.
- CPHQ or other quality certificates is desirable not a must.
- Excellent command of oral and written English. Arabic language
- Advantageous / desirable but not essential.