Job Description

Capital Health expects pride and innovation from its people in serving the rehabilitation healthcare sector. Capital Health success requires a leader and skilled workforce of specific knowledge and abilities who all want to thrive in their roles and contribute to organizational success.

At Capital Health, we adopt the Hybrid Structure which combines both functional and divisional structure. Instead of grid organization, Capital Health Structure divides its activities into departments that can be either functional or divisional. This structure allows us to utilize our resources and knowledge in each function, while maintaining product specialization in different divisions.

The Quality Supervisor is responsible for ensuring high levels of compliance with local and international laws and regulations through overseeing the activities of accreditation and compliance, corporate risk management, utilization review for the whole organization, and data analysis in collaboration with the Director of Quality, Patient Safety and Risk.

Operational responsibilities:

• Oversees the development of policies, procedures and business processes ensuring they are sufficient and appropriate to all of the Department’s operational activities and assists CHBEs managers to monitor these processes and redesign them if needed.
• Facilitate department heads in establishing performance targets and tracking effectiveness.
• Liaises with department heads to establish performance and internal performance targets;
• Develops and communicates performance reports to operational functions, facilitates initial root cause analysis and ensures actions are taken to continually drive performance improvements;
• Sets accreditation and compliance objectives and standards across CHBE.
• Monitors the progress and effectiveness of the quality management system, and recommend and implement improvements when required;
• Oversees the identification, management, solving, and avoidance of risks occurring due to the nature of the operations in CHBE, in addition to proposing alternative solutions to minimize risks in the future;
• Develops, coordinates, and administers facility-wide systems for risk identification, investigation, and reduction; maintains a network of informational sources and experts; performs risk surveys/Quality rounds and inspects patient care areas; reviews facility and to assess loss potential at all levels across the organization including clinical and non-clinical activities.
• Participates on committees directed towards promoting patient safety issues.
• Maintains risk management in compliance with JCIA, CARF, ISO, DOH and regulatory bodies.
• Review and act on relevant data concerning reported incidents/occurrences/complaints: aggregate data summaries, monthly trend analyses of incidents/occurrences/complaints, and provides aggregate analysis of risk data;
• Informs department heads regarding occurrences, issues, findings, and risk management suggestions; provides feedback in the effort to eliminate risks; assists department heads in designing risk management programs within their departments.
• Recommends appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences; recommends ways to minimize risks through system changes; reviews and revises facility policies as appropriate to maintain adherence to current standards and requirements.
• Proactive analysis of patient safety and medical errors processes.
• Review, and if needed, facilitate root cause analysis investigation and reporting of adverse drug events and sentinel events.
• Maintains awareness of legislative and regulatory activities related to health care risk management.
• Provides training to staff to enhance their awareness of their role in reducing risk.
• Involve and actively participate in investigating all clinical related complaints and following up with the action plan for execution by the relevant stakeholders.
• Facilitate the quality improvement projects (PDCA and FMEA) across Capital Health
• Facilities the development and monitoring of the Clinical Practice Guidelines in collaboration of the medical staff.
• Assists the Director of Quality, Patient Safety and Risk in quality-related activities.