Assistant Manager - Quality

Assistant Manager – Quality

Job Description

• Assumes complete departmental responsibility in the absence of the HOD.
• Responsible for interpreting, defining, implementing, coordinating, monitoring, evaluating and reporting as a field wide authority, the Quality Improvement and Patient safety Program for the Organization and the Organization’s adherence to various regulatory and certification requirements.

Responsibilities

• Will assume complete responsibility for the functioning and administration of the department, in such cases where the HOD is unavailable due to being on leave or otherwise.
• Assist and facilitate in developing NMCSH Quality Improvement Plan
• Participating effectively in Implementing & Follow up of Q.I. Plan Activities.
• Orchestrating Quality Improvement Initiatives & Activities Hospital-Wide.
• Promotes and facilitates cost-effective resource utilization related to infection control policies and procedures.
• Establishes 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 for the Hospitals priority programs and support its infrastructure.
• Serves as a resource to all departments, divisions and units, hospital and ambulatory, and to established committees in all areas relating to Quality Assurance.
• Arranges with Quality Facilitators throughout NMCRHS for staff education, variance collection and analysis.
• Establishes priorities for investigation of problem areas based on the degree of adverse impact on patient care that can be expected if the problem remains unresolved.
• Communicates appropriate information from 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 achieve optimal patient outcomes, enhance patient/family and staff satisfaction, are cost effective and resource appropriate.
• Develops and maintains records of policies, procedures, guidelines, forms and other documents and ensures the circulation of current documents and the de-circulation of expired documents.
• Establish system for the regular review of operational policies, procedures, strategies, job descriptions etc
• Work with heads of departments to ensure hospital licensing requirements of the DHA and other agencies are always met or exceeded.
• Maintains records of all Quality Assurance activities.
• Provides educational and technical assistance to committees and departments in meeting their Quality Assurance objectives.
• Maintains active involvement in all aspects of clinical space design, construction and hygiene.
• Justifies need for training in Quality Assurance processes and methods and either works with appropriate groups to initiate training or teaches in areas of expertise.
• Does an Annual Evaluation of Quality Improvement Program and submits reports to the QPS committee.
• Develops training/orientation program for key members to facilitate system expansion and standardization.
• Develops effective patient care review and evaluation mechanisms and monitors to assure results are achieved.
• Directs implementation and maintenance of technical guidelines and frameworks within which quality of care is evaluated.

Qualifications

• Bachelor’s degree in a clinical or allied health field with post graduation in the field of Hospital Administration preferred.
• Three years or more in healthcare Quality management positions with demonstrated administrative skills.
• JCIA experience is required
• Excellent command of oral and written English.