Quality Manager

Job Purpose:

Responsible for planning and monitoring the consistent readiness of all quality management and quality improvement processes under the guidance of the facility's leadership. Also responsible for ensure effective and efficient quality data and performance management program that aims to improve patient outcome and safety .The role oversees and coordinates facility efforts to monitor and maintain regulatory and accreditation standards while creating a culture of quality in the facility.

Responsibilities:

• Initiates and oversees the development of a comprehensive quality improvement program
  
• Manages all regulatory aspects , DOH Audit/Inspection and all activities in relation to the accreditation and certification activities at SSMC
  
• Ensures SSMC meets all regulatory and accreditation requirements including DOH , audits, Tasneef and licensing requirements
  
• Reviews regularly the Quality program in light of changes in the needs of the organization an in the law and policies and procedures of managerial and governmental bodies
  
• Ensures DoH standards for hospitals are implemented and followed in the facility
  
• Manages to work collaboratively with various stakeholders to ensure compliance with the standards and recommendations
  
• Collaborates and partners with all the departments and practices to ensure quality and safety priorities are implemented
  
• Coordinates development, implementation, and evaluation of the facility's overall quality improvement program with the other departments
  
• Develops and implements systems, policies, and procedures for the identification, collection, and analysis of performance measurement data
  
• Monitors the related staff performance and the quality of the studies, to ensure quality, cycle time and budgetary control of the entire patients satisfaction research process
  
• Identifies the quality improvement methodology and concepts to be followed, in coordination with management directions
  
• Provides strategic oversight of proactive and reactive quality improvement activities Provides input for the department budget related to quality
  
• Oversees the reporting of events as required by regulatory agencies
  
• Acts as a resource to the staff; providing relevant training, mentoring, assessment and development plans
  
• Ensures that the work of the department/section is effectively coordinated with other departments/sections in a timely manner and is aligned to the overall facility goals
  
• Leads, facilitate and advise on internal quality improvement teams
  
• Plans and supervises the day to day activities of the section; streamlining processes wherever possible
  
• Evaluates workload, conduct performance evaluation and initiate necessary disciplinary actions
  
• Acts as an expert of quality and safety issues in all task forces/committees to establish performance innovation priorities
  
• Provides leadership updates in the development and management of the quality priorities and improvement initiatives: identifying trends, prioritizing and recommending improvements, and ensuring JCIA compliance
  

Role-Specific Job Responsibilities

• Implementing an effective performance management system through establishment and monitoring of quality measures and key performance indicators.
  
• Lead departments to identify performance measures and use data to initiate performance improvement projects, whilst using hospital approved quality frameworks.
  
• Lead the reporting and management of Hospital Quality Index measures, Jawda KPIs, Clinical Practice guidelines measures including primary data collection and/or validation, data Analysis & action plan for improvement Establishing Hospital quality index as a benchmark tool with SSMC to identify opportunities for improvement and implement best practices.
  
• Maintaining accurate and reliable data collection and validation methodology and ensure adequate collection systems and tools are in place.
  
• Assigning and endorsing roles for team members responsible for KPI abstraction, validation, submission and improvements
  
• Implement a continuous survey readiness program to ensure continuous compliance with accreditation requirements.
  
• Lead internal audits, DOH Jawda Data Certification Audit by Tasneef and liaise with relevant department/s for action plan development and follow up to close findings within the set period.
  
• Lead the implementation of a clinical audit program to ensure full compliance with clinical practice guidelines.
  
• Conducting multidisciplinary hospital wide quality training (examples: JCI, Clinical audit training, DOH KPIs data collection and validation etc.
  
• Overseeing the progress of KPI improvement plans and discuss/ escalate challenges identified through JAWDA Sub-Committee, QPS Committee, CPC, SEOT and Clinical Board
  

Requirements

Educational Qualification:

Required:

• Bachelor's degree or equivalent in a relevant field such as quality, performance management and clinical practice

• Master's degree in a relevant field

Specialist Certifications:

Required:

• Certified professional in health care quality CPHQ

• Certifed lean six sigma

Desired:

• Certified Quality Management (CQM) , IHI fellowship etc.

Experience:

Required:

• More than 10 years of relevant progressive experience in a similar role with 4 years of supervisory experience

Desired:

• Experience in a large Healthcare facility

Additional Requirements:

Required:

• Proficiency in English language

• MS Office and computer proficiency

• Strong analytical and problem-solving skills • Ability to deal with multiple issues simultaneously (multitask) and move them all towards resolution

• Good communication skills

• Member of quality associations as IHI , ASQ and ISQUA

Desired:

• Proficiency in Arabic language

• Strong negotiation skills

• Proven organizational skills