Quality Manager

• 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 facilitys 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
  

• 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