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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
• Evaluates a comprehensive program to improve clinical outcomes, enhance value, and minimize patient harm
• Maintains the highest standards of the patient care
• Ensures all documents are in the appropriate format
• Establishes a reliable process of data collection, robust validation and analysis, yielding comparative data and reports that will help the practice team to improve the efficiency of care delivery
• Develops project timelines and is responsible for coordinating and ensuring the timelines are being met
• Monitors action plan development and progress to ensure closing the loop
• Ensures Quality strategy and priorities are implemented

Qualifications

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
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
Desired:
• N.A.