Quality Officer-Accreditation & Regulatory Improvement

Job Purpose

JOB DESCRIPTION

Responsible for implementing and coordinating the consistent readiness of quality management and quality improvement processes under the guidance of the Manager. Also responsible for ensure effective and efficient quality data and performance management program that aims to support improve patient outcome and safety . The role coordinates facility efforts to monitor and maintain all regulatory and accreditation standards and ensuring all operational aspects of the initiatives are in place.

RESPONSIBILITIES

• Coordinates the development and implementation, and evaluation of the facility's overall quality improvement program with the other sections
• Collaborates and partner with all the departments and practices to ensure quality and safety priorities are implemented
• Facilitates and suggest improvements based on Hospital wide performance measures or other issues as requested by the senior management
• Contributes to the development of tools and resources to support the quality development program
• Participates in departmental feedback meetings to provide solutions
• Assists departments with project timelines and coordinating needed internal support
• Identifies the quality improvement methodology and concepts to be followed, in coordination with direction from management
• Facilitates and provides ongoing support to the quality teams
• Maintains the quality management documents, case files and correspondence in an organized, confidential and secure manner
• Facilitates committees/ taskforce related to Quality improvement and assures that recommendations/ suggestions are carries out and evaluated.
• Coordinates the development and implementation of facility-wide policies and procedures that guide and support the provision of services under the guidance of the Manager
• Liaises with accreditation bodies for implementation of programs

Accountabilities

• Manages to follow a reliable process of data collection, robust validation and analysis 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 all documents are in the appropriate format with validated data
• Escalates identified challenges to Manager/ Senior Quality Officer
• Ensures quality and safety strategies and priorities are implemented

SSMC COMPLIANCE GUIDELINES

Corresponding Activities performed by the role

Complying with Policies, Procedures, and Practices of the SSMC facilities and other regulatory requirements

• Complying consistently with facility policies, procedures, and practices and ensuring alignment with SSMC facilities policies
• Completing and maintaining regulatory requirements including licensure and certification and other mandatory training within established time frames

Maintaining Confidentiality

• Maintaining confidentiality with regards to any information exchanged or received in the current capacity of role in accordance with facility policy

QUALIFICATIONS

Experience :-

Required:

• 2-6 years of relevant 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

Desired:

• Master's degree or equivalent in a relevant field