:Responsible for interpreting, defining, implementing, coordinating, monitoring, evaluating and reporting the quality improvement and patient safety program for the organization and the organization\'s adherence to DOH and JCI standards.Responsibilities:

• Standards and Objectives Expertise: Possesses in-depth knowledge of the standards, measurable elements, and objectives of the Department of Health (DOH) and Joint Commission International (JCI).
• Quality Improvement Plan Development: Develops and maintains the hospital\'s quality improvement (QI) plan.
• Implementation and Follow-Up: Effectively participates in the implementation and follow-up of QI plan activities.
• Quality Improvement Initiatives: Undertakes various quality improvement initiatives and activities.
• Resource for Departments: Serves as a resource to all departments, divisions, units, and ambulatory services, and establishes committees related to Quality Assurance.
• Cost-Effective Resource Utilization: Promotes and facilitates cost-effective resource utilization related to infection control policies and procedures.
• Problem Area Prioritization: Establishes priorities for investigating problem areas based on their potential adverse impact on patient care.
• Patient Care Evaluation: Develops and monitors effective patient care review and evaluation mechanisms to ensure desired results are achieved.
• Technical Guidelines: Directs the implementation and maintenance of technical guidelines and frameworks within which the quality of care is evaluated.
• Liaison with Quality Facilitators: Coordinates with quality facilitators to manage staff education, variance collection, and analysis.
• System-Wide Variance Database: Establishes and manages a system-wide variance database for benchmarking, system improvement opportunities, length of stay, and resource management.
• Continuous Quality Improvement: Provides ongoing assessment and support for continuous quality improvement, quality assurance, and risk management priority programs.
• Medical Record Evaluation: Evaluates patients\' medical records to identify areas of concern and plans for improvement.
• Information Communication: Communicates appropriate information from studies and data sources to relevant committees, departments, and individuals.
• Best Practice Models: Identifies and shares best practice models and care processes that achieve optimal patient outcomes, enhance patient/family and staff satisfaction, are cost-effective, and resource-appropriate.
• Record Maintenance: Maintains all necessary records pertinent to DOH, JCI, and Environmental Health and Safety Management System (EHSMS) processes.
• Meeting Facilitation: Facilitates Quality Improvement plan meetings.
• Monthly Reporting: Submits monthly reports of quality activities to the Quality and Patient Safety (QPS) Committee.
• Document Management: Maintains records of policies, procedures, guidelines, forms, and other documents, ensuring circulation of current documents and de-circulation of expired ones.
• Quality Assurance Activities: Maintains records of all quality assurance activities.
• Educational and Technical Assistance: Provides educational and technical assistance to committees and departments in meeting their quality assurance objectives.
• Clinical Space Management: Actively involved in all aspects of clinical space design, construction, and hygiene.
• Administrative Responsibilities: Performs administrative duties and justifies the need for training in the quality assurance process, working with appropriate groups to initiate training.
• Accreditation Compliance: Coordinates and monitors all Joint Commission on Accreditation compliance activities and participates in the survey process, including mock surveys.
• Annual Evaluation: Conducts an annual evaluation of the Quality Improvement program and submits reports to the QPS committee.
• Training Program Development: Develops training/orientation programs for key members to facilitate system expansion and standardization.

Qualifications:

• Educational Background: Graduate, preferably in a science stream.
• Experience: At least one year of experience in healthcare quality.
• Professional Growth: Takes responsibility for own continued professional growth beyond minimum preparation. Understands management objectives and is capable of implementing a system approach.
• Certifications: Certified Professional in Healthcare Quality (CPHQ) or other quality certificates are desirable but not mandatory.
• Language Skills: Excellent command of oral and written English; knowledge of Arabic is advantageous but not essential.
• Service Delivery: Ability to review procedures and implement new models of service delivery to meet client and organizational requirements.
• Commitment to Quality: Demonstrated commitment to quality outcomes and the ability to consult with staff regarding continuous improvement.
• Approach: Possesses a "can do" and flexible approach.
• Communication and Organizational Skills: Highly developed communication and organizational skills at all levels.
• Compassionate Care: Ability to provide compassionate care that respects patients\' cultural preferences.
• Computer Skills: Proficient in Microsoft Word and Excel.
• Autonomy and Teamwork: Ability to work autonomously with minimal supervision and as part of a team within a complex clinical setting.

NMC Healthcare