What you will do:1. Department Leadership and Oversight:

• Champion optimal and effective patient safety practices to HealthHub colleagues, patients, and their families.
• Drive and support Quality department activities, emphasizing data management, precise analysis, and evidence-based decision-making.
• Spearhead the identification, definition, monitoring, and implementation of Quality improvement initiatives and Patient Safety activities across HealthHub departments.
• Utilize a sophisticated trigger system to identify potential morbidity cases, conduct comprehensive clinical evaluations, and collaborate with departmental directors for review and feedback.
• Conduct rigorous data validation for new performance measures and criteria.
• Lead the seamless introduction of new technologies.
• Take an active role in planning and coordinating quality week and associated activities.
• Ensure the timely submission of required quality indicator data/reports.

2. Policies, Procedures, and Database Management:

• Contribute significantly to the development of policies and scope of work across all HealthHub divisions.
• Oversee the policy and procedure database meticulously, managing new policies, revisions, and reviews for formatting and circulation.
• Maintain and update the Quality database, ensuring meticulous indexing and numbering of policies.
• Play a pivotal role in implementing and maintaining technical guidelines and frameworks for evaluating the quality of care.

3. Strategic Support and Performance Improvement:

• Provide strategic guidance and day-to-day coordination for medical, clinical, and support service staff to implement effective monitoring systems.
• Actively support Quality committee activities and specific agenda items, elevating the overall quality standards.
• Extend support for management and review processes related to safety and environmental issues within HealthHub services.
• Coordinate, prepare, and present detailed and accurate quality reports and visual presentations for director review.
• Lead the design and implementation of high-impact performance improvement projects.
• Facilitate and coordinate performance improvement activities within assigned departments, utilizing advanced tools and methods.

4. Accreditation Excellence:

• Take a leadership role in the accreditation process by coordinating specific chapters or standards.
• Effectively communicate relevant information from quality activities to committees, accreditation teams, and impacted departments.
• Ensure Health Hubs continuous compliance with and adherence to accreditation standards in assigned areas, aiming for a 90% compliance rate during accreditations.

5. Committee Facilitation and Quality Review:

• Facilitate meetings, forums, focus groups, and workshops, showcasing strong leadership and organizational skills.
• Oversee committee activities, including terms of reference development, distribution of inclusion and exclusion memoranda, scheduling, and minute preparation.
• Actively serve on assigned committees and participate in departmental meetings and activities to enhance the department's integrity and professional reputation.
• Lead the development and implementation of in-depth case reviews for quality improvement activities.
• Maintain mortality and morbidity databases, providing vital physician performance-related data.
• Conduct focused reviews of clinical performance and actively contribute to the identification and quantification of problems affecting quality and safety.

6. Proactive Response and Confidentiality Assurance:

• Ensure timely responses to changes in legislation, healthcare trends, and government directives impacting HealthHub's ability to provide care.
• Uphold the highest standards of confidentiality regarding information accessed during work at HealthHub.

7. Staff Satisfaction Survey Coordination:

• Collaborate with HR to coordinate the annual staff satisfaction survey, ensuring its effectiveness and relevance.

Bayt