Job Description

• Developing and implementing all Quality related regulatory requirements, accreditation standards \& policies and procedures,
• Leading and coordinating data collection and validation process for JAWDA KPI's.
• Assessing competency of staff involve in data collection and validation of JAWDA KPI's.
• Submission of valid and accurate data to the management for approval prior to submission to HAAD.
• Trend analysis of performance related to JAWDA KPI's
• Ensuring compliance of the organization with the JAWDA data certification methodology and coordinate the audit process.
• Measuring, selection and data collection.
• Analyzing and validating the measured data.
• Identifying the problems that impact on delivery of quality and patient safety.
• Establishing priorities for investigation of problem areas based on the degree of adverse impact that can be expected if the problem remains unresolved.
• Directing investigation of problems including scope and causes.
• Directing resolution of known or suspected problems that impact directly or indirectly.
• Developing effective patient care review and evaluation mechanisms and monitors to assure results are achieved.
• Evaluating and documenting program findings to improve patient care, clinical performance, and care delivery systems.
• Identifying and monitoring high risk, problem prone, high volume and high cost areas to reduce unanticipated adverse events to patients, staff and visitors.
• Reviewing all completed O.V.R.s which are analyzed regularly and refers trends on potential or actual problems to the concerned peer reviewer, department or committee as appropriate.
• Implementing and monitoring the risk management program.
• Evaluating continuously the effectiveness of the QI program hospital wide.
• Collaborates effectively with all departments and units to monitor.
• Coordinating and monitoring all regulatory agencies' compliance activities related to all departments and participates in the survey process.
• Investigating new and different methods of patient care evaluation. Communicates with experts from other disciplines and current or new processes and trends appropriate professional literatures.
• Promoting improvement in patients' safety by adopting and monitoring International Patient Safety Goal.
• Maintaining records of all surveillance activities.
• Prepares monthly, quarterly and yearly PI reports and submits them to the Quality Head of Bareen Hospital \& Bareen Cluster
• Performs other related duties as requested by Quality Head of Bareen Hospital \& Bareen Cluster
• Performs any other task requested by the QD in his/her scope of knowledge.


• Developing and implementing all Quality related regulatory requirements, accreditation standards \& policies and procedures,
• Leading and coordinating data collection and validation process for JAWDA KPI's.
• Assessing competency of staff involve in data collection and validation of JAWDA KPI's.
• Submission of valid and accurate data to the management for approval prior to submission to HAAD.
• Trend analysis of performance related to JAWDA KPI's
• Ensuring compliance of the organization with the JAWDA data certification methodology and coordinate the audit process.
• Measuring, selection and data collection.
• Analyzing and validating the measured data.
• Identifying the problems that impact on delivery of quality and patient safety.
• Establishing priorities for investigation of problem areas based on the degree of adverse impact that can be expected if the problem remains unresolved.
• Directing investigation of problems including scope and causes.
• Directing resolution of known or suspected problems that impact directly or indirectly.
• Developing effective patient care review and evaluation mechanisms and monitors to assure results are achieved.
• Evaluating and documenting program findings to improve patient care, clinical performance, and care delivery systems.
• Identifying and monitoring high risk, problem prone, high volume and high cost areas to reduce unanticipated adverse events to patients, staff and visitors.
• Reviewing all completed O.V.R.s which are analyzed regularly and refers trends on potential or actual problems to the concerned peer reviewer, department or committee as appropriate.
• Implementing and monitoring the risk management program.
• Evaluating continuously the effectiveness of the QI program hospital wide.
• Collaborates effectively with all departments and units to monitor.
• Coordinating and monitoring all regulatory agencies' compliance activities related to all departments and participates in the survey process.
• Investigating new and different methods of patient care evaluation. Communicates with experts from other disciplines and current or new processes and trends appropriate professional literatures.
• Promoting improvement in patients' safety by adopting and monitoring International Patient Safety Goal.
• Maintaining records of all surveillance activities.
• Prepares monthly, quarterly and yearly PI reports and submits them to the Quality Head of Bareen Hospital \& Bareen Cluster
• Performs other related duties as requested by Quality Head of Bareen Hospital \& Bareen Cluster
• Performs any other task requested by the QD in his/her scope of knowledge.


• Graduate from an accredited college or university with a bachelor's degree
• Working knowledge of Quality Improvement and Management
• Working knowledge of DOH Standards
• Working knowledge of Quality of practice and care