Quality Improvement Manager

Job Purpose / Objective : Manage, coordinate, communicate, implement and monitor Quality Improvement and Patient Safety activities across HMG healthcare facilities based on national and international healthcare accreditation standards in order to meet the goals and objectives of the organization Key Responsibilities / Accountabilities : - Basic Function - Prepare, review, monitor and update Quality Improvement & Patient Safety (QIPS) Plan and programs. - Ensure the QIPS plan initiatives are developed and implemented in all the HMG hospitals based on respective hospital strategic plan. - Oversee the Implementation of National/ International Healthcare Accreditation Standards across all HMG hospitals and ensure that all HMG hospitals comply with national and international hospital standards. - Ensure the compliance with data collection methodology, validation analysis, trending, benchmarking and actions for improvement are consistent in all HMG hospitals. - Ensure the culture of Patient Safety is implemented and monitored by all staff across all HMG hospitals. - Facilitate, integrate and implement the hospital wide need for Quality Initiatives and its improvement in all HMG hospitals. - Develop systems and processes to ensure the reliability, accuracy and confidentiality of information/ data with health information management/medical records both manual and electronic. - Review, analyze, trend, validate, benchmarking, actions for improvement for all reported incidents and reports to the leadership and staff. - Provide regular training to staff on quality tools, national and international standards. - Principal Duties: - Formulate, review, implement and monitor implementation of the policies, procedures, plans, guidelines, protocols and pathways of all HMG hospitals based on national and international healthcare standards. - Ensure the implementation and monitoring of Quality Improvement and Patient Safety Plan, Utilization Management Plan, Operations Management Plan, and Risk Management Plans. - Ensure that all new staff in the Quality Improvement Department are trained and educated into the requirements of the Quality Improvement and patient safety activities related to their roles and responsibilities. - Participate in committees, taskforces, and in Quality Initiatives education programs as assigned. - All assigned tasks related to the hospital pertaining to quality improvement and patient safety. - Participate in, lead person-centered care initiatives undertaken by HMG. - Enrich patient experience with compassion, respect and dignity. - Team & Resource Management - - - Ensure sufficient resources and staffing is available for quality improvement and patient safety. - Ensure staff members participate in quality improvement and patient safety activities and receive training on quality assessment and improvement. - Review performance of staff and perform counselling on unsatisfactory performance. In addition, discuss personnel and administrative issues and address and solve problems among staff. Requirements: Education/ Professional Qualification: - Preferably Master’s Degree in Hospital Management/ Administration/ Healthcare Management from a recognized national or international university. - Bachelor’s Degree in Medicine, Pharamcy or Nursing or Hospital Management or Administration from a recognized national or international university. Experience: - Minimum of Five (5) years of experience in Quality Improvement and Patient Safety and accreditation (CBAHI, JCIA etc.) in a tertiary healthcare organization. Professional Licensing / Certification / Training: - Certified Professional in Healthcare Quality (CPHQ) or relevant certifications

Prepare, review, monitor and update Quality Improvement & Patient Safety (QIPS) Plan and programs. Ensure the QIPS plan initiatives are developed and implemented in all the HMG hospitals based on respective hospital strategic plan. Oversee the Implementation of National/ International Healthcare Accreditation Standards across all HMG hospitals and ensure that all HMG hospitals comply with national and international hospital standards. Ensure the compliance with data collection methodology, validation analysis, trending, benchmarking and actions for improvement are consistent in all HMG hospitals. Ensure the culture of Patient Safety is implemented and monitored by all staff across all HMG hospitals. Facilitate, integrate and implement the hospital wide need for Quality Initiatives and its improvement in all HMG hospitals. Develop systems and processes to ensure the reliability, accuracy and confidentiality of information/ data with health information management/medical records both manual and electronic. Review, analyze, trend, validate, benchmarking, actions for improvement for all reported incidents and reports to the leadership and staff. Provide regular training to staff on quality tools, national and international standards. Formulate, review, implement and monitor implementation of the policies, procedures, plans, guidelines, protocols and pathways of all HMG hospitals based on national and international healthcare standards. Ensure the implementation and monitoring of Quality Improvement and Patient Safety Plan, Utilization Management Plan, Operations Management Plan, and Risk Management Plans. Ensure that all new staff in the Quality Improvement Department are trained and educated into the requirements of the Quality Improvement and patient safety activities related to their roles and responsibilities. Participate in committees, taskforces, and in Quality Initiatives education programs as assigned. All assigned tasks related to the hospital pertaining to quality improvement and patient safety. Participate in, lead person-centered care initiatives undertaken by HMG. Enrich patient experience with compassion, respect and dignity. Ensure sufficient resources and staffing is available for quality improvement and patient safety. Ensure staff members participate in quality improvement and patient safety activities and receive training on quality assessment and improvement. Review performance of staff and perform counselling on unsatisfactory performance. In addition, discuss personnel and administrative issues and address and solve problems among staff.