Quality Manager

Position Summary

University Hospital Sharjah is looking for a Dedicated and Experienced Quality Manager to Drive Excellence in Healthcare Services.

Quality Manager is responsible for interpreting, defining, implementing, coordinating, monitoring, evaluating and reporting as a field wide authority, the Quality Improvement and Patient safety Program for the Organization and the Organization's adherence to the Joint Commission International Accreditation of Hospital Standards. 

Summary of Main Duties

•    Has a deep understanding of the standards, measurable elements and intents of the JCI
•    Maintains continuous knowledge and understanding of JCIA functions and standards.
•    Developing University Hospital Sharjah Quality Improvement Program 
•    Participating effectively in Implementing & Follows up of Q.I. Plan Activities. 
•    Orchestrating Quality Improvement Initiatives & Activities Hospital-Wide. 
•    Serves as a resource to all departments, divisions and units, hospital and ambulatory, and established committees in all areas relating to Quality Assurance.
•    Promotes and facilitates cost-effective resource utilization related to infection control policies and procedures.
•    Establishes priorities for investigation of problem areas based on the degree of adverse impact on patient care that can be expected if the problem remains unresolved.
•    Develops effective patient care review and evaluation mechanisms and monitors to assure results are achieved.
•    Directs implementation and maintenance of technical guidelines and frameworks within which quality of care is evaluated.
•    Arranges with Quality Facilitators throughout UHS for staff education, 
•    Varied collection and analysis.
•    Establishes system-wide variation database for benchmarking, system
•    improvement opportunities, Length of stay and resource management.
•    Provides ongoing assessment and support for continuous quality improvement, quality assurance and risk management , safety culture for the Hospitals priority programs and support its infrastructure.
 

Responsibilities

•    Based on the evaluation of the patient’s medical records identifies concern areas and plans for the improvement.
•    Communicates appropriate information from studies and data sources to committees, departments and persons affected by the studies.
•    Identifies and shares across the system best practice models and care processes 
•    (those, which achieve optimal patient outcomes, enhance patient/family and 
•    staff satisfaction, are cost effective and resource appropriate.
•    Maintains all necessary records pertinent to the JCI process.
•    Facilitates Quality Improvement plan meetings.
•    Quarterly report preparation for review to hospital executive and governance 
•    Maintains records of policies, procedures, guidelines, forms and other documents and ensures the circulation of current documents and the de-circulation of expired documents.
•    Maintains records of all Quality Assurance activities.
•    Provides educational and technical assistance to committees and departments in meeting their Quality Assurance objectives.
•    Maintains active involvement in all aspects of clinical space design, construction and hygiene.
•    Performs administrative responsibilities.
•    Justifies need for training in Quality Assurance processes and methods and either works with appropriate groups to initiate training or teaches in areas of expertise.
•    Coordinates and monitors all Joint Commission on Accreditation of Hospitals compliance activities and participates in the survey process.
•    Mock surveys coordination 
•    Does an Annual Evaluation of Quality Improvement Program and submits reports to the CEO.
•    Develops training/orientation program for key members to facilitate system expansion and standardization
•    Performs miscellaneous related duties as requested by CEO and Medical Director.
 

Position Requirements/Qualifications

•    Qualification in healthcare field and post graduation in healthcare/quality management and experience of atleast 10years in Quality Management and accreditation leading the entire JCI accreditation survey process with completion of atleast 3 Joint Commission International Surveys as Head of Quality.
•    Certification in healthcare quality required
•    Excellent command of oral and written English.
•    Responsibility for own continued professional growth beyond minimum preparation. An understanding of management objectives and the ability to implement a systems approach.
•    Must be well versed with Word and Excel
 

Position criteria Other Skills/Abilities