Quality Manager
6 months ago
The role of the Quality Manager is to undertake the following overall responsibilities:
- Ensure that processes needed for the Quality Management System (QMS) are established, implemented, and maintained in all CosmeSurge units.
- Report to the CS Management and Corporate Quality team on the performance of the QMS and any need for improvement.
- Ensure the promotion of awareness of customer requirements throughout the organization.
- Liaise with the external assessment body on all matters related to the external accreditation process.
- Collaborate effectively with the Management in setting the hospital/clinic’s direction with corporate planning and strategy formulation.
- Assume an active role in facilitating the implementation of the hospital/clinic’s quality management system.
- Facilitate the planning of the update and implementation of the quality management system.
- Conduct periodic organizational review and recommends amendments when deemed necessary.
- On regular basis, Review, document, update and amends the quality management system.
- Handle the review of policy and procedures with concerned department heads in a timely manner.
- Endorse approval of new and revised procedures to the hospital/clinic operations team in a timely manner.
- Plan for the certification and re-certification of the hospital/clinic’s quality management system in compliance to JCIA requirements and other accreditations.
- Coordinates improvement activities for successful accrediting, licensing, and certification surveys (e.g., DHA, DOH, MOH, JAWDA, OSHAD, CAP, JCIA, ISO, etc.)
- Supervises and evaluates Joint Commission International (JCI) - related tasks and activities in the hospital/clinic.
- Plan and organize the conduct of internal quality auditing activities in the hospital/clinic on a regular basis.
- Assume the role of the Lead Auditor and recommends approval of the overall audit plan to the Management.
- Facilitate the conduct of opening and closing meetings.
- Ensure that non-compliances and observations are addressed and closed through corrective and preventive actions. Recommends action plans to the Management.
- Take part effectively in monitoring the implementation of continual improvement activities based on requirements of the quality management system.
- Collaborate with the hospital/clinic’s certifying body for the conduct of the periodic external site visits.
- Mobilize the internal quality auditors in managing pre-audit activities as well as the actual implementation other audit.
- Ensure the external audit findings are closed within the specified period.
- Plan and organizes the conduct of appropriate quality-related courses.
- Liaise effectively with the external training consultants and / or the HR department to conduct specific courses relevant to the implementation of the hospital/clinic’s quality management system.
- Recommend the attendance of selected staff to external quality courses, meetings, and conferences.
- Coordinate the scheduling of the external quality audit and ensure all head of the departments and staff are informed of the audit.
- Develops and administers the quality education process formulating quality improvement programs for employees.
- Recommends quality tools and techniques to be used in measuring the hospital/clinic’s quality performance and variations; and solving quality problems.
- Actively participates in committee meetings on a monthly basis or more frequently if needed, and contributes ideas for improving quality, efficiency, productivity and patient satisfaction.
- Acts as a liaison between clinical and administrative departments on quality and patient safety matters.
- Identifies through the analysis process a summary of issues and/or policies that have the potential to negatively impact clinical outcomes and/or the delivery of quality healthcare.
- Works with Medical staff to develop appropriate action plans to improve quality of health care delivery.
- Ensures that goals and objectives of the Quality Improvement Program is in line with the hospital/clinic’s mission and goals.
- Assists in the development of improvement plans with department/unit managers and supervisors in response to identified deficiencies.
- Maintains documentation related to oversight including schedules/calendars of audits and monitoring activities, and electronic and/or paper copies of audits and follow-up activities.
- Exercise good judgment and maintain confidentiality in maintaining critical and sensitive information, records, and reports.
- Continuously adhere to CosmeSurge and group Code of Conduct policy.
- Respects and implements Patient and Family Rights.
- Adhere to Infection Control and Health Safety Measures.
- Actively participate in the hospital/clinic's on-going Patient Safety and Quality Improvement Programs and other In-Service Training Programs.
- Act as a translator if needed.
- Perform other duties and tasks assigned by the CosmeSurge Management and/or Corp
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