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Quality Manager

2 months ago

Sharjah, United Arab Emirates University Hospital Sharjah Full time

**Date**:29 Jan 2024

**Location**: Sharjah, AE

**Company**:University Hospital Sharjah

**Position Summary**:
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**:

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