To coordinate the quality improvement activities and projects in lagoon hospitals
Role Responsibilities
Monitor and audit compliance with standard operating procedures and policies.
Collate and analyze hospital data relevant to the Hospitals Clinical Scorecard and Medical Process Assurance Audits.
Develop strategies under the direction of the Quality Manager to improve the quality of data obtained.
Support audit compliance with standard operating procedures and policies.
Participate in the development of Hospital policies and procedures.
Participate in developing, implementing, and maintaining mechanisms to track and evaluate the effectiveness of the quality assessment / performance improvement program.
Provide support towards preparation for regulatory surveys annually and JCI surveys every three years.
Function as a resource for staff training to ensure integration of hospital wide performance improvement initiatives.
Provide comprehensive orientation program for new employees as necessary and evidenced by the orientation schedules.
Participate in departmental quality improvement projects.
Comply with the use of Standard Operating Procedures and policies / adherence to quality standards.
Key Result Areas/ Performance Goals:
Number of planned audits completed in resident facility.
Quality of data provided.
Number of quality improvement initiatives championed in resident facility.
Reporting within TAT
Job Qualifications
Bachelor’s degree or equivalent in health sciences or related field.
Postgraduate degree in Public Administration / Public Health or Healthcare Administration will be an added advantage.
Professional Qualification: IASSC or ASQ Certifications – Yellow belt is desirable.
Certified Professional in Healthcare Quality® (CPHQ) is desirable
Experience (Dimension and No of years) · 3 to 5 years’ experience interacting with quality indicators.
Knowledge of quality assurance is an advantage.
Expert level use of Electronic Medical Records (EMR)
Core Competencies:
Analytic and computer skills including use of statistical process control charts.
Knowledgeable and experienced in Lean, Six Sigma, PDSA or other performance improvement methods, with record of successful improvement projects.
Ability to work collaboratively with physicians, staff, and external organizations.
Leadership and organizational skills
Strong communication and presentation skills, training/meeting facilitation skills a plus.
Ability to multitask.
Behavioral Competencies
Empathetic, Ethical, Knowledge-Driven, Innovative and Accessible
Self-motivated
Ability to work efficiently within timelines.
Good interpersonal and communication skills
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