Reporting to the Risk and Quality Improvement Manager, the overall purpose of this role is to oversee the implementation of quality improvement by analyzing, identifying, monitoring quality programs and ensuring quality improvement systems are maintained in accordance with best practice Standards.

Duties & Responsibilities: 

• Leadership and direction- Support the implementation of Quality improvement program for the hospital. Provides professional advice on operational excellence throughout the hospital. Planning, priority setting and decision making to ensure that quality and risk management is implemented across the organization.
• Performance and Process Improvement (PPI) – Provides support and coordination to department and service leaders for quality improvement measures and activities across the hospital. Facilitate development of standards, policies and procedures for quality improvement.
• Monitoring and Evaluation – Implements a monitoring and evaluation frameworks for quality improvement in the hospital. Develops monitoring and audit tools for all quality aspects in the hospital, coordinates a leads a monitoring and evaluation team. Provides leadership and support for all teams during the process.
• Data analysis, Validation, Benchmarking and Reporting – Implements data analysis and data validation policies and procedures. Initiates and develops implementation of data collection and subsequent improvements. Supports departments and teams in analysis of quality data relevant to their departments, offers support and guidance on the same as required. Participates in benchmarking, both internal and external benchmarking.
• Coaching, Mentoring and Training – Mentor and develop teams on quality improvement in assigned departments. Develop and participate in regular quality improvement trainings.
• Research and Innovation – Participate in quality improvement research to ensure the hospital keeps improving in line with best practice and evidence based practices. Regularly innovate or recommend innovative solutions which will solve quality and patient safety challenges in the hospital.
• Regulatory and accreditation –Participate in AMUA; JCI Accreditation standard implementation across the whole hospital, and act as the JCI Survey coordinator. Participate in ISO standards implementation and KAIZEN implementation process.
• Risk Management – Implement an effective risk management program in the designated department(s). Participate in risk management activities.

Qualifications, Regulatory & Legal Requirements 

• Bachelor’s degree in Nursing or related field.
• Basic Certification in Healthcare Quality.
• A minimum of three (3) years’ experience in clinical quality improvement preferably in a hospital setting.
• Knowledge in sustainability and green initiatives will be an added advantage.
• Must have valid practicing license.
• Must be computer literate.