Job Purpose

• Reporting to the Chief Executive Officer, the overall purpose of this role is to design, implement, monitor, and drive continuous quality improvement initiatives across departments/services to ensure high standards of patient care / service delivery, safety, compliance with national/international guidelines and accreditation standards.

Key Responsibilities

Quality Assurance and Control

• Participate in the review of quality and patient safety program, policies, procedures, and processes.
• Guide the interpretation and implementation of developed quality standards, policies, and procedures in the context of the quality and patient safety framework.
• Constantly be involved in the training and communication of quality and patient safety issues and standards/best practices throughout the assigned areas.
• Conduct internal quality audits and support the development and implementation of corrective/preventive action plans to address non-compliance.
• Review Certification, accreditation, and regulatory agency survey and audit findings, and support the development and implementation of corrective and preventive action plans to address non-compliance.
• Lead in the collection, measurement, and presentation of data required for monitoring and improving quality and patient safety.

Continuous quality improvement:

• Lead the assigned departments in conducting Root Cause Analysis (RCA) for sentinel and adverse events.
• Identify opportunities for Continuous Quality Improvement and support the development and implementation of CQI activities in the assigned departments.
• Support assigned departments in the identification of relevant key quality performance indicators and in developing a database.

Leadership and Collaboration:

• Foster a culture of safety and quality throughout the hospital by promoting staff engagement and awareness of quality initiatives.
• Collaborate with department leaders and clinical teams to implement quality improvement projects.
• Provide training and education on quality, patient safety, and compliance standards for the hospital staff.
• Perform any other tasks assigned from time to time.

Qualifications & Experience

• Minimum Diploma in a Medical related course. (e.g. Nursing, Medical / Clinical Sciences, Public Health, Health Systems Management or related field. Bachelor’s Degree is a plus
• Proficiency in Quality Management Systems highly desirable
• Valid practicing license (if applicable, e.g. for clinical roles).
• Certification or training in Quality Management / Patient Safety / Quality Improvement tools and methods.
• Minimum 3 years’ experience in a healthcare quality improvement role, ideally in hospital setting.
• Experience working with accreditation or certification standards e.g., SafeCare or ISO is a plus and implementing CQI projects.
• Strong analytical skills, data literacy, ability to use data for decision making.
• Excellent communication & interpersonal skills; ability to train, mentor, engage staff at all levels.

Key Competencies

• Attention to detail and high standards of professionalism
• Problem-solving, critical thinking and innovation minded
• Ability to work under pressure, manage multiple priorities
• Leadership / influencing skills
• Strong documentation, report-writing and presentation skills
• Proficiency with Microsoft
• Office, data tools (Excel, dashboards etc.