DUTIES AND RESPONSIBILITIES

Strategic Quality Development

• Design and implement hospital-wide quality improvement strategies aligned with clinical excellence and operational efficiency goals.
• Establish long-term quality objectives and create measurable action plans to achieve them.
• Stay abreast of national and international healthcare quality trends to ensure the hospital remains at the forefront of best practices.

Compliance, Accreditation & Risk Management

• Ensure hospital operations meet or exceed standards set by regulatory and oversight bodies, including Safecare and ISO9001 accreditation requirements.
• Coordinate internal and external audits and inspections; develop and oversee corrective and preventive action plans.
• Promote a culture of compliance and risk mitigation across all departments.

Data-Driven Quality Improvement

• Collect, analyze, and interpret hospital performance data to monitor Key Performance Indicators (KPIs).
• Identify quality gaps and lead initiatives to close them using evidence-based methodologies (e.g., Root Cause Analysis, PDSA cycles).
• Provide regular reports and insights to senior management and department heads to support informed decision-making.

Interdepartmental Collaboration & Leadership

• Lead cross-functional quality improvement teams comprising clinical, administrative, and support staff.
• Facilitate regular quality review meetings and communicate quality goals, progress, and expectations clearly.
• Act as a liaison between the quality department and other hospital units to ensure alignment of quality priorities.

Patient Experience Enhancement

• Work closely with the patient care teams to identify areas for improving the patient journey, clinical outcomes, and service delivery.
• Implement and monitor initiatives aimed at enhancing patient satisfaction scores and reducing patient complaints.
• Utilize patient feedback and survey data to make evidence-based improvements.

 Documentation and Information Management

• Oversee the accuracy, completeness, and integrity of clinical and operational documentation, including patient consent forms, treatment records, and policy manuals.
• Ensure that document control practices meet legal, ethical, and accreditation standards.
• Support the development of standard operating procedures (SOPs) and maintain up-to-date documentation repositories.

KEY REQUIREMENT SKILLS AND QUALIFICATION

• Degree in a medical or health-related field (e.g., Nursing, Clinical Medicine, Public Health, Health Systems Management)
• Minimum of 2 years’ experience in a similar Quality Lead or quality management role within a Level 4 or higher healthcare facility
• Strong familiarity with Safecare and ISO9001 quality standards, with proven experience leading or supporting successful accreditation processes
• Demonstrated track record of implementing hospital-wide quality improvement initiatives