University Hospital Sharjah is looking for a Dedicated and Experienced
Quality Manager
to Drive Excellence in Healthcare Services.
Quality Manager is 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
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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
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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
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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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