Senior Manager Quality

Job Description
The role is responsible to drive the implementation of quality assurance measurements and audits, and assist in improving medical management processes throughout the unit/ vertical through coordinating and engaging in activities to proactively promote implementation of evidence based best practices and resolve deficiencies. The role will monitor, perform, and manage quality assurance and Infection control processes including those supporting compliance to regulatory and/or accreditation standards. Collect, Analyse and report on a variety of data to assess the quality and appropriateness of care and treatment of patients and to provide oversight in the allocation and utilization of program resources.

Focus of the role is to support the mission “to deliver exceptional patient care in an environment where quality, respect, caring and compassion is the core of our practice”.

Key Areas of Responsibilities

1. Standards and Process Implementation

Develop and implement metrics and performance targets that assess compliance with regulations and best practices in medical management.

· Coordinate improvement activities for successful accrediting, licensing, and certification surveys

· Assist in the education of providers in the importance of following the documentation guidelines that have been established in accordance with state, Federal regulatory and accreditation requirements.

· Collaborate in the implementation, monitoring and reassessment of quality improvement plans Maintains working knowledge of regulations and standards as pertinent to the organization.

· Work with Medical staff and provider partners to develop appropriate action plans to improve quality of health care delivery.

· Align the goals and objectives of the Quality Improvement initiatives/ Infection control projects in line with the Organization’s Mission and goals.

· Coordinates with providers to communicate and ensure adherence to healthcare quality management guidelines.

· Recommend and Assists in the development of improvement plans with department/unit managers and supervisors in response to identified deficiencies.

· Maintain accountability for ongoing self-development activities, especially related to presentation facilitation, change management and application of quality improvement activities
2. Clinical Quality, Patient Safety & Continuous Quality Improvement

· Ensure the clinical care delivered adheres to the highest healthcare quality, Infection Control and patient safety standards based on the best evidence based clinical practices.

· Implement Annual Quality Improvement Plan.

· Identifying bottlenecks in processes to make the process error free, developing standard operating procedures.

· Identify, implement and monitor the Quality indicators, clinical pathways and Library of Measures in various departments in coordination with the respective HOD.

· Analyze the monthly data’s and analysis/trends of these quality indicators for probable improvement of any service.

· Overseeing the Incident reporting process.

· Coordinating with all Quality Committee meetings and maintaining the minutes and work grid of the same.

· Assist and coordinate Area Specific Core Team in the transition to team efforts in Quality Improvement activities across all units.

· Conduct and coordinate various audits/mock audits and to assess the organization deficiencies and develop action plan.

· Preparation of Checklists to use for daily operations to build robust processes.

· Coordinate to conduct Tracer Audits and providing end to end solutions for the problems

· Assessing, prioritizing and Initiating Process Improvement projects and hospital quality assurance programs.

· Reviews and facilitates due redressal of all Patient grievances related to clinical quality of care, by conducting required root cause analysis and forwarding the appropriate recommendations

· Keep self-abreast with the new regulatory guidelines, best healthcare practices as well as new international quality and patient safety indications and benchmarks and accreditation standards and processes

· Actively collaborates with other Nursing & clinical departments.

· Regularly collects & reports data related to the clinical quality, patient safety, and medication error parameters etc. Through daily/monthly reports.
3. Audits and Evaluations

· Undertakes quality and Infection Control initiatives, audits, risk management

· Assists with audits of medical staff for compliance with policies and procedures and with regulatory and accreditation requirements.

· Assures that quality assurance audits are completed in a timely fashion and are reported back to the audited entity within the required time parameters.

· Utilizes quality assurance and quality improvement evaluation methodologies for measurement of protocol compliance and to sustain survey readiness, including ongoing preparedness reviews.

· Analyses data to determine trends and resource utilization for use in optimizing compliance and to prepare reports describing individual performance.

· Identifies through the analysis process a summary of issues and/or policies that have the potential to negatively impact clinical outcomes and/or the delivery of quality healthcare.

· Monitor cases to identify trends and emerging issues and present to quality improvement committee.

· Conduct focused examination of conditions requiring correction, and develop a precise definition of the problem.
4. Administration and Management

· Maintain documentation related to oversight including schedules/calendars of audits and monitoring activities, and electronic and/or paper copies of audits and follow-up activities.

· Establish/maintain good relationships with Business Heads and Department Heads to promote a cooperative and constructive environment for improvement.
5. Training & Development

· Review the training needs and plan programmes and activities to cater to the same.

· Develop and maintain a Calendar of Quality improvement and Infection Control trainings/ Programmes across the Vertical

· Oversee and Deliver trainings on the areas as required.

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https://www.naukrigulf.com/senior-manager-quality-jobs-in-dubai-uae-in-dm-healthcare-llc-10-to-15-years-jid-140819000069