Quality Officer

Sheikh Shakhbout Medical City

Key Responsibilities of the role
Corresponding Key Activities performed by the role

Responsible to support the Regional Quality Department. Responsibilities include:

Risk Management and Patient Safety

• Coordinating and supporting the development and implementation of an integrated risk management framework in accordance with SEHA s mission and strategic goals, federal and state laws and regulations and accreditation standards, to identify, assess and mitigate risk and improve quality and patient safety.
  • Coordinating and supporting the development of plans to effectively measure, monitor and improve outcomes in key areas such as incident reporting and management, management of sentinel events, case reviews, morbidity and mortality review, safety alerts, etc
  • Coordinating, supporting and facilitating system-level taskforces to develop and align system-level risk management initiatives.
  • Tracking and monitoring risk data (from incident reports, sentinel events, claims, complaints, performance indicators etc.) to:
• Detect patterns/trends, system errors and process deficiencies
• Develop statistical reports
• Escalate concerns to risk management leadership
  • Facilitating and supporting the region in the development and implementation of action plans related to any deficiencies
  • Coordinating and supporting in compiling risk key performance indicators data on regular basis to monitor compliance with SEHA risk program and escalate concerns
  • Supporting the implementation of system-wide risk reduction strategies by working with subject-matter experts
  • Coordinating and supporting risk related performance improvement projects/initiatives
  • Coordinating, supporting and collaborating with subject matter expert taskforces to address risk management priorities
  • Researching trends and new approaches for clinical quality and patient safety and advise on implementation of new methodologies
  • Recommending educational initiatives to support quality improvement activity across SEHA e.g. workshops/training on quality and patient safety.

Audit and Continuous Quality Improvement

Policy Management

• Participating, facilitating and supporting the collaboration and effective communication with the relevant stakeholders for the timely development, review and approval of policies and procedures that are in compliance with requirements of the regulatory authorities and the relevant accreditation / certification programs

Region Level Quality Improvement Projects

• Participating, facilitating and supporting the implementation of the SEHA-wide system-level framework for performance improvement which includes:
• Providing education for all relevant stakeholders about the qualtiy improvement framework

• Facilitating quality improvemnet projects based on the framework.

Patient Safety Culture

• Participating in, facilitating and supporting the implementation of the SEHA-wide safety culture framework which includes:
• The effecfive communication of the framework initiatives and activities with the different stakeholders in the region.
• Conducting a region-wide safety culture survey.
• The identification of key areas for improvement based on survey results.

• Facilitating and supporting the region in the development and implementation of action plans related to any deficiencies

Accreditation and Certification

• Participating, facilitating and supporting the collaboration and effective communication with the relevant stakeholders for the establishment and implementation of a process to ensure continuous readiness for external accreditation and certification programs which includes:
• Participating in the SEHA-wide tracer program.
• Participating in all activities related to the onsite surveys.

• Identifying and implementing improvement initiatives based on the survey findings.

Regulatory Audits

• Overseeing the implementation of DOH Quality Audit (Ranking) compliance framework to support healthcare services improvement and standardization of care.
  • Ensuring compliance with DOH Quality Audit and identifying improvement initiatives to address deficiencies across the healthcare system.
  • Facilitating all DOH related audits including Ranking, ADPHC and Licensing audits.
  • Conduct internal audits as required by regulators and accreditors i.e. ISO/ADPHC/JDC.

Excellence

• Working collaboratively with the Readiness and Business Continuity team and Laboratory team to maintain required excellence awards and certifications which includes:
• Working collaboratively with the different teams to ensure continuous compliance with the awards requirements.
• Addressing all the excellence awards assessment findings across the region and identifying region-level areas for improvement.

Occupational Safety and Health (OSH)

Developing a Safety Management Program

• Facilitating, participating and supporting the development of new and revising existing standards and procedures consistent with the mission of the facility, current recognized international best practice and applicable UAE legislation
• Facilitating, participating and supporting in using of the safety standards as a framework to create procedures on safe work practices organization-wide, within specific departments/areas, or for particular risk factors and issues within the workplace
• Facilitating, participating, supporting and collaborating with engineers and facility management staff to institute control and remedial measures for hazardous and potentially hazardous conditions or equipment
• Facilitating, participating, supporting and ensuring all departments are effectively monitored for compliance with safety standards and procedures
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