Senior Clinical Quality and Patient Safety Officer

Sheikh Shakhbout Medical City

Clinical Quality improvement
and patient safety

Coordinating and supporting the development and implementation of a quality measurement framework to identify, assess and mitigate risk and improve clinical quality and patient safety which is standardised and aligned with the major partners and stakeholders e.g. Joint Commission, DoH Muashir, Daman EBRP and SEHA Corporate Quality.
Developing and aligning clinical quality and patient safety key performance indicators measurement both internally (i.e. SEHA KPIs) and externally (i.e. DoH Muashir KPIs) to enable benchmarking and improvement;

Collaborating with various committees and subject matter expert taskforces to address clinical quality and patient safety priorities through development of clincial guidelines, policy and procedure and support implementation through clinical decision support or other methodologies.
Monitoring compliance with performance measures and targets set, comparing against international benchmarks,and identifying improvement initiatives to address deficiencies across the region.
Coordinating and supporting the development and implementation action plans related to any deficiencies in regions.
Recommending educational initiatives to support quality improvement activity across the region and SEHA e.g. workshops/training on quality and patient safety.
Aligning with SEHA Corporate Quality, BI Unit, IT and Health Informatics to facilitate the process for electronic capture of standardized clinical performance measures that cover all aspects of care delivery within and across the region.
Recommending educational initiatives to support quality improvement activity across the region e.g. workshops/training on quality and patient safety.
SEHA Region Quality Department Strategy - Participating the development, periodic review and evaluation of the Regional s Quality Department (RQD) strategy.
Participating in setting the strategic goals, objectives of the CQPS section in collaboration with relevant stakeholders and ensuring their alignment with the SEHA strategy and the RQD strategy.
Participating in the implementation of the CQPS strategic goals and objectives as planned.
Administrative Responsibilities - Maintaining strong relationships with internal and external stakeholders to ensure optimal performance
Liaising and communicating with other departments, customers, suppliers and other service providers
Ensuring that all necessary systems, policies and procedures are in place to satisfy all customer requirements and audits
Supporting the CQPS team in facilitating regular committee and taskforce meetings with representatives from appropriate departments to support work needs.
Attending various meetings in SEHA and its regions and act on/communicate instructions
Staying current and up to date on any changes that may affect the efficient delivery of the role
Supporting the CQPS team in identifying quality improvement opportunities within the organization
Supporting the CQPS team in reporting on achievement of targets and identify any actions required
Escalating issues / concerns to CQPS Section Manager appropriately.
Contributing to Team Effort - Collaborating with other sections within the RQD to develop and maintain manuals, policies, procedures and other documents as needed.
Attending relevant meetings
Promoting effective communication strategies within the team and maintaining interdepartmental liaison where necessary
Participating in internal & external meetings and discussions as required.
Participating in development of unified policies and SEHA region initiatives.
Coordinating with other Region Quality Sections - Coordinating team work effectively and efficiency.br> Communicating effectively with team members and supervisor.
Participating in all team efforts as required time to time.br> Collaborating with other members of the team to carry out work smoothly.br> Participating in cross-functional teams and committees as appropriate
Reporting - Preparing requested reports and presentations on CQPS related reports, for Senior Management and the relevant committees.
Preparing technical reports on CQPS activity and presenting them to Regional Quality Chief / Director for onward submission to the relevent committee or department.
Preparing performance improvement reports based upon on CQPS activity.
Proposing recommendations and monitoring action plans.
Preparing reports on CQPS examining trends and putting forth improvement recommendations for the Quality Department Director and Senior Management for review at the MOC meeting.
Reporting real and potential CQPS issues to Regional Quality Chief / Director and advise on cause and corrective action plan.
Identifying challenges and suggesting mitigation methods - Identifying and defining challenges, developing knowledge and exploring solutions in a wide area of complex healthcare management issues
Participating in analyzing future opportunities and threats, assessing long term resource uncertainties and risks, and suggesting recommendations to executive management on how best to position SEHA for business.
Promoting change in culture and processes that will promote alignment with the strategic goals of the organization
Suggesting new ideas and managing special projects related to the Quality Department where appropriate
Coordinating with other SEHA Regions - Continuously liaising and collaborating with counterparts across the group in order to promote knowledge sharing and improvement
Interacting with quality personnel at SEHA regions to ensure care is delivered and documented in accordance with prescribed practices, SEHA standards and core measure requirements.
Providing consultative support and suggesting recommendations to the regions CQPS teams regarding CQPS related issues.
Managing relationships - Leveraging internal relationships to enhance business performance and customer experiences