Quality and Patient Safety Manager
2 weeks ago
ESSENTIAL DUTIES:
I. Quality Improvement and Patient Safety
- Coordinates all approaches, and initiatives for implementation of Quality & Patient Safety structure at the specific CURE Network Hospital
- Ensures that processes needed for the Quality Management System/Infection Control are reviewed, revised, implemented, and maintained
- Leads the department in a cost-effective manner by accurately forecasting budgetary needs and managing expenses within budgetary constraints
- Establishes, implements, and administers departmental goals, and objectives that are in line with CURE's strategic plan – focusing on SafeCare Accreditation
- Identify and investigate performance improvement events, opportunities, trends, and sentinel events
- Develop hospital quality improvement action plans for internal and external audits
- Schedule and coordinate internal Quality and Patient Safety audits
- Coordinate and support risk assessment and management audit schedule
- Monitor clinical and non-clinical processes and outcomes, and system issues related to quality and patient safety
- Implement open and closed chart audits and disseminate results to the users
- Follow up on corrective actions for departmental action plans
- Keep custody of all documents and data related to Quality and Patient Safety
- Interpret and conduct staff training on Quality and Patient Safety standards, policies, procedures, clinical protocols/guidelines/pathways for implementation
- Support for Data collection and collation for identified Quality Improvement indicators feedback, and analysis
- Keep custody of Quality Improvement data dashboards
- Support and actively participate in the activities of the hospital Quality and Patient Safety councils and committees
- Keep custody of all the hospital Quality and Patient Safety councils and committees meeting minutes
- Coordinate and monitor occupational safety and health programs/action plans
- Liaise with external parties on quality management issues
- Ensure periodic but regular assessments of patients' satisfaction and identify/implement consequent improvements
- Perform other duties as required within the applicable scope of practice and policies
- Oversee the implementation of the policies and procedures laid down in the infection manual in all areas of the hospital
- Coordinate the infection control departmental link staff and operational meetings internally and externally for infection prevention issues
- Perform surveillance activities to capture and monitor infection, prevention and control data, and share
- Take appropriate action to prevent and control hospital-acquired infections in patients also analyze the data every month
- Plan, organize, and coordinate audit and monitoring of wards, and hospital environment to ensure infection prevention and control practices
- Monitor the process of biomedical waste segregation, handling, and transportation and implement the national guidelines on hospital premises
- Develop and implement a hospital infection control training program for both clinical and non-clinical staff
- Coordinate and update the senior management teams on infection prevention and control every month and advise to improve practices for infection prevention
- Monitor and implement the laundry and kitchen sanitation, health checkups, disinfection protocols as well as other scheduled hospital infection prevention activities
- Act as an educational resource both to untrained and trained members of staff on issues related to Infection Control/Quality Improvement and SafeCare accreditation
- Perform other duties as required within the applicable scope of practice and policies
- Uphold the highest standards of quality and efficiency in line with hospital quality programs (e.g. Safecare, DOH, etc.) requirements
- Ensure a safe and secure work environment by strictly adhering to infection prevention and control protocols such as but not limited to handwashing, wearing of PPE, etc
- Commit to sustainable and eco-friendly work practices by minimizing waste, optimizing resource usage and actively participating in initiatives that promote environmental stewardship
- Minimum Education Required: Degree in Nursing/Clinical Medicine from a Recognized Institution
- Licenses/Certifications Required; if any: Current PRC (Professional Regulation Commission) license
- Minimum Experience Required: At least 6 years of post-education experience. Experience in coordination of Hospital Infection Control Implementation. Experience in quality management certification or accreditation
- Excellent writing skills
- Good problem-solving and decision-making abilities
- Excellent interpersonal, verbal, and written communication skills
- Proficient in computer skills (MS-word, Excel, PowerPoint)
- Knowledge of governmental and other regulatory standards, requirements, and guidelines related to quality improvement/Infection Control
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