Job Description

Interprets and implement quality improvement standards in hospital to ensure quality care is delivered to patients.Directs and coordinates the investigation of incidents and follows on the corrective and preventive measures.Designs and re-designs hospital key processes to improve patient flow and safety as a result of reviews.Reviews and evaluates patients' medical records as part of investigations or documentation audits.Identify and define the discrepancies in procedure implementation and initiate measures to bridge the gap.Ensures policies and procedures for revision are reviewed with the concerned department, and required approval is secured, issued, and published.Initiates measures to monitor compliance and evaluates the appropriateness of quality improvement and patient safety plans and practices.Conducts regular visits to the Clinical units to verify compliance to Required Organization Practices (ROP) against a formally developed audit checklist.Assist accreditation teams to review and achieve the standards and submit regular updates to the quality director.Actively participate in quality initiatives, risk management and other activities as required and assigned.Conducts onsite tracer methodology as assigned to verify compliance of units to accreditation and patient safety standards.Participates in the planning, development, coordination, and presentation of specific training and educational programs as appropriate to the quality improvement needs.Guides to the departments in developing documents (policies, procedures, guidelines) keeping in mind accreditation standards, professional consideration, Country’s laws and regulations.Participates in meetings related to quality, safety and other operational matters.Participate in development of department Operational plan by suggesting objectives and action plans during departmental discussion.Contributes to the collation of quality department reports, based on annual operation plans/ team initiatives.Participate in Quality Improvement Projects as assigned.Conducts training sessions on behalf of Quality Department during General Orientation, Patient Safety Workshop and any others as assigned.