Job Summary

• Support the implementation of quality and patient safety; enforce compliance with the hospital quality program across assigned departments, working together with the unit leadership and to carry out scheduled quality audits, guiding in corrective action formulation and implementation.
• Support the implementation of utilization management across assigned clinical departments in order to deliver cost effective patient care and address risk.
• Provide Physician liaison and clinical corporate client support, working closely with care managers.

Responsibilities

• Provide support/guidance in the review of relevant policies to conform to the quality and patient safety standards of the hospital;
• Lead the development of Policies and procedures as and where required;
• Support assigned departments in process reengineering to optimize operational efficiency and patient care;
• Guide the interpretation and implementation of developed policies and procedures in the context of the quality and patient safety framework;
• Constantly involved in the training and communication of quality and patient safety issues and standards/best practice throughout the assigned areas;
• Review accreditation and regulatory agencies survey /internal quality audit findings and support the development and implementation of corrective/preventive action plans to address non-compliance;
• Directs and supports the collection, measurement and presentation of data required for monitoring and improving quality and patient safety;
• Leads the Hospital in conducting Root Cause Analysis (RCA) for sentinel and adverse events
• Identifies opportunities for continuous quality improvement and supports the implementation of CQI activities in assigned areas;
• Support departmental leaders in identification of relevant utilization management indicators;
• Support departmental leaders in the collection and application of utilization management data in quality improvement activities;
• Provide timely utilization management outcome reports to the clinical director and clinical departmental leaders to facilitate utilization improvement initiatives;
• In liaison with the clinical department support persons and departmental leaders, support the creation of wholesome QVRs that incorporate all quality indicators for the department;
• Train departmental leaders and staff in utilization management data collection;
• Identify gaps and challenges in timely data collection within the clinical departments and escalate to the clinical director for action;
• Support the departments in timely updates of the QVRs as set in policy, month by month;
• Liaise with the hospital statistician to achieve the integration of data in departmental QVRs into an institutional QVR;
• Coordinate the clinical departments support persons under the guidance of the clinical director for clinical quality data validation;
• Aggregation and analysis of clinical audit data;
• Continuously audit compliance with the hospital quality and safety program in assigned areas;
• Coordinate the closure of matters arising from physician feedback for improved physician satisfaction and participation;
• Develop appropriate indicators and targets and regularly report performance;
• Provide clinical support to Corporate clients via care managers; and
• Carry out any other lawful tasks as may be assigned by Quality Director /COS from time to time.

Requirements

• Minimum of an undergraduate degree in a Medical/clinical field; a master’s degree is preferred;
• Health Management background would be an added advantage;
• Minimum 3 (three) years’ experience in direct and indirect clinical care activities in a healthcare institution;
• In-depth understanding of good clinical practice requirements;
• Have strong experience and knowledge of clinical monitoring functions with knowledge of clinical research;
• Excellent problem-solving skills and the ability to manage multiple tasks;
• Excellent data analytical and presentation skills;
• Good leadership skills;
• Excellent communication, interpersonal and presentation skills; and
• Ability to work in multidisciplinary teams.