Quality Director (QD) is responsible for planning, implementation and monitoring of all quality processes, risk management and patient safety related activities within Riyadh Hospital. Directs the efforts of all the performance improvement initiatives to ensure overall compliance with all regulatory standards including national standards (CBAHI) and International standards. He/She works with clinicians and administrators to improve overall patient safety and systems-level outcomes. Responsible for the facilities quality, patient safety and risk management programs with an emphasis on patient safety, and harm reduction. Supports, promotes and encourages a culture of safety throughout the organization.
2. Key Job Responsibilities
Contributes to the development of strategic plans and coordinates the improvement initiatives and strategic plan of the hospital; directs daily implementation of the strategies and tactics needed to succeed in improving results.
Develops the internal quality system of the hospital, defines the organizational structure of quality and describe the responsibilities of the units and committees of quality.
Works to achieve CBAHI requirements and meet their standards and ISO 9001 Standards.
Responsible for maintaining the facilities system-wide Quality program; to include data collection, aggregating and analyzing data, maintaining policies and procedures and reporting to administrators, Medical Staff and the Board.
Works closely with Clinical and Non-Clinical teams for improvement on key performance indicators, to evaluate effectiveness, reliability, efficiency, etc. using available information systems data, designs processes for new initiatives, services and other targets identified by Riyadh Hospital leadership.
Manages performance improvement projects, flow and alignment to assure milestones and key performance indicators are met within defined parameters. Documents the results of projects, and submits other documentation as requested.
Serves as an internal consultant to administration, staff, and physicians in the areas of regulatory, process improvement, performance monitoring, and statistical analysis.
Focuses on better healthcare value, practices and quality, including the improvement of clinical outcomes, patient experience, patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability.
Plans and organizes internal quality auditing activities within the organization to ensure continuous compliance with regulatory and strategically desired certifications, licenses and accreditations.
Evaluate and document the effectiveness of the quality management system.
Works to survey stakeholder satisfaction, especially patients, and develops improvement plans based on results.
Design, coordinate and maintain various aspects of the patient safety and risk management programs for all of Riyadh Hospital and its affiliated clinics.
Review, investigate and analyze incidents for risk and adverse event identification, loss prevention and claims management purposes, including both potential and actual patient injury. Recommend interventions, which will enhance the safety and well-being of patients, staff and organization at large.
Mobilize departmental or administrative support to address unresolved high-risk practices.
Collaborate and coordinate with administrators and other departmental leaders on all patient safety/ risk management issues.
Supports the organizational orientation/induction programs for all new comers and or internal/departmental ensure that all new joiners are educated and informed into the requirements and philosophy of the Quality and Patient Safety Program.
Develop policies for professional development programs for administrators and physicians and ensure that the competent authorities implement them.
Performs other duties assigned to him by the CEO within the scope of work to serve the objectives of the hospital and raise the level of performance.
3. Skills and experience required
The position demands the following skills and experiences:
Demonstrable skills and experience in strategic planning and performance measurements
A strong experience with healthcare standards specially CBAHI standards.
An ability to develop and review governance arrangements to ensure accountability and facilitate decision-making
Experience in developing and delivering training programs
An ability to communicate at all levels to solve problems, facilitate change and achieve desired outcomes.
Excellent analytical skills.
An ability to attend to multiple projects simultaneously and meet deadlines;
Experience with institutional assessment and effectiveness;
Ability to communicate effectively, with excellent verbal and written communication skills.
Effective management and organizational skills;
Ability to work independently, exercise creativity, and maintain a positive attitude.
Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work.
Shows flexibility in coping with multiple and changing priorities.
Accepts changes in job role in a positive manner.
Maintain employee and patient confidentiality at all times.
Ability to maintain confidentiality of all medical, financial, and legal information.
Communicate the mission, ethics and goals of the organization.
Participate in performance improvement and continuous quality improvement activities.
Strong organizational and interpersonal skills.
4. Qualification Requirements
Bachelor’s degree (at least) in any medical specialties, healthcare administration, or a similar field of study with a strong analytical base.
A minimum of three (3) years’ experience in a hospital facility, Quality/Risk leadership experience.
A professional certificate in Healthcare Quality.
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