Continuous Quality Improvement Manager at Metropolitan Hospital

DESCRIPTION

• To provide operational leadership and planning in the development, implementation, and coordination of quality improvement programs, standards and efficient management of resources.

RESPONSIBILITIES

• Lead the development, implementation, and coordinate quality improvement programs with a particular focus on systems dealing with patient safety, compliance, productivity, credentialing and privileging, documentation, utilization management, and the integration of business and clinical processes.
• Oversee and maintain accreditation standards (COHSASA) and compliance with local and state regulatory standards.
• Oversee hospital Environment of Care, Infection Control, and Disaster Management Programs.
• Oversee  utilization  of clinical, nonclinical, health, safety and environmental policies, procedures, and processes.
• Participate in various standing committees to include but not limited to, the Quality and standards board committee, the Hospital Quality Assurance and quality improvement committee, Infection Control Committee and Utilization Review Committee, County Quality Improvement Committee, Disaster Emergency Management Team, Infection Control Committee, etc.
• Update the organization’s Quality Improvement Plan, and oversee the quality improvement processes that relate to client quality and safety including such processes as incident reporting, medication errors, complaints and grievances, and client satisfaction.
• Develop, share and get approval for annual quality improvement work plan and budgets. 
• Oversee incident reporting, including review of incident, and oversee Adverse Incident Peer Review needing to be completed, Root Cause Analysis(RCA’s) needing to be done (Hospital and non-hospital).
• Work with the hospital auditor to ensure compliance with statutory requirements. Eg. Licenses
• Review and update hospital risk register in conjunction with the auditor. 
• Work with ESG consultant to ensure compliance with statutory and accreditation requirements. 
• Review metrics, outcome measures and create quality training curriculum for employees to communicate to the local and regional community.
• Review and update data entry and collection methodologies in order to produce key performance metrics as these pertain to quality and safety, analyzes data, develops reports and recommends necessary actions to improve performance.
• Review technical publications, articles, and abstracts to stay abreast of technical developments in the industry.
• Assist executive staff in development and maintenance of other policies, procedures and processes.
• Ensure availability of resources for service delivery.
• Oversee efficient utilization of resources.
• Audit compliance with facility and equipment maintenance programs.
• Any other duty as assigned by the supervisor as in line with the job description.

QUALIFICATIONS

• Higher diploma or Bachelor’s degree in Clinical training from a recognized university.
• Active knowledge and experience in Quality and risk standards, , People and Stakeholder management.
• Active application of Information Systems and Health Care Management.
• Excellent skills in excel, PowerPoint and Microsoft 365.  
• More than 2 years and up to 5 years in quality.