Quality Advisor, Quality Department at Aga Khan University Hospital

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
• 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.
• Ability to work in multidisciplinary teams.