Standards & Accreditation Officer at Tenwek Hospital

Job Summary:

• To ensure that the institution meet the appropriate and acceptable standards of quality nationally and internationally.

Job Description:

• Support all departments/units to comply with the national and international regulatory /accreditation processes to ensure compliance with the accreditation standards.
• Provide staff training on Quality standards.
• Tracks deadlines for all regulatory/accreditation activities, and assures all responses are on target to meet deadline, or escalated through necessary reporting structure to meet necessary compliance timeframes.
• Manages/assists with the hospital process for policy development or review, approval, dissemination, intranet posting, and archiving.
• Collaborates with Health, Safety and Risk Management units to provide strategies, tools, and approaches to achieve compliance.
• Educate hospital leadership and personnel on the benefits and risks associated with regulatory compliance in terms of value to accreditation, patient care, and public reputation.
• Work with quality internal auditors to Audit and Evaluates extent of compliance of hospital units and departments with regulatory and accreditation standards.
• Monitor the corrective action plan for closing identified non -conformities.
• Assists departments and units in assessing readiness for licensing and accreditation
• Manages all aspects of accreditation, regulatory and hospital licensure compliance which includes ensuring full documents are submitted to accreditation body on time.
• Identifies opportunities for improvements based on evidence-based practices in regulatory and accreditation compliance.
• Organize internal and external Quality Audits as required.
• Any other assignment from the supervisor/Management

Education/Qualification

• Bachelor’s Degree in Health-related field with at least 5 years’ working experience in quality related matters.
• Must be trained on ISO 9001:2015 standard.
• Training on Quality internal audit is an added advantage.