Manages and coordinates hospital-wide efforts to ensure that performance management (PM) and quality improvement (QI) programs are developed and managed using a data driven focus that sets priorities for improvements aligned to ongoing strategic imperatives.
Follow up on the implementation of the suggested actions from the rounds performed by the Quality team members.
Follow-up with concerned parties on corrective / preventive actions.
Follow-up the coverage of the training sessions to all hospital departments and that 100% of the required attendees have received their training.
Validates randomly to 25% of the performed rounds and feedback with the concerned quality team member in case of validity level less than 90%. (Validity is measured through comparing the result of the quality team member round score and the quality supervisor round score.)
Prepares the compliance program for each round as well as develops efficient and effective assurance activities.
Ensures that all planned trainings are performed and submit “training report” to the quality manager on a monthly basis
Manages and monitors the implementation of project plan through identifying potential risks and project’s resource requirements (manpower, time, equipment, materials, etc.).
Develops project plans including business case, contingencies, critical paths, and project management tools and techniques to improve the current hospital quality status.
Monitor the medication errors or drug interaction incidence are kept to the minimum and that all staff members are compliant with set policies & procedures in assessment, double checking & administration.
Collects and reviews the data from each quality member who is assigned on a department according to his/her KPI reports and assess the data compliance according to (CUIKA).
Submits on a monthly basis to the quality Manager all KPI reports including:
KPI Trend.
Identified root cause for each KPI report
.Last Month corrective actions per each KPI report and their status.
Recognizes when the emotion and content do not appear to be in sync.
Genuinely seeks to understand people as individuals and their points of view
Acts as a positive role model for innovation.
Encourages dialogue and debate in the development of new ideas with a wide range of people.
Puts self forward for challenging assignments and projects which will develop strengths and address development areas.
Builds and maintains relationships with a range of individuals involved in delivering the service
Manages sensitivities between individuals and groups
Helps lead others towards common goals, providing clear objectives and offering appropriate support.
Shows awareness of team dynamics and acts to promote effective team working.
Appreciates the efforts of others
Reviews and adopts the most efficient approach to achieve individual/team goals.
Monitors and evaluates performance against established standards.
Tries alternative methods when existing practices have not led to desired performance results
Takes action or seeks assistance from colleagues/direct supervisor when objectives are in danger of not being achieved.
Essential/Preferable Education: Bachelor degree of Pharmacy, Medicine, Dentistry.( Medical Background is a must )
Years of Experience/ Qualifications:
5+ years of experience in quality improvement in relevant hospitals or healthcare entities.
Comprehensive understanding of health care organizations best practices & protocols.
Previous experience on Egyptian accreditation whether governmental or private hospital
Experience leading, motivating, and training team members, monitoring & assessing skills.
Leadership skills, critical & analytical thinking, innovation & initiativity of improvement processes, act as a knowledge resource for other team members, adaptability & flexibility.
