Assumes responsibilities and supports the Hospital-wide provision of quality,
as directed. Coordinates all activities related to assigned section under
Quality Management (QM).
1.Facilitates the implementation of the specific plan for the assigned section
inclusive of annual goals and objectives and reporting mechanisms.
2.Liaises with departments Hospital-wide regarding the assigned section 's
activities.
3.Facilitates and supports quality improvement projects requiring
interdisciplinary or departmental participation.
4.Coordinates the investigation and conduction of root cause analysis of
actual and potential serious/sentinel events in the Hospital.
5.Facilitates conducting risk assessment activities for clinical and non-
clinical areas as per the risk management plan. Collaborates with Hospital
departments and services to identify areas for improvement to implement
quality improvement initiatives.
6.Participates in the development and revision of the department's policies
and procedures and the curriculum for staff education and training in
alignment with the section plan.
7.Conducts educational sessions relating to assigned section and quality,
safety and customer services related education as assigned.
8.Prepares and presents reports on issues impacting the delivery of quality
services Hospital-wide relative to the assigned section.
9.Assumes consultant role on subjects related to quality, patient safety,
performance improvement, risk management and National/international standards.
10.Provides direction for Quality Analysts, as assigned, to support
implementation of the section plan.
11.Participates in implementing quality management and quality improvement
programs.
12.Participates actively in the assigned committees, task-forces and teams
13.Follows all Hospital related policies and procedures.
14.Participates in self and other's education, training and development as
applicable.
15.Performs other related duties as assigned.
Master 's or Bachelor's Degree in Nursing, Quality or other healthcare related
discipline is required.
Four (4) years of related experience with Master 's or six (6) years with
Bachelor's Degree is required.
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