Job Description
REGULAR DUTIES/RESPONSIBILITIES
- Accreditation & Licensure Activities:
- Assist in Organizational initiatives to meet international quality standards by drafting and developing Institutional policies, performing audits for improvement and Quality initiatives at PCP sites
- Provide assistance in developing strategies to ensure maintenance and sustainability of the hospital-wide compliance to the goals and objectives of the Joint Commission.
- Assist in training and development of staff on organizational policies.
Sindh Health Commission/Punjab Health Commission Related:
- Manage and perform all activities pertaining to the registration, accreditation and preparation of primary care sites.
- Conduct & supervise periodic audit reviews of departmental quality systems to ensure compliance to applicable standards.
- Manage projects involving Quality Improvement and Patient Safety from formation of project team through post implementation support.
- Risk Management:
- Provide support and maintenance of the "Incident Reporting System"
- Conduct necessary analysis to identify root causes of system failures in various areas when required
- Assist in implementation of solutions to eliminate recurring failures and improve system performance.
- Quality Improvement Initiatives:
- Facilitate and support staff in quality audits and develop audit reports.
- Facilitate under supervision staff in conducting awareness sessions on various quality improvement standards, internal quality audits, and other areas as required.
- Responsible for the orientation of new staff employed in Quality Improvement and Patient Safety Department.
- Attending different Quality Improvement Committee meetings as assigned.
- Developing and implementation of Quality Initiative plans.
- Monitor QI Team activities from all assigned facilities and prepare quarterly reports for the Head of Department.
- Draft data driven plans related to the area of assignment (e.g., Risk Management, Quality Improvement, Data analysis, etc.).
- Provide assistance to Manger / Deputy Manager QIPS in departmental tasks and other assignments
- Update the activities to the HOD QMD & Manager Clinical Operations, on an on-going basis.
- Patients Complaints & Feedback Management:
- Handle patient complaints (written & verbal).
- Conduct patient feedback/satisfaction survey to analyze trends and take actions for service improvements
- Maintain established departmental policies and procedures, objectives, & quality management program.
- Provide guidance to patients and their attendants for their problems & concerns.
- Execution and implementation of the policies through all counters of public interface.
- Interview patients for personal information.
- Liaise with consultants, doctors and department managers for giving better services to the patients and solve their problems.
- Attend departmental meetings as and when required.
- Update the activities to the HOD QMD and Manager Clinical Operations – CHD on an on-going basis.
PERIODIC DUTIES/RESPONSIBILITIES
- Carry out 6 monthly and yearly analysis for incidents, in specific of the PCP sites, and other data as per need.
- Represent the department in different forums as per need of PCP sites.