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Quality Management Specialist I

King Abdulaziz Medical City - Riyadh
Riyadh, Saudi Arabia

Duties/responsibilities:

  • Facilitating, monitoring, educating, conducting, and coordinating Joint Commission Accreditation and re-accreditations

  • Implementation of Continuous Improvement Initiatives including:

    • New Quality Management System

    • Disease Management Programme

    • Patient Safety Walkrounds Programme - this involves, among other things, analysing and reporting on clinical practices; processes; error reporting and the environment from the perspective of patient safety

    • Clinical indicators (working towards Data Warehouse/Balanced Scorecard)

    • Sentinel Events and Root Cause analysis as per Sentinel Events Guidelines

    • Training for Quality Improvement Initiatives and FOCUS PDCA (System Improvement Methodology) Projects - with a view to the next stages; FMEA and 6 Sigma

    • Reviewing and investigating of Mortality & Morbidity rates with reference to PCI's

    • Facilitating the implementation, analyzing, reporting and reviewing the effectiveness of the various initiatives and recommending and implementing further improvements (Continuous Improvement Cycle).

  • Responsible for recommendations regarding annual review/revision within all KAMC-CR quality management programs/activities, databases, indicators etc.

  • Perform retrospective or concurrent reviews on assigned areas utilizing the KAMC-CR approved Indicators

  • Monitoring System (IMS) databases, indicators or criteria.

  • Participate in Site Visits to the various KAMC-CR Facilities to work with staff on quality management programs and/or activities.

  • Responsible for completion of a full and detailed Site Visit Report within three (3) working days of return from all visits.

  • Assist in training staff from various KAMC-CR Facilities in areas of Quality Management, SANG Health Affairs

  • Quality Management Programs, records requirements, techniques of continuous quality management and other related areas as assigned.

  • Conduct Quality Management Workshops as appropriate and as directed by the Director of the Department

  • Conduct Orientation for QM system Training for all new KAMC-CR Staff.

  • Participate in area wide mini focus studies to be undertaken in conjunction with the Department and other KAMC-CR Directorates

  • Responsible for reviewing results of committee meetings, mini focus studies, QTI Team activities etc. from all assigned facilities and participating in preparation of quarterly reports for the Director of the Quality Management Department.

  • As assigned by the Director, coordinate Quality Management Activities with other SANG Health Affairs Directorates to maximize staff expertise in the area of Quality Management.

  • Facilitate the preparation of monthly and quarterly reports regarding the KAMC-CR Quality Management Program and compliance with same for all assigned facilities.

  • Responsible for recommendations regarding annual review/revision within all KAMC-CR quality management programs/activities. databases, indicators etc.

  • Provide day to day operational support to King Abdulaziz Medical City as assigned in terms of concurrent reviews, utilization reviews, retrospective monitoring, committee and Quality Management Team assignments, referral of identified issues or concerns to appropriate department(s) or areas etc.

  • Responsible for reviewing OVA (Clinical Incident Reporting System) into the database, referring PCI's (action) reporting of trends, analyzing of reports, and identifying any Sentinel Event.

  • Facilitating, maintaining the database, coordinating, analyzing and reporting on the Medication Safety program.

  • Developing, maintaining, analyzing and reporting with regard to Patient Medical Record Audits.

  • Facilitating the formation, analyzing and reporting of Clinical Pathways.

  • Attending Quality Improvement Committee meetings in assigned clinical area(s).

  • Reviewing, facilitating, and developing APP, IPP, Guidelines. Assisting in developing QI Plans.

Qualifications/Education Required:

  • Bachelor in Health Care profession, (i.e. Nursing, Pharmacy, Hospital Administration or other relevant discipline or equivalent) 

Experience Required:

  • Minimum of four (4) years work experience of which at least two (2) years recent experience should be in Quality Management activities in acute care facility or large ambulatory care environment.

  • Current knowledge of Quality Management tools and techniques 

  • Experience working in a personal computer environment

  • Effective interpersonal communication and teaching skills

  • Knowledge of JCIA standards

Other Skills:

  • English Essential

  • Arabic Beneficial

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