Quality Manager aims to ensure all services provided by the hospital fit the purpose planned for, each is consistent and meets both external and internal requirements, whether legal regulations, Andalusia drivers and customer expectations. He/ She shall coordinate and guide all activities, quality improvement projects required to meet the agreed quality standards in coordination with strategic management, hospital management and department managers to consequently improve effectiveness& efficiency of all processes (medical& non-medical) and achieve hospital expected outcomes of revenue, customer base and value proposition.

•Coordinate with strategic management the plan for quality team in the hospital, cascade each for quality specialists /senior/supervisor with expected outcome and monitor their performance accordingly. •Establish hospital’s quality procedures, standards and specifications to create/update policies& protocols& SOPs that all departments has to go by in order to maintain and achieve each expected outcome and fulfil patients’ health & safety goals.

•Monitor and advise on the performance of the quality management system across all departments, measure every process against the set standards to ensure the effectiveness of the hospital’s Quality Management and Improvement System & projects

.•Set up and maintain controls and documentation procedures and checklists conducted by hospital’s staff in order to validate and verify data reported & used in monitoring& enhancement.

•Assess the effectiveness of all changes made and measures taken/applied enhancing the services & projects conducted.

•Monitor the in-charge & discharge measures of the hospital, develop action plan to enhance the process and accountability of each department (Nursing, physicians, front office, duty manager, etc.) and monitor the compliance accordingly to ultimately enhance bed utilization of each unit

.•Establish the quality requirements from external suppliers with supply chain team and make sure each is met to maintain Andalusia standards.

•Monitor mortality & morbidity incidences of the hospital, report to management & take corrective/preventive actions accordingly.

•Make sure 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.

•Monitor the compliance & adherence of physicians and nurses to hospital’s codes and efficient response time on all shifts. •Manage the reporting cycle and investigation of occurrence variance reports (OVR) of all cases, incidences or break downs as stated in hospital policies & make sure all staff members are compliant.

Education:

Bachelor degree of medical university (Medicine, Pharmacy, Dentistry)

Master degree in hospital quality or MBA, quality management major.

Certified professional in healthcare quality and/or TQM diploma

Experience:

Min 5 years’ experience in QM field in relevant hospitals or health care entities.

Minimum 2 years’ experience in managerial position.

Previous experience on Egyptian accreditation whether governmental or private hospital.

Previous experience on JCI standards

Knowledge:

Knowledge of Government Legislations and policies.

•Comprehensive understanding of health care organizations best practices & protocols

.•Sound knowledge on the concepts of Quality to the hospitals

•Change management approaches & practices

•Data management

•Proficiency in English & MS tools.

•Implements a process management and improvement protocols that leads to a positive and measurable impact on the hospital’s operations.

•Coordinates different quality and performance initiatives with HR team to ensure alignment and optimal use of resources.

•Regularly reports the status of performance and quality improvement efforts and impacts to top management and be part of subsequent measures taken accordingly.

•Provide needed training and managing quality team

.•Keep record& track of non-functional equipment and time line for its repair in coordination with maintenance and biomedical maintenance departments.

Conduct regular rounds on hospital premises; inpatient unite& OPD, stores, pharmacy units, etc. and ensure storage conditions of all materials& devises are meeting the standards.

Requirements :

Responsibilities

Quality Manager

Benefits :