JOB PURPOSE

• To support the implementation of quality and patient safety; enforce compliance with the hospital quality program across assigned departments, working together with the unit leadership and carrying out scheduled quality audits, guiding in corrective action formulation and implementation.
• To support the implementation of utilization management across assigned clinical departments in order to deliver cost effective patient care and address risk.
• To provide Physician liaison and clinical corporate client support, working closely with care managers.

RESPONSIBILITIES

Coordination of development/review of quality and patient safety policies, procedures and processes.

• Provide support/guidance in the review of relevant policies to conform to the quality and patient safety standards of the hospital
• Lead the development of Policies and procedures where required.
• Support assigned departments in process reengineering to optimize operational efficiency and patient care

 Integration of the hospital quality program into the departmental/unit agenda.

• Guide the interpretation and implementation of developed policies and procedures in the context of the quality and patient safety framework.
• Constantly involved in the training and communication of quality and patient safety issues and standards/best practice throughout the assigned areas.
• Review accreditation and regulatory agencies survey /internal quality audit findings and support the development and implementation of corrective/preventive action plans to address non-compliance.

Support the enforcement and monitoring of compliance with the hospital quality program in assigned areas.

• Directs and supports the collection, measurement and presentation of data required for monitoring and improving quality and patient safety.
• Leads the Hospital in conducting Root Cause Analysis (RCA) for sentinel and adverse events
• Identifies opportunities for continuous quality improvement and supports the implementation of CQI activities in assigned areas.
• Support departmental leaders in identification of relevant utilization management indicators
• Support the implementation of departmental utilization management priorities.
• Support departmental leaders in the collection and application of utilization management data in quality improvement activities.

Support assigned departments in optimal resource utilization management.

• Support departmental leaders in identification of relevant utilization management indicators
• Support the implementation of departmental utilization management priorities.
• Support departmental leaders in the collection and application of utilization management data in quality improvement activities.

Support the collection and aggregation of utilization management data in clinical departments.

• Create department and physician-based databases for identified utilization management indicators
• Liaise with relevant clinical departments to ensure timely and complete utilization management data collection.
• Identify and recommend requisite IT support in utilization management data collection, aggregation and analysis.
• Provide timely utilization management outcome reports to the clinical director and clinical departmental leaders to facilitate utilization improvement initiatives.
• Support assigned departments to optimize utilization Management data collection and application

Creation and management of clinical departmental Quality Variance Reports.

•  In liaison with the clinical department, support persons and departmental leaders, support the creation of wholesome QVRs that incorporate all quality indicators for the department.
• Train departmental leaders and staff in utilization management data collection.
•  Identify gaps and challenges in timely data collection within the clinical departments and escalate to the clinical director for action.
• Support the departments in timely updates of the QVRs as set in policy, month by month.
• Liaise with the hospital statistician to achieve the integration of data in departmental QVRs into an institutional QVR.
• Coordinate the clinical departments support persons under the guidance of the clinical director for clinical quality data validation.

Aggregation and analysis of clinical audit data

• Aggregate data from clinical departmental audits for use by various stakeholders.
•  Analyze and organize clinical audit data to reflect trends and inform action planning.
•  Advice the clinical director on unfavorable trends in UM indicators for timely remedial action.

 Quality audit

• Continuously audit compliance with the hospital quality and safety program in assigned areas.
• Participate in scheduled periodic hospital-wide audit activities.

Physician Liaison

• Coordinate the closure of matters arising from physician feedback for improved physician satisfaction and participation
• Develop appropriate indicators and targets and regularly report performance.

Provide clinical support to corporate clients via care managers

• Liaise with care managers to address clinical complaints/challenges of corporate clients in a timely version.
•  Analyze clinical issues related to corporate clients and provide advice leading to the improvement of service contracts and risk management approaches

Other responsibilities

• Carry out any other lawful tasks as may be assigned by the Quality Director /COS from time to time.          

  Education Qualifications & Skills required

• Minimum Bachelors University degree in Nursing. A master’s degree is preferred.
• Must be registered with the Nursing Council
• Health Management background would be advantageous
• MS Office proficiency    
• Minimum of three years’ experience in direct and indirect clinical care activities in a healthcare institution.
• In-depth understanding of good clinical practice requirements.
• Have strong experience and knowledge of clinical monitoring functions with knowledge of clinical research. 
• Excellent problem-solving skills and the ability to manage multiple tasks.
• Excellent data analytical and presentation skills
• Good leadership/people skills.  
• Excellent communication, interpersonal and presentation skills
• Ability to work in multidisciplinary teams
• Ability to manage own workload and prioritize effectively.
• Effective time management and organizational skills