Associate Director – Quality (Corniche Hospital)

Job Description

Responsibilities

• Initiating and overseeing the development of a comprehensive quality improvement program in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards.
• Reviewing the quality improvement program regularly in light of changing organizational needs, changing law and changing policies and procedures of managerial and governmental bodies.
• Directing and coordinating in conjunction with facility leadership, the quality initiatives for the organization.
• Developing and implementing systems, policies, and procedures for the identification, collection, and analysis of performance measurement data.
• Collecting and summarizing performance data, identifying opportunities for improvement, and presenting findings quarterly to the committee and Board of Directors.
• Analyzing customer survey data to identify opportunities for improvement and presenting findings to appropriate departments.
• Providing strategic oversight of proactive and reactive quality improvement activities.
• Providing overall direction necessary in to ensure that services are provided in accordance to the established standards.
• Overseeing the reporting of events as required by regulatory agencies.
• Providing input for the department budget related to quality (e.g., information systems).
• Educating and training the leadership, staff and business associates as to the quality improvement plan, and their respective responsibilities in carrying out the quality improvement program.
• Communicating performance innovation and medical safety activities on a regular basis to the medical staff and engaging medical staff in all quality and safety initiatives.
• Reviewing and evaluating services of the facility that are affected by quality/medical safety/regulatory issues, identifying problems, making recommendations for improvement, and monitoring services to ensure that safety/regulatory recommendations are implemented and the desired results are obtained.
• Establishing relationships with external agencies related to quality improvement programs, including but not limited to purchasers, government agencies, and other stakeholders.
• Leading, facilitating, and advising internal quality improvement teams.
• Planning and supervising the day to day activities of the section; streamlining processes wherever possible.
• Evaluating workload, conducting performance evaluation and initiating necessary disciplinary actions.
• Understanding the training requirements of the team and communicating the same for the benefit of the training department.
• Providing practical training and education across areas such as: conflict resolution, grievance handling, employment law, performance management and negotiation with staff associations.
• Providing on the job training and orientation for the team during course of work.
• Complying consistently with facility policies, procedures and practices and ensuring alignment with SEHA facilities policies.
• Completing and maintaining regulatory requirements including: licensure and certification and other mandatory training within established time frames.
• Adhering to requirements of the Occupational Health and safety guidelines and infection control guidelines.
• Understanding and adhering to emergency preparedness plans/policies.

Education Required

• Bachelor's degree or equivalent in relevant field such as quality, Occupational Health, Safety, Environment or Industrial Hygiene or Diploma in relevant field with 3 years of additional experience Desired: Master degree in relevant field
• Recognized certifications such as Professional in Healthcare Quality (CPHQ), Certified Quality Engineer (CQE), Certified Quality Analyst (CQA), Certified Quality Management (CQM) etc.

Experience Required

• 8-10 years of relevant experience in a similar industry of which minimum 5 years progressive leadership responsibility in a large organization Desired: Experience in a large healthcare facility

Additional Qualification Requirements

• Proficiency in English and Arabic language
• MS Office and computer proficiency
• Excellent communication skills and ability to present his/her ideas
• Strong analytical and problem-solving skills
• Ability to deal with multiple issues simultaneously (multitask) and move them all towards resolution
• Strong service orientation with ability to influence others and collaborate cross functionally