Quality Manager

• Lead patient safety initiatives and risk-reduction programs.
• Monitor and analyze patient safety incidents, adverse events, near misses, medication errors, falls, complaints, and clinical risks.
• Coordinate incident investigation and Root Cause Analysis (RCA).
• Develop and monitor Corrective and Preventive Actions (CAPA).
• Conduct risk assessments and maintain risk registers.
• Escalate serious incidents and high-risk findings to appropriate management.

• Develop and execute annual clinical and operational audit plans.
• Conduct medical record/documentation audits.
• Monitor compliance with clinical policies, procedures, and approved guidelines.
• Audit infection prevention and control, medication management, patient identification, consent, documentation, emergency preparedness, and other quality-sensitive processes.
• Prepare audit reports and follow up on action plans.
• Track closure and effectiveness of corrective actions.

• Develop and monitor Key Performance Indicators (KPIs) and quality indicators.
• Prepare monthly and quarterly quality dashboards.
• Analyze trends, variances, and performance gaps.
• Present quality performance to senior management and relevant committees.
• Use data to identify improvement opportunities and measure outcomes.

• Coordinate organizational readiness for DHA inspections and other regulatory assessments.
• Support preparation for accreditation surveys such as JCI, CBAHI, ISO 9001, or other applicable accreditation programs.
• Conduct internal mock surveys and gap assessments.
• Monitor compliance with regulatory and accreditation requirements.
• Maintain evidence and documentation required for inspections and accreditation.
• Follow changes in applicable healthcare regulations and standards.

DHA’s regulatory framework includes facility inspection, clinical audit, performance measures, healthcare standards, and self-inspection checklists, making regulatory readiness an important component of a UAE healthcare Quality Manager role.### **6.

Continuous Quality Improvement**

• Lead Quality Improvement (QI) projects using methodologies such as PDCA, PDSA, Lean, Six Sigma, and DMAIC, where appropriate.
• Facilitate multidisciplinary quality improvement teams.
• Identify process inefficiencies and recommend evidence-based solutions.
• Measure improvement outcomes before and after interventions.
• Ensure successful improvement projects are standardized and sustained.

• Review and update clinical and operational policies.
• Ensure policies are aligned with current regulations, accreditation requirements, and evidence-based practice.
• Coordinate policy approval through appropriate committees.
• Monitor staff compliance with approved policies and procedures.

• Monitor patient complaints, feedback, and satisfaction results.
• Analyze complaints for recurring quality and safety issues.
• Coordinate investigations and corrective actions.
• Develop initiatives to improve patient experience.
• Monitor patient satisfaction and service quality indicators.

• Coordinate meetings of relevant quality and patient safety committees.
• Prepare agendas, reports, dashboards, minutes, and action trackers.
• Follow up on committee decisions and outstanding actions.
• Provide management with regular quality performance reports.

• Develop and deliver quality and patient safety training.
• Conduct awareness sessions on incident reporting, RCA, CAPA, audits, patient safety, and regulatory compliance.
• Promote staff understanding of quality objectives and organizational standards.

QUALIFICATIONS* Bachelor’s degree in Healthcare Management, Nursing, Medicine, Pharmacy, Allied Health, Quality Management, Public Health, or a related healthcare discipline.

• Master’s degree in Healthcare Management, Quality Management, Healthcare Administration, Public Health, or related field is preferred.

• CPHQ – Certified Professional in Healthcare Quality
• Lean Six Sigma Green Belt or Black Belt
• ISO 9001 Lead Auditor / Internal Auditor
• Certified Patient Safety Professional (CPPS)
• Risk Management certification
• JCI/accreditation-related training

• 5–8+ years of healthcare quality experience, with at least 2–3 years in a Quality Manager, Quality Lead, Quality Coordinator, or equivalent role.
• Experience in hospitals, outpatient medical centers, clinics, day surgery centers, or healthcare groups.
• Experience with healthcare accreditation and regulatory inspections is strongly preferred.
• UAE healthcare experience and knowledge of applicable regulatory requirements are advantage.