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Quality Manager

Saudi German Health Careers KSA
Jeddah, KSA
Full Time
Manager
Onsite
4 weeks ago
Quality ManagementAccreditation (CBAHI, JCI)Patient SafetyRoot Cause AnalysisFMEAKPI Monitoring
Free

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Quality ManagementAccreditation (CBAHI, JCI)Patient Safety
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Job Purpose

  • The Quality Manager is responsible for leading and overseeing the hospital's quality management program to ensure compliance with CBAHI, JCI, MOH, and other applicable regulatory and accreditation standards.
  • The role drives continuous quality improvement initiatives, enhances patient safety, monitors key performance indicators, and supports the organization's commitment to delivering high quality patient centered care.

Key Responsibilities Quality Management

  • Develop, implement, and monitor the hospital's Quality Management Program in alignment with organizational objectives.
  • Establish and maintain quality improvement frameworks, policies, procedures, and standards.
  • Lead continuous quality improvement (CQI) initiatives across clinical and non clinical departments.
  • Monitor departmental compliance with established quality standards and best practices.

Accreditation & Regulatory Compliance

  • Ensure ongoing compliance with CBAHI, JCI, Ministry of Health, and other regulatory requirements.
  • Coordinate accreditation preparation activities, mock surveys, and gap assessments.
  • Facilitate hospital readiness for accreditation surveys and regulatory inspections.
  • Monitor corrective and preventive action plans arising from audit findings.

Patient Safety

  • Promote a culture of patient safety throughout the organization.
  • Oversee incident reporting systems, root cause analyses (RCA), and failure mode and effects analyses (FMEA).
  • Monitor patient safety indicators and implement improvement initiatives.
  • Collaborate with Infection Prevention and Control teams to support patient safety goals.

Performance Measurement & Analytics

  • Develop and monitor Key Performance Indicators (KPIs) and quality dashboards.
  • Analyze quality metrics, patient outcomes, and trends to identify opportunities for improvement.
  • Prepare periodic reports and presentations for senior management, committees, and governing bodies.
  • Benchmark organizational performance against national and international standards.

Education & Training

  • Conduct quality awareness programs, workshops, and staff training sessions.
  • Support departments in implementing evidence based practices and quality methodologies.
  • Mentor departmental quality champions and facilitate quality committees.

Audit & Risk Management

  • Plan and conduct internal quality audits and tracer activities.
  • Support enterprise risk management initiatives related to clinical and operational risks.
  • Ensure timely closure of quality findings and follow up actions.

Leadership & Collaboration

  • Collaborate with department heads, physicians, nursing leaders, and support services to drive quality initiatives.
  • Chair or participate in quality, patient safety, and accreditation committees.
  • Foster a culture of continuous improvement and accountability across the hospital.

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