JOB SUMMARY:

The Director – Quality and Patient Safety serves as a highly visible, energetic leader and champion for quality, safety working collaboratively across the organization, and is responsible for the leadership and operational management of the quality, patient safety programs.

KEY ROLE ACCOUNTABILITIES:

• Working with the Clinical Chiefs, Clinicians and the Operation team and under supervision of Executive Director the role supports the development and implementation of Clinical Governance/ framework and develops and implements the Patient Safety and quality improvement plan.
• Provides direction / support to clinical and corporate services to meet standards/MOPH obligations in relation to investigations of all adverse events including sentinel events, providing regular updates to the CEO/CET/Quality Committee.
• Delivery and management of Quality and Safety assurance programs across Sidra Medicine to ensure that they are high quality, safe and effective.
• Makes recommendations for service improvement and monitors that these are being implemented through provision of appropriate reports to support service reviews.
• Leads the Patient Safety Culture Survey and improvement plans associated with benchmarked outcomes and utilizes the survey results in improvement efforts.
• In conjunction with the medical staff and system leadership, identifies patient care quality improvement goals and objectives and leads safety/quality/ performance improvement initiatives.
• Provides overall direction necessary to ensure that clinical services are provided in accordance with standards established through Qatar regulations and TJC/JCI accreditation standards, and that they are evidence-based.
• Works closely with the Director of Informatics and other key stakeholders to ensure organizational compliance with required KPIs and mandated quality indicators, both internal and external.
• Prepares annual reports to and seeks consultation from Sidra’s Chief Medical Officer and Chief Nursing Officer, Sidra’s Board of Governors, and the Qatar Ministry of Public Health regarding Patient Safety, Performance Improvement Program, and Staffing Effectiveness and other reports as requested.
• Creates and communicates a shared vision of a high-quality health care service for both the organization and for the Department.
• Supports the leadership with the organization-wide performance improvement program including Infection Control, Peer Review, Patient Safety, Patient Satisfaction, Core Measures, and assures compliance with regulatory requirements.
• Regularly communicates performance improvement and quality/safety activities to leadership and staff proactively educating leadership and staff regarding regulatory issues, new guidelines, and safety/quality performance improvement activities.
• Oversees the design of safe clinical systems, processes, policies and procedures.
• Leads the delivery/achievement of JCI Quality and Patient safety standards (QPS)
• Assures accurate and timely submission of all required data and information for required and voluntary quality reporting programs.
• Creates a continuous learning environment focused on patient and team member safety where just culture principles are applied and evident throughout the organization.

QUALIFICATIONS, EXPERIENCE AND SKILLS:

Education:

• Master’s Degree in Healthcare relevant fi
• eldBachelor’s Degree in clinical discipline (Nursing, Medicine or Allied Health

Experience

10+ years of experience with progressive responsibilities in relevant field inclusive of:

• 8+ years of Healthcare, Quality, and Safety, experience preferred.
• 5-7 years of supervisory or management experience preferred.
• Experience in project development, project management and strong analytical skills, including data management and data analysis required.
• Knowledge of the following required.
• Clinical quality, patient safety and/or patient satisfaction performance measures and indicators.
• Data definitions and sources and relevant national databases and benchmarking.
• Healthcare quality, safety and satisfaction data design, collection, aggregation and summarization.
• Expert knowledge of performance improvement models, methods and systems.