QUALITY & PATIENT SAFETY

"Planning & Organizing: • Responsible for the overall quality development planning, organizing, coordinating and control of the department in line with Hospital’s goals and policies. • To plan, initiate and develop hospital activities to achieve ISO/MSQH standards/accreditations (i.e to incorporate elements of patient safety and standard requirements in the Continuous Quality Improvement (CQI) programs). • Identify, coordinate and monitor implementation of quality and process improvement initiatives with key stakeholders to improve processes and ensure patient safety and compliance to all standards/accreditations. • Lead the Internal Quality Audit team and ensure all internal and external audits are carried out in timely manner. • Review and provide report of CQI to key management and Audit Risk Management Committee (ARMC) in timely manner. • Ensures the review and approval of Hospital’s Standard Operating Policies (SOP) as per schedule to ensure they are updated and compliant to relevant statutory requirements. • Ensure all regulations and laws imposed to private hospitals be enforced through appropriate SOPs (given Private Healthcare Facilities and Services Act (PHFSA), Competition Act, Personal Data Protection Act, Amendment to Medical Act 1971 and Medical Devices Act 2012 and etc.). • Ensure all infection controls policies and procedures and standards are in place to achieve Hospital’s objective to provide best and safe environment to staff and patients. • Serves as a liaison between the insurance carrier and assigned investigators for gathering information and setting up interviews for claims. • Reports any potential claims to the insurance carrier in a timely manner. • Review and evaluate hospital risk and mitigation measures to eliminate/minimizes risk. • Determine and advise training needs for on-going education and training that meet requirements of accreditation standards, regulations, incident reporting and patient feedback. Leadership: • Projecting a strong sense of direction and leadership when setting goals and communicating new processes, products and services, or internal policy to the staff. • Modeling supportive, encouraging, and motivational qualities to the staff. • Consistently monitor employee performance, quality of work, and the efficiency and reliability of completed projects. • Make sure the ultimate goals of the business are being adequately met. Financial: • Prepare budget for department and monitor the budget on a quarterly and annual basis and allocate funds wisely.