Accreditation & Policy Development Specialist Ii

2 weeks ago

Riyadh, Ar Riyāḑ, Saudi Arabia King Abdullah bin Abdulaziz University Hospital Full time

Job Purpose


In keeping with the mission of the QI & PS Department and the King Abdullah bin Abdulaziz University Hospital, this position reports to the Manager of Accreditation and Policy Development of the QI&PS Sections and will provide direct link between the QI&PS Department and front line staff for implementation and monitoring of the Quality Improvement, Patient Safety and Risk Management programs including a Readiness for Accreditation and compliance to regulatory standards such as JCI, CBAHI, MOH and others.


Key Accountabilities & Responsibilities

  • Facilitates, monitors, educates, conducts, and coordinates Accreditation and Reaccreditations activies
  • Responsible for recommendations regarding annual review/revision within all KAAUH Quality Improvement programs/ activities, databases, indicators, etc.
  • Training: Assists in training staff from various KAAUH Departments in areas of Quality Improvement, Quality Improvement, programs, records requirements, techniques of continuous quality management accredation standards and other related areas as assigned.
  • Conducts Quality Improvement workshops as appropriate and as directed by the Director of the Department
  • Conducts Orientation for QI system training for all new KAAUH staff.
  • Participates in area wide mini focus studies; to be undertaken in conjunction with the department and other KAAUH departments.
  • Responsible for reviewing results of committee meetings, mini focus studies, QI team activities etc. from all assigned facilities and participates in preparation of quarterly reports for the Director of QI & PS department.
  • As assigned by the Director, coordinates QI Activities with other Affairs to maximize staff expertise in the area of Quality Management.
  • Facilitates the preparation of monthly quarterly reports regarding the KAAUH QI programs and compliance with same for all assigned facilities.
  • Provides daytoday operational support to KAAUH as assigned in terms of; concurrent reviews, utilization reviews, retrospective monitoring, committee and QI team assignments, referral of identified issues or concerns to appropriate department(s) or areas etc.
  • Responsible for reviewing (Incident Reporting System) into the database, refers PCI's (action) reports trends, analyzes reports, and identifies any Sentinel Event.
  • Facilitates, maintains the database, coordinates, analyzes, and reports on the Medication Safety Program.
  • Attends QI Committee meetings in assigned critical area(s).
  • Reviews, facilitates, and develops APP, IPP, Guidelines.
  • Respects patients and their families to promote for a Patient-Centered Care culture.
  • Participates in and supports quality improvement and patient safety activities as an individual or as part of a multidisciplinary team.
  • Performs other duties as assigned or needed.

Job Qualifications and Experience

Minimum or Required:

  • Bachelor's degree in Administration or Healthcare profession (i.e. Medicine, Nursing, Pharmacy, Hospital Administration) in which 2 years minimum experience should be in a 300+ bed capacity hospital in Quality Improvement. With 2 Years of Experience
  • Certified Professional in Healthcare Quality (CPHQ) or equivalent.

Preferred:

  • Master's degree in Administration or Healthcare Quality and Patient Safety or relevant science. No Experience Required

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