![King Faisal Specialist Hospital and Research Centre](https://media.trabajo.org/img/noimg.jpg)
Accreditation Specialist
2 weeks ago
Assumes responsibility for the planning, organization, facilitation and implementation of all phases of accreditation activities. Coordinates the activities of the Accreditation Section, as directed.
**Essential Responsibilities and Duties**:
1. Develops the Accreditation Plan in line with the Hospital's mission, vision and provision of services. Facilitates the implementation of the Accreditation Plan.
2. Participates in the development and revision of Quality Management (QM) Department policies and procedures and the curriculum for staff education and training in alignment with accreditations standards.
3. Facilitates development and implementation of monitoring process to measure compliance with the accreditations standards and International Patient Safety goals.
4. Collaborates with QM Department and sections in identifying areas for improvement and facilitates the efforts to implement the improvement.
5. Perform clinical responsibilities within related specialty such as (Nursing, Laboratory, Respiratory, Pharmacy, etc.) as assigned.
6. Collaborates with the Hospital’s entities and services to identify areas for improvement and implement quality improvement initiatives.
7. Conducts regular tracers, audits and quality rounds to identify areas for improvement and provides specific findings summary reports as needed.
8. Promotes a Hospital-wide awareness of accreditations standards and encourages participation and involvement of leaders. Supports maintaining the Hospital as a high reliability organization.
9. Educates Hospital’s staff, including Senior Management and Medical staff, on accreditation standards and methodology.
**Education**:
Master’s or Bachelor's Degree in Nursing, Quality or other healthcare related discipline is required.
**Experience Required**:
Six (6) years of related experience with Master’s, or eight (8) years with Bachelor's Degree is required.
**Other Requirements(Certificates)**:
- Certified Professional in any of the following Certifications is required:
o Certified Professional in Healthcare Quality (CPHQ).
o Certified Professional in Risk Management (CPHRM).
o Certified Professional in Patient Safety (CPPS).
o Lean Six Sigma Certifications (USA/ European).
- Certified Professional in Healthcare Accreditation Certified Professional (HACP) is preferred.
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