Quality Manager

at  NMC Healthcare

The role of the Quality Manager is to undertake the following overall responsibilities:

• Ensure that processes needed for the Quality Management System (QMS) are established, implemented, and maintained in all CosmeSurge units.
• Report to the CS Management and Corporate Quality team on the performance of the QMS and any need for improvement.
• Ensure the promotion of awareness of customer requirements throughout the organization.
• Liaise with the external assessment body on all matters related to the external accreditation process.
• Collaborate effectively with the Management in setting the hospital/clinic’s direction with corporate planning and strategy formulation.
• Assume an active role in facilitating the implementation of the hospital/clinic’s quality management system.
• Facilitate the planning of the update and implementation of the quality management system.
• Conduct periodic organizational review and recommends amendments when deemed necessary.
• On regular basis, Review, document, update and amends the quality management system.
• Handle the review of policy and procedures with concerned department heads in a timely manner.
• Endorse approval of new and revised procedures to the hospital/clinic operations team in a timely manner.
• Plan for the certification and re-certification of the hospital/clinic’s quality management system in compliance to JCIA requirements and other accreditations.
• Coordinates improvement activities for successful accrediting, licensing, and certification surveys (e.g., DHA, DOH, MOH, JAWDA, OSHAD, CAP, JCIA, ISO, etc.)
• Supervises and evaluates Joint Commission International (JCI) – related tasks and activities in the hospital/clinic.
• Plan and organize the conduct of internal quality auditing activities in the hospital/clinic on a regular basis.
• Assume the role of the Lead Auditor and recommends approval of the overall audit plan to the Management.
• Facilitate the conduct of opening and closing meetings.
• Ensure that non-compliances and observations are addressed and closed through corrective and preventive actions. Recommends action plans to the Management.
• Take part effectively in monitoring the implementation of continual improvement activities based on requirements of the quality management system.
• Collaborate with the hospital/clinic’s certifying body for the conduct of the periodic external site visits.
• Mobilize the internal quality auditors in managing pre-audit activities as well as the actual implementation other audit.
• Ensure the external audit findings are closed within the specified period.
• Plan and organizes the conduct of appropriate quality-related courses.
• Liaise effectively with the external training consultants and / or the HR department to conduct specific courses relevant to the implementation of the hospital/clinic’s quality management system.
• Recommend the attendance of selected staff to external quality courses, meetings, and conferences.
• Coordinate the scheduling of the external quality audit and ensure all head of the departments and staff are informed of the audit.
• Develops and administers the quality education process formulating quality improvement programs for employees.
• Recommends quality tools and techniques to be used in measuring the hospital/clinic’s quality performance and variations; and solving quality problems.
• Actively participates in committee meetings on a monthly basis or more frequently if needed, and contributes ideas for improving quality, efficiency, productivity and patient satisfaction.
• Acts as a liaison between clinical and administrative departments on quality and patient safety matters.
• Identifies through the analysis process a summary of issues and/or policies that have the potential to negatively impact clinical outcomes and/or the delivery of quality healthcare.
• Works with Medical staff to develop appropriate action plans to improve quality of health care delivery.
• Ensures that goals and objectives of the Quality Improvement Program is in line with the hospital/clinic’s mission and goals.
• Assists in the development of improvement plans with department/unit managers and supervisors in response to identified deficiencies.
• Maintains documentation related to oversight including schedules/calendars of audits and monitoring activities, and electronic and/or paper copies of audits and follow-up activities.
• Exercise good judgment and maintain confidentiality in maintaining critical and sensitive information, records, and reports.
• Continuously adhere to CosmeSurge and group Code of Conduct policy.
• Respects and implements Patient and Family Rights.
• Adhere to Infection Control and Health Safety Measures.
• Actively participate in the hospital/clinic’s on-going Patient Safety and Quality Improvement Programs and other In-Service Training Programs.
• Act as a translator if needed.
• Perform other duties and tasks assigned by the CosmeSurge Management and/or Corporate Quality team.

Bachelor’s Degree in any Healthcare Discipline; Post-Graduate Degree in Healthcare Management or Quality Management is an advantage; CPHQ - Certified Professional in Healthcare Quality (Preferable)
6 to 8 years of experience in Quality department with at least 2 years in a managerial role; exposure in a hospital setup is preferable with a working background on DHA, DOH, MOH, JCIA and ISO systems and internal quality auditing or similar quality systems

• Ensure that processes needed for the Quality Management System (QMS) are established, implemented, and maintained in all CosmeSurge units.
• Report to the CS Management and Corporate Quality team on the performance of the QMS and any need for improvement.
• Ensure the promotion of awareness of customer requirements throughout the organization.
• Liaise with the external assessment body on all matters related to the external accreditation process.
• Collaborate effectively with the Management in setting the hospital/clinic’s direction with corporate planning and strategy formulation.
• Assume an active role in facilitating the implementation of the hospital/clinic’s quality management system.
• Facilitate the planning of the update and implementation of the quality management system.
• Conduct periodic organizational review and recommends amendments when deemed necessary.
• On regular basis, Review, document, update and amends the quality management system.
• Handle the review of policy and procedures with concerned department heads in a timely manner.
• Endorse approval of new and revised procedures to the hospital/clinic operations team in a timely manner.
• Plan for the certification and re-certification of the hospital/clinic’s quality management system in compliance to JCIA requirements and other accreditations.
• Coordinates improvement activities for successful accrediting, licensing, and certification surveys (e.g., DHA, DOH, MOH, JAWDA, OSHAD, CAP, JCIA, ISO, etc.)
• Supervises and evaluates Joint Commission International (JCI) – related tasks and activities in the hospital/clinic.
• Plan and organize the conduct of internal quality auditing activities in the hospital/clinic on a regular basis.
• Assume the role of the Lead Auditor and recommends approval of the overall audit plan to the Management.
• Facilitate the conduct of opening and closing meetings.
• Ensure that non-compliances and observations are addressed and closed through corrective and preventive actions. Recommends action plans to the Management.
• Take part effectively in monitoring the implementation of continual improvement activities based on requirements of the quality management system.
• Collaborate with the hospital/clinic’s certifying body for the conduct of the periodic external site visits.
• Mobilize the internal quality auditors in managing pre-audit activities as well as the actual implementation other audit.
• Ensure the external audit findings are closed within the specified period.
• Plan and organizes the conduct of appropriate quality-related courses.
• Liaise effectively with the external training consultants and / or the HR department to conduct specific courses relevant to the implementation of the hospital/clinic’s quality management system.
• Recommend the attendance of selected staff to external quality courses, meetings, and conferences.
• Coordinate the scheduling of the external quality audit and ensure all head of the departments and staff are informed of the audit.
• Develops and administers the quality education process formulating quality improvement programs for employees.
• Recommends quality tools and techniques to be used in measuring the hospital/clinic’s quality performance and variations; and solving quality problems.
• Actively participates in committee meetings on a monthly basis or more frequently if needed, and contributes ideas for improving quality, efficiency, productivity and patient satisfaction.
• Acts as a liaison between clinical and administrative departments on quality and patient safety matters.
• Identifies through the analysis process a summary of issues and/or policies that have the potential to negatively impact clinical outcomes and/or the delivery of quality healthcare.
• Works with Medical staff to develop appropriate action plans to improve quality of health care delivery.
• Ensures that goals and objectives of the Quality Improvement Program is in line with the hospital/clinic’s mission and goals.
• Assists in the development of improvement plans with department/unit managers and supervisors in response to identified deficiencies.
• Maintains documentation related to oversight including schedules/calendars of audits and monitoring activities, and electronic and/or paper copies of audits and follow-up activities.
• Exercise good judgment and maintain confidentiality in maintaining critical and sensitive information, records, and reports.
• Continuously adhere to CosmeSurge and group Code of Conduct policy.
• Respects and implements Patient and Family Rights.
• Adhere to Infection Control and Health Safety Measures.
• Actively participate in the hospital/clinic’s on-going Patient Safety and Quality Improvement Programs and other In-Service Training Programs.
• Act as a translator if needed.
• Perform other duties and tasks assigned by the CosmeSurge Management and/or Corporate Quality team