Developing and implementing all Quality related regulatory requirements, accreditation standards & policies and procedures,
Leading and coordinating data collection and validation process for JAWDA KPI’s.
Assessing competency of staff involve in data collection and validation of JAWDA KPI’s.
Submission of valid and accurate data to the management for approval prior to submission to HAAD.
Trend analysis of performance related to JAWDA KPI’s
Ensuring compliance of the organization with the JAWDA data certification methodology and coordinate the audit process.
Measuring, selection and data collection.
Analyzing and validating the measured data.
Identifying the problems that impact on delivery of quality and patient safety.
Establishing priorities for investigation of problem areas based on the degree of adverse impact that can be expected if the problem remains unresolved.
Directing investigation of problems including scope and causes.
Directing resolution of known or suspected problems that impact directly or indirectly.
Developing effective patient care review and evaluation mechanisms and monitors to assure results are achieved.
Evaluating and documenting program findings to improve patient care, clinical performance, and care delivery systems.
Identifying and monitoring high risk, problem prone, high volume and high cost areas to reduce unanticipated adverse events to patients, staff and visitors.
Reviewing all completed O.V.R.s which are analyzed regularly and refers trends on potential or actual problems to the concerned peer reviewer, department or committee as appropriate.
Implementing and monitoring the risk management program.
Evaluating continuously the effectiveness of the QI program hospital wide.
Collaborates effectively with all departments and units to monitor.
Coordinating and monitoring all regulatory agencies’ compliance activities related to all departments and participates in the survey process.
Investigating new and different methods of patient care evaluation. Communicates with experts from other disciplines and current or new processes and trends appropriate professional literatures.
Promoting improvement in patients’ safety by adopting and monitoring International Patient Safety Goal.
Maintaining records of all surveillance activities.
Prepares monthly, quarterly and yearly PI reports and submits them to the Quality Head of Bareen Hospital & Bareen Cluster
Performs other related duties as requested by Quality Head of Bareen Hospital & Bareen Cluster
Performs any other task requested by the QD in his/her scope of knowledge.
