Essential Duties

• Quality & Patient Safety documentation workflow
• Support the development of Quality & Patient Safety policies and procedures.
• Liaise with relevant teams/ individuals for required policies/procedures/guidelines/protocols formulation.
• Review the content of above documents in line with Safe Care standard requirements to ensure they are addressed.
• Ensure that all documents have the correct approvals by the relevant authorized heads as per the document control policy.
• Ensure all documents are formatted and uploaded in the document repository and communicate to the CURE Hospital teams.
• Ensure all Quality & Patient Safety documents are controlled and branded in liaison with the relevant departments.
• Keep track of all Quality & Patient Safety document’s movement in each hospital, to include next revisions.
• Maintain confidentiality and privacy of all documents in collaboration with the CURE Hospitals’ QPS managers.
• Report progress on a weekly basis and document a monthly report.
• Internal and external Quality & Patient Safety audits/assessments coordination
• Monitor internal QPS audits scheduling and implementation with the CURE hospitals’ QPS managers for each quarter.
• Schedule and coordinate external Quality and Patient Safety audits with the CURE hospitals’ QPS managers.
• Collate a master QPS audits schedule for all CURE hospitals.
• Analyze the network hospital audit scores and progress on a quarterly basis.
• Review and format the QPS internal audit tools on a regular basis as needed.
• Follow up corrective and preventive action plans with the CURE hospitals’ QPS managers.
• Maintain a master QPS risk register for CURE network hospitals and monitor implementation.
• Follow up on the implementation of clinical open and closed chart audits, to include analyses of the audit outcomes.
• Report progress on a weekly basis and document a monthly report.
• Support for Quality & Patient Safety data management and QI projects
• Develop and keep custody of QPS indicators data dashboard, to include the indicator’s definitions.
• Monitor data collection in liaison with the CURE hospitals QPS managers.
• Collate and analyze the data on a monthly and quarterly basis.
• Follow up progress of evidence-based practice QI projects.
• Report progress on a weekly basis and document a monthly report.
• Other duties
• Participate in the QPS monthly quorums.

To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

Other Duties

Please note this position description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the co-worker for this position. Duties, responsibilities and activities may change at any time with or without notice. Co-worker must perform other tasks, duties, and projects as assigned.

Education/Experience Requirements

• Degree in Nursing/Clinical Medicine from a recognized institution.
• A minimum of 5 years of post-education experience.
• Experience in quality management certification or accreditation (SafeCare or JCIA).
• Experience in clinical policies and procedures formulation and document management.
• Christian maturity exhibiting a close relationship with the Lord as evidenced by a strong prayer life and a love for the Word.

Knowledge, Skills & Abilities

• Excellent analytical and writing skills.
• Excellent interpersonal, verbal and written communication skills.
• Proficient in computer skills (MS-Word, Excel, PowerPoint).
• Numerate and proficient report writing skills.