Quality and Risk Department Head

Job Description

• Responsible for leading, directing, monitoring and evaluating Quality and Risk management in the Hospital in accordance with Company standards, risk and patient safety standards, policies, procedures and applicable government regulations including national and international Hospital accreditation requirements.
• Leading, directing and developing a team to develop strategies, policies, procedures and objectives of the Quality Improvement and Patient Safety (PMKP) program in the Hospital
• Coordinate with other Department / Division Heads in selecting improvement priorities, quality measurements / indicators, program selection Department level is included in following up on the results of indicator achievements
• Determine the quality indicator profile, analysis methods, and data validation from quality indicator data collected by all work units in the hospital
• Monitor and guide the implementation of the PMKP program and establish good communication with all related parties and convey problems related to the implementation of the quality and patient safety program (PMKP), including communicating quality problems regularly to all staff
• Acting as a Subject Matter Expert in implementing, organizing, compiling, determining data types, data flow, and reporting, implementation, and maintenance of quality system processes, including control of documents to ensure Hospital operational activities runs according to standards.
• Monitor quality assurance activities related to document management to ensure that official documents circulating in the Hospital are controlled in accordance with applicable quality, format and standards
• Handle patient safety incidents which include reporting, verification, investigation and analysis of the causes of patient safety incidents
• Conduct reviews and audits of all existing processes in the Hospital to ensure compliance with Standard Operating Procedures (SPO), applicable service standards, laws and regulations, including for external accreditation/audit purposes
• Coordinate with Human Capital in preparing programs or curricula and implementing training related to Quality Improvement & Patient Safety (PMKP) for all employees
• Together with the director, prepare a report on the implementation of the Quality Improvement and Patient Safety (PMKP) program at the hospital

Qualifications

• Bachelor/Master Degree from Healthcare Administration, Nursing, Public Health, or any relate major
• Have minimum 2-3 years experience as a doctor/nurse/ancillary or other clinical service role in a Hospital (preferably with at least 2 years managerial experience in the relevant field)
• Strong understanding of risk management principles and practices, including incident investigation and mitigation strategies.
• Expertise in quality improvement methodologies, such as Six Sigma or Lean, and knowledge of quality measurement and reporting.
• In-depth knowledge of healthcare regulations, accreditation standards, and compliance requirements.

Additional Information

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