Quality Manager
Alfardan Medical with Northwestern Medicine
مجموع سنوات الخبرة :18 years, 1 أشهر
I am responsible for oversight of Quality Department and Infection Control and Prevention, Occupational Health and Safety, and Medical Records Departments:
• Advance the organization’s commitment to quality through collaboration, learning opportunities, and communication. Lead the integration of quality into the structure of the organization through a coordinated infrastructure to achieve organizational objectives.
• Use performance and process improvement (PPI), project management, and change management methods to support foundational and clinical quality initiatives, improve performance, and achieve organizational goals.
• Evaluate and improve processes and care transitions to advance the efficient, effective, and safe care.
• Leverage the organization’s analytic environment to help guide data-driven decision making and inform quality improvement initiatives.
• Cultivate a safe environment by promoting safe practices, nurturing a just culture, and improve processes that detect, mitigate, or prevent harm.
• Direct organization-wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization’s processes to prepare for, participate in, and follow up on regulatory, accreditation, and certification surveys and activities.
• Direct activities that support compliance with voluntary, mandatory, and contractual reporting requirements for data acquisition, analysis, reporting, and improvement.
• Direct Infection Control (IC) Program for IC risk-based approach, surveillance activities, Infectious diseases emergencies, clinical strategies to reduce risk, safe environment of care, cleaning, disinfection, and sterilization, and Communication strategies.
• Direct Medical Records processes that support the provision of an effective and efficient Medical Record service, upholding the integrity of the Electronic Medical Record (EMR), protecting patient health information against loss, destruction, tampering, and unauthorized access or use.
Supporting Hospitals in the development/revision and implementation of the Accreditation Sttandards
Establishing an effective quality management system built on quality planning, quality control, and quality improvement.
Identifying and implementing unique and varied initiatives aimed at improving patient care quality.
Leading continuous improvement programs throughout the organization and helping develop a culture of continuous improvement and excellence.
Ensuring organizational adherence to all MOH, ISO 9001, and JCI standards.
Overseeing the implementation of CQI plans and process improvement.
Facilitating active participation for satisfaction feedback and planning for the future.
Developing/revising/reviewing/overseeing Policies & Procedures, Manuals, etc. of all Departments/Units.
Reviewing all policies and forms to ensure consistency.
Developing and maintaining strong collaborative relationships with organization-wide divisions and members of the medical staff to ensure open communication and the sharing of information.
Working closely with Clinical and Non-Clinical teams for improvement on key performance indicators, designs processes for new initiatives, services and other targets identified by the leadership.
Managing performance improvement projects, flow and alignment to assure milestones and key performance indicators are met within defined parameters. Documents the results of projects, and submits other documentation as requested.
overseeing Internal clinical/Quality Auditing: Managed audit program, led team auditors, analyzed Audit reports, determined Opportunities for Improvement, etc.
Participating in nursing and physician peer review processes and chart reviews, as necessary.
Evaluating and documenting the effectiveness of the quality management system.
Organizing Management Review Committee.
Etc.
Participating in the management of nursing services by providing professional and operational support to the Director of Nursing.
Participating in the development of the Nursing Strategic Planning and Nursing Budget Planning.
Participating in the Nursing Recruitment Process and Staffing Planning.
Developing/revising/reviewing/overseeing Policies & Procedures of the Nursing Department and Ambulatory Areas.
Managing nursing incidents & patients’ complaints and overseeing its corrections and corrective actions.
Managing and conducting Nursing Auditing and generating Audit Reports. Analyzing Audit Reports and determining Opportunities for Improvement.
Developing/Overseeing the Nursing Performance Indicators plans / Improvements Projects and developed/oversaw their action plans.
Participating in the Nursing Orientation Program.
Etc.
Facilitating Care Evaluation Committees (Medicine, Surgery, Pediatric, Anesthesia, Lab, Rx) on a monthly basis.
Collecting all medical incidents and performing data entry and sorting data.
Overseeing the work of Medical Coder Nurses.
Coordinating with the chair of care evaluation committees on key performance indicators, designs processes for new initiatives, services and other targets identified.
Conducting Internal Clinical/Quality Auditing in coordination with the Quality Department.
Etc.
Courses: advanced Nursing Practice I was working while completing the Master
I was working while completing this Diploma over 2 years
I supervised Nursing Students - 2nd year as a supervisor over 2 years (duration 1 month) when I was completing the 4th year.
