Duties & Responsibilities: 

Coordinate & lead clinical protocols/pathways monthly audits, including feedback & close out of identified gaps with the affected doctors. 
Development & revision of clinical policies, procedures & guidelines required for patient care & JCI implementation, in consultation with the specific specialties. 
Facilitation of root cause analysis processes & close out for those issues related to clinical care by doctors, including those documented in Q-Pulse, with support & guidance from the CMO’s office where applicable. 
Coordinate mortalities analysis, including mortalities classification as well as coordinating the improvement actions from mortality reviews in collaboration with assigned clinicians.
Ensure detailed Code Blue analysis, whilst making sure the documented improvements actions are undertaken in line with the findings. 
Regulatory and accreditation – Participate in JCI Accreditation interventions across the hospital, and act as the JCI Survey coordinator. Further to this, the job holder will participate in AMUA, ISO standards implementation and KAIZEN implementation processes.
Ensure all clinical related committees carryout their planned regular meetings, as well as following through so that the required deliverables are achieved.  
Coordinate clinical CMEs, morbidity and mortality meetings for doctors. In addition, the successful candidate will join POCT Committee as a representative of the doctors, and support on the clinical aspects of its implementation process. 
Facilitate clinical departmental meetings in collaboration with the respective clinical HODs, whilst ensuring quality matters are discussed & addressed in these forums. 
Responsible for providing one on one doctor’s support on quality related matters affecting patient care & compliance.
Monitoring and Evaluation ¬–  Will be responsible for developing the clinical monitoring and audit tools as well as participating in the monitoring and evaluation of the quality improvement initiatives in the hospital. 
Performance and Process Improvement (PPI) –  Will provide support and coordination to department and service leaders for quality improvement measures and activities at assigned departments. 
Coaching, Mentoring and Training – Mentor and develop teams on quality improvement in assigned departments, whilst developing training items and participating in regular quality improvement trainings. 
Research and Innovation –  Participate in quality improvement research to ensure the hospital keeps improving in line with best practice and evidence based practices. Will be required to regularly innovate or recommend innovative solutions which will solve quality and patient safety challenges in the hospital.
Risk Management –  Participate in risk management activities and implement an effective risk management program in the designated departments.  Participate in risk management activities.

Qualifications & Requirements 

A minimum of Bachelor’s degree in Medicine and Surgery.
At least 3 years’ relevant experience in a hospital setting.
Basic Certification in Healthcare Quality is an added advantage.
Must be computer literate.

Should also possess/demonstrate the below competencies:

Interpersonal skills
Reporting acumen
Attention to detail
Team leadership skills
Problem solving skill
Able to build and maintain effective working relationships 
Team player