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Job Details

SIDRA4935 - Manager – Quality and Safety (Medicine's and Surgery's PSGs)

Department: Quality Div
Division: Medical Services Dept
Contract Type: Full Time
Closing Date: 17-Oct-2019
Organizational Profile:

Sidra Medicine is a state of the art academic medical center that will function to the level of the highest international standards. Its clinical focus is on the specialty care of women and children.

Sidra’s Vision is: “Sidra Medicine will be a beacon of learning, discovery and exceptional care, ranked among the top medical centers in the world”.

Achieving this vision will encompass three essential activities:

World Class: Patient and Family Centered Care Health Education Biomedical Discovery

DEPARTMENT/BRANCH PROFILE:

Quality and patient safety is the foremost goal of all employees at Sidra. The Quality Department is responsible for transparently monitoring the quality of care that children and women experience at Sidra, helping colleagues and teams continuously improve through education and interventional support. The Quality Department will be a source of expertise collaborating closely with patients, families, visitors, colleagues and champions working within service lines and corporate functions. The role of the Quality department is to be transparent about the quality and experience that Sidra provides and to assist every single colleague, department and service line to relentlessly improve the quality of care delivered.

JOB SUMMARY:

 An exciting opportunity has arisen within the Quality Team for a motivated individual to fill the role of Quality Manager to support the Medical and Surgical Patient Service Groups.

The postholder co-ordinates the Clinical Governance and Quality Improvement and Patient Safety agenda within Medicine and Surgery Patient Safety Groups (PSGs). This covers those systems and processes for assessing, monitoring and improving services, including patient experience, risk management, clinical audit, quality standards, clinical effectiveness programs, staffing and staff involvement, education and training, and the use of information.

As the Quality Manager, the post holder will work as part of a dynamic team providing leadership to the Medical and Surgical services and having overall responsibility for embedding the quality improvement and patient safety plan within the UBLs (Unit Based Leadership) and Unit Based Teams (UBTs).

The successful candidate will have a positive approach to the role. They will be able to demonstrate resilience and have proven leadership skills. The successful candidate will demonstrate the ability to seek opportunities for continuous improvement whilst ensuring compliance with all aspects of Quality Improvement and patient Safety.

The successful candidate will demonstrate key strengths in individual and team communication, problem solving and be confident and competent influencing at Senior Management level within Sidra Medicine. 

The successful applicant will have key relationships with clinical and technical teams. As part of Sidra Medicine, you’ll be encouraged to share your skills to help drive the organisation to success. If you believe that you have the knowledge, skills and approach that fits with our desire to continually provide great services for our patients, working with innovative ‘can do’ teams then we want to hear from you.

KEY ROLE ACCOUNTABILITIES:

The postholder co-ordinates the Clinical Governance and Quality Improvement and Patient Safety agenda within Medicine and Surgery Patient Safety Groups (PSGs). This covers those systems and processes for assessing, monitoring and improving services, including patient experience, risk management, clinical audit, quality standards, clinical effectiveness programs, staffing and staff involvement, education and training, and the use of information.

Specifically, the postholder provides multidisciplinary clinical and non-clinical staff with the support to implement effectively the principles and practice of clinical governance, quality improvement and patient safety across the PSGs, within a framework that uses information to guide reflection, leading to action and outcomes monitoring. The postholder works closely with the PSG management team, in particular, the Executive Directors of Nursing, Physician Quality Leads and Executive Directors of Operations to deliver PSG approved quality work programs.

Clinical and Quality Governance

  • Coordinates and acts as Secretary to the Medicine’s and Surgery’s PSG Quality and Safety Committees, working with the Physician Quality Lead to set up the agenda, Terms of Reference and the work plan for the committees.

  • Supports the UBLs and UBTs to ensure that there is a robust mechanism to ensure that the clinical and quality governance structure is embedded and information flows from UBTs to UBLs to the PSG Q&S committee.

  • Compiles the monthly Clinical Governance reports for the PSGs to be presented to the central Q&S Committee.

  • Supports the Management Team to continually improve the quality and patient safety of its services.

  • Ensures that the Clinical Governance framework and the annual Quality Improvement and Patient Safety Plans are implemented in the PSGs.

  • Responsible for the efficient dissemination of information across the PSGs with the support of the Physician Quality Lead and the Executive Director of Nursing.

     

    Patient Safety and Risk Management

  • Co-ordinates responsibility for risk management across the PSG.

  • Ensures the implementation of the event reporting system within the PSGs, providing investigative support where appropriate.

  • Leads investigations for sentinel and Level 1 events within the PSGs as required.

  • Facilitates the risk assessment process and ensures that the PSG risk register is effectively populated, to analyze and identify trends and actions arising, and to monitor on a regular basis to ensure that risks are controlled.

  • Co-ordinates the use and management of Datix in relation to PSG activities with the support of the Patient Safety Manager.

  • Supports the delivery of patient safety initiatives within the PSGs working collaboratively with the Patient Safety Manager.

     

    Quality Improvement

  • Supports the delivery of quality improvement initiatives, working closely with the Quality Improvement Lead to ensure that they are embedded within the PSGs.

  • Collates and maintains a database of all indicators monitored by Units on the Quality and Safety and Sidra Performance (SiP) boards and those reported to various committees and groups.

     

    Clinical Effectiveness

  • Supports the delivery of the Clinical Effectiveness agenda as required by the Director of Clinical Effectiveness.

  • Works closely with the Clinical Effectiveness lead to ensure that the clinical effectiveness program / plan / strategy is embedded in the PSG.

     

    Patient Feedback

  • Acts as a lead investigator for complex complaints / grievances and those with a potentially serious outcome or those requiring investigations by regulatory bodies.

  • Monitors PSG patient feedback, identifying trends, ensuring learning from experience and that action plans are followed through.

     

    Research

  • Works closely with the Director of Human Research program (HRP) to ensure that all clinical research activity is reported to the Quality and Safety committee.

  • Ensures that all patient safety related issues pertaining to research activity in the PSG are reported to the PSG Q&S committee and the Quality improvement and Patient Safety committee.

  • Monitors PSG patient feedback, identifying trends, ensuring learning from experience and that action plans are followed through.

     

    Training and Education

  • Identifies training needs through implementation of the clinical governance, quality improvement and patient safety agenda and working with the Quality and Safety Educator to ensure that the Quality and Safety Education strategy captures this information.

  • Works closely with the Learning and Education team to ensure that compliance with mandatory training is reported as required by the Quality Improvement and Patient Safety committee.

  • Ensures lessons are learnt from post-event analysis, proactive risk assessments and timely dissemination.

     

    Other

  • Line manages the Patient Safety and Quality Improvement Coordinator and supports individual and team development

  • Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies

  • Adheres to and promotes Sidra’s Values

 

In view of the evolving needs and opportunities within Sidra, this position may be required to perform other duties as assigned and reporting relationships may vary.

 

QUALIFICATIONS, EXPERIENCE AND SKILLS – SELECTION CRITERIA:

ESSENTIAL:

  • Bachelor’s degree equivalence in a relevant field of Quality, Management, or Health.
  • 5+ years of experience with progressive responsibilities including: 

  • Demonstrable evidence of working towards QI methodology tools

  • 3+ years managerial and quality and patient safety experience in a healthcare setting

  • Experience in using the Root Cause Analysis methodology in investigating events (incidents)

  • Evidence of certification in Quality or working towards one

  • Excellent Technical and role specific knowledge and ability in quality and safety, particularly in paediatrics
  • Strong analytical thinking and problem solving skills

  • High employee and management engagement and partnership skills

  • A successful track record of dealing effectively with quality and patient safety issues in a large organization

  • Experience in developing and implementing policies and projects

  • Practical experience in working with senior leaders and clinicians to provide effective quality and patient safety in a healthcare setting

  • Evidence of ability to work across professional teams and organizational boundaries

  • Proven track record of being able to delegate and prioritise

  • Experience of successfully operating in a politically sensitive environment

  • Analytical skills to help evaluate opportunities and track performance

  • Excellent written and verbal communication skills with ability to report progress and work with key stakeholders.

  • Experience of drafting briefing papers and correspondence at senior level.

  • Tenacity and responsiveness

  • Resilient with good coping strategies and ability to swiftly, effectively and diplomatically resolve issues or conflicts.

  • Committed to working openly and collaboratively with others

  • Ability to deal with changing priorities, work under pressure and to tight deadlines, demonstrating a flexible working approach.

  • Presentation skills

  • Excellent communicator, strong influencing skills, and excellent negotiator

  • High sense of integrity and confidentiality

  • Proficiency with Microsoft Office suite

  • Fluency in written and spoken English    

PREFERRED:

  • Master’s Degree in related field matter
  • Root Cause Analysis training / education or equivalent experience
  • Experience within the Arabian Gulf region
  • Experience of working in a Children’s hospital
  • Quality and patient safety experience in a major hospital, preferably for Pediatrics
  • Registered Nurse / Midwife
  • Arabic language

 

Sidra’s Organizational Values:
  • Trust: Being competent; acting consistently, reliably and predictably; acting with honesty and integrity; respecting patient, employee and commercial confidentiality; delivering on commitments
  • Care: Acting with empathy, kindness and compassion; being humble; listening and responding; acting with cultural sensitivity; Caring for patients and staff
  • Teamwork: Sharing information and knowledge and learning from demonstrated expertise; being respectful, and thereby earning respect of others; acting with professionalism; leading and following; collaborating and being accessible
  • Transparency: Frequent and honest communication; open access to information for decision making; willingly acknowledge shortcomings; speaking up about concerns; publishing performance indicators
  • Innovation: Freedom to innovate; welcoming ideas and encouraging creativity; supporting talent; creating confidence; celebrating successes
  • Efficiency: Providing measurable value; using data to drive decision making; having and achieving clear goals; building processes that work; continuously improving outcomes in patient and family care
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