Specialist - Quality (SEHA Fertility Center)

Role Overview

Specialist - Quality at SEHA Fertility Center, SEHA Hospitals. This role is responsible for developing and implementing quality improvement practices, coordinating frameworks and processes for quality standards and operational procedures, identifying hazards, assisting in the development of controls, and providing support, audits, drills, training, and education to ensure a safe environment for staff, patients, and visitors.

Role Purpose

Develop and implement quality improvement practices and safety management programs across the facility. Coordinate quality frameworks, identify and control hazards, conduct audits and investigations, analyze performance data, and ensure the facility maintains safe and effective operations while disseminating knowledge of quality assurance procedures, best practices, audits, and statistical analysis.

Key Responsibilities

Quality Improvement Program

• Coordinate the facility's quality improvement program.
• Assist the Manager/Director in developing a comprehensive quality improvement program.
• Coordinate the development, implementation, and evaluation of the facility's overall quality improvement program with other sections.
• Plan, prioritize, organize, and implement assignments and projects.
• Identify quality improvement methodology and concepts in coordination with management direction.

Policy and Procedure Development

• Coordinate the development and implementation of facility-wide policies and procedures that guide service provision under Manager/Director guidance.
• Liaison with accreditation bodies for program implementation.
• Develop, control, and deliver all related documents and quality processes including policies, protocols, guidelines, and quality plans.
• Ensure appropriate coordination and liaison with multidisciplinary teams in the development and review of documents and quality processes.
• Maintain a register of controlled documents for quality data.

Safety Management Program

• Assist in developing the Safety Management Program.
• Assist in developing safety standards and procedures consistent with the facility's mission, current recognized international best practice, and applicable national legislation.
• Use safety standards as a framework to create procedures on safe work practices applicable organization-wide, within specific departments/areas, or for particular risk factors and issues within the workplace.
• Monitor facility departments to ensure compliance with safety standards and procedures.
• Perform assessments of safety hazards, unsafe conditions, risks, and practices within the workplace; recommend a plan for safety that minimizes risk and promotes safety based on assessment findings.
• Collaborate with other departments to identify and reduce safety risks for staff, patients, and visitors.
• Participate in safety improvement projects.
• Work in close coordination with the HazMat committee in collecting and disseminating safety information related to hazardous materials, personal protective devices, and safe work practices.

Hazard Identification and Control

• Identify hazards and assist in the development of controls.
• Perform random audits to identify opportunities for improvement, distribute reports, and complete follow-up to ensure corrective actions are taken.
• Participate in environment care audits and assist departments with completion of recommended corrective actions.

Accident, Incident, and Injury Investigation

• Investigate accidents, incidents, and near misses to determine root causes, trends, and adequacy of precautions and training.
• Recommend revision of current training programs, development of new training programs, and process redesign or new equipment to lessen accidents, incidents, and injuries.

Data Collection and Performance Measurement

• Oversee processes and procedures for collection and analysis of relevant data.
• Collect performance measurement data.
• Analyze different data to facilitate decision-making processes for top management in the facility.

Customer Satisfaction and Feedback

• Suggest improvements based on voice of customer collection methods such as patient satisfaction surveys, focus groups, mystery shopper programs, incident reports, patient complaints, patient care issues, or other issues as requested by senior management.
• Participate in customer feedback meetings and customer committees.
• Consult on satisfaction measurement initiatives, tools, methodology, and associated cost estimation.
• Develop satisfaction measurement project timelines and coordinate needed internal support.
• Supervise the conduct of qualitative methodology including face-to-face interviews, telephone interviews, and focus group/roundtable discussions with patients, stakeholders, employees, and customers.
• Directly supervise outside research suppliers, including interviewing, selection, and training.
• Evaluate customer research reports and supporting information, providing interpretation of study results and methodologies.
• Monitor related staff performance and the quality of studies to ensure quality, cycle time, and budgetary control of the entire patient satisfaction research process.

Quality System Coordination

• Coordinate the quality system across the facility.
• Facilitate and provide ongoing support to quality teams.
• Assist the Manager in arranging logistics for team meetings including agenda items, scheduling of meetings, and linkages to background research.
• Advise the Manager regarding team development needs and provide team development activities as required.
• Assist teams to identify meaningful indicators and benchmarks for effective performance monitoring.
• Advise the Manager and make recommendations to focus the team on evidence-based problem solving and decision making.
• Apprise the Manager of the current situation regarding quality initiatives.
• Assist Manager in the development of reports and documentation.
• Ensure a strong liaison between the teams and facility staff.
• Ensure that the work of the department/section is effectively coordinated with other departments/sections and completed on time.

Training and Education Programs

• Implement training and educational programs.
• Deliver training and educational programs related to safety topics such as fire drills.
• Act as a resource for staff members in the area of safety.
• Act as a resource to staff providing relevant training, mentoring, assessment, and development plans.

Emergency Preparedness

• Assist with the coordination of the emergency preparedness program, ensuring staff are competent with equipment and procedures.
• Coordinate emergency preparedness.
• Identify areas for emergency response plan improvement.
• Assist in maintenance and revision of emergency response plans and procedures.
• Investigate and through follow-up, assist all departments with corrective actions for emergencies and disasters.
• Coordinate scheduling of drills for all codes for emergency and disaster.
• Carry out drills as planned and identify corrective actions.
• Assist departments to develop department-specific action plans.

Team Contribution

• Participate in all team efforts as required.
• Collaborate with other team members to carry out work smoothly.
• Perform other applicable tasks and duties as assigned.

Qualifications & Experience

Required

• Bachelor's Degree in any medical-related field.
• 4–6 years of relevant experience.

Desired

• Experience in a large healthcare facility.