Assist in driving the Hospital wide quality improvement, patient safety and risk management program to ensure compliance to regulations, continuing accreditation, improvement in processes, improved patient care outcomes and reduction of risk.
Management of department to ensure efficient and effective daily administrative and operational activities.
A) Quality Management & Accreditation
- Assist in the coordination of Internal Quality Audits (IQA) activities, and ensure all internal audits are carried out in timely manner.
- Assist in ensuring documentation related to accreditation activities are in proper order.
- Assist to coordinate and manage data collection (on data entries) of Hospital clinical / quality indicators, and conduct basic required analysis on available data.
B) Document Control
- Assist to coordinate the review and approval of Hospital Policies and Procedures (HOPs, SOPs and WIs) as per schedule to ensure they are updated and compliant to relevant statutory requirements.
- Assist to liaise with stakeholders to ensure that the Hospital Policies and Procedures (HOPs, SOPs and WIs) are reviewed and updated.
- Assist to ensure that request for creation and revision of forms are done accordingly, with assignment of orderly form-controlled number.
- Assist to manage document control for both Medical Affairs & Quality Resources (including maintenance of policy and forms dashboard/masterlist) and ensure accessibility to all staff.
C) Regulatory / Licensing
- Assist to collate required documentation for application and renewal of Hospital License, to add and to expand Hospital facilities and services.
- Assist to ensure careful, accurate and orderly records of all licensing application from initiation to completion.
D) Other administrative duties
- To assist in the management of stationary requisition as and when required.
- Perform any other duties, responsibilities, and assignments which may be delegated to from time to time, in an efficient and responsible manner.