Accreditation & Policy Development Specialist I

Job Purpose

In keeping with the mission of the QI&PS Department and the King Abdullah bin Abdulaziz University Hospital (KAAUH), this position reports to the Manager of Accreditation and Policy Development of the QI&PS Section and will provide direct link between the QI&PS Department and front line staff for implementation and monitoring of the Quality Improvement, Patient Safety and Risk Management programs including a Readiness for Accreditation and compliance to regulatory standards such as JCI, CBAHI, MOH and others.

Key Accountabilities & Responsibilities

• Facilitates, monitors, educates, conducts, and coordinates Accreditation and Reaccreditations activities.
• Assists in training staff from various KAAUH Departments in areas of Quality Improvement, Quality Improvement, programs, records requirements, techniques of continuous quality management accredation standards, and other related areas as assigned.
• Conducts Quality Improvement workshops as appropriate and as directed by his/her line Manager and the Director of the Department.
• Conducts Orientation for QI system for all new KAAUH staff.
• Participates in area wide mini focus studies; to be undertaken in conjunction with the department and other KAAUH departments.
• Reviews results of committee meetings, mini focus studies, QI team activities etc. from all assigned activities and participates in preparation of quarterly reports for his/her line Manager and the Director of QI & PS department.
• As assigned by line Manager, coordinates QI Activities with other Affairs to maximize staff expertise in the area of Quality Management.
• Facilitates the preparation of monthly quarterly reports regarding the KAAUH QI programs.
• Provides day-to-day operational support to KAAUH as assigned in terms of; concurrent reviews, utilization reviews, retrospective monitoring, committee and QI team assignments, referral of identified issues or concerns to appropriate department(s) or areas etc.
• Attends committee meetings as assigned.
• Reviews, facilitates, and develops APPs, IPPs.
• Respects patients and their families to promote for a Patient-Centered Care culture.
• Participates in and supports quality improvement and patient safety activities as an individual or as part of a multidisciplinary team.
Performs other duties as assigned or needed.

Job Qualifications and Experience
Minimum or Required:
Bachelor’s degree in Business Administration or Healthcare profession (e.g., Medicine, Nursing, Pharmacy, Hospital Administration, etc.). with 4 years of Experience.

Preferred:

• Master’s degree in Business Administration or Healthcare profession (e.g., Medicine, Nursing, Pharmacy, Hospital Administration, etc.).or Healthcare Quality and Patient Safety or relevant science. with 2 years of Experience.
• Certified Professional in Healthcare Quality (CPHQ) or equivalent.