职位描述
- MAJOR RESPONSIBILIES 主要职责
1) Quality Management
• Support GM, Deputy GM and Medical Director to oversee the Quality Governance Framework for RHBJ
• Be the Secretariat for 2 highest level Quality meetings: Hospital MQA and MACC meetings
MQA:
Prepares agenda and minutes meetings
Collate and monitor Dept. Clinical KPIs and ensure timely submission
Tracking and follow -up for action items
Offer improvement from a Quality Dept. perspective
MACC:
• Prepares agenda and minutes meetings
• Prepare Case Reviews with Clinical/Medical Director
• Identify Gaps in Quality Management via Root Cause Analysis
• Offer improvements from a Quality Dept. perspective
• Monitors and maintains all Hospital Clinical Quality Data, eg: Clinical Incident Reports, Hospital and Dept. quality data/KPIs; Sentinel Events and Near Misses; Customer satisfaction surveys; Entity Risk Assessment-KRIs data collection; SR Report and ERA Report data reporting,etc.
• Formulation of Quality Management SOP for RHBJ, Incident reporting process and SOP
• Assist in the development and administration of medically required informed consent and medical record forms.
• Oversee Infection control and medical record quality management in hospital
• Oversee drills and improvement of emergency plans within hospital (Code policy)
2) Quality Improvement Projects (QIP)
• Executes QIPs in collaboration with HODs, team leaders to improve clinical quality using PDCA methodology
• Provide advice and training to HODs on QIP
• Provide hospital quality management training when required and quality training for new staff orientation
3) Reaction to Event report and/ Customer Satisfaction Alert
• Report to related department HOD and assist with improvement plan and implements
• Continue to monitor to assess if QIP needed
• Patient communication if required
4) Internal Audit
• Conduct spot internal audit on clinical quality matters as advised by Clinical/Medical Directors
5) Hospital Annual Inspection
• Collaborate with Ops and Regulation to prepare necessary documentation for Audit
inspection
• Collaborate with Ops and Regulation to prepare presentation data for Audit inspection
6) Any other tasks assigned by Reporting Line Leadership
- COMPETENCIES 能力要求
• Educational background: Bachelor degree or above, majoring in medicine, nursing, health career management
• Professional knowledge and skills: Familiar with the rules and regulations of hospital management, understanding of medical policies, laws and regulations, good communication skills and teamwork spirit.
• Knowledge of medicine, management, law and related skills, with organizational and decision-making ability.
• Work experience: 5-10 years of hospital management or related work experience。 Specific duties include formulating and implementing quality control plans, inspecting, supervising and guiding medical quality, training and assessing quality management personnel
• Both Chinese and English
工作地址
北京北京市朝阳区新源里16号琨莎中心1座105室

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