A vacancy exists for a Quality Manager (QM), based at Life Bedford Gardens Hospital, reporting to the Hospital Manager. The successful candidate will be the custodian, together with the Hospital Manager, of the Integrated Quality and Environmental Management system and its effectiveness, and for coordinating quality efforts in support of the hospital management team.

Critical Outputs
Job Purpose

The main purpose of the role of Quality Manager is management of the Quality System in collaboration with various departments within the hospital.

Critical Outputs

Effective building of relationships with internal/external stakeholders:

Ensure productive working relationships with key internal and external stakeholders (including governmental bodies) by participating in various forums, cross-functional activities and by identifying networking opportunities
Overall management of the Quality Function, through:

Ensuring that the hospital quality and environmental sustainability objectives are reviewed annually and aligned to the Group objectives
Communicating the quality and environmental sustainability targets and focus areas to the hospital management and staff and drive projects to achieve these targets together with HOD’s
Generating the hospital quality scorecard and monthly quality reports
Collating presentations and communicate feedback on trends, risks, incidents and corrective action taken at the hospital Quality Review meetings
Advising the Engineering /Services Manager on conducting environmental aspect/impact assessments and reporting of environmental incidents
Partnering with the Infection Prevention Specialist and HOD’s to ensure that the correct management and reduction of general and hazardous waste within the hospital and ensure that waste handling meets quality, legal and environmental regulations and standards
Partnering with the Infection Prevention Specialist/Coordinator to effectively manage the Healthcare Risk Waste management, through implementation and maintenance of processes relating to waste reduction, correct segregation and disposal of waste
Driving continuous improvement through the Life Healthcare iShift program
Participation in Patient Experience management (PXM) and CARE program
Effective Deviation Management, through:

Managing, reporting, investigation and close out of all quality and environmental incidents and deviations to standards in conjunction with the HOD’s/Unit Managers
Manage close outs of deviations to standards identified during internal and external audits
Effective management of the InfoQuest data management system, through:

Training of staff in the use of InfoQuest reporting system
Ensure all relevant staff has access as needed and checking data for accuracy and reliability
Ensuring that data is captured accurately and submitted by the specified cut-off dates
Ensuring that reports are correct, available and utilized effectively
Measuring performance against the quality objectives, evaluating the results and co-ordinate corrective action where necessary, together with the relevant HOD’s
Effective risk identification and management, through:

Conducting risk assessments on an annual basis, together with HOD’s and Unit Managers, in accordance with legal requirements
Monitoring and review of hazard/risk management quarterly, together with HOD’s and Unit Managers
Monitoring and reporting on the effectiveness of actions taken to mitigate/control risk, together with HOD’s and Unit Managers
Maintaining and updating of Risk register
Effective analyses of data (trending) and management of risks through:

Ensuring that quality data is accurately recorded, the statistics analyzed and trends identified
Ensuring that internal CAR’s have been generated based on major trends
Monitoring and reporting on actions taken on trends identified through Incident and Alert Management, Patient Experience Management and Customer Relationship Management System
Monitoring the effectiveness of correction action
Maintaining and updating of CAR register
Effective Occupational Health and Safety Management, through:

Coordinating the hospital Health & Safety Committee meetings
Ensuring that all legal appointments are made, staff trained in the requirements of such appointments and legal requirements are adhered to
Guiding the Hospital Manager on health and safety related issues in order to ensure that the legal requirements are adhered to for staff safety
Coordination of employee injuries and occupational disease reporting - internally and externally (DOH&COID)
Emergency planning and disaster management, through:

Managing the hospital Emergency and Disaster Plan and practices
Updating the emergency planning and disaster management plans and ensuring that they are available
Effective document control, through:

Monitoring and ensuring governance of the quality document control processes in the hospital
Effective participation in internal and external audit processes, through:

Planning, coordination and participation in the internal and external audit review process
Coordinating and monitoring of corrective actions, monitoring of effectiveness of actions and
close out of all non-conformities related to quality with relevant HOD’s
Training of staff:

Conduct training within the hospital to ensure that management and staff understand the quality, safety and
environmental requirements
Induction training conducted using the induction booklet with focus on the legal requirements

Requirements

Degree or Diploma in Nursing or Degree or Diploma in Safety/Quality Management or similar
Management experience is advantageous
Clinical knowledge is preferable
Excellent knowledge of Safety and Health legislation
Understanding of the private healthcare industry, its challenges and role players would be an advantage.
Computer proficiency
Current registration with the South African Nursing Council if applicable

Competencies

Problem-solving, analysis and judgement
Resilience
Verbal & written communication
Influencing
Action orientation
Excellence orientation
Building relationships
Customer responsiveness
Organisational awareness
Monitoring
Attention to detail

Please send your resume/CV