Accreditation Specialist

Job Purpose / Objective

• Provide support and assistance in implementation of quality improvement initiatives, continuous education, training, monitoring and audits based on national and international healthcare accreditation standards.

Key Responsibilities / Accountabilities

• Coordinate the implementation of the policies, procedures and plan of the hospital based on national and international healthcare standards.
• Provide assistance in implementation of Quality Improvement and Patient Safety Plan and implementation of National/ International Healthcare Accreditation Standards.
• Participate and coordinate the education and training to all staff on Quality Improvement and Patient Safety.
• Support the processes improvement (Quality Improvement) for all the department in coordination with department coordinators based on the approved criteria.
• Support the team in preparing Quality Indicators as per the national/ international healthcare requirements.
• Coordinate and monitor compliance with national and international hospital standards.
• Coordinate data collection, validation analysis, trending and benchmarking.
• Facilitate and monitor the Quality Improvement projects of the hospital.
• Participate in periodic compliance surveys on Quality Improvement and Patient Safety.
• Support the education and training on various quality initiatives to concerned staff.
• Assist in the development and implementation of patient satisfaction survey tools.
• Assist in developing, implementing and monitoring clinical care pathways, guidelines and protocols.
• Participate in person-centered care initiatives undertaken by HMG.
• Enrich patient experience with compassion, respect and dignity.
• Perform other relevant tasks assigned as requested by department managers/directors.

Education/ Professional Qualification

• Minimum a Bachelor’s Degree; preferably in Medicine or Nursing or Hospital Management or Administration from a recognized national or international university.

Experience

• Minimum of Two (2) years of experience in the field of healthcare quality management or health care administration in a national or international accredited tertiary care hospital.

Professional Licensing / Certification / Training

• Certification: Relevant Certification

• Licensing: N/A

Skills

• Process management
• Data gathering & assessment
• Quality management
• Data management & record keeping
• Compliance to online incident reporting system