Quality and Patient Safety Manager

• Ensures that processes needed for the Quality Management System/Infection Control are reviewed, revised, implemented, and maintained.
• Leads the department in a cost-effective manner by accurately forecasting budgetary needs and managing expenses within budgetary constraints.
• Establishes, implements, and administers departmental goals, and objectives that are in line with CURE’s strategic plan – focusing on SafeCare Accreditation.
• Identify and investigate performance improvement events, opportunities, trends, and sentinel events.
• Develop hospital quality improvement action plans for internal and external audits.
• Schedule and coordinate internal Quality and Patient Safety audits.
• Coordinate and support risk assessment and management audit schedule.
• Monitor clinical and non-clinical processes and outcomes, and system issues related to quality and patient safety.
• Implement open and closed chart audits and disseminate results to the users.
• Follow up on corrective actions for departmental action plans.
• Keep custody of all documents and data related to Quality and Patient Safety.
• Interpret and conduct staff training on Quality and Patient Safety standards, policies, procedures, clinical protocols/guidelines/pathways for implementation.
• Support for Data collection and collation for identified Quality Improvement indicators feedback, and analysis.
• Keep custody of Quality Improvement data dashboards.
• Support and actively participate in the activities of the hospital Quality and Patient Safety councils and committees.
• Keep custody of all the hospital Quality and Patient Safety councils and committees meeting minutes.
• Coordinate and monitor occupational safety and health programs/action plans
• Liaise with external parties on quality management issues.
• Ensure periodic but regular assessments of patients’ satisfaction and identify/implement consequent improvements.
• Perform other duties as required within the applicable scope of practice and policies.

• Coordinate the infection control departmental link staff and operational meetings internally and externally for infection prevention issues.
• Perform surveillance activities to capture and monitor infection, prevention and control data, and share.
• Take appropriate action to prevent and control hospital-acquired infections in patients also analyze the data every month.
• Plan, organize, and coordinate audit and monitoring of wards, and hospital environment to ensure infection prevention and control practices.
• Monitor the process of biomedical waste segregation, handling, and transportation and implement the national guidelines on hospital premises.
• Develop and implement a hospital infection control training program for both clinical and non-clinical staff.
• Coordinate and update the senior management teams on infection prevention and control every month and advise to improve practices for infection prevention.
• Monitor and implement the laundry and kitchen sanitation, health checkups, disinfection protocols as well as other scheduled hospital infection prevention activities.
• Act as an educational resource both to untrained and trained members of staff on issues related to Infection Control/Quality Improvement and SafeCare accreditation.
• Perform other duties as required within the applicable scope of practice and policies.

• Uphold the highest standards of quality and efficiency in line with hospital quality programs (e.g. Safecare, DOH, etc.) requirements.
• Ensure a safe and secure work environment by strictly adhering to infection prevention and control protocols such as but not limited to handwashing, wearing of PPE, etc.
• Commit to sustainable and eco-friendly work practices by minimizing waste, optimizing resource usage and actively participating in initiatives that promote environmental stewardship.

• Licenses/Certifications Required; if any: Current PRC (Professional Regulation Commission) license
• Minimum Experience Required: At least 6 years of post-education experience. Experience in coordination of Hospital Infection Control Implementation. Experience in quality management certification or accreditation.

• Good problem-solving and decision-making abilities.
• Excellent interpersonal, verbal, and written communication skills.
• Proficient in computer skills (MS-word, Excel, PowerPoint)
• Knowledge of governmental and other regulatory standards, requirements, and guidelines related to quality improvement/Infection Control

CURE International Children's Hospitals