Coordinator, Quality and Patient Safety

Position: Coordinator, Quality and Patient SafetyEntity: Aga Khan University HospitalLocation: Karachi, PakistanIntroduction:The Aga Khan University Hospital is a not-for-profit healthcare institute that offers all medical services to its patients under one roof. In addition to the tertiary care hospital in Karachi, AKUH has a network of 4 secondary care hospitals, 30+ Medical Centers, and over 290+ Clinical Laboratories, 30+ Pharmacies in over 120+ cities across Pakistan. It also offers Home Healthcare Services and home deliveries of medicines. The Hospital provides Zakat for those patients who are eligible, and the health system offers generous Patient Welfare to support those in financial need. In recognition of its high quality and patient safety, the AKUH is accredited by the Joint Commission International (JCI) as an Academic Medical Centre, and its Clinical Laboratories are accredited by the College of American Pathologists (CAP) for fast and accurate testing.Responsibilities:You will be responsible to:

• conduct open and closed medical record reviews of ambulatory, and inpatients and review the documentation compliance of care healthcare workers in light of Joint Commission International Accreditation (JCIA) Hospital and Academic Medical Center standards and hospital policies
• identify, analyze, and compile gaps in medical record documentation and communicates to relevant owners to improve compliance. Develop and disseminate timely reports of all kinds of medical record reviews to the relevant stakeholders
• participate in departmental QIC as a representative of QPS departments and provide assistance wherever required
• coordinate, compile, and analyze institutional dashboard indicators, JCIA library of measures, clinical measures, managerial measures, International Patient Safety Goals, institutional KPIs, etc.
• conduct data validation as per institutional criteria for the dashboard indicators as identified on a quarterly basis
• compile audit reports of assigned departments and share them with the concerned Department chair/vice chair, Quality Improvement representative (QIR), and Nurse managers
• assist QPSD managers in timely reviewing of existing multidisciplinary clinical and administrative policies and procedures in the light of current literature and JCIA standards
• conduct quality and patient safety-related audits and spot checks, to ensure the provision of safe and high-quality care such as International Patient Safety Goals (IPSGs), Code Blue, Tracers, Crash Carts, etc. as guided by the Senior Manager, QPSD
• identify areas for improvement in effective quality and patient safety-related activities and initiates quality improvement or research projects
• conduct rounds, spot checks, and audits in departments, to monitor compliance of staff with institutional policies, procedures, and JCIA standards
• participate in Internal Quality Surveys (IQS) and JCIA mock audits and share audit observations with the QPSD managers
• participate as resource person in any other accreditations hospital leadership decides to participate in e.g., SafeCare, Magnet/Pathway to Excellence, CARF, Planetree, CAP, CCPC, etc. 
• facilitate managers in institutional Key Performance Indicator (KPIs) monitoring and compilation
• facilitate department for any queries related to the scorecard, and CUSP in the assigned department to ensure observations/audit findings are closed
• participate in RCA meetings and conduct follow-ups on the actions decided in the RCAs. Facilitate QPSD leaders in conducting Hospital Survey on Patient Safety Culture Survey and coordinate with the department stakeholders to improve on the findings through their respective QICs
• assist senior manager in releasing quarterly QPSD newsletter.

Requirements:You should have:

• at least a Graduate degree or equivalent qualification in a related field / Masters preferred
• professional Certification in a relevant field in the area of work will be an added advantage
• minimum 2 years post-graduate experience in a healthcare setting preferably in any leadership role
• IT competency especially in data management and analysis will be preferred
• ability to break down concrete issues into parts and synthesizes succinctly along with collecting and analyzing information from a variety of appropriate sources
• ability to identify client/internal customer needs and expectations and respond to requests efficiently and effectively while taking action beyond explicit requests within established service standards
• ablility to meet client/internal customer needs in a respectful, helpful, and responsive manner and seek feedback to develop a clear understanding of client needs and outcomes
• ability to listen actively and objectively without interrupting and present appropriate information in a clear and concise manner, both orally and in writing
• ability to recognize and act on present issues as well as offer ideas to address current situations or issues. Able to work independently and complete assignments without constant supervision
• ability to complete tasks in accordance with plans and sets priorities for tasks in order of importance
• ability to give support to co-workers and works collaboratively rather than competitively as well as share experiences, knowledge, and best practices with team members.