Quality Specialist

Description Job Purpose: The Quality Specialist includes mortality and morbidity reviews, focused reviews of practice and documentation, data collection and ownership and oversight of performance improvement project across the Fakeeh Health Care facility.

Key Responsibilities And Duties

• Clinical Reviews: Conducts detailed chart reviews for mortality and for morbidity triggers as delineated in both mortality review and morbidity review policies. Prepares agenda and minutes of the Fakeeh Health Care facility, M&MC, and responsible for display and presentation of cases during meetings of M&MC.
• Documentation and Compliance: Performs qualitative review of documentation in EMR, ensuring proper documentation practices across the Fakeeh Health Care facility in compliance with clinical documentation policy.
• Audit and Reporting: Generates and analyzes monthly audit reports, identifying discrepancies and areas for improvement catering to both internal Fakeeh Health Care facility standards and external regulatory requirements. Communicates findings to the Quality Risk Management (QRM), Chief Medical Officer (CMO), and other OUL and suggest actionable improvements.
• Committee Involvement: Serves as an active member on selected committees.
• Data Management: Essential part of validation process of new KPI’s and responsible for collection of manually collected KPI’s from assigned end users.
• Privacy and Security Oversight: Continuously monitors the privacy and confidentiality of patient documents and information throughout the Fakeeh Health Care facility.
• Accreditation and governmental Compliance: An essential member of the team that keeps Fakeeh Health Care facility in compliance with regulatory, governmental and accreditation standards.
• Performance Improvement: Participates actively in projects aimed at continuous quality and safety improvements across the applicable Fakeeh Health Care facility
• Training and Development: Contributes educational initiatives on audit processes, quality standards, and regulatory compliance. This includes conducting workshops on documentation accuracy, patient safety, and the effective use of patient feedback to drive service improvements. Facilitates ongoing professional development to keep staff updated on the latest practices in healthcare quality management and audit techniques.

All Fakeeh Care employees are responsible for continuous improvement, including

• Performing all duties and tasks in a manner that supports Fakeeh’s Person-Centered care values.
• Acts as major advocate for patients’ safety
• Actively contributing to continuous improvement initiatives, within the scope of the role.
• Adherence to safety protocols and proactively seeking to address any job-related safety concerns.
• Maintaining strict confidentiality of all sensitive information accessed or encountered during work.
• Complying with cybersecurity policies and standards to protect Fakeeh’s systems and participating in awareness training and initiatives to prevent cyber threats.
• Adhering to and upholding Fakeeh Care’s code of conduct, policies and ethical standards.
• Completion of mandatory education as per the requirement, at least one month prior to expiration.

Requirements Skills And Abilities

• Quality Orientation: Committed to enhancing service quality and organizational standards.

• Stress Management: Manages high-pressure situations effectively, maintaining focus and composure.

• Responsibility: Takes ownership of duties and organizational goals; proactive in resolving issues.

• Teamwork: Collaborates effectively to achieve shared objectives.

• Adaptability: Responsive to changing environments and effectively manages transitions.

• Customer Service Excellence: Ensures superior service delivery to enhance patient satisfaction.

• Professional Knowledge: Deep understanding of job responsibilities and the broader organizational impact.

• Mastering and practicing the following skills:

• Methods and processes of improvement

• Data aggregation, validation, and analysis

• Risk identification and management

Experience: A minimum of 4 years' experience in the healthcare field, with at least 3 years in a QRM department in a large healthcare facility

Education: Bachelor’s degree in healthcare field along with CPHQ certification. A master’s or postgraduate degree in Quality Management or related field is preferred.

Language: Excellent command of verbal and written English and Arabic

Licenses / Certifications: N/A