Quality Co-Ordinator

Job Purpose

The role is responsible for the promotion and continuity of quality improvement and patient safety. As a key member of the quality team, the Quality Co-Ordinator is responsible for the monitor, track and report on progress in relation to the quality improvement programme and all matters relating to this programme, and will promote patient safety and compliance with JCI Accreditation Standards. The position requires a strategic approach to assist in leading the JCI Accreditation process within a fast pace working environment and also educate and support all staff on issues relating to quality improvement. In order to achieve defined outcomes, the Quality Co-ordinator engenders commitment, encourages cultural changes, disseminates information, and provides support for behavioural safety process changes.

Job Background/Context

The Hermitage Clinic is a private hospital providing a full range of medical and surgical care across a broad spectrum of specialities.

Key Responsibilities

Operations

• Assist in the development, implementation and monitoring of a project plan/quality improvement work plan.
• The ability to prioritise and work under pressure to meet strict deadlines
• Develop and maintain a tracking system to ensure project milestones are met.
• Identify, promote and co-ordinate agreed quality improvement initiatives.
• Actively participate in the facilitation of quality improvement projects.
• Promote continuous improvement in quality of care delivery.
• To act as a resource to staff on issues related to quality improvement developments.
• To maintain existing quality improvement software systems and to establish and maintain a database of quality improvement activities within the hospital.
• To maintain an awareness of current developments in quality improvement by utilising ICT resources, reviewing journals, attending seminars and collaborating with colleagues both nationally and internationally.
• To determine the educational needs of clinical and clinical support staff in relation to quality and make recommendations as to how these can be met.
• To develop, co-ordinate and deliver education, training and updates on quality improvement and related areas.
• To assist in identifying the cost benefits/implications for the development of projects.
• To co-ordinate the development of whole hospital/group policies, develop a database of policies and put a process in place for regular review/update of these policies. 
• To conduct tracer audits as part of the hospital tracer audit programme.
• Organise meetings which will include informing people, preparing and circulating agenda and other relevant documentation as well as arranging venues, etc. Attend meetings, take and prepare minutes as required.
• Undertake correspondence as agreed with the Head of Quality, Risk and Accreditation
• Provide regular feedback/reports to the Quality Improvement & Risk Management Committee.
• Collect and compile data and statistics as required.
• Develop and maintain a comprehensive system of records and file in accordance with best practice.
• To assume responsibility for one’s own learning and development needs with evidence of commitment to ongoing professional development.
• Organise and perform activities relating to the role in an efficient and effective manner.

· Promote a patient centred culture of openness and responsiveness to positive and constructive patient feedback and ensuring patient dignity, respect and choice is maintained in their care. 

· Have responsibility for the management of the Quality Management system.

Learning and Education

• Take personal responsibility for own professional development and keep up to date with evidence based practice and research.
• Attend and participate in development programmes on an ongoing basis and sharing knowledge with other members of the team.
• Assist with the orientation and induction of new staff and be available to provide orientation as deemed necessary, helping them to integrate as members of the hospital.
• Identify and inform the Learning and Education Team of any training and professional development requirements.
• Attend all mandatory training days and ensure that all mandatary training is in date.
• Comply with all HR system and policy requirements.
• Assist with the roll of a Quality Management system

Quality Improvement and Risk Management

• Ensure that there is compliance with all relevant Hermitage Clinic guidelines, policies, procedures and relevant legislation and regulatory requirements. This includes responsibility for dealing with regulatory or professional bodies and inspections.
• Encourage continuous review and evaluation of policies, guidelines and existing practices through regular audit programmes and review engaging with the multi-disciplinary team where required.
• Promote a culture of continuous quality improvement across the department involving the team in continuous improvement initiatives and encouraging innovation. 
• Set and monitor core objectives, standards and key performance indicators for the service and monitor performance against these standards through internal and (where applicable) external audit.
• Lead out on the requirements of the hospitals accreditation process.
• Participate fully in the requirement of the hospital’s risk management programme.
• Promote the delivery of a high standard of care to all patients. Encourage evidence-based practice and assist in the dissemination and implementation of research findings.
• Work with members of the Multidisciplinary team in devising Standard Operating Procedures for the development of the Unit.
• Manages, organises, audits and reports on Patient Satisfaction feedback.
• Develop a culture of safety, promoting positive reporting of incidents and near misses; investigate and take remedial action on incidents or near misses involving patients and staff according to hospital policies, protocols and guidelines.

Essential Criteria Knowledge/Experience

· Relevant third level and/or professional qualification in a health or quality related field.

· 2 – 3 years in a clinical or relevant administrative post.

Skills/ Competencies

· Excellent communications skills including written, oral & presentation.

· Ability to influence and motivate a range of stakeholders to deliver continuous improvement in services

· Excellent team-working skills and interpersonal skills.

· Ability to manage workload and prioritise effectively.

· Patient Centred

· Exceptional planning and organisational skills

· Self-confident, energetic and persuasive.

· Have a focus on delivery and problem solving.

· Be able to act on own initiative.

· IT skills

· Detailed reporting skills

· Commitment to Quality

· Change Management

· Risk Management

· Project Management

Desireable Skills Knowledge/ Experience

· Qualification in Quality Management would be an advantage

· Experience in healthcare quality improvement programmes.

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