Quality Improvement Manager

Quality and Compliance Manager – Permanent, Full-time

The Quality Improvement Manager, reporting to the Head of Quality, Risk and Regulatory Compliance (QRC), will hold responsibility for the incident management framework and associated processes. The post holder will also input to the patient feedback process, regulatory compliance, risk management and the clinical governance framework across St John of God University Hospital and St Josephn’s Centre Shankill.

The post holder will provide strong leadership, best practice standards of healthcare delivery and demonstrate efficiency and effectiveness in supporting the service to deliver a safe, compassionate and data led patient cantered services. In so doing, the post holder will ensure the provision of such leadership in accordance with the ethos and values of Saint John of God Hospitaller Services Group and that the quality and regulatory requirements are improved, adhered to, implemented and maintained.

Responsibilities:

· The management of all incidents in line with SJOGUH incident management policy and will manage the regulatory requirements of the Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023, commenced 2024.

· Provide administrative support and input on serious incident reviews.

· Actively support and provide administrative support to the Open Disclosure Process, Designated Persons and Staff Support Persons.

· Coordinate SIMT meetings i.e., annual schedule, minutes, data reports and contribute to Review Reports.

· Actively manage and quality assure final Review Reports and disseminate as per agreed hospital processes.

· Manage, assigned reporting requirements of the Mental Health Commission (MHC) and Health Information and Quality Authority (HIQA)

· Design and maintain standardised serious incident data reports, that incorporate analyses, trends and performance indicators

· Roll out of assigned quality improvement plans/projects

· Prepare reports as required by the Head of QRC, Senior Management, MHC.

· Oversee and manage the delivery of an Incident Management Framework training plan, for all staff disciplines and grades.

· Oversee and manage requirements of the National Open Disclosure Framework.

Essential Qualifications:

· Qualification in healthcare desirable

· A minimum of 3 years’ experience in Quality/Risk/Regulatory Compliance