Consultant – Cardiac – Saudi Arabia
March 4, 2020
Registrar – Oncology Saudi Arabia
March 9, 2020



Job Description

Minimum Bachelor’s Degree in health care profession (i.e. Nursing, Pharmacy, Hospital Administration, or other relevant discipline) is ESSENTIAL. Certification in Healthcare Quality (CPHQ) is PREFERRED.

• Minimum 4 years of relevant professional experience for bachelor’s degree holders.

• Minimum 2 years of relevant professional experience for master’s degree holders.

Experience must be in healthcare quality management activities in an acute care facility or large ambulatory care environment.

• Facilitate, monitor, educate, conduct, and coordinate Joint Commission Accreditation and Reaccreditations.

• Implement Continuous Improvement Initiatives including;

• New Quality Management System;

• Disease Management Program;

• Patient Safety WalkRounds Program- this involves, among other things, analyzing and reporting on clinical practices, processes, error reporting and the environment from the perspective of patient safety;

• Clinical indicators (working towards Data Warehouse/Balanced Scorecard);

• Sentinel Events and Root Cause Analysis as per Sentinel Events Guidelines;

• Training for Quality Improvement Initiatives and FOCUS PDCA (System Improvement Methodology) Projects- with a view to the next stages; FMEA and 6 Sigma;

• Review and investigate Mortality and Morbidity rates with reference to PCI’s;

• Facilitate the implementation, analyze, report, and review the effectiveness of the various initiatives and recommend, implement further improvements (Continuous Improvement Cycle).

• Responsible for recommendations regarding annual review/revision within all Quality Improvement programs/ activities, databases, indicators, etc.

• Perform retrospective or concurrent reviews on the assigned areas utilizing the  approved Indicators Monitoring System (IMS) databases, indicators or criteria.

• Participate in site visits to the various facilities to work with staff on quality improvement programs and/or activities. Responsible for completion of a full and detailed Site Visit Report within three (3) working days of return from all visits.

• Training:

• Assist in training staff from various Departments in areas of Quality Improvement, Quality Improvement programs, records requirements, techniques of continuous quality management and other related areas as assigned.

• Conduct Quality Improvement workshops as appropriate and as directed by the Director of the Department

• Conduct Orientation for QI system training for all new staff.

• Participate in area wide mini focus studies; to be undertaken in conjunction with the department and other Directorates.

• Responsible for reviewing results of committee meetings, mini focus studies, QI team activities etc. from all assigned facilities and participating in preparation of quarterly reports for the Director of QI & PS department.

• As assigned by the Director, coordinate QI Activities with other Affairs Directorates to maximize staff expertise in the area of Quality Management.

• Facilitate the preparation of monthly quarterly reports regarding the QI programs and compliance with same for all assigned facilities.

• Provide day-to-day operational support to, s assigned in terms of; concurrent reviews, utilization reviews, retrospective monitoring, committee and QI team assignments, referral of identified issues or concerns to appropriate department(s) or areas etc.

• Responsible for reviewing OVA (Clinical Incident Reporting System) into the database, referring PCI’s (action) reporting trends, analyzing of reports, and identifying any Sentinel Event.

• Facilitate, maintain the database, coordinate, analyze, and report on the Medication Safety Program.

• Develop, maintain, analyze and report Clinical Pathways.

• Attend QI Committee meetings in assigned critical area(s).

• Review, Facilitate, and develop APP, IPP, Guidelines. Assist in developing QI Plans.

• Perform other job related duties as required.


• Must have strong working knowledge of standards implementation and knowledge of clinical care processes.

• Familiar with data collection, analysis and statistical reporting.

• Proficient in working with the following computer applications: Word, Outlook, Power Point Excel and other related software applications.

• Effective interpersonal communications and teaching skills.

• Knowledge of the National and International Quality & Patient Safety Accreditation Standards such as: CBAHI, JCI, CAP, AABB, Planetree etc.

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