RESPONSIBILITIES:
Operational Excellence
- Achieve organization’s quality and safety goals by identifying improvement opportunities and implementing process improvements using appropriate quality improvement or lean six sigma tools
- Organizes process improvement teams and leads/ conducts/ coaches process and quality improvement projects in departments and units
- Build employees’ competency in using the science of process and quality improvement
- Works with the department leaders to define short or long-term quality and safety goals and performance metrics
- Assists and builds competency of end-users in developing departmental policies and procedures
Business Intelligence Management
- Implements knowledge management and analytics of relevant data (quality, safety, financial, operational) to support process improvement
- Guides department leaders and staff in report development and design which includes collection, validation, consolidation, aggregation, analysis, interpretation and reporting of quality measures
- Assists in the development of guidelines and processes for timely feedback and reporting of analysis of quality data to appropriate audience based on ethical and regulatory standards.
- Collaborates with Health Informatics for rational and efficient data storage and archiving, data collection, and report design
Organizational Excellence and Innovation
- Oversees the planning and execution of all activities to prepare the hospital for accreditation surveys including that of the JCI, Philhealth and others as needed.
- Oversees the planning and execution of regular Mock Surveys and other related activities.
- Reviews trends in compliance of the different patient care processes, making sure that these are communicated to relevant persons for appropriate action and recommendation.
- Evaluates compliance indicators for relevance to hospital’s quality and safety goals.
- Implements and assists in designing approaches to promote organizational excellence including Leadership Rounds, Hospital Safety Culture, and other customer experience initiatives.
- Implements innovation programs including digital transformation in departments under its scope and hospital-wide as needed.
- Re-engineers/ optimizes processes while ensuing alignment with the long-term business and operational goals and with the international quality and safety standards
Organization-wide Policy Management
- Guides and builds competency of end-users/process owners in developing, revising and improving policies and procedures as needed.
- Maintains the document management system (DMS) of the organization and actively researches on latest DMS platform to support the organization’s evolving requirements.