Role Summary
You willdrive systems and processes that ensure we meet regulatory standards, improve patient outcomes, and deliver consistent service quality across all departments.
You'll work closely with clinical and non-clinical teams to identify gaps, implement solutions, and track results.
Key Responsibilities
Quality Systems & Compliance:
Develop and maintain the hospital's quality management system in line with NAFDAC, MDCN, SON, and other regulatory bodies.
Lead internal audits and coordinate preparations for external inspections and accreditations.
Review and update policies, SOPs, and clinical guidelines to reflect best practice.
Performance Monitoring & Reporting:
Track key quality indicators: Patient satisfaction, infection rates, turnaround time, incident reports.
Analyze data to identify trends, root causes, and recommend corrective actions.
Prepare monthly quality dashboards and reports for management.
Patient Safety & Risk Management:
Oversee the incident reporting process and lead root cause analysis for adverse events.
Work with department heads to close gaps and prevent recurrence.
Training & Culture Building:
Train staff on quality standards, patient safety, and improvement tools like PDCA and RCA.
Foster a culture of accountability, transparency, and continuous learning.
Collaboration:
Partner with HODs, nursing, pharmacy, lab, and admin to implement improvement projects.
Support procurement and facilities to ensure equipment and supplies meet quality standards.
Requirements
A Master's in Healthcare Management/Quality is an advantage.
Minimum 7years' experience in quality management within a hospital or healthcare setting.
Knowledge of ISO 9001, JCI, or other healthcare accreditation standards.
Experience with data analysis, incident investigation, and process improvement methodologies.
Strong communication, training, and stakeholder management skills.
Proficiency in MS Excel, PowerPoint, and hospital information systems.