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Key AccountabilitiesMaintaining the ISO 9001 & 37001 certificationConducting and coordinating the activities for compliance with ISO 9001 & 37001 standardsMonitoring the Quality Improvement Activities (QIA) for KPJ Group of Hospitals and CompaniesAssisting the implementation of any Quality Improvement Activities in KPJHQ i.e. OSHE, Fire safetyJob ResponsibilityGroup Compliance To Quality Standards & RegulationsResponsibility To Assist In Directing Quality Compliance By Coordinating Activities Throughout The Hospital In Line With Kpj Vision & Mission And Hospital Policies And Procedures.Coordination Of Quality Activities Direct Co-Ordinate Quality Activities, For Example Ims, Msqh, 5s, Bfhi, Jci, Icc, Etc.Updating Of Group Quality Matters & Issues Responsible For Keeping The Head Of Quality Service, Operation Manager, And Chief Executive Officer Informed Of Any Quality Issues Or Reportable Situation That Needs Administrative Involvement.Establishment & Compliance To Iso And/Or Accreditation StandardsTo Be Responsible For The Establishment, Implementation And Compliance Of The Delivery Of The Hospitals’ Services In Accordance With Iso Standards Or Accreditation Of Hospital/Professional Practice.Synchornisation Of Hospitals’ Policies And Procedures With Regulatory RequiementsEnsure Systematic, Structured, Up-To-Date, Compliance With Statutory And Regulatory Requirements And Hospital Policies And Procedures.Monitor, Evaluate & Report On Effectiveness Of Groupwide Quality And Safety Enhancement ProgrammesTo Compile, Monitor And Evaluate Effectiveness Of Continuous Quality Improvement Programs/Activities And Ensure Conformity To Set Standards/ Professional/ Ethics/Best Practice And Report To Top Management, I.E. Lean Management, Risk AssessmentRecommend Corrective And Prevention Actions To Improve Quality And Reduce RiskTo Come Up With Suggestions/Recommendations Inclusive Of Corrective Action, Preventive Action And Innovation For Continuous Quality Improvement.Dissemination Of Quality Improvement InformationTo Disseminate Quality Improvement Information To All Staff Of The Organization, Therefore Increasing Awareness.Quality & Safety AuditsTo Conduct Independent Audits From Time To Time And Report Audit Findings To Gm/Ceo If Required. To Prepare Audit Programs And Schedule, Coordinate And Monitor To Evaluate The Adequacy And Effectiveness Of Control In The Performance Of The Quality System.Networking With External Agencies & Certification BodiesTo Liaise, Co-Ordinate And Network With External Agencies E.G. Certification Body I.E. Sirim, Msqh, Government Agencies I.E. Mpc & Potential Customers Etc.Keeping Kpj Group Management UpdatedUpdating And Reporting The Progress And Changes In Quality Activities In Hospital To Kpjhq.Regular Management Review Meetings Coordinating Management Review Meeting And Any Related Quality Meeting.Monitor Non-Compliance & Non-Conformance To Quality StandardsTo Review, File And Retain Audit Reports On Non-Conformances And Highlight To Relevant Personnel And Assist In Formulation Of The Corrective Action To Be Taken.Creation Of Continuous Training On Quality To Recommend, Participate And Assist In Formulation And Conducting Awareness And Refresher, Education And Training For Quality Related Programs For Staff.Quality AwardsIdentify The Suitability Of The Award And Certification To Be Involved And Present It To Top Management.Certification / Audits / SurveysTo Coordinate Certification Audit / Survey With Third Party Auditor /SurveyorSupport & Provide Information To Quality- Related Committees / InitiativesInvolved And Facilitate Committees Related To Kpj Quality E.G. Esg Activities, Also Integrated Annual ReportsAdvisory Role For Quality Improvement ActivitiesAct As Advisor For Any Quality Improvement Activities For Kpj Group Of Hospitals I.E. Csm Recognition By Sirim, Kpj Quality Workshops.Recommend / Propose Innovations To Come Up With Suggestions/Recommendation Innovation For Continuous Quality Improvement E.G. Planetree AccreditationFulfil Other Tasks & Achieve Targets Stipulated By Kpj Management Perform Other Related Duties As May Be Assigned Or Delegated By Chief Risk Officer (Cro) Or Management.Job RequirementsBachelor’s Degree in Nursing, Healthcare Administration, Allied Health, Medical Technology, or related fieldsISO 9001:2015 Lead AuditorLean Management Certificate/ Six Sigma5 years' experience in heading Quality Control/Service
