Anesthesia Quality Coordinator
Anesthesia
Deadline Nov 28 2019
The Anesthesia has an opening for the position of Anesthesia Quality Coordinator above grade 12. Since this provides an opportunity for PROMOTION from within, kindly circulate this information and/or post it in your area of jurisdiction so that those interested and having the minimum qualifications may apply.
Basic Functions

Develop, implement and maintain quality monitoring and analysis of processes and data to support the Quality Improvement Plan of the Department and assure conformity with national/international regulatory/accreditation standards. Establish a plan for data collection, case investigations and data analysis that will enable the Department of Anesthesia to regularly assess and monitor selected departmental, medical center, and national and international quality and patient safety indicators and the Multicenter Perioperative Outcomes Group (MPOG) in both its quality & research arms.
Review patient care occurrences and collect and submit reliable data to the Chairman of the Department and the Chief of Staff through high-quality clinical screening, data compilation, documentation and entry into a database of all eligible procedures for the medical center.
May be involved as a participant, facilitator, and/or supporter of specific initiatives or of committees involved in performance improvement activities.
Work directly with the Chairperson of the Department of Anesthesia, Clinical Department Administrator, the Vice Chair, the Chief of Staff, and the Quality, Accreditation and Risk Management Program representatives, Anesthesia staff and residents. This position is cross-functional, and adapts to ever-changing patient and institutional demands.
Support the mission and vision of the American University of Beirut Medical Center (AUBMC) and that of the Department.

Minimum Requirements
  • Certified Professional in Health care Quality (CPHQ) is a must.
  • 3 years of experience in clinical & quality improvement activities in a related hospital environment.
  • Strong command of English and Arabic (EEE>/=500).
  • Proficient in using computer applications such as spreadsheets, word processing, database management, statistical software.
  • Bachelor’s Degree in Health Sciences/Basic Sciences or related field. Master’s Degree in Health Sciences/Basic Sciences or related field is preferred.


Interested applicants are invited to register/login and complete the online application and apply to the vacancy prior to November 28 2019 on the following link: http://www1.aubmc.org.lb/hremp/

For Internal Applicants: In addition to the updated C.V., a letter of intent should be addressed to the Human Resources Department with a copy to the concerned Supervisor(s).

Within the framework of Lebanese Law, the American University of Beirut is an equal opportunity employer.
Job Summary

Develop, implement and maintain quality monitoring and analysis of processes and data to support the Quality Improvement Plan of the Department and assure conformity with national/international regulatory/accreditation standards. Establish a plan for data collection, case investigations and data analysis that will enable the Department of Anesthesia to regularly assess and monitor selected departmental, medical center, and national and international quality and patient safety indicators and the Multicenter Perioperative Outcomes Group (MPOG) in both its quality & research arms.
Review patient care occurrences and collect and submit reliable data to the Chairman of the Department and the Chief of Staff through high-quality clinical screening, data compilation, documentation and entry into a database of all eligible procedures for the medical center.
May be involved as a participant, facilitator, and/or supporter of specific initiatives or of committees involved in performance improvement activities.
Work directly with the Chairperson of the Department of Anesthesia, Clinical Department Administrator, the Vice Chair, the Chief of Staff, and the Quality, Accreditation and Risk Management Program representatives, Anesthesia staff and residents. This position is cross-functional, and adapts to ever-changing patient and institutional demands.
Support the mission and vision of the American University of Beirut Medical Center (AUBMC) and that of the Department.

Essential Functions / Task Groups

Functional/Technical Duties :

  •  Act as a champion and content expert for patient safety and quality improvement at the department level.
  • Work with the Chairman, Vice Chair, the Chief of Staff and QARM others to develop performance improvement targets for quality of service.
  • Coordinate the design and implementation of initiatives and work collaboratively with the QARM to align quality improvement efforts.
  • Apply patient safety and quality improvement knowledge in design of initiatives.
  • Utilize appropriate patient safety and quality improvement methods in planning and implementation phases of PI projects.
  • Develop measures and design data collection plans for patient safety, quality improvement and regulatory standards at the department level.
  • Coordinate/perform collection of measurement data, including data from AUBHealth reviews.
  • Conduct quality review activities to improve care quality and patient safety & analyze review results and submit reports on findings to the quality leadership and the Performance Improvement Committee.
  • Assist with monitoring of unusual occurrences.
  • Participate in the Performance Improvement Committee and implement its action plans.
  • Utilize the appropriate performance improvement tools and techniques to identify problems and design action plans.
  • Participate in root-cause analysis teams and other task forces related to quality and patient safety.
  • Participate in the selection of specific topics for review, such as problematic procedures, high volume and high risk processes.
  • Encourage staff to participate in solving problems.
  • Construct and populate appropriate databases to perform statistical analyses.
  • Identify unit trends and share findings with Chairman and vice chair for assessment with other data and identification of departmental vs. organizational trends.
  • Regularly generate reports of key indicators and performance measures as scheduled.
  • Audit charts:
    -Ensure all charts are completely filled
    -Follow up on incomplete charts
    -Submit reports as requested by QARM

Patient Centered Care: 

  • Maintain and update the MPOG database and communicate effectively with patients, families and staff through the following steps:
  • Identify patients for inclusion in the MPOG registry through the application of strict program inclusion/exclusion criteria and randomization protocol.
  • Responsible for the reliable collection of preoperative, operative, and postoperative data components for the program through the effective utilization of the AUBHealth.
  • Attend Morbidity and Mortality meetings to ensure reliable data collection of post procedure occurrences.
  • Responsible for identifying areas for streamlining and process improvement in the data collection process.
  • Demonstrate appropriate utilization of resources necessary to obtain valid, reliable data into the program.
  • Utilize software applications at the site for data collection and analysis.
  • Ensure accurate and timely entry of data and assuring the transmission of completed data.
  • Contact patients and/or families via telephone and/or written communications postoperatively for the purposes of identifying possible occurrences associated with procedures performed at the hospital.
  • Serve as an educational resources in the MPOG for internal and external audiences by developing educational material and delivering presentation.
  • Attend conferences pertaining to the program as requested.
  • Investigate patient care occurrences in coordination with the concerned AUBMC staff.
  • Review medical records of patients affected by patient care occurrences.
  • Prepare summary reports on patient care occurrences.
  • Review AUBMC policies and procedures regarding safety and security of patients and families, and ensure their implementation in coordination with the AUBMC Risk Manager.
  • Perform pro-active review of patient safety processes and identify process improvements.
  • Propose action plans for prevention of similar occurrences.

Administrative/Miscellaneous:

  • Maintain databases and performance improvement documentation that support the structure of the Medical Center for peer review, statistical analysis, process and outcome monitoring.
  • Prepare data collection sheets and collect relevant data on the assigned quality reviews.
  • Review and analyze departmental morbidity and mortality data to monitor for specific trends and patterns.
  • Prepare and coordinate all Mortality and Morbidity review sessions and maintain an updated log of all cases.
  • Document and report all performance and quality improvement activities to engage staff in continuous quality improvement.
  • Communicate progress on initiatives to all stakeholders in a scheduled and timely manner.
  • Compile statistical data and write narrative reports summarizing quality improvement findings.
  • Facilitate the coordination of meetings for performance/quality improvement projects.
  • Scheduling of meetings and rooms; notifying participants.
  • Developing agendas in collaboration with involved leaders.
  • Following up after meetings to ensure that work gets done.
  • Recommend changes for quality improvement in the departmental Policies and Procedures manual based on findings of reviews and surveys.
  • Attend in-service discussion as requested.
  • Perform self-development activities.
  • Provide educational support, leadership and consultation services.
  • Work in concert with the AUBMC medical, nursing, administrative staff and the Medical Board Committees to ensure that goals are set and measured to continuously improve performance.
  • Perform other administrative activities and duties as assigned.
  • Participate and contribute to successful departmental compliance with the national and international regulatory surveys/accreditation processes through reviewing the standards and intent of the Ministry of Public Health (MOPH) and the Joint Commission International accreditation Standards for Hospitals (JCIA).
  • Interpret and implement Medical Center policies and accreditation standards related to quality improvement and patient safety.

Critical Competencies
Client Focus, Achievement Orientation, Organizational Awareness, Initiative, Communication Skills, Safety and Health Management, Ethical Practice, Developing Others, Resource Management, Problem Solving, Professional Development, Team Skills, Planning and Organizing, Information and Records Administration, Professionalism, Quality Management, Applied Technology, English Comprehension, Computer Skills.
Knowledge / Know-How

Knowledge:
Knowledge of principles and practices in healthcare field with emphasis on quality and performance management.
Proficient in statistical analysis.

Education:
Minimum Education: Bachelor’s Degree in Health Sciences/Basic Sciences or related field.
Preferred Education: Master’s Degree in Health Sciences/Basic Sciences or related field.

Certifications:
Certified Professional in Health care Quality (CPHQ) is a must.

Experience:
Minimum Experience: 3 years of experience in clinical & quality improvement activities in a related hospital environment.

Languages:
Minimum Languages: Arabic and English (EEE >/= 500)

Computer Skills:
Proficient in using computer applications such as spreadsheets, word processing, database management, statistical software.

Impact of Actions / Decisions

Decisions may affect accreditation, licensure, and funding.
Effective carryout of the work enhances the performance improvement culture change & compliance review process at AUBMC.

Job Structure

Applies rules, regulations, and laws in administration of programs.

Managerial / Supervisory Responsibility

Reporting Channel:
1st Level: Departmental Quality Director
2nd Level: Chairman, Department of Anesthesia

Supervisory Channel:
None

Job Characteristics

Physical Effort: Moderate Physical Effort

Work Schedule: Regular weekdays

Working Conditions: Normal