Quality, Patient Safety & Risk Manager

Job title:

Quality, Patient Safety & Risk Manager

Company:

St. Columcilles Hospital

Job description

This post is open to expression of interest from:existing HSE, TUSLA staff or from other statutory health agencies, or a body which provides services on behalf of the HSE under Section 38 of the Health Act 2004 at a level not lower than that of Grade IV (or equivalent)The purpose of the post is to oversee the work of the Quality, Patient Safety & Risk Department in advancing patient safety and continuous quality of patient care improvement across the hospital, in line with national policy and standards within IEHG governance structures.The post holder will support the General Manager and Clinical Director in achieving excellent standards in clinical governance. They will be responsible to develop, deliver, implement and evaluate a comprehensive quality and safety programme with associated structures, policies and processes. This will involve supporting the implementation of the HSE Risk and Incident Management Policy and guidance including oversight on the management of the Hospital’s risk evaluations and processes and ensuring effective clinical incident management structures monitoring systems, policies and processes are developed and maintained. The post holder will oversee and manage St Columcille’s Hospital service user experience under the ‘Your Service, Your Say’ policy.Principal Duties and ResponsibilitiesLeadership and Accountability (Clinical Governance)· Responsibility for the management and development of the Quality, Patient Safety and Risk Department· Ensure the on-going implementation of Risk and Incident Management programme at the hospital in line with relevant national policies, procedures, protocols and guidelines within IEHG governance structures· Provide support to the Hospital Management Team in the implementation and management of the hospital’s quality, patient safety and risk functions· Provide analysis reports on adverse patient safety incidents, to identify trends and opportunities for further learning, quality and safety improvements and risk reduction strategies· Provide Clinical Risk reports for Hospital Management, Quality and Safety Executive, and Safety Programme (Clinical Governance)· Support the Quality Agenda for the hospital, engendering patient safety focus.· Assist in the provision of education and guidance for relevant staff on risk and incident management in line with best practice· Assist in the development of a framework for Open Disclosure Training in SCH in conjunction with the national team and hospitals leads.· Support the monitoring the effectiveness of Open Disclosure Training across SCH on an ongoing basis and in line with relevant & new legislation.· Support the collation and interrogation of quantitative and qualitative data on patient needs, experience and outcomes of care to highlight areas for improvement across SCH.Clinical Risk and Incident Management· Work in collaboration with clinical services, senior and frontline managers to develop and implement effective organisational wide clinical risk and incident management structures, systems and processes in line with best practice.· Develop and implement processes whereby learning from incidents and near misses is gleaned and used as an education and development tool for the organisation· Collate and monitor key performance indicators related to incident and risk management in line with SCH, IEHG and national requirements· Co-ordinate the development, implementation and monitoring of clinical risk management policies· Manage and oversee clinical incident reporting for SCH onto the National Incident Management System (NIMS)· Oversee, encourage and develop practice relating to the reporting, rating and review of clinical incidents (to determine contributory factors, root causes and actions required) in all clinical areas· Keep abreast of clinical risk management issues and co-ordinate implementation of actions arising from developments in national and international practice in the area of risk and incident management· Investigate serious clinical incidents/serious reportable events in agreement with hospital management in line with HSE Incident Management Framework 2020Quality Improvement (QI)· Assist in the development of the hospital’s quality improvement programme· Develop and oversee the Clinical audit function at the hospital as part of the Quality, Patient Safety and Risk Department· Co-Ordinate and support agreed quality improvement projects within teams and across the organisation with the application of quality improvement methodologies· Manage day to day communications with QI teams to ensure appropriate progress is achieved, tracked and implemented· Ensure that the element of improvement measurement and data analysis are incorporated into all quality improvement projects and provide assistance in this regards within available resources· Co-ordinate and assist with Clinical Audit (Internal and External), Self-Assessments and National Reports· Maintain and manage the Quality System around PPPG development and approval at the hospital· Support the implementation of Quality and Patient Safety initiatives and policy within IEHG governance structures· Have a working knowledge and oversee the implementation of Health Information and Quality Authority (HIQA) Standards; HSE policies, procedures, protocols and guidelines as they apply to the role· Oversee and manage St Columcille’s Hospital service user experience under the ‘Your Service, Your Say’ policy.Human Resources / Supervision of Staff· Lead, manage and support the department staff and enable other team members to carry out their responsibilities, ensuring appropriate delegation of responsibility and authority· Review the conduct and completion of assignments of staff in accordance with the operational plan and expected quality standards· Keep in touch with workloads of staff members to gauge levels of wellbeing and morale in the team· Management the performance of staff, dealing with underperformance in a timely and constructive manner· Conduct regular team meetings to keep staff informed and to hear views· Create and promote a positive working environment among staff members, which contributes to maintaining and enhancing effective working relationships with other teams and disciplines· Solve problems and ensure decisions are in line with local and national agreements· Identify and agree training and development needs of team and design plan to meet needs· Pursue and promote continued professional development in order to develop leadership and management expertise and professional knowledgeStandards, Regulations, Policies, Procedures & Legislation· Contribute to the development of policies and procedures and ensure consistent adherence to procedures and current standards within area of responsibility· Effective discharge the day to day operations, including compliance with HSE Financial regulations and all HSE policies and procedures· Maintain own knowledge of relevant policies, procedures, guidelines an practices to perform the role effectively and to ensure standards are met by own team· Maintain own knowledge of relevant regularisation and legislation internal and external to HSE· Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards and other standards as they apply to the role e.g. Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc. and comply with associated HSE protocols for implementing and maintaining these standards· Support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health serviceEducation and Training· Provide advice on a day to day basis for staff with regard to the management of clinical incidents and risks· Provide information/education, updates and training as appropriate to the roleEligible applicants will be those who on the closing date for the competition:(a) Have satisfactory experience in an office under the HSE, TUSLA, other statutory health agencies, or a body which provides services on behalf of the HSE under Section 38 of the Health Act 2004 at a level not lower than that of Grade IV (or equivalent)And(b) Significant experience of working in the health services in a post that has involved risk management, incident management and investigations as relevant to this roleAnd(c) Candidates must have at the latest date of application:-An academic award in Quality, Risk or Audit in Healthcare at Level 6 (or higher) on the Quality and Qualifications Ireland (QQI) framework or equivalentOrA professional qualification in a health related areaAnd(d) Have the requisite knowledge and ability (including a high standard of suitability and management ability) for the proper discharge of the duties of the officeHealthCandidates for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.CharacterCandidates for and any person holding the office must be of good character.This Job Description is intended as a basic guide to the scope and responsibilities of the position and is subject to regular review and amendment. The role holder will be required to be flexible in this position and is expected to facilitate working additional hours on occasion, when requested.CVs will not be accepted, please fill in and upload the application form below.

Expected salary

Location

Dublin

Job date

Sat, 14 Dec 2024 23:52:34 GMT

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