Ensure the hospital's Quality Management System (QMS) is effectively implemented, maintained, and continuously improved in accordance with MSQH Standards, Ministry of Health (MOH) requirements, CKAPS regulations, and other applicable statutory requirements.
Lead and coordinate all accreditation activities, including MSQH surveys, self-assessments, mock surveys, gap analyses, and accreditation readiness programs.
Monitor compliance with organizational policies, procedures, standards, and quality objectives across all departments.
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Take ownership of the department's operational infrastructure, ensuring that workflows, administrative systems, and internal processes are efficient, well-documented, and consistently applied. Periodically review and refresh departmental SOPs as the project evolves, and proactively identify operational gaps before they affect delivery. Serve as the primary liaison with corporate services functions across HR, Finance, IT, and Facilities, exercising judgement and initiative in resolving issues.
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