Quality Manager

Life Entabeni Hospital
Quality Manager

A vacancy exists for a Quality Manager (QM), based at Life Entabeni Hospital, reporting to the Hospital Manager. The successful candidate will be the custodian, together with the Hospital Manager, of the Integrated Quality and Environmental Management system and its effectiveness, and for coordinating quality efforts in support of the hospital management team at Life Entabeni hospital, Life St Josephs hospital, Rehab and Renal unit.

Critical Outputs

Job Purpose

The main purpose of the role of a Quality Manager is management of the Quality System in collaboration with various departments within the hospital.


Critical Outputs

Effective building of relationships with internal/external stakeholders:

  • Ensure productive working relationships with key internal and external stakeholders (including governmental bodies) by participating in various forums, cross-functional activities and by identifying networking opportunities

Overall management of the Quality Function, through:

  • Ensuring that the hospital quality and environmental sustainability objectives are reviewed annually and aligned to the Group objectives
  • Communicating the quality and environmental sustainability targets and focus areas to the hospital management and staff and drive projects to achieve these targets together with HOD’s
  • Generating the hospital quality scorecard and monthly quality reports
  • Collating presentations and communicate feedback on trends, risks, incidents and corrective action taken at the hospital Quality Review meetings
  • Advising the Engineering /Services Manager on conducting environmental aspect/impact assessments and reporting of environmental incidents
  • Partnering with the Infection Prevention Specialist and HOD’s to ensure that the correct management and reduction of general and hazardous waste within the hospital and ensure that waste handling meets quality, legal and environmental regulations and standards
  • Partnering with the Infection Prevention Specialist/Coordinator to effectively manage the Healthcare Risk Waste management, through implementation and maintenance of processes relating to waste reduction, correct segregation and disposal of waste
  • Driving continuous improvement through the Life Healthcare iShift program
  • Participation in Patient Experience management (PXM) and CARE program

Effective Deviation Management, through:

  • Managing, reporting, investigation and close out of all quality and environmental incidents and deviations to standards in conjunction with the HOD’s/Unit Managers
  • Manage close outs of deviations to standards identified during internal and external audits

Effective management of the InfoQuest data management system, through:

  • Training of staff in the use of InfoQuest reporting system
  • Ensure all relevant staff has access as needed and checking data for accuracy and reliability
  • Ensuring that data is captured accurately and submitted by the specified cut-off dates
  • Ensuring that reports are correct, available and utilized effectively
  • Measuring performance against the quality objectives, evaluating the results and co-ordinate corrective action where necessary, together with the relevant HOD’s

Effective risk identification and management, through:

  • Conducting risk assessments on an annual basis, together with HOD’s and Unit Managers, in accordance with legal requirements
  • Monitoring and review of hazard/risk management quarterly, together with HOD’s and Unit Managers
  • Monitoring and reporting on the effectiveness of actions taken to mitigate/control risk, together with HOD’s and Unit Managers
  • Maintaining and updating of Risk register

Effective analyses of data (trending) and management of risks through:       

  • Ensuring that quality data is accurately recorded, the statistics analyzed and trends identified
  • Ensuring that internal CAR’s have been generated based on major trends
  • Monitoring and reporting on actions taken on trends identified through Incident and Alert Management, Patient Experience Management and Customer Relationship Management System
  • Monitoring the effectiveness of correction action
  • Maintaining and updating of CAR register

Effective Occupational Health and Safety Management, through:

  • Coordinating the hospital Health & Safety Committee meetings
  • Ensuring that all legal appointments are made, staff trained in the requirements of such appointments and legal requirements are adhered to
  • Guiding the Hospital Manager on health and safety related issues in order to ensure that the legal requirements are adhered to for staff safety
  • Coordination of employee injuries and occupational disease reporting - internally and externally (DOH&COID)

Emergency planning and disaster management, through:

  • Managing the hospital Emergency and Disaster Plan and practices
  • Updating the emergency planning and disaster management plans and ensuring that they are available

Effective document control, through:

  • Monitoring and ensuring governance of the quality document control processes in the hospital

Effective participation in internal and external audit processes, through:

  • Planning, coordination and participation in the internal and external audit review process
  • Coordinating and monitoring of corrective actions, monitoring of effectiveness of actions and
    close out of all non-conformities related to quality with relevant HOD’s

Training of staff:

  • Conduct training within the hospital to ensure that management and staff understand the quality, safety and
    environmental requirements
  • Induction training conducted using the induction booklet with focus on the legal requirements
  • Degree or Diploma in Nursing or Degree or Diploma in Safety/Quality Management or similar
  • Management experience is advantageous
  • Excellent knowledge of Safety and Health legislation
  • Understanding of the private healthcare industry, its challenges and role players would be an advantage.
  • Computer proficiency
  • Current registration with the South African Nursing Council if applicable
  • Problem-solving, analysis and judgement
  • Resilience
  • Verbal & written communication
  • Influencing
  • Action orientation
  • Excellence orientation
  • Building relationships
  • Customer responsiveness
  • Organisational awareness
  • Monitoring
  • Attention to detail
  • Rule orientation
Closing date
Monday, May 13, 2024

Internal applicants - Before making an application, you are requested to discuss your application with your line manager. External candidates will also be considered.

Life Healthcare is an Equal Opportunity Employer. 

Thank you for your interest in this opportunity. Kindly note that only shortlisted candidates will be contacted.  Applicants who have not been contacted within two weeks of the closing date of this advert, should consider their application as unsuccessful.

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