Hospital Quality & Risk Improvement Lead

Siloam Hospitals Group; Depok; On-site; IDR 111,600,000 - 178,560,000; Full time

Job summary

Siloam Hospitals Group seeks a leader to oversee the Hospital Quality Improvement and Patient Safety (PMKP) program across all divisions, ensuring compliance with policies, risk management, and effective audit processes.

You will manage data collection and analysis, document control, incident grading, and accreditation preparation while guiding staff through quality initiatives and training programs.

Qualifications

• Minimum 3 years of clinical work experience at shift supervisor level or as head nurse.
• Experience in hospital settings and understanding of business processes across departments.
• Experience supervising clinical service delivery and coordinating teams.
• Familiarity with risk management practices and incident reporting.

Responsibilities

• Oversee the entire PMKP quality improvement and patient safety program across all departments.
• Conduct audits of clinical and non-clinical services according to accreditation standards and policies.
• Collect, validate, and analyze quality data from all departments at hospital level.
• Manage hospital documents from development through revision, ratification, and distribution.
• Grade incidents, appoint owners, and escalate according to the matrix.
• Lead proactive risk reduction via Failure Mode & Effects Analysis (FMEA) in at least one clinical process per year.
• Manage the hospital's Quality Management System (Medblaze) including users and access.
• Serve as SME in Quality Improvement, Patient Safety and Risk Management and conduct trainings.
• Assist department head in preparing reports for directors and accreditation bodies.
• Prepare for accreditation, including internal self-assessments and reporting results.

Skills

Quality Improvement

Patient Safety

Risk Management

Supervision

Education

D3 Health Diploma

Job description

Siloam Hospitals Group seeks a leader to oversee the Hospital Quality Improvement and Patient Safety (PMKP) program across all divisions, ensuring compliance with policies, risk management, and effective audit processes.

You will manage data collection and analysis, document control, incident grading, and accreditation preparation while guiding staff through quality initiatives and training programs.