Quality and Risk Staff

Siloam Hospitals Group; Bogor; On-site; IDR 167,400,000 - 279,000,000; Full time

Job summary

Siloam Hospitals Group seeks a seasoned professional to lead Hospital Quality Improvement and Patient Safety (PMKP) across divisions. You will supervise audits, drive risk management, oversee the Medblaze quality management system, and mentor staff in QA and accreditation activities.

The role requires at least 3 years in clinical supervision, a health-profession bachelor’s degree, and strong data analysis, documentation, and training skills to support hospital-wide quality initiatives.

Qualifications

• Bachelor (S1) degree from Health Profession.
• Minimum 3 years of clinical work at shift responsibility/supervisor level or head nurse preferred.
• Experience in hospital QA, risk management and incident reporting.
• Familiarity with accreditation processes and hospital policies.

Responsibilities

• Supervise PMKP program, audits, and risk management across hospital divisions.
• Conduct clinical and non-clinical service audits per accreditation standards.
• Collect, validate, and analyze quality indicators hospital-wide.
• Manage hospital documents; develop, review, revise, ratify, and communicate documents.
• Grade incident reports, designate owners, and escalate as needed based on levels.
• Lead proactive risk-reduction activities (FMEA) in clinical processes annually.
• Oversee Medblaze modules (documents, incidents, risk, audits) and user access.
• Act as SME in Quality Improvement, Patient Safety, and Risk Management; conduct trainings.
• Assist QR dept head in reports to directors and accreditation bodies.

Skills

Quality Improvement

Patient Safety

Risk Management

Auditing

Data Analysis

Documentation

Training

Leadership

Education

Bachelor Degree in Health

Tools

Medblaze

Document Management

Incident Reporting

Job description

• Responsible for supervising the entire Hospital Quality Improvement and Patient Safety (PMKP) program which includes quality improvement, patient safety and risk management, through various clinical service audit processes, auditing compliance with policies and procedures in all divisions and departments in the hospital, carrying out process improvement based on incidents and risks, as well as ensuring the proper functioning of the Quality Management System (Medblaze) as a means of supporting quality improvement efforts.


• Conduct audits of clinical and non-clinical services in accordance with hospital accreditation standards and various hospital policies & procedures, together with Patient Safety Officers in each department / service unit.


• Carrying out quality data collection (various quality indicators) from all departments, validating data according to data validation policy, aggregating and analyzing data at the hospital level.


• Manage hospital documents, starting from developing new documents, reviewing and revising old documents, ratifying, to distributing and communicating documents throughout the hospital.


• Receive and carry out grading of incident reports, appoint incident owners, investigation owners, and action owners in accordance with the escalation grading matrix to superiors based on incident levels.


• Carry out pro-active risk reduction strategies in the form of Failure Mode & Effect Analysis (FMEA) in at least 1 clinical process every year.


• Responsible for managing the hospital level Quality Management System (Medblaze), including the document module, incident & risk, audit module, including managing users and access for all staff in the hospital.


• Acting as a Subject Matter Expert in the fields of Quality Improvement, Patient Safety and Risk Management in the Hospital, and conducting teaching (as a trainer / resource person) on the above topics to all employees in various training programs organized both by Human Capital and by Quality & Risk dept.


• Assist the Quality & Risk department head in preparing reports to the director, chairman of the hospital quality committee, and external parties (accreditation agencies, health services, ministry of health).


• Assist the Quality & Risk department head in preparing for accreditation, especially internally by carrying out self-assessments with the accreditation Working Group, Working Group and reporting the results of the self-assessment to the QR Dept Head, Chair of the Quality Committee and Director.


• Bachelor (S1) Degree from Health Professional


• Have minimum of 3 years of clinical work experience at shift responsibility/supervisor level or preferably head nurse.


• Preferably those who have worked in a hospital and understand business processes in several departments/service units. Have an understanding of various hospital policies & procedures.


• Have experience in supervising the process of providing clinical services, for example serving as supervisor / coordinator / in charge in a clinical service unit, both in nursing and medical support.


• Familiarity with risk management practices and incident reporting processes.

Qualifications

• Bachelor (S1) Degree from Health Professional


• Have minimum of 3 years of clinical work experience at shift responsibility/supervisor level or preferably head nurse.


• Preferably those who have worked in a hospital and understand business processes in several departments/service units. Have an understanding of various hospital policies & procedures.


• Have experience in supervising the process of providing clinical services, for example serving as supervisor / coordinator / in charge in a clinical service unit, both in nursing and medical support.


• Familiarity with risk management practices and incident reporting processes.