Vice President & Chief Quality & Safety Officer

Private Advertiser; Metro Manila; On-site; PHP 5,000,000 - 9,000,000; Full time

Job summary

Private Advertiser is seeking a Vice President & Chief Quality and Safety Officer to lead the hospital's clinical governance, ensuring safe, effective, patient-centered and timely care compliant with DOH, PhilHealth and accreditation standards.

You will direct quality assurance, patient safety, risk management, clinical audit, infection prevention, health information management and related programs, setting standards and driving performance improvements across the organization.

Qualifications

• Licensed physician (MD) or registered nurse (RN) with a master's degree in Hospital or Health Administration or Nursing.
• Master's Degree in Hospital Administration or MBA Health.
• At least 8 years in hospital practice, including 5 years in quality, patient safety or accreditation, and 3 years at manager level or higher.

Responsibilities

• Formulates, implements and evaluates the hospital’s Quality and Patient Safety Plan and annual work plan.
• Manages the incident reporting and learning system for near misses and adverse events.
• Oversees compliance with patient safety goals and safe handling of high-alert meds and procedures.
• Establishes and maintains quality indicators across structure, process, outcomes and patient experience.
• Maintains risk registers and conducts quarterly reviews with risk owners.
• Ensures timely renewal of DOH licenses, PhilHealth accreditation and regulatory permits.
• Oversees IPC program including HAIs, outbreaks and antimicrobial stewardship.
• Ensures accuracy and security of patient medical records.
• Oversees patient feedback and complaint management with root-cause analysis.

Skills

Quality management

Patient safety

Regulatory compliance

Healthcare risk management

Incident reporting

Leadership

Education

MD or RN with master's in Hospital Administration

MBA Health

Job description

Job Summary

The Vice President & Chief Quality and Safety Officer (CQPSO) leads the hospital's clinical governance system to ensure that care is safe, effective, patient-centered, timely and compliant with DOH, PhilHealth and other accreditation standards. The role directs quality assurance and accreditation, patient safety and risk management, clinical audit, infection prevention and control, and health information management. Working with clinical leaders, the CQPSO sets standards, measures performance, drives improvement and escalates risk.

Key responsibilities

• Formulates, implements and evaluates the hospital’s Quality and Patient Safety Plan and annual work plan in alignment with the hospital’s strategic direction.




• Manages the hospital-wide incident reporting and learning system covering near misses, adverse events and sentinel events.




• Oversees compliance with the hospital’s patient safety goals, including accurate patient identification, effective communication during handover, safe use of high-alert medications, safe surgery, hand hygiene, and the prevention of falls and pressure injuries.




• Establishes and maintains the hospital’s quality indicator framework covering structure, process, outcome and patient experience measures.




• Maintains the hospital’s clinical and enterprise risk register and conducts quarterly reviews with designated risk owners.




• Ensures the timely renewal and continuous compliance of all DOH licenses, PhilHealth accreditation, and other regulatory permits.




• Oversees the Infection Prevention and Control (IPC) program, including surveillance of healthcare-associated infections (HAI), outbreak management, and support for antimicrobial stewardship, in accordance with DOH and accreditation standards.




• Ensures the accuracy, completeness, security and timely completion of patient medical records.




• Oversees the patient feedback and complaints management system, including root cause review of serious complaints.

Job Requirements

• Licensed physician (MD) or registered nurse (RN) with a master's degree in Hospital or Health Administration or Nursing.




• Must have a Master's Degree in Hospital Administration or MBA Health




• With atleast 8 years in hospital practice, including 5 years in quality, patient safety or accreditation, and 3 years at manager level or higher




• Knowledge in Hospital accreditation standards (PCAHO, JCI) and healthcare risk management. DOH licensing standards, PhilHealth accreditation, Data Privacy Act, patient safety frameworks