Continuous Professional Development and Training Directorate
Focus: Enhancing the skills, knowledge, and competencies of health professionals and academic staff. The major activities of this directorate are:
Needs Assessment:
- Conduct annual skills gap analyses for clinical staff and faculty.
- Develop and curate a catalog of certified training modules (e.g., advanced life support, clinical teaching skills, research methodology, medical ethics).
Training Delivery:
- Organize regular workshops, seminars, and hands-on simulation-based training.
- Host grand rounds and clinical case discussion forums to share best practices and complex patient management strategies.
Professional Advancement:
- Manage a system for CPD (Continuing Professional Development) credits and certification.
- Offer leadership and management training for senior staff and emerging leaders.
Academic Quality Enhancement Directorate
Focus: Safeguarding and improving the quality of the educational programs and student learning outcomes. The major activities of this directorate are:
Curriculum development and Review:
- Conduct periodic reviews and updates of academic curricula to align with national needs and global standards.
- Integrate innovative teaching methods like problem-based learning (PBL) and technology-enhanced learning.
Faculty and Program Evaluation:
- Implement a robust system for student evaluation of teaching (SET) and peer review of teaching.
- Manage the process for academic program accreditation and self-studies.
- Analyze student performance data to identify areas for curricular improvement.
Academic Development Support:
- Provide resources and training for faculty on curriculum design and educational scholarship.
- Establish and monitor benchmarks for academic excellence.
Health Management Information System (HMIS) Directorate
Focus: Ensuring the delivery of safe, effective, and patient-centered medical services through systematic improvement. The major activities of this directorate are:
QI Project Management:
- Establish a hospital-wide QI project pipeline: from identifying problems (e.g., hospital acquired infection, long wait times, medication errors) to implementing and scaling solutions.
- Form and facilitate cross-functional QI teams to address specific clinical or operational challenges.
Standards and Compliance:
- Monitor and ensure adherence to national clinical guidelines and patient safety protocols (e.g., infection prevention control).
- Lead the preparation for and coordination of hospital accreditation processes.
Patient Safety and Experience:
- Act proactively and reactively to ensure safety
- Implement and manage incident reporting systems for adverse events and near-misses.
- Conduct patient satisfaction surveys and focus groups to gather feedback for service improvement.
Implement Quality Improvement Initiatives from Ministry of Health:
- EBC (Evidence Based Care)
- SBFR (System Bottleneck focused reform)
Process Innovation:
- Pilot and evaluate new models of care (e.g., telehealth services, streamlined patient pathways).
- Use methodologies like Lean or Six Sigma to eliminate waste and improve efficiency in clinical processes.
Hospital Quality Improvement and Innovation Directorate
Focus: Leveraging data and technology to inform decision-making, monitor performance, and support all other quality endeavors. The major activities of this directorate are:
Data Infrastructure and Governance:
- Manage and maintain the integrated HMIS and Electronic Health Record (EHR) systems.
- Develop data governance policies to ensure data quality, security, and privacy.
Performance Monitoring and Reporting:
- Develop a centralized dashboard of Key Performance Indicators (KPIs) for clinical outcomes, academic progress, and operational efficiency.
- Automate the generation of routine reports for the Ministry of Health and internal management.
Data Analysis and Research Support:
- Provide data analytics support to QI teams and researchers, helping them measure the impact of their projects.
- Conduct advanced analytics to identify trends, predict outbreaks, and support population health management.
System Integration and Training:
- Ensure seamless data flow between the hospital, academic departments, and central administration.
- Train end-users (clinicians, administrators, faculty) on how to effectively use the HMIS for their daily tasks and decision-making.