Quality Manager

Description

Aspen Medical is seeking qualified and experienced candidates for the position of Quality Manager. This position will lead, coordinates, and monitors quality improvement and patient safety initiatives across all departments and across both campuses, Lautoka and Ba, to ensure compliance with the HCF Clinical Governance Framework, the Quality and Patient Safety Program, national and international standards.

The roles and responsibilities of this position include:

• Lead the design, implementation, and evaluation of hospital-wide quality improvement (QI) initiatives across Lautoka Hospital and Ba Hospital using recognised improvement methodologies (e.g., Model for Improvement and PDSA cycles), Lean Six Sigma, or other fit-for-purpose QI tools, ensuring standardised approaches and shared learning across campuses.
• Coordinate and lead Root Cause Analysis (RCAs) processes for sentinel events and as directed for adverse events.
• Maintain the hospital-wide patient safety incident reporting and learning system (AspiraIQ) and liaise with department heads and other leaders as required in relation to issues arising.
• Investigate incidents and complaints, support corrective/preventive actions, and provide trends and reports on incidents, accidents and complaints/feedback.
• Facilitate internal audits and gap analyses against clinical, national and international standards.
• Coordinate and lead documentation, evidence gathering, and survey readiness activities for external audits and accreditation across Lautoka Hospital and Ba Hospital, supporting consistent standards implementation and closure of gaps.
• Monitor compliance with clinical and operational policies and standards through regular rounds, audits (including medical record audits), and reporting.
• Lead cross-campus standardisation of policies/procedures and audit tools across Lautoka Hospital and Ba Hospital, including document control/version management, communication of changes, implementation support to departments, and periodic review to ensure continued alignment with standards.
• Aggregate, analyse, and interpret quality and safety indicators (structure, process, and outcome KPIs) and oversee development and maintenance of clinical data registries where required.
• Present cross-campus trends, dashboards, and reports to clinical governance committees and hospital leadership, supporting consistent performance monitoring and prioritisation across both sites.
• Use statistical and quality tools (e.g., run charts, Pareto charts) to analyse variation, identify undesirable trends, and benchmark performance internally and, where available, against recognised external standards.
• Work with ICT and clinical departments to improve data capture and utility for decision-making.
• Deliver training on quality and safety concepts, reporting, and compliance, including orientation for new staff and ongoing capability building.

• Build capacity of department-level quality and audit champions and support multidisciplinary QI teams.

• Contribute to enterprise risk assessments.
• Keep up to date with health and safety legislation, clinical guidelines, and advise management on legislative developments impacting the safety, health, and welfare of patients and staff.
• Review and escalate high-risk trends and support implementation of corrective and preventive actions.
• Lead local delivery of the HCF Quality Improvement and Patient Safety Program, coordinating priorities, resources and assurance activities to strengthen safety culture and reduce harm.
• Maintain processes for collecting, validating, aggregating and analysing quality data, including review when measures change or results vary unexpectedly.
• Oversee QARs, quality action plans and registers, ensuring actions, owners and timeframes are documented, tracked and reported.
• Coach and supervise Patient Safety and Clinical Quality Officers (onboarding, role clarity and competency development), ensuring consistent practice across Lautoka Hospital and Ba Hospital.
• Integrate incident reporting and learning into the program, supporting timely triage, investigation and escalation of sentinel/adverse events (including RCAs) through required governance forums.
• Plan and deliver quality and patient safety communication and training (e.g., onboarding, microlearning, committee updates and dashboards) to strengthen reporting, QI capability and compliance.
• Evaluate improvement impact and sustainability, and provide periodic reports to leadership and the Quality and Safety Committee summarising failures, events/trends, safety culture measures, indicators, sentinel events and follow-up actions.
• Collaborate with nursing, medical, pharmacy, biomedical and facilities teams to embed safety into workflows and support process improvement initiatives.
• Act as liaison for external stakeholders including health authorities and accreditation bodies.
• Participate in committees and workgroups focused on quality and safety and provide periodic and ad hoc reports to highlight trends.
• Participate in the development of a safe and healthy workplace, comply with safe work procedures, take reasonable care for own safety and health and that of others, and undertake any other reasonable duties delegated by management.

Experience and Qualifications Required

• Tertiary qualifications (minimum of Bachelor) in Nursing or Medicine from a recognised institution with greater than 8 years experience in an appropriate setting
• Valid annual practicing licence and registration (if applicable to practice in Fiji).
• Demonstrated knowledge of quality improvement methodologies.
• Advanced knowledge and application of electronic health records systems and Microsoft Excel.
• Demonstrated ability to lead quality and patient safety governance and reporting (e.g., KPIs, dashboards, action plans and QARs), including translating data into priorities, decisions and sustained improvement.
• Demonstrated service orientated approach, with a commitment to supporting the overarching values, goals and strategic priorities of Health Care Fiji (HCF).
• Demonstrated people leadership capability including line management/supervision, coaching, performance management and leading change across Lautoka Hospital and Ba Hospital.
• Experience with leading and participating in quality improvement projects.
• Familiarity with patient safety program objectives and Root Cause Analysis (RCA).
• Experience supporting accreditation and standards implementation including audit coordination, evidence management, and readiness activities.
• Computer literate with working knowledge of Microsoft programs.
• Experience facilitating multidisciplinary committees or working groups
• Sound knowledge of the Nursing Act (2011), Scope of Practice, FNC Code of Ethics and Conduct (for nursing background only), Occupational Health & Safety Act, Clinical Guidelines and related legislation.

Contact Information

Culture: Aspen Medical offers exceptional career opportunities, exposure to exciting and cutting-edge projects and an opportunity to work with people who are genuinely passionate about what they do.

Our Benefits:

• Professional development opportunities (we will contribute towards training courses of interest that will assist you in developing in your role)
• Paid Family Care leave
• On site ongoing wellness programs
• Flexible working options as applicable
• Opportunities to work and learn with/from the Aspen Global Team of experts

For any queries on the position, please contact us via email recruitment@aspenmedical.com.fj

We value diversity and inclusivity in the workplace and actively encourage applications from qualified candidates from diverse cultural backgrounds or those with disabilities.