Quality Care Systems Manager

**Quality Management Systems - Oversight and Compliance**
- Provide clinical, quality management and continuous improvement advice to Residential Aged Care Managers (Regional Managers, Facility Managers and/or Deputy Facility Managers) and Home Care Managers (Service Advisors and Area Managers).
- Complete identified audits as per SCC audit schedule and/or as requested by the head office quality and clinical governance team to confirm adherence with policies and procedures.
- Monitor completion of Residential Aged Care Facility or Home Care Services audits as per audit schedule.
- Monitor quality indicators across regional facilities, taking corrective and preventative actions as required.
- Monitor, analyse, escalate and report on regional quality and clinical audit and indicator results and provide recommendations to Residential Aged Care Managers (Regional Managers, Facility Managers and/or Deputy Facility Managers) and Home Care Managers (Service Advisors and Area Managers).
- Monitor completion of PCQIs and ensure strategies are being actioned and measured, particularly in areas of identified non-compliance.
- Identify and investigate critical incidents using a systems-based approach to identify contributing factors and develop effective recommendations.
- Provide oversight, support and education on effective incident management as required, promoting thorough analysis of all serious incidents.
- Actively participate in quality, clinical governance, policy and education meetings and forums.
- Actively contribute to the development and review of policies, procedures, audits and quality indicators.
- Complete activities as per QCSM Quality and Compliance Schedule.
- Identify and mitigate clinical risks through systematic monitoring and intervention strategies
- Engage actively in governance committees to support Southern Cross Care's Clinical Governance Framework.

**Regulatory Compliance and Accreditation**
- Support Facilities/Services with accreditation visits as required.
- Review self-assessments and associated documentation, provide expert advice to address any issues of concern.
- Provide focused and structured leadership to address areas of non-compliance.
- Play an active role in the development of Policy, Procedure and clinical process to implement new regulatory requirements.
- Use the quality management system to assess on-going adherence to standards, escalating concerns accurately and promptly.
- Engage and educate the workforce on regulatory requirements.

**Continuous Quality Improvement**
- Interpret variation in data - inclusive of incident, consumer feedback, audit and clinical indicator data.
- Utilise data to drive continuous improvement in care practices.
- Prepare reports on quality metrics and improvement initiatives for senior management and governance committees.
- Develop and lead quality improvement initiatives as required.
- Provide expert advice to stakeholders to develop achievable, measurable and effective action plans.
- Encourage active involvement in quality improvement initiatives through workshops and training.
- Develop training resources in collaboration with the Regional Education Managers, that align with quality standards to enhance staff competency.

**Clinical Leadership**
- Actively recognise and reward staff who speak up about safety concerns and encourage their peers to do the same, fostering a culture of accountability and vigilance.
- Utilise a systems approach to analyse data and make improvements.
- When responding to an incident, feedback or adverse findings, respond in a way that supports openness, transparency, and learning so that others feel psychologically safe to contribute.
- Contribute to a culture of excellence through motivating staff to pursue continuous improvement in clinical practices, enhancing both individual and team performance.
- Monitor the open disclosure process, ensuring staff understand and participate effectively in the Open Disclosure process.
- Contribute to workforce training and development as required to implement new process, procedures or improvements.

**Collaboration and Stakeholder Engagement**
- Actively seek resident and representative partnerships to drive improvement.
- Foster a unified, multidisciplinary approach among facility staff to deliver high-quality care
- Encourage and use feedback from residents or clients and their legal representatives to inform service improvements.
- Cultivate relationships with internal and external stakeholders to enhance education and training opportunities.
- Engage with regulatory and statutory bodies, supporting the operations and clinical governance team as required.