Post Title:

JCI Accreditation Clinical Support, Grade VI Officer

Post Status:

Permanent

Department

QPS Department

Location:

Beaumont Hospital & Affiliated Sites

Reports to:

Hospital Accreditation Manager.

Salary:

Appointment will be made on Grade VI (€56,757 - €64,716, LSI1 €67,025, LSI2 €69,341) at a point in line with Government pay policy. 

Hours of work: 

Full-Time, 35 hours per week

Closing Date:

12 Noon on 02/05/2025

Please note the hospital reserves the right to close the competition early should a substantial number of applications be received.

The JCI Accreditation Clinical Support post will work with the Hospital Accreditation Team in assuring the full participation of the hospital in the Joint Commission International (JCI) Accreditation programme.

The post holder will report to the Hospital Accreditation Manager.

In addition, this position will support the;
• Head of Quality and Safety in the co-ordination and implementation of the Hospital Quality Improvement Programme, and / or;
• Director of Nursing in relation to nursing care standards related to the JCI standards and ongoing quality improvement initiatives.

Principal Duties and Responsibilities:

The purpose of the JCI Accreditation Project is to assess the extent of a hospital’s compliance with the JCI Accreditation Standards and support the development of programs and projects to meet, and maintain compliance.

The post of JCI Accreditation Clinical Support will work with the JCI Team to facilitate and implement accreditation processes. The principal roles and responsibilities include but are not limited to;  

• The post holder will demonstrate a comprehensive understanding of an acute hospital environment including an understanding of clinical processes related to healthcare services (e.g. patient assessment, medication practices, hospital operations etc.).
• Pre-assessment of compliance with JCI standards.
• Support the JCI team with ensuring accreditation compliance and co-ordinate aspects of evidential compliance in the form of policies and procedures, KPIs, QIPs, audits, tracers and data collection.
• Advise on clinical processes, ensuring compliance with JCI accreditation standards.
• Active participation in the assessment and analysis of operations and processes in line with JCI standards.
• Identification and implementation of quality improvement projects to address any identified gaps in compliance.
• Participate in the ongoing monitoring of compliance with JCI Standards.
• Assist with the preparation and coordination of hospital survey readiness activities.
• Engage in and provide support in the development of audit and tracer methodology for validation and continual process review.

General Responsibilities:

The JCI Accreditation Clinical Support will:

• Facilitate communication and coordination among the various hospital stakeholders related to JCI activities.
• Manage day to day communications with the team(s) to ensure groups receive the necessary support to work effectively to deliver on improvement projects.
• Participate in the development and co-ordination of activities associated with the hospital Quality Improvement Programme to support compliance with the JCI Hospital Standards.
• Provide operational support related to project coordination and development of JCI Accreditation and project teams.
• Assist in the development of training materials and facilitate educational sessions for hospital staff related to JCI Standards.
• Liaise with relevant medical, nursing, allied healthcare professionals in the advisement and review of clinical practices.
• Support the development of hospital staff and key stakeholders to include knowledge and practices pertaining to accreditation and regulatory compliance.
• Provide administrative support, including scheduling meetings, development of meeting agendas, comprehensive minutes, follow-up documentation etc., where required.
• Develop comprehensive and accurate reports and/or presentations in line with requirements of the Hospital Accreditation Team.
• Support in the development and review of policies, procedures, protocols and guidelines to support hospital processes as required
• Provide additional support to the Hospital based on the needs of the Accreditation Project.

   

   

Selection Criteria: 

Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate would need to demonstrate for successful discharge of the responsibilities of the post. Applications will be assessed on the basis of how well candidates satisfy these criteria management issues

Mandatory:

1. Professional Qualifications, Experience, etc

(a) Eligible applicants will be those who on the closing date for the competition:

(i) Have satisfactory experience as a Clerical Officer in the HSE, TUSLA, other statutory health agencies, or a body which provides services on behalf of the HSE under Section 38 of the Health Act 2004

Or

(ii) Have obtained a pass (Grade D) in at least five subjects from the approved list of subjects in the Department of Education Leaving Certificate Examination, including Mathematics and English or Irish1. Candidates should have obtained at least Grade

C on higher level papers in three subjects in that examination.

Or

(iii) Have completed a relevant examination at a comparable standard in any equivalent examination in another jurisdiction

Or

(iv) Hold a comparable and relevant third level qualification of at least level 6 on the National Qualifications Framework maintained by Qualifications and Quality Ireland, (QQI).

Note1:

Candidates must achieve a pass in Ordinary or Higher level papers. A pass in a foundation level

paper is not acceptable.

Candidates must have achieved these grades on the Leaving Certificate Established programme or the Leaving Certificate Vocational programme.

The Leaving Certification Applied Programme does not fulfil the eligibility criteria.

and

(b) Candidates must possess the requisite knowledge and ability, including a high standard of suitability, for the proper discharge of the office.

➢ Nursing or Allied Health background required.

➢ Minimum 3 years of hospital clinical experience required.

Desirable:

➢ Have knowledge and experience in accreditation, patient care, regulatory, quality, compliance, and / or JCI.

➢ Have knowledge of quality management systems, quality initiatives and / or quality projects.

➢ Experience in project management / project support.

➢ Be proficient in the use of Information Communication Technology, Computers, Software Packages (MS Office, Microsoft Word, PowerPoint, Excel, Teams, Outlook, etc.)

Personal Attributes/Skills:

The JCI Accreditation Clinical Support will:

➢ Demonstrate an ability to work collaboratively as part of a multidisciplinary team.

➢ Have excellent organizational, analytical and communication skills.

➢ Demonstrate commitment to continual professional development.

➢ Maintains accountability for ongoing self-development/professional growth activities, especially related to presentation facilitation, change management and the application of quality improvement activities.

➢ Have a high degree of confidentiality and integrity.

Further Information for Candidates:

Supplementary information:

Informal Enquiries ONLY to: (Please note no applications will be accepted via the Informal Enquiries email address)