LHSS Jordan – MOH Central Laboratory Accreditation Preparedness Consultant

Job Description
Local Health Systems Sustainability Project (LHSS)
Scope of Work for Short Term Technical Consultant:
MOH Central Laboratory Accreditation Preparedness Consultant
Area of TA:
MOH Central Laboratory Preparedness for Accreditation
Level of Effort:
42 days
Location(s):
Jordan
Commencement date :
February 1, 2023
Completion date:
April 20, 2023
Background and Rationale
The Local Health System Sustainability Project (LHSS) is a United States Agency for International Development (USAID) funded four-year project started in January 2020. Following LHSS’s initial activities in support of Jordan’s COVID-19 diagnostic capacities, LHSS continued to strengthen the capacity of public sector laboratories in RT-PCR, Rapid Antigen Testing (RAT), and genomic sequencing through a series of theoretical and practical trainings, including those for TOT. LHSS also conducted a baseline review for 13 MOH PCR units for COVID-19 readiness and used the findings to develop improvement plans and address identified gaps with these units in partnership with the Central Laboratory (CL). As part of the improvement plan implementation, LHSS supported a quality standards awareness and bio-risk management training course for 38 laboratory technicians from the PCR units and other units within the CL.
Because the Central Laboratory is a national reference laboratory with its own diagnostic services, and also oversees the quality of lower-level MOH laboratories across Jordan, the MOH has initiated efforts to move forward with local accreditation. Accordingly, in FY22, LHSS supported MOH CL in their journey towards accreditation by conducting a review of the 10 Central Laboratory units against the Health Care Accreditation Council (HCAC) Laboratory Accreditation Standards- 2021 edition. Using these findings, LHSS drafted unit specific plans detailing the actions needed to comply with each measurable element of HCAC laboratory standards . In FY23, LHSS will continue to support MOH CL by ensuring proper implementation of action plans to fulfill HCAC laboratory standards’ requirements.
LHSS is looking for a consultant to support LHSS Lab team in ensuring the proper implementation of action plans to assist MOH CL in their journey towards accreditation. The consultant will be required to jointly with LHSS lab team ensure that developed action plans are being properly implemented through
assisting, advising, developing, and review of MOH CL standard operating procedures as described in the action plans, and participating in follow-up field visits to MOH CL units.
This position will report to the LHSS Health System Strengthening Advisor.
Expected Tasks

• Jointly with LHSS lab team conduct site visits to ensure the proper implementation of the developed action plans.
• Support MOH in developing and reviewing 32 standard operating procedures (SOPs) in accordance with HCAC Lab accreditation standards 2 nd version 2021.
• Review the all-employee files to ensure that the developed human resource SOPs are properly implemented.
• Designing and overseeing implementation of a customer satisfaction survey, analyzing findings, and drafting a final report.
• Conduct a monthly progress evaluation (update monthly evaluation on standards status)

Expected deliverables timeline:
Task
Deliverables
Estimated # of Days
Delivery date
Support MOH in developing then review, 32 standard operating procedures (SOPs) in accordance with HCAC
Arabic MOH CL SOPS developed, reviewed, and amended in compliance with HCAC requirements including but not limited to:
Cluster Two: Human Resource Management

• Employee hiring/ staffing
• Employee orientation programs
• Staff credentials’ verification
• Employee Competency Assessment
• Continuing education program
• Occupational health program
• Staff satisfaction survey
• Staff identification lab policy
• Volunteers and trainees’ policy

Cluster Seven: Laboratory Information Management

• Information management in the laboratory
• Document Management system
• Document retention, backup and retrieval of data/records in the laboratory
• Data and information security and confidentiality policy
• Laboratory policy of data entry and result reporting during system downtime.
• Result reporting and verification

Cluster Four: Facilities and Premises

• PP for water management
• PP for electricity management
• PP for temperature & humidity control
• PP for compressed gas management
• Lab facility and security plan
• Chemical safety & exposure
• Biological Safety & Exposure
• Fire safety plan
• Smoke free policy
• Infection prevention and control practices
• Hand hygiene practices
• Cleaning and disinfecting practices
• Safe phlebotomy practices
• Waste management
• Emergency and disaster plan
• Laboratory evacuation plan
• Additional SOP that might be requested

29 Days
February 1 st – April 10 th
Ensure that the developed human resource SOPs are properly implemented and reflected in the Lab personnel files, in compliance with HCAC standard requirements
All MOH Lab Directorate's staff files verified to be appropriate in accordance with HCAC requirements. Average 30 files/day
3 Days
March1 st – April 10 th
Designing and overseeing implementation of a customer satisfaction survey, analyzing findings, and drafting a final report

• Arabic customer satisfaction survey template
• 10% of population sample filled survey
• Final report on survey results and analysis

6 Days
February 1 st – April 10 th
Monthly Progress report
Final report on consultancy
Monthly progress report on CL readiness using standards progress sheet
LHSS Approved Final Consultancy Report showing completion of tasks achieved
4 Days
April 10 th
Total
42 Days
Qualifications:

• Bachelor of or science Master’s degree in Medical laboratory, Biology, etc. or any other relevant field.
• Proven experience in managing, overseeing, implementing laboratory accreditation.
• Comprehensive knowledge of HCAC laboratory accreditation standards 2 nd edition (2021) implementation requirements, preferable laboratory surveyors.
• Proven experience in similar assignment including developing policies and standard operation, procedures, conducting assessment, surveys, and audits.
• Possess excellent interpersonal skills including facilitation and coaching skills.
• Experience in working with governmental entities such as MOH is preferable
• Fluent in Arabic, professional fluency in English is essential .

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