MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

Human Resource
Management
(HRM)

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Al-Shifa Hospital and Kidney Stone Centre

MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

Contents
Human Resource ........................................................................................................................................... 1
Management................................................................................................................................................. 1
Human Resource ........................................................................................................................................... 3
Management................................................................................................................................................. 3
STANDARD 7. HRM-1: .All the employees of the hospital are oriented to the environment, respective
sections their individual jobs and the performance appraisal system ......................................................... 4
IND 21: EACH REGULAR / PART TIME EMPLOYEE IS APPROPRIATELY ORIENTED TO THE RELAVENT
SECTION/SERVICE POLICIES AND PROCEDURES AS WELL AS HIS/HER RESPONSIBILITIES........................ 4
IND 22: EACH REGULAR/PART TIME EMPLOYEE IS MADE AWARE OF HIS/HER JOB DESCRIPTION AND
PERFORMANCE APPRAISAL SYSTEM. ........................................................................................................ 5
**AL-SHIFA Hospital Employee Guidance:** ....................................................................................... 5
STANDARD 8. HRM-2: An appraisal system forEvaluating the performance of the employees exists ........ 6
IND 23: THE PERFORMANCE APPRAISAL SYSTEM FOR EVALUATING THE PERFORMANCE OF THE
EMPLOYEES IS DOCUMENTED, APPRAISAL IS CARRIED OUT AT PRE-DEFINED INTERVALS AND IS USED
AS TOOL FOR FURTHER DEVELOPMENT. .................................................................................................. 6
Performance Appraisal System Overview:............................................................................................ 6
STANDARD 9. HRM-3: Personnel record for each employee is maintained and there is a process for
collecting, verifying and evaluating the credentials. .................................................................................... 7
IND 24: THE PERSONAL FILES CONTAIN INFORMATION REGARDING THE EMPLOYEES
QUALIFICATION/EDUCATION, EXPERIENCE .............................................................................................. 7
PROFESSIONAL TRAINING, PREVIOUS....................................................................................................... 7
EMPLOYEMENT BACKGROUND, EVALUATION RESULTS AND HEALTH STATUS. ...................................... 7
Employee Personnel Files at AL-SHIFA Hospital: .................................................................................. 7
IND 25: THE HOSPITAL HAS A PROCESS TO VERIFY THE VALIDITY AND ACCURACY OF CREDENTIALS OF
PROFESSIONALS INCLUDING DOCTORS, NURSES, PHARMACISTS AND OTHER PERMITTED BY LAW,
REGULATION AND HOSPITAL MANAGEMENT TO PROVIDE PATIENT CARE WITHOUT SUPERVISION AND
THE SAME IS PRACTICED. .......................................................................................................................... 8
Credential Verification at AL-SHIFA Hospital: ....................................................................................... 8
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Al-Shifa Hospital and Kidney Stone Centre

MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

Human Resource
Management
(HRM)

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Page

Al-Shifa Hospital and Kidney Stone Centre

MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

STANDARD 7. HRM-1: .All the employees of

the hospital are oriented to the environment,
respective sections their individual jobs and
the performance appraisal system

IND 21: EACH REGULAR / PART TIME EMPLOYEE IS

APPROPRIATELY ORIENTED TO THE RELAVENT
SECTION/SERVICE POLICIES AND PROCEDURES AS WELL
AS HIS/HER RESPONSIBILITIES.

Every employee of AL-SHIFA HOSPITAL AND KIDNEY STONE CENTRE

receives appropriate orientation to the relevant service policies and
procedures, as well as their responsibilities, rights, and patients'
Rights and responsibilities. This orientation covers various aspects of
the organization, including its mission, values, culture, and
operations. During the orientation process, employees are informed
of the policies and procedures related to their job responsibilities,
such as safety protocols, ethical standards, and compliance
Requirements. They are also be made aware of their rights as an
employee, such as their right to a safe and healthy work
environment, fair treatment, and opportunities for professional
growth. Additionally, it is crucial that employees understand the
rights and responsibilities of the patients they serve. This includes
ensuring patient privacy and confidentiality, providing respectful
and
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Al-Shifa Hospital and Kidney Stone Centre

MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

Culturally sensitive care and educating patients about their

treatment options and how to participate in their care. By ensuring
that every employee receives appropriate orientation, AL-SHIFA
HOSPITAL AND KIDNEY STONE CENTRE helps to establish a Culture
of excellence, professionalism, and patient-centered care, which can
ultimately improve patient outcomes and enhance the
organization's reputation. This orientation provides essential
information about our organization, policies, and procedures, and to
help new employees settle into their roles quickly and effectively.
The orientation contains valuable information on a wide range of
topics. (See ANX 1, 2, 3, 4, 5).

IND 22: EACH REGULAR/PART TIME EMPLOYEE IS MADE

AWARE OF HIS/HER JOB DESCRIPTION AND
PERFORMANCE APPRAISAL SYSTEM.
**AL-SHIFA Hospital Employee Guidance:**

Job Descriptions:
Detailed job descriptions provided to each employee outline specific duties and responsibilities.
Acts as a guide for daily tasks, ensuring clarity and alignment of job expectations.
Performance Appraisal System:
Formal annual performance appraisal system in place.
Aims to offer constructive feedback, identify improvement areas, and recognize high-performing
employees.
Benefits:
Job descriptions prevent misunderstandings and enhance employee performance and productivity.
Performance appraisal system fosters growth and skill development, aligning employees with
organizational goals.
Diversity of Roles:
AL-SHIFA HOSPITAL AND KIDNEY STONE CENTRE features a variety of job descriptions reflecting
diverse roles and responsibilities.
Job descriptions available in Annexes 6-9.
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MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

STANDARD 8. HRM-2: An appraisal system

forEvaluating the performance of the
employees exists

IND 23: THE PERFORMANCE APPRAISAL SYSTEM FOR

EVALUATING THE PERFORMANCE OF THE EMPLOYEES
IS DOCUMENTED, APPRAISAL IS CARRIED OUT AT PRE-
DEFINED INTERVALS AND IS USED AS TOOL FOR
FURTHER DEVELOPMENT.

Performance Appraisal System Overview:

Process Overview:
Formal annual process to assess employees' job performance.
Documented results used for feedback, development, and decision-making.
Feedback and Improvement:
Appraisal results highlight strengths and areas for improvement.
Informs decisions on promotions, pay raises, and other personnel actions.
Employee Development:
Identifies training or coaching needs for enhanced performance.
Contributes to overall organizational goals and employee growth.
Documentation:
Performance evaluation and appraisal forms used to document results.
- Structured framework based on predetermined criteria and standards.
Assessment Criteria:
Evaluation sections cover job knowledge, work quality, communication skills, teamwork,
and overall productivity.
Reference:
Refer to Annexes 10, 11, 11.1 for detailed performance appraisal forms.
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MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

STANDARD 9. HRM-3: Personnel record for

each employee is maintained and there is a
process for collecting, verifying and
evaluating the credentials.

IND 24: THE PERSONAL FILES CONTAIN INFORMATION

REGARDING THE EMPLOYEES
QUALIFICATION/EDUCATION, EXPERIENCE
PROFESSIONAL TRAINING, PREVIOUS
EMPLOYEMENT BACKGROUND, EVALUATION RESULTS
AND HEALTH STATUS.

Employee Personnel Files at AL-SHIFA Hospital:

Information Included:
1. Qualifications and Education:
Academic degrees, certifications, and relevant qualifications.
2. Experience and Professional Training:
Prior work experience details.
Professional development and training records.
3. Previous Employment Background:
Information on previous employers, job titles, and responsibilities.
4. Evaluation Results:
Documentation from annual performance evaluations.
Assessment of job performance against specific criteria.
5. Health Status:
Limited health information respecting employee privacy.
Documentation on medical accommodations, leave requests, and workplace injuries or illnesses.
Benefits:
Informed Decision-Making:
Comprehensive records support decisions on promotions, transfers, and other personnel actions.
Employee Development:
Enables ongoing development and performance management efforts.
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Reference:
Page

Refer to Annex 12 for a detailed overview of personnel file documentation.

Al-Shifa Hospital and Kidney Stone Centre

MSDS Reference Manual for Al-Shifa Hospital and Kidney Stone Centre Cat II- B

IND 25: THE HOSPITAL HAS A PROCESS TO VERIFY THE

VALIDITY AND ACCURACY OF CREDENTIALS OF
PROFESSIONALS INCLUDING DOCTORS, NURSES,
PHARMACISTS AND OTHER PERMITTED BY LAW,
REGULATION AND HOSPITAL MANAGEMENT TO
PROVIDE PATIENT CARE WITHOUT SUPERVISION AND
THE SAME IS PRACTICED.

Credential Verification at AL-SHIFA Hospital:

Ensuring patient safety and maintaining quality care necessitates a rigorous process for validating
the credentials of healthcare professionals at AL-SHIFA HOSPITAL AND KIDNEY STONE CENTRE. This
applies to doctors, nurses, and other professionals permitted to provide unsupervised patient care,
aligning with legal, regulatory, and hospital management standards. The verification process entails
meticulous examination of documentation covering education, training, licensure, and work
experience. This involves scrutinizing transcripts, diplomas, licenses, and relevant records to
confirm that professionals meet the requisite qualifications. Beyond initial hiring, regular reviews
are conducted to ensure ongoing validity and currency of credentials. This proactive approach helps
identify and address any potential concerns with qualifications, ensuring that patients consistently
receive care from competent and qualified healthcare professionals committed to maintaining the
highest standards.

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