Responsible for implementing and monitoring hospital quality standards, ensuring compliance with NABH requirements, supporting accreditation activities, and driving continuous quality improvement across hospital departments.
Key Responsibilities
Monitor compliance with hospital quality policies, SOPs, and patient safety standards.
Coordinate NABH accreditation activities, audits, and documentation.
Conduct internal quality audits and follow up on non-conformities.
Monitor Quality Indicators (QIs), prepare reports, and analyze performance trends.
Coordinate Root Cause Analysis (RCA), Corrective and Preventive Actions (CAPA), and incident reporting.
Support the implementation of infection control practices and patient safety initiatives in coordination with relevant teams.
Conduct quality awareness and training programs for hospital staff.
Maintain quality documentation, audit records, and accreditation-related reports.
Coordinate with department heads to ensure compliance with statutory and accreditation requirements.
Monitor patient feedback, complaints, and quality improvement initiatives.
Qualification
Bachelor's degree in Nursing, Allied Health Sciences, Life Sciences, or a related healthcare discipline.
Additional qualification or certification in Hospital Quality Management / NABH is preferred.
Required Skills
Knowledge of NABH standards and hospital quality management systems.
Internal auditing and documentation skills.
Good analytical, reporting, and communication skills.
Proficiency in MS Excel, Word, and PowerPoint.
Strong coordination, problem-solving, and organizational abilities.
Preferred Experience
Experience in a NABH-accredited hospital, with exposure to quality audits, patient safety, quality indicators, and accreditation documentation.
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