About the role
Essential duties and responsibilities
·Overseeing Clinical and Service Quality monitors across the hospital
·Conduct internal and external audits as per the quality calendar and provides appropriate feedback to the departments by having management meetings.
·Monitoring and tracking of all quality indicators for each department and provides appropriate feedback to concerned departments.
·Co-ordinating in implementation of continuous quality improvement projects and clinical audits, so as to systematically evaluate and meet patient care needs
·Revision of policies, procedures and SOPs in consultation with the departmental HODs as and when required
·Analysis of incident reports using proper RCA tools and to plan action for the incidents.
·Achieving, sustaining NABH, JCI and other accreditations
·Monitoring and regulating committee meetings and minutes to be circulated to concerned members
·Represent the department in committee meetings of the hospital.
·Ensure the overall activities related to quality of the hospital to meet the requirement of quality management, health & safety and legal stipulations
·Design, develops and implements the quality plan strategies that ensure efficient and effective utilization of the department resources
·Discuss the findings of the daily rounds done with the management
·Conducting patient safety awareness programs
·Regularly updating and incorporating new guidelines in organization based on evidence-based practices, new literature on quality improvement.
·Ensuring of quality assurance programme across the organization.
·Verification and validation of quality indicators formulated.
·Training of HCW’s on continuous quality improvement aspect.
Working conditions
·Extended hours may be required
Skills & Abilities
·Excellent critical thinking and reasoning abilities
·Excellent verbal and written communication skills
·Excellent in data analysis & its interpretations
·Excellent team player