About the role
Key Responsibilities
- Ensure implementation and monitoring of quality standards across the hospital.
- Lead NABH/JCI accreditation activities, audits, and compliance initiatives.
- Develop, review, and update quality policies, SOPs, and protocols.
- Conduct quality audits, clinical audits, and process improvement projects.
- Monitor quality indicators and prepare reports for management review.
- Coordinate patient safety initiatives and risk management programs.
- Organize quality training programs and awareness sessions for staff.
- Investigate incidents, complaints, and non-conformities and implement corrective actions.
- Collaborate with clinical and non-clinical departments to drive continuous quality improvement.
- Bachelor's/Master's degree in Healthcare Management, Hospital Administration, Quality Management, or related field.
- Strong knowledge of NABH standards and healthcare quality systems.
- Experience in hospital quality management and accreditation processes.
- Excellent analytical, communication, and stakeholder management skills.
- Ability to lead quality initiatives and drive process improvements across departments.
- NABH Accreditation
- Quality Assurance & Quality Control
- Clinical Audits
- Patient Safety
- Risk Management
- Process Improvement
- Documentation & Compliance
- Data Analysis & Reporting