QUALITY ASSUARANCE MANAGER Full Time

The Quality Controller will be responsible for implementing, monitoring, and maintaining the hospital’s quality management system in line with NABH (National Accreditation Board for Hospitals & Healthcare Providers) standards. This role ensures compliance with quality and safety protocols, improves patient care processes, and helps in preparing the hospital for NABH accreditation and audits.

Key Responsibilities

• NABH Compliance & Accreditation Process
• Develop and implement quality policies and SOPs as per NABH standards.
• Ensure compliance with NABH guidelines across all departments.
• Conduct periodic internal audits and quality assessments.
• Prepare the hospital for NABH accreditation and renewal audits.
• Quality Monitoring & Improvement
• Monitor clinical and non-clinical quality indicators.
• Identify areas of improvement in patient care and hospital processes.
• Coordinate with departments to implement corrective and preventive actions (CAPA).
• Conduct root cause analysis (RCA) for any patient safety incidents.
• Standard Operating Procedures (SOPs) Development
• Develop, revise, and maintain SOPs as per NABH standards for clinical, administrative, and operational procedures.
• Train staff on SOP implementation and ensure adherence.
• Regularly update SOPs based on changes in NABH guidelines or hospital policies.
• Staff Training & Awareness
• Organize NABH-related awareness programs and training for doctors, nurses, and hospital staff.
• Conduct mock drills and workshops on patient safety, infection control, and emergency preparedness.
• Ensure documentation and records are maintained as per NABH standards.
• Infection Control & Patient Safety
• Work with the infection control team to implement hospital infection prevention protocols.
• Ensure a safe hospital environment by monitoring hygiene, sterilization, and biomedical waste management.
• Review incident reports and ensure patient safety measures are followed.
• Data Analysis & Reporting
• Maintain and analyze hospital quality data related to clinical outcomes, patient safety, and operational efficiency.
• Present periodic reports on quality improvements, risk areas, and NABH compliance.

Qualifications & Experience

• Education:
• Bachelor’s/Master’s in Hospital Administration, Healthcare Management, Nursing, or any related field.
• Certification in NABH, JCI, or Quality Management is preferred.
• Experience:
• Minimum 3-5 years experience in hospital quality management, NABH accreditation, or healthcare audits.
• Experience in developing SOPs, conducting audits, and training staff on quality protocols.
• Skills & Competencies:
• In-depth knowledge of NABH guidelines & accreditation process.
• Strong analytical and problem-solving skills.
• Excellent communication and training abilities.
• Proficiency in data analysis, quality monitoring tools, and hospital management systems.