Quality Manager - Hospital

Job Description

Develop, implement and monitor the hospital's Quality Management System (QMS). Ensure compliance with NABH accreditation standards and applicable statutory requirements. Coordinate internal audits, departmental audits and quality inspections. Monitor Key Performance Indicators (KPIs) and prepare monthly quality reports. Identify, document and analyse incidents, near misses and adverse events. Coordinate Root Cause Analysis (RCA) and Corrective and Preventive Actions (CAPA). Conduct regular quality meetings with department heads and concerned staff. Monitor patient safety indicators, clinical outcomes and quality improvement initiatives. Ensure proper documentation and maintenance of quality manuals, policies, SOPs and registers. Coordinate mock assessments and NABH surveillance / reassessment activities. Monitor compliance with infection prevention and control practices in coordination with the Infection Control Team. Conduct quality awareness programmes and training for hospital employees. Monitor patient satisfaction, complaints and feedback and ensure timely resolution. Review and update hospital policies and procedures periodically.

Short Info

Develop, implement and monitor the hospital's Quality Management System (QMS). Ensure compliance with NABH accreditation standards and applicable statutory requirements. Coordinate internal audits, departmental audits and quality inspections. Monitor Key Performance Indicators (KPIs) and prepare monthly quality reports. Identify, document and analyse incidents, near misses and adverse events. Coordinate Root Cause Analysis (RCA) and Corrective and Preventive Actions (CAPA). Conduct regular quality meetings with department heads and concerned staff. Monitor patient safety indicators, clinical outcomes and quality improvement initiatives. Ensure proper documentation and maintenance of quality manuals, policies, SOPs and registers. Coordinate mock assessments and NABH surveillance / reassessment activities. Monitor compliance with infection prevention and control practices in coordination with the Infection Control Team. Conduct quality awareness programmes and training for hospital employees. Monitor patient satisfaction, complaints and feedback and ensure timely resolution. Review and update hospital policies and procedures periodically. Prepare management review reports and present quality performance indicators to management.

Required Skills