Job Description

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JOB DESCRIPTION I. JOB DETAILS Job Title Executive - Medical Quality Reporting Supervisor Manager - Medical Quality
II. JOB PURPOSE To support the hospital in quality improvement activities.
III. KEY RESPONSIBILITIES Core Responsibilities Patient / Customer Care

• To comply with the quality process & policies of the respective area.
• Handling of patient grievances related to medical services and clinical areas. Job Knowledge
• To demonstrate effective application of technical & professional knowledge. Process Orientation / Documentation o Coordination of NABH Committees: Infection Control, Code Blue, PISC, OT users etc.
• Ensure meeting calendars are made.
• Review Minutes of Councils meetings.
• Ensure effectiveness of committee meetings.
• Provide feedback to operations/clinical departments. Accreditations: NABH

• Support the planning and implementation of all requirements of accreditation Audits & QI projects
• Carry out routine audits of clinical areas / departments.
• Provide feedback to departments.
• Support and implement QI projects.
• Closure of Non conformities. Quality Assurance
• Management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety.
• RCA of Incident reporting, adverse incidents followed by corrective action and implementation of Preventive action. Medical Policies and Standards
• Dissemination, Implementation, Training of Organization policies and regular audits. Clinical indicators and Performance indicator
• To support the development, periodic review and improvement of clinical indicators.
• To support the development, periodic review and improvement of NABH performance indicators. People Orientation
• To demonstrate professional & courteous behavior to patient & co-workers. Cost & Revenue
• To operate within budget cost. Discipline
• To be well groomed, punctual & adhere to company policies and practices. IV. KEY PERFORMANCE INDICATORS Measurable Deliverables o Audit Schedule Adherence 100%
• Ensure regular MIS
• Closure of non-Conformities:100%
• Timely MIS on Clinical Quality and Medical Governance
• Timely progress of accreditation activities as per plan
• 3 QI projects
• NABH compliance >95% V. JOB REQUIREMENTS Minimum Qualifications BDS / BPT with MHA / PGDHA Experience 1 to 3 years in a well-established super specialty hospital. Behavioural Skills
• Training capability
• Team work, Quality conscious Technical Skills
• Thorough knowledge of Healthcare Environment, Patient Safety and unique healthcare quality management principles.
• Basic knowledge of Accreditation & Quality Language Skills English & Hindi VI. KEY INTERACTIONS Key Internal Contacts Key External Contacts
• Quality head & other HODs
• Zonal Head & Training (Medical Quality)
• Directors / HODs of Clinical Departments
• Other Service user departments and quality personnel (Medical Quality)
• VCs

Skills Required