Job Description

Job Purpose:

To support the implementation, monitoring, and continuous improvement of the hospital's Quality Management System, in alignment with NABH, NABL, and other accreditation standards, ensuring patient safety and regulatory compliance.

Key Responsibilities:1. Quality Compliance & Audits:

- Assist in implementing NABH standards across departments.- Conduct internal audits, facility rounds, and compliance checks.- Follow up with departments on observation closures and corrective actions.- Maintain and update compliance dashboards.

2. Data Management & Reporting:

- Collect, validate, and analyze hospital-wide quality indicators.- Prepare monthly, quarterly, and annual quality reports.- Track clinical and non-clinical KPIs (e.g., infection rates, medication errors, patient falls).

3. SOP & Document Control:

- Coordinate with departments for SOP creation, review, and updates.- Maintain SOP and policy repository (both hard and soft copies).- Ensure version control and timely communication of revised documents.

4. Incident & Risk Management:

- Assist in incident reporting, documentation, and Root Cause Analysis (RCA).- Maintain incident tracker and follow-up for closure of CAPA.- Coordinate for patient safety initiatives and risk assessments.

5. Training & Awareness:

- Organize training sessions on NABH standards, patient safety, and other quality-related topics.- Support departments in conducting mock drills (fire, code blue, etc.)- Participate in induction and refresher training programs.

6. Patient Safety & Feedback:

- Monitor patient feedback mechanisms (feedback forms, complaint logs).- Analyze trends and support actions for improvement.- Promote a culture of safety and quality improvement hospital-wide.

Qualification & Experience:

- Bachelor's or Master's in Healthcare Management / Public Health / Life Sciences / Nursing / Hospital Administration.-

0-2 years of experience in hospital quality, NABH coordination, or accreditation support (freshers with training in NABH may also apply).

Skills Required:

- Strong knowledge of NABH standards (preferably 6th edition).

- Good communication and documentation skills.-

Analytical mindset and proficiency in MS Excel, Word, PowerPoint.

- Ability to coordinate with clinical and non-clinical departments.

- Time management and attention to detail.

Job Type: Full-time

Pay: ₹23,000.00 - ₹25,000.00 per month

Benefits:

Provident Fund
Schedule:

Day shift
Education:

Master's (Required)
Work Location: In person