Job Description

1

Process formulation, implementation and NABH Accreditation


Consults with administrative and medical staff managers, department heads, and critical committees as appropriate to finalize and advance the NABH goals.


Assesses institutional/departmental readiness and identifies strategies to achieve goals as directed by the Patient Safety and Quality Manager.


Works to ensure that quality improvement and innovation work remains focused on one or more of the following goals: patient-centeredness, staff vitality, process efficiency and waste reduction, and safe and reliable patient care.


Develop processes, systems and procedures for the upcoming departments during the hospital commissioning phase. Developing policies, procedures and manuals based on NABH standards.


Identification of gaps, develop action plan of the hospital and monitor compliance


Coordinating with the project team for infrastructural requirements for departments based on NABH.


Coordinating with head office for revision of forms and formats as per the services available and customizing them as per the need of the hospital.


Consult & collaborate with physicians, nursing staff, and other departments and improve services to patients as appropriate to finalize and advance the NABH goals


Provide training to medical staff, patients, and housekeeping staff based on the NABH standards


Designing committees, mock drill teams.


Formulating, implementing and supervising infection prevention program and risk management program


Coordinates the improvement activities for successful accrediting, licensing, and certification surveys. 2

Coordination of Committee meetings


Infection Control Committee


Safety Committee


Purchase Committee


Quality Committee


Pharmacotherapeutic Committee


Ensure meeting calendars are made. Review Minutes of Committee Meetings.

Objective

Responsible for contributing to hospital-wide and departmental quality initiatives based on NABH standards. Should promote Quality Improvement in all the process and procedures of the hospital and share reports. Key Responsibilities

3

Audits & Quality projects


Carry out routine audits of clinical areas/departments


Provide feedback to departments


Support and implement quality projects


Coordination for closure of Non conformities


To support the hospital in the management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety. 4

Quality Indicators


Designing, formulating, and implementing quality indicators based on the NABH standards.


To support the development, periodic review and improvement of clinical indicators 5

Discipline & Communication


To demonstrate professional & courteous behavior to patient & co-workers



To be well groomed, punctual & adhere to company policies and practices.

Job Types: Full-time, Permanent

Pay: From
35,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Schedule:

• Day shift

Education:

• Bachelor's (Preferred)

Experience:

• Technical support: 1 year (Preferred)
• tele sales: 1 year (Preferred)
• total work: 1 year (Preferred)

Language:

• Hindi (Preferred)
• English (Preferred)

Work Location: In person