Job Description

Job Title: Quality Manager - Hospital

Department: Quality Management / Quality Assurance

Reports to: Medical Director / Chief Operating Officer

Location: [Hospital Name & Location]

?

Job Summary

The Quality Manager is responsible for planning, implementing, monitoring, and improving quality and patient safety programs within the hospital. The role ensures compliance with accreditation standards, regulatory requirements, and internal policies to enhance patient care outcomes and organizational performance.

?

Key Responsibilities

1. Quality Management System

Develop, implement, and maintain hospital quality management systems. Monitor quality indicators and performance metrics. Coordinate quality improvement initiatives across departments. Ensure adherence to hospital policies, procedures, and clinical protocols.
2. Accreditation & Compliance

Prepare the hospital for national and international accreditation (e.g., NABH, JCI, ISO). Conduct internal audits and gap analyses. Ensure compliance with legal, regulatory, and statutory requirements. Coordinate external audits and inspections.
3. Patient Safety

Implement patient safety programs and risk management strategies. Monitor incident reporting systems and analyze trends. Conduct root cause analysis (RCA) and corrective action planning. Promote a culture of safety throughout the organization.
4. Training & Education

Conduct quality and patient safety training for staff. Organize workshops and awareness programs. Guide departments in quality documentation and standardization.
5. Data Management & Reporting

Collect, analyze, and present quality data to leadership. Prepare monthly quality dashboards and reports. Track clinical and non-clinical Key Performance Indicators (KPIs). Benchmark hospital performance against industry standards.
6. Process Improvement

Identify areas for improvement in clinical and administrative processes. Implement Lean, Six Sigma, or other improvement methodologies. Coordinate multidisciplinary quality improvement projects.
7. Patient Experience

Monitor patient feedback and satisfaction surveys. Address complaints and coordinate corrective actions. Work with departments to enhance patient-centered care.
?

Qualifications

Education: Bachelor's degree in Healthcare Administration, Nursing, or related field Master's degree in Hospital Administration / Quality Management preferred Certification: NABH / JCI / ISO Quality Certification (preferred) Six Sigma Green Belt / Black Belt (desirable) Experience: Minimum 3-5 years' experience in hospital quality management
?

Skills Required

Strong knowledge of hospital accreditation standards Excellent analytical and problem-solving skills Good communication and leadership abilities Proficiency in data analysis and reporting Knowledge of clinical audit processes Team coordination and training skills Computer proficiency (MS Office, quality tools)
?

Key Competencies

Attention to detail Strategic thinking Decision-making ability Interpersonal skills Ethical and professional integrity Change management capability
?

Performance Indicators

Accreditation compliance scores Reduction in adverse events Improvement in patient satisfaction Completion of audits and corrective actions Staff training completion rates Timely submission of quality reports
?

Working Conditions

Full-time position May require flexible hours based on audits and inspections Coordination with all clinical and non-clinical departments
Job Type: Full-time

Pay: ?35,163.80 - ?67,932.39 per month

Work Location: In person