Senior Assistant-Quality

Role & responsibilities

• Interpretation and implementation of quality assurance initiatives as per NABH standards in hospital and to ensure delivery of quality care to patients
• Development and implementation of departmental policies and Procedures, as per NABH norms
• To ensure compliance and continual improvement of Quality indicators by undertaking surprise audits and mock surveys
• Work as a team to co-ordinate and provide consistency to the quality initiatives
• Continuously assessing and improving the Quality of care and services provided.
• Participating in cross-organizational activities to improve organizational Quality as appropriate
• Adopting an approach to Quality improvement that includes planning the process for improvement, setting priorities for improvement, assessing Quality systematically, implementing improvement activities based on assessment, and maintaining achieved improvements
• Supervision of medication management process in Pharmacy and patient care areas
• The candidate will be expected to be an important part of the NABH accreditation process of the hospital
• To Co-ordinate for QIPS identified through hospital
• Ensure ongoing documentation of mandatory requirements by NABH
• To co-ordinate with head of quality to generate minutes of meeting and ensure closure
• To co-ordinate for internal audits for various departments with head of quality
• Compile and analyses data for quality indicators for NABH
• To co-ordinate for mortality review meeting on regular basis
• Ensure compliance to medical records ongoing basis
• To co-ordinate with head of quality for root cause analysis FMEA
• To update and analyze CQI forms on monthly
• To have thorough understanding of standard operating procedures
• To update the standard operating procedure with the recent standards on timely and regular basis
• To keep track of control copies of SOPs across units
• To keep track of all mandatory training related to quality and safety
• To facilitate annual mock drills (Fire disaster, Bomb treat, Emergency)
• To co-ordinate and facilitate in data collection for MDS/CESE