Assistant Manager- Quality

1. Process Management & NABH standard Implementation

• SOPs management
• Quality Control & documentation
• Staffs training

• Responsible for effective implementation of the Quality Program & policy of the hospital in accordance of NABH guidelines.
• Implementation of SOP is in all depts.
• Overseeing the co-ordination with all HODSs and staff for implementation of SOPs & NABH guidelines applicable to respective depts...

description

1. Process Management & NABH standard Implementation

• SOPs management
• Quality Control & documentation
• Staffs training
• Responsible for effective implementation of the Quality Program & policy of the hospital in accordance of NABH guidelines.
• Implementation of SOP is in all depts.
• Overseeing the co-ordination with all HODSs and staff for implementation of SOPs & NABH guidelines applicable to respective depts...
• Implementing continued quality improvement programme and updating policies.
• Taking rounds and implementing the standards of quality to improve overall quality initiative of hospital.
• Responsible for smooth operations in each floor.
• Setting standards for quality as well as health and safety.
• Understand patients needs and requirements to develop effective quality control processes.
• Ensure adherence to health and safety guidelines as well as legal obligations.
• Solicit feedback from patients/clients to assess whether their requirements are met or not.
• Ensure that the hospitals quality management system conforms to patient, internal, ISO 9001 and legal requirements.
• Manage the monitoring, measurement and review of internal processes, especially those that affect the quality of the hospital functions.

2.Training

• Developing training programs protocols modules in consonance with NABH guidelines.
• Responsible for preparation of training schedules, training module, training presentations.
• Maintaining records of training attendance, training effectiveness & feedback with training evaluation.
• Submission of training records & 1set of record to HR for personal file to HR dept on weekly basis.
• Ensuring implementation of EMR modules through HIS systems

3.Audits

• Organizing and implementing audit programs.
• Overseeing the co-ordination of internal audits , identifying NCs, doing RCA, CAPA, training & re-audit.

4.Meetings

• Overseeing co-ordination for committee meetings scheduling & maintaining minute of meeting.
• Overseeing the circulation & implementation of minutes of meetings.
• Overseeing the co-ordination of the conduct of periodic for management to review quality initiatives meetings.
• Provides strategic patient safety activities protocols via patient safety committee & meetings.

5.Continuous Quality improvement programme

• Evaluates the quality and completeness of clinical documentation processes by performing quality.
• Preparation of Quality Manuals SOPs of all clinical & non-clinical depts. Based on NABH standard (5th Edition).
• Ensuring templates incorporated in HIS for retrieving data for Management of Quality Indicators.
• Maintaining Quality Indicator Data & analyzing for desired corrective actions.
• Ensuring medical records are complete from clinical point of view based on NABH guidelines.