Development and implementation of departmental policies and Procedures, as per JCI/NABH norms.
To develop quality assurance program for all the departments of the hospital.
Training of all employees on defined quality assurance program.
To ensure compliance and continual improvement of Quality indicators by undertaking surprise audits and mock surveys.
Overall responsibilities for national and international accreditations of the organization i.e. ISO, NABH, JCI etc.
Responsible for Medical, Clinical & Systems Audits and their follow-up for improvement through corrective & preventive action reports.
To ensure adherence to statutory and regulatory requirement by updating all the licenses at required interval.
Co-ordinate external audits, surveillance audits and any external assessment or surprise visit with any external agencies i.e. ISO & NABH
To review and update the manual on yearly basis and get revisions approved by concerned authorities.
Supervision and implementation of all aspects described in manual for continuous improvement of the department.
To attend all the relevant committee meetings and ensure follow up & closure of observations related to his/her concerned department.
Monitoring quality indicators raw data and analysis in view of suggesting corrective and preventive actions.
To coordinate in various audits including clinical audits, prescription audit, CPR Audit, Medical Record audit etc.
To analyse incidents including medication error, adverse drug reaction, near miss and no harm events in view to suggest corrective and preventive actions.
Take regular rounds of all the departments to ensure compliance to all the policies and protocols.
Will be responsible for any other duties assigned by the Reporting Authority from time to time. Attributes conscientious and Responsible, Outstanding communication skills, Excellent Organizational and Leadership Skills.
Proficient in MS Office ensure zero deficiency while working on it.
In Depth understanding of Quality control procedures and relevant legal standards.
Monitoring QI, Preparing QI dashboard with RCA/CAPA.
Conducting Committee meetings and preparing MOM as scheduled.
To Analyze Incident in View to Suggest CAPA.
Will be responsible for any other duties assigned by the reporting Authority from time to time.