Quality Executive

2 weeks ago


Tiruchchirappalli, India Sri Kauvery Medical Care (India) Pvt Ltd Full time

1. Lead, develop, implement and maintain an organizational-wide quality system.

2. Manage the organization's quality management system which incorporates compliance with the NABH Standards.

3. Work with Management to monitor and ensure preparation for accreditation for all services

4. Support a culture that enables staff to understand and comply with quality, clinical risk and patient safety guidelines to meet relevant accreditation standards.

5. Lead and manage annual quality audits via the current quality management provider, and review and maintain audit tools.

6. Analyze audit results creating improvement plans and act on audit findings and recommendations to ensure compliance.

7. Ensure that an internal audit schedule is in place which delivers risk minimization compliance to accreditation and quality standards

8. Manage and coordinate the clinical indicator collection from all the departments. Analysis of QIs and presentation to top management about critical quality points and issues.

9. Coordinate surveys for doctors, staff and patient satisfaction (as required)

10. Management of the corrective action system ensuring all non-conformities are recorded and investigated to determine root cause and ensuring corrective or improvement activities are closed out in a timely manner

11. Maintain clinical incident reporting system ensuring appropriate completion and follow up of incidents by management in a timely manner

12. Work with staff to promote and encourage a reporting culture of clinical incidents, near misses and hazards across the organization.

13. Sentinel Events handling and helping top management to sort out the sentinel events.

14. Review and further develop Complaints Management Framework

15. Manage the review and upkeep of policies and procedures (including patient privacy and confidentiality), liaising with relevant staff to ensure compliance and best practice guidelines are implemented

16. Educate, coach and mentor staff and clinicians on the tools and processes required for the ongoing accreditation process and QMS

17. Participates in the planning of specific training and educational programs as appropriate to quality and safety needs of the facility.

18. Lead, facilitate and support the development and implementation of quality improvement projects to deliver improved safety and quality outcomes for patients

19. Use quality improvement/ project management principles and methods to improve safety and quality processes and outcomes

20. Responsible for conducting committees and Mock drills.

21. To have a check and control of hospital case sheets/deficiency corrections according to the NABH standards.

**Salary**: ₹12,000.00 - ₹15,000.00 per month

**Benefits**:

- Food provided
- Health insurance
- Leave encashment
- Provident Fund

Schedule:

- Day shift

Supplemental pay types:

- Yearly bonus

Ability to commute/relocate:

- Tiruchchirappalli - 620001, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 1 year (preferred)

**Speak with the employer**
+91 9443371337


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