Executive - Quality Assurance

4 weeks ago

Tirupati, Andhra Pradesh, India Ankura Hospital for women & Children, Tirupati Full time

1 NABH Compliance and Documentation Ensure adherence to NABH standards and guidelines across all departments Maintain and update all NABH documentation including manuals policies SOPs and registers Coordinate preparation and review of hospital-wide policies and ensure version control Conduct regular internal audits and share findings with concerned departments for corrective actions 2 Quality Indicators Monitoring Track analyze and report departmental Quality Indicators QIs as per NABH norms Ensure timely data collection and submission from all clinical and non-clinical departments Identify trends and deviations in QIs and assist in root cause analysis and implementation of corrective measures 3 Training Capacity Building Organize and conduct NABH and quality-related training programs for staff Ensure training records and competency assessments are maintained as per standard requirements 4 Internal External Audits Schedule conduct and document internal quality audits Support during external audits NABH assessment surveillance renewal audits etc Ensure timely closure of non-conformities raised during audits 5 Incident Reporting RCA Monitor incident reporting mechanism in the hospital Facilitate root cause analysis RCA documentation and follow-up of corrective and preventive actions CAPA 6 Committee Support Act as coordinator or secretary for various quality-related hospital committees e g Infection Control Committee Quality Steering Committee etc Prepare and circulate agenda minutes and follow-up action items 7 Patient Safety Feedback Support patient safety initiatives and promote a culture of safety Analyze patient feedback complaints and satisfaction surveys ensure actions are taken for improvement 8 Continuous Quality Improvement CQI Identify improvement areas through audits feedback and data analysis Assist in planning and executing CQI projects within departments 9 Statutory Compliance Ensure hospital is compliant with statutory and regulatory requirements related to quality and patient safety 10 Data Management and Reporting Maintain records and reports required for NABH and internal purposes Generate periodic quality reports for senior management review Job Types Full-time Permanent Fresher Pay 18 000 00 - 25 000 00 per year Benefits Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule Day shift Morning shift Night shift Rotational shift Supplemental Pay Performance bonus Work Location In person

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