Executive - Quality Assurance

1 week ago

Tirupati, 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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