Manager / Deputy Manager - Medical Quality
3 days ago
Core Responsibilities
Patient / Customer Care
- To comply with the quality process & policies of the respective area.
Job Knowledge
- To demonstrate effective application of technical & professional knowledge.
Process Orientation / Documentation
- Coordination of NABH Committees meetings as per the calendar
- Review Minutes of Councils meetings.
- Ensure effectiveness of committee meetings.
- Provide feedback to operations/clinical departments.
- Collation & Submission of monthly reports & dashboard.
- Preparation of action taken reports on various indicator.
- Annual updation of policies and manuals
- Oversee DNB Accreditations, Surveillance and re-accreditations in various specialties.
Accreditations: NABH
- Support the planning and implementation of all requirements of accreditation
Audits & QI projects
- Carry out routine audits of clinical areas / departments.
- Provide feedback to departments.
- Support and implement QI projects.
- Closure of Non-conformities.
- Quarterly NABH audit are conducted
- To ensure continued compliance to closure submitted in the previous accreditation audit
- Ensure passive and active medical documents audit
- To ensure SLA monitoring.
Quality Assurance
- Management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety.
- RCA of Incident reporting, adverse incidents followed by corrective action and implementation of Preventive action.
Medical Policies and Standards
- Dissemination, Implementation, Training of Organization policies and regular audits.
Clinical indicators and Performance indicator
- To support the development, periodic review and improvement of NABH performance indicators.
- Collation of CQI data along with RCA & CAPA
KEY PERFORMANCE INDICATORS
Measurable Deliverables
- Audits
- Accreditations NABH. NABL, AACI and other relevant Certifications
JOB REQUIREMENTS
Minimum Qualifications
- Must possess at least a graduation degree in MBBS/ Dental/ AYUSH + Masters in Hospital Administration/ Health Management
Experience
- Minimum 5 years of experience in any healthcare / hospital
- Experience in Health Care Quality or Formal Quality of system like NABH/JCI/AACI/ISO 9001:2008 etc.
Behavioural Skills
- Good Interpersonal skills.
- Confident, assertive, problem solver & motivator.
- Communication
Technical Skills
- Team player and Process oriented.
- People management skills
- Proactive
- Time Management
Language Skills
English, Hindi,
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