Quality Head

22 hours ago


Jalandhar, Punjab, India NHS (Nasa & Hub Superspeciality) Hospital Full time ₹ 32,00,000 - ₹ 48,00,000 per year

Job Description – Quality Head

Position: Quality Head / Head of Quality

Department: Quality & Patient Safety

Reports to: Medical Director / CEO

Location: Hospital

Role Summary

The Quality Head is responsible for planning, implementing, and monitoring all quality improvement, patient safety, and accreditation-related activities (NABH/JCI). The role ensures adherence to clinical and administrative standards, drives continuous improvement, and promotes a culture of quality across all departments.

Key Responsibilities1. Quality Management & Compliance

  • Develop, implement, and monitor the hospital Quality Management System (QMS).
  • Ensure compliance with NABH standards, statutory requirements, and internal policies.
  • Lead internal audits, gap analysis, and readiness assessments for accreditation.
  • Maintain updated documentation, SOPs, manuals, policies, and reports.

2. Patient Safety & Clinical Excellence

  • Implement patient safety programs including incident reporting, RCA, and CAPA.
  • Conduct mortality & morbidity (M&M) reviews, clinical indicators monitoring, and safety rounds.
  • Ensure adherence to infection control practices in coordination with ICC.

3. Training & Capacity Building

  • Plan and execute organisation-wide quality and patient safety training programs.
  • Conduct induction training on QMS, safety protocols, and accreditation standards.
  • Build capability of department champions, quality coordinators, and auditors.

4. Data Monitoring & Reporting

  • Track quality indicators, KPIs, audits, and performance improvement projects.
  • Prepare monthly quality dashboards and present results to management.
  • Use data analytics for identifying gaps and initiating improvement plans.

5. Accreditation & External Assessments

  • Lead hospital-wide efforts for NABH/JCI accreditation and surveillance audits.
  • Coordinate with departments for corrective actions and compliance reports.
  • Ensure timely submission of statutory and regulatory documentation.

6. Department Coordination & Leadership

  • Facilitate Quality Committee, Safety Committee, and other statutory committees.
  • Support departments in implementing SOPs and quality improvement actions.
  • Promote a culture of transparency, responsibility, and continuous improvement.

Qualification & Experience

  • Master's in Hospital Administration (MHA) or equivalent.
  • Certification in NABH Internal Auditor / Lead Auditor preferred.
  • 5–10 years of experience in Quality Department, with minimum 2–3 years in a leadership role.
  • Strong knowledge of NABH standards, patient safety, audits, and hospital operations.

Key Skills

  • Strong analytical and problem-solving skills
  • Excellent communication and training capability
  • Knowledge of QMS, RCA/CAPA methodology
  • Leadership, team management & coordination
  • Proficiency in documentation and MS Office tools

Job Type: Full-time

Pay: ₹25, ₹40,000.00 per month

Work Location: In person


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