Quality Head
22 hours ago
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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