Assistant Manager

2 days ago

Bengaluru, Karnataka, India Fortis Full time

Candidate with Minimum 7 to 10 years of experience in Quality at JCI & NABH Accredited Hospital

Role & responsibilities

Obtaining JCI (Sustaining JCI standards and regular updating the same) and NABH

  • Interpretation and implementation of quality assurance initiatives as per JCI/NABH standards in hospital and to ensure delivery of quality care to patients
  • Development and implementation of departmental policies and Procedures, as per JCI/NABH norms
  • To ensure compliance and continual improvement of Quality indicators by undertaking surprise audits and mock surveys
  • Work as a team to co-ordinate and provide consistency to the quality initiatives
  • Continuously assessing and improving the Quality of care and services provided.
  • Participating in cross-organizational activities to improve organizational Quality as appropriate
  • Adopting an approach to Quality improvement that includes planning the process for improvement, setting priorities for improvement, assessing Quality systematically, implementing improvement activities based on assessment, and maintaining achieved improvements
  • Supervision of medication management process in Pharmacy and patient care areas
  • The candidate will be expected to be an important part of the JCIA/NABH accreditation process of the hospital
  • To Co-ordinate for QIPS identified throught hospital
  • Ensure ongoing documentation of mandatory requirements by JCI and NABH
  • To collect data for JCI library of measures
  • To co-ordinate with head of quality to generate minutes of meeting and ensure closure
  • To co-ordinate for internal audits for various departments with head of quality
  • Compile and analyse data for quality indicators for NABH
  • To co-ordinate for mortality review meeting on regular basis
  • Ensure compliance to medical records ongoing basis
  • To co-ordinate with head of quality for root cause analysis FMEA
  • To update and analyze CQI forms on monthly
  • To have thorough understanding of standard operating procedures
  • To update the standard operating procedure with the recent standards on timely and regular basis
  • To keep track of control copies of SOPs across units
  • To keep track of all mandatory training related to quality and safety
  • To facilitate annual mock drills (Fire disaster, Bomb treat, Emergency)
  • To co-ordinate and facilitate in data collection for MOS/CESC
  • To Coordinate for all the Committees and collate the Meeting of Minutes.
  • Rational use of drugs
  • Consultation regarding selection of drug, dose, route, dosage form, schedule and duration
  • To provide Information regarding
  • Drug action, drug kinetics
  • Drug interactions (drug-drug, food-drug)
  • Management of patients on polytherapy (multiple medications)
  • Contraindications and special precautions
  • To ensure and monitor drug safety
  • Adverse drug reaction (ADR) monitoring
  • Hospital Drug Formulary
  • To initiate, co-ordinate and accomplish the task of forming our own drug formulary
  • Hospital Surveys
  • Suggestions to improve the quality of patient management (drug prescription, dispensing, administration, outcome) in various units/departments (according to JCI standards)
  • Drug utilization studies, drug audits (mainly antimicrobials) in ICUs to know the pattern of antimicrobial prescription vs microbial growth and sensitivity.
  • Assesses risk to patient and general safety and facilitates corrective steps.

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