Assistant Manager - Quality @ Fortis Hospital Ludhiana

Job Description

Candidate with Minimum 7 to 10 years of experience in Quality at JCI & NABH Accredited Hospital can share the profile to kanika.malhotra@fortishealthcare.com /9592419648 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