Manager / Deputy Manager - Medical Quality

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,