Quality Associate - Hospital

Job Description

Clinical effectiveness · To develop and monitor clinical outcomes for the five clinical departments - GI, Gynec oncology, breast oncology, radiotherapy, chemotherapy. Incorporate bench marks where possible and set targets against the benchmarks · To set up process of data collection and monitor 70 NABH CQI quality indicators. To collate data monthly and review it in the Quality Steering committee. Identify opportunities for improvement based on benchmarks or trends. · To set up process of internal data validation and chalk out plan for conducting data validation for important quality indicators · To develop and implement process compliance measures for each of the functions. · Ensure that all the Committee meetings are conducted as per timelines · To monitor and review incidents/adverse events, encourage reporting and develop safety culture in the organization · To implement one Quality Improvement project · To facilitate tumour board meetings , integrative oncology meetings and other multi disciplinary team meetings Accreditation · To ensure SOPs are as per the accreditation requirements. · To ensure compliance and standardization to the NABH standards. · To train the chapter champions on the requirements of the accreditation standards, audit process and compliance expected by the accreditation body. · To conduct internal audits to measure compliance with SOPs (standard Operating Process) and accreditation requirements. · To identify the gaps through internal audits and ensure closures as per timelines with respective stakeholders · To ensure implementation of protocols for medication safety and Infection control practices. · To prepare quality improvement framework, annual quality plan. · To develop and implement patient safety program. · To train the staff on quality indicators, SOP accreditation requirements. · To conduct clinical audits · To conduct consent audits, medical record audits and medication safety audits periodically · To close the deficiencies of internal assessment, pre assessment and final assessment as per timelines Job Type: Full-time Pay: ₹23,000.00 - ₹25,000.00 per year Benefits: Provident Fund Schedule: Day shift Work Location: In person