Quality Associate - Hospital

Job Purpose

Key Responsibilities

• Quality Compliance & Audits:
• Assist in implementing NABH standards across departments.
• Conduct internal audits, facility rounds, and compliance checks.
• Follow up with departments on observation closures and corrective actions.
• Maintain and update compliance dashboards.
• Data Management & Reporting:
• Collect, validate, and analyze hospital-wide quality indicators.
• Prepare monthly, quarterly, and annual quality reports.
• Track clinical and non-clinical KPIs (e.g., infection rates, medication errors, patient falls).
• SOP & Document Control:
• Coordinate with departments for SOP creation, review, and updates.
• Maintain SOP and policy repository (both hard and soft copies).
• Ensure version control and timely communication of revised documents.
• Incident & Risk Management:
• Assist in incident reporting, documentation, and Root Cause Analysis (RCA).
• Maintain incident tracker and follow-up for closure of CAPA.
• Coordinate for patient safety initiatives and risk assessments.
• Training & Awareness:
• Organize training sessions on NABH standards, patient safety, and other quality-related topics.
• Support departments in conducting mock drills (fire, code blue, etc.)
• Participate in induction and refresher training programs.
• Patient Safety & Feedback:
• Monitor patient feedback mechanisms (feedback forms, complaint logs).
• Analyze trends and support actions for improvement.
• Promote a culture of safety and quality improvement hospital-wide.
  

Qualifications

• Bachelor's or Master's in Healthcare Management / Public Health / Life Sciences / Nursing / Hospital Administration.
• 0–2 years of experience in hospital quality, NABH coordination, or accreditation support (freshers with training in NABH may also apply).
  

• Passion for Excellence
• Results Orientation
• Communication Skills
• Customer Focus
• Integrity & Ethics
  

• Building Relationships
• Leadership & Influencing
• Problem Solving and Decision Making
• Functional Expertise
• Negotiation