Quality Executive

Qualification & Experience (minimum Requirements Preferred)

Education: Masters/PG Diploma in Hospital Administration

Professional experience: 1-2 yrs. in healthcare sector

Position Reports to: Assistant Manager - Quality

Responsibilities

• To implement NABH Standard ,policies and SOPs as per latest edition across the departments
• Patient management by receiving, compiling and working upon the feedback of the patient to achieve complete patient satisfaction.
• Prepare corrective and preventive action report on complaints/suggestions received from feedback forms (OPD/IPD) and follow-up with concerned department.
• Maintain Monthly Key Performance Indicator Report along with the raw data registers/ reports.
• Monitor functioning of all committees in the hospital.
• Follow up on action to be taken as per the report of various committees.
• Provide support to departments in achieving compliance with established standards
• Monitor performance of all departments through Quality Indicators set and agreed beforehand for each department.
• Coordinate for conducting Mock drills.
• Coordinate and plan for routine internal audits of clinical areas / departments and Provide feedback to departments.
• Devise and implement operating guidelines such as departmental manuals containing core processes, work instructions, process mapping, department procedure, relevant documentation etc.
• To maintain Legal tracker sheet and coordinate with legal team for applicable statutory compliances
• Display courtesy, tact, and patience during interactions with employees and patients.
• Influence, and negotiate with, stakeholders to achieve outcomes beneficial to the Hospital.
  

Training & Development

• To prepare training calendar on monthly basis.
• To collect all the required information/data to prepare training calendar.
• To circulate the training calendar to concerned departments.
• Follow-up /coordinate with departments for training topics.
• Coordinate all the training program w.r.t. timing, audience etc.
• Ensure feedback forms are being filled whenever the training is conducted.
• To maintain training record e.g. attendance, feedback forms etc.
• To do training feedback analysis
• Conduct training programs as and when required as per schedule given in Training Calendar.
• Co-ordinate training and education of all employees about quality standard (NABH)
  

Key Competencies

• Professional Competency
• Patient focus/Customer orientated
• Analytic/ Creative /Strategic thinking
• Administrative Capability
• Team working & inter-personal skill
• Deliver consistent cost reduction / quality improvement.
• Coordination/Organizational skills
• Computer savvy
• Influencing
• Behavioral /Communication skills
• Training capability
• NABH Awareness/ Documentation Knowledge
• Knowledge of KPI
• Data Management & Analyses
• Knowledge of information systems and process improvement techniques