Quality Executive

Job Description

Role & responsibilities Quality Management Systems : Develop, implement, and monitor quality assurance programs across all departments, ensuring alignment with national and international standards such as NABH, JCI, and ISO. Policy and Procedure Development : Formulate and update hospital policies and standard operating procedures (SOPs) to comply with the latest accreditation requirements. Audits and Compliance : Conduct regular internal audits, mock surveys, and surprise inspections to assess adherence to quality standards and identify areas for improvement. Training and Development : Organize training sessions for clinical and non-clinical staff on quality standards, patient safety protocols, and best practices to foster a culture of continuous improvement. Data Analysis and Reporting : Collect and analyze data on quality indicators, patient feedback, and clinical outcomes to prepare reports and dashboards for management review. Incident Management : Investigate incidents such as medication errors or adverse events, perform root cause analysis, and implement corrective and preventive actions (CAPA). Accreditation Coordination : Liaise with external accreditation bodies, prepare necessary documentation, and ensure readiness for audits and assessments. Committee Participation : Attend relevant committee meetings, document minutes, and follow up on action items related to quality improvement initiatives. Preferred candidate profile Strong analytical and problem-solving abilities. Excellent communication and interpersonal skills. Proficiency in data analysis and reporting tools. In-depth knowledge of healthcare regulations and accreditation standards. Ability to lead training sessions and workshops.