Quality Manager

1. Quality Assurance & Improvement

• Develop and implement hospital-wide quality improvement (QI) programs.
• Monitor key performance indicators (KPIs) and clinical outcomes.
• Conduct audits and assessments to evaluate compliance with internal policies and external standards.
• Analyze data to identify trends, areas for improvement and root causes of issues.

2. Regulatory Compliance & Accreditation

• Ensure hospital compliance with healthcare laws, regulations and accreditation requirements (e.g. NABH).
• Prepare for and manage internal and external audits, inspections and surveys.
• Maintain documentation and evidence for compliance purposes.

3. Patient Safety & Risk Management

• Promote a culture of patient safety through incident reporting, analysis and corrective actions.
• Lead investigations of adverse events and near-misses.
• Collaborate with clinical and non-clinical teams to develop patient safety initiatives.

4. Training & Education

• Conduct training programs on quality standards, patient safety, infection control and continuous improvement methods.
• Educate staff on quality tools such as root cause analysis (RCA), Plan-Do-Study-Act (PDSA) cycles.

5. Data Management & Reporting

• Collect, analyze and report quality and performance data to senior management.
• Develop dashboards and reports to communicate quality metrics.
• Provide data-driven recommendations for operational and clinical improvements.

6. Cross-Functional Collaboration

• Work closely with department heads, clinical staff, administration and external stakeholders.
• Serve as a liaison with accrediting bodies and health authorities.

Qualifications:

• Bachelors or Master’s degree in Healthcare Management, Nursing, Public Health or a related field.
• Certification in quality (e.g., CPHQ, Six Sigma, Lean, ISO) preferred.
• Minimum 4- 5 years of experience in healthcare quality management.