Quality Executive

Department: Quality

Job Title: Quality Executive

Report to whom: Facility Director

Qualification : MBA/MHA

Duties & Responsibilities:

• Development and implementation of departmental policies and Procedures, as per JCI/NABH norms.
• To develop quality assurance program for all the departments of the hospital.
• Training of all employees on defined quality assurance program.
• To ensure compliance and continual improvement of Quality indicators by undertaking surprise audits and mock surveys.
• Overall responsibilities for national and international accreditations of the organization i.e. ISO, NABH, JCI etc.
• Responsible for Medical, Clinical & Systems Audits and their follow-up for improvement through corrective & preventive action reports.
• To ensure adherence to statutory and regulatory requirement by updating all the licenses at required interval. 
• Co-ordinate external audits, surveillance audits and any external assessment or surprise visit with any external agencies i.e. ISO & NABH
• To review and update the manual on yearly basis and get revisions approved by concerned authorities.
• Supervision and implementation of all aspects described in manual for continuous improvement of the department.
• To attend all the relevant committee meetings and ensure follow up & closure of observations related to his/her concerned department.
• Monitoring quality indicators raw data and analysis in view of suggesting corrective and preventive actions.
• To coordinate in various audits including clinical audits, prescription audit, CPR Audit, Medical Record audit etc.
• To analyse incidents including medication error, adverse drug reaction, near miss and no harm events in view to suggest corrective and preventive actions.
• Take regular rounds of all the departments to ensure compliance to all the policies and protocols.
• Will be responsible for any other duties assigned by the Reporting Authority from time to time. Attributes conscientious and Responsible, Outstanding communication skills, Excellent Organizational and Leadership Skills.
• Proficient in MS Office ensure zero deficiency while working on it.
• In Depth understanding of Quality control procedures and relevant legal standards.
• Monitoring QI, Preparing QI dashboard with RCA/CAPA.
• Conducting Committee meetings and preparing MOM as scheduled.
• To Analyze Incident in View to Suggest CAPA.
• Will be responsible for any other duties assigned by the reporting Authority from time to time.

Skill Sets:

• Verbal Ability/Communication Skill
• Problem Solving/Decision Making
• Leadership Qualities