Job description

Responsible to prepare and coordinate the network hospitals for Accreditation / Quality Certification like ISO 9001:2000, NABL, NABH, JCIA and Quality system implementation. Responsible to implement, monitor and manage the Continuous Quality Improvement (CQI) programs.

Job Responsibilities

• To coordinate and monitor activities related to QA Office basic requirements.
• To monitor and update QA Department Records
  1) Files
  2) Register
  3) Forms
  4) Soft copy
• To prepare / amend / distribute Documents.
• To coordinate with identified Quality coordinators.
• To update the QCO list once in a month.
• To codify and update Hospital Records and to update it monthly.
• To conduct periodical Internal Quality Audit once in 4 months.
• To monitor Medical Documentation (Case Sheet) compliance by all concerned.
• To carry out the following for standards of ISO / NABL / NABH / JCIA / OTHERS etc.
  1) System Study (weekly 5 Standards)
  2) Gap List preparation
  3) Document and Records — Preparation / Amendment / Distribution
  4) Training and follow up
  5) Implementation
  6) Internal Quality Audit
  7) Corrective Action
• To create, implement, collect data and prepare monthly report on Quality Indicators.
• To coordinate activities related to various Committees meeting.
• To collect data on Minutes of Meeting from all departments.
• To identify infrastructure deficiencies, if any
• To coordinate Continuous Quality Improvement activities
• To prepare and update Facility Manual.
• To prepare and update Department Manuals.
• To monitor Record keeping audit done by Executive — QA.

REQUIRED TECHNICAL/FUNCTIONAL SKILL SET

• Knowledge of hospital accreditation process and Quality Concepts
• Knowledge of Application of Quality Tools
• Proficient in MS Office.

Competencies Required : Ability to lead team in the absence of Team Leader