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Quality & Accreditation

Quality & Accreditation

Rainbow Children's HospitalsDelhi, Delhi, India
8 days ago
Job description

Job Title : Executive / Sr. Executive / Team Lead - Quality

Job Grade : Department : Quality

Reporting to : Medical Director / Dr. Farhan

Location : Unit

Job Summary : Responsible for devising and establishing quality procedures, standards and specifications in the hospital and promote Quality Improvement in all the process & procedures of the hospital.

Focus

Indicators

Financial / Business

  • Undertakes quality initiatives, audits, risk management as due in conjunction with the Quality and Unit Head.
  • To conduct surprise audits / investigations in various clinical and non-clinical areas in the hospital and submit findings report to HODs & Top Management.
  • To recommend management on continual quality improvement activities.
  • To keep a track of the worldwide developments in the area of healthcare quality and adopt best practices to refine the existing processes.
  • To conduct and coordinate hospital committees meetings.

People

  • To guide cross functional teams on various activities on quality aspects and to identify the training needs.
  • To coordinate and conduct training programs and to implement quality management systems and technical management system in compliance with quality certification and accreditation.
  • Responsible for training / educating staff and new joiners on different emergency codes and hospital policies.
  • Customer

  • To do periodical rounds on the aspects of patient safety.
  • To do internal auditing of various functions / areas of hospital as per the accreditation body guidelines.
  • Operations

  • Works to ensure that quality improvement and innovation work remains focused on one or more of the following goals : patient-centeredness, staff vitality, process efficiency, waste reduction, and safe & reliable patient care.
  • Ensuring clean surroundings, OPD Areas, Wards, Labour Room, OT and Patient
  • amenities and outsourced services
  • Periodical assessment of hospitals on quality check list and arrive at a score for the facility
  • Identification of gaps, develop action plan under the guidance of department head and monitor compliance
  • To participate in various clinical audits being conducted in the hospital and take necessary actions against the same.
  • To coordinate activities related to quality certifications and accreditations like NABH.
  • To Interpret and implement Quality assurance standards in hospital to ensure patient safety & quality care to patients.
  • To analyse the data collected and to prepare reports indicating trends, performance measures of quality and key performance indicators.
  • To collect, collate, analyse and report Quality Indicators of various functions of the hospital.
  • Conducts awareness sessions through mock drills to prepare team to handle crisis situations.
  • To facilitate the external audits conducted by the Accreditation Body.
  • Any other portfolio that may be entrusted by the management from time to time.
  • Educational Qualifications :

  • Any graduate with Master’s Degree in Hospital Management
  • Work Experience

  • Having 3-5 years of experience as a quality Manager
  • Sound knowledge on the Concepts of Quality to the hospitals (NABH)
  • Knowledge of regulatory requirements
  • Knowledge of qualifications and validations
  • Knowledge of Quality Management System
  • Knowledge and experience of handling regulatory audits (NABH etc.)
  • Expected Deliverables

  • Continuous Improvement Projects
  • Compliance and Documentation
  • No NC’s in Audit
  • Training and Education
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    Quality • Delhi, Delhi, India

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