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
Appointment
Second Opinion
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