Key Responsibilities

- Clinical Governance & Quality Management

- Quality Assurance: Oversee patient care standards, ensuring high quality, safety, and clinical ethics across all medical and surgical departments.
- Accreditation & Compliance: Ensure full compliance with medical laws, statutory regulations, and accreditation standards (e.g., NABH, NABL, JCI, BMW management, and local health authorities).
- Audit & Protocol Oversight: Lead clinical audits, mortality/morbidity reviews, infection control committees, and continuous quality improvement (CQI) initiatives.

2. Medical Staff Leadership & Administration
- Doctor Engagement & Credentialing: Manage recruitment, credentialing, privileging, and onboarding of senior consultants, resident doctors, and clinical staff.
- Duty Roster & Workflows: Oversee duty rosters, call schedules, OPD/IPD coverage, and clinical departmental workflows to ensure 24/7 seamless patient care.
- Performance & Discipline: Conduct performance appraisals for medical personnel, address clinical grievances,



and resolve medical-legal issues or patient disputes.

3. Hospital Operations & Strategic Planning
- Departmental Alignment: Coordinate between clinical teams, nursing administration, paramedic departments, and non-clinical operations (SCM, Pharmacy, Front Office).
- Resource Optimization: Ensure effective utilization of hospital beds, OTs, ICUs, and advanced medical equipment in collaboration with operational leads.
- Crisis Management: Lead emergency response plans, outbreak responses, and disaster management strategies within the facility.

4. Medico-Legal & Regulatory Compliance
- Legal Affairs: Act as the primary authority for hospital medico-legal cases (MLCs), clinical consent protocols, and statutory reporting to health authorities.
- Patient Grievance Resolution: Directly address severe patient complaints, clinical escalation cases, and ethical dilemmas to protect patient rights and hospital reputation.

📌 Hospital Administrator (Rajkot)
🏢 Skyleaf Consultants LLP
📍 Rajkot