1

Process formulation, implementation and NABH Accreditation

 Consults with administrative and medical staff managers, department heads, and critical committees as appropriate to finalize and advance the NABH goals.

 Assesses institutional/departmental readiness and identifies strategies to achieve goals as directed by the Patient Safety and Quality Manager.

 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 and waste reduction, and protected and reliable patient care.

 Develop processes, systems and procedures for the upcoming departments during the hospital commissioning phase. Developing policies, procedures and manuals based on NABH standards.

 Identification of gaps, develop action plan of the hospital and monitor compliance

 Coordinating with the project team for infrastructural requirements for departments based on NABH.





 Coordinating with head office for revision of forms and formats as per the services available and customizing them as per the need of the hospital.

 Consult & collaborate with physicians, nursing staff, and other departments and improve services to patients as appropriate to finalize and advance the NABH goals

 Provide training to medical staff, patients, and housekeeping staff based on the NABH standards

 Designing committees, mock drill teams.

 Formulating, implementing and supervising infection prevention program and risk management program

 Coordinates the improvement activities for successful accrediting, licensing, and certification surveys. 2

Coordination of Committee meetings

 Infection Control Committee

 Safety Committee

 Purchase Committee

 Quality Committee

 Pharmacotherapeutic Committee

 Ensure meeting calendars are made. Review Minutes of Committee Meetings.

Objective

Responsible for contributing to hospital-wide and departmental quality initiatives based on NABH standards.

📌 Quality department (Jaipur)
🏢 Sankara Vision center
📍 Jaipur