Principal Accountabilities

Key Results Areas
· To ensure NABH & NABL standards are reviewed periodically and implemented as per the latest edition.
· To report to the management on periodic basis about the functioning of quality team and status of quality department functions.
· Periodic supervision and monitor the functioning of central and unit specific quality teams.
· Periodically verify and ensure the implementation of Quality Indicator reports and recommendations on deficiencies.
· Periodic verification of the case sheet auditing report, for retrospective and live cases.
· To conduct internal audits in accordance with CQI programme as per defined schedule.
· To conduct mock drills as per schedule and to verify the drills report.
· To plan and conduct various surveys, audits, and studies as per defined schedule and requirement.
· To conduct training classes for hospital staff on quality parameters and relevant hospital policies and procedures.
· To verify and supervise the process of Incident Reporting involving; reporting of incident,



analysis of incident and action taken with respect to the incident.
· To plan document preparation and implementation of Quality Management Systems.
· To supervise the process of updation of department manuals as and when policies and procedures are amended / revised.
.To verify the maintenance of all the documents, files and reports related to Quality Assurance department.
· To plan various committee meetings as per Continuous Quality Improvement programme schedule.
· To Interpret and implement quality assurance standards in the hospital.
· To liaise and train all the departments on quality management system.
· To innovate, initiate and implement required QMS standards and related processes.
· Adherence to all mandatory compliances as per the QMS standards.
Team Development:
· Periodic review meetings with quality team across the organization.
· To update the team with recent systems and standards of various QMS applicable to the

📌 Quality Head (Hyderabad)
🏢 FERNANDEZ FOUNDATION
📍 Hyderabad