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 organization.

· Impart / Update QMS knowledge, case studies to the team for better efficiency in process operations and meeting of individual, team and organizational quality goals.

Key Performance Indicators

· Regular internal audit as per the SOP.

· Periodic review of quality indicators data.

· Periodic committee meetings.

· Organisation policies and procedures, SOPs as per the accreditation guidelines.

Implementation of Quality Management Systems.

Fernandez started as a two-bed maternity clinic in 1948. From the very beginning, Dr Leslie and Dr Lourdes Fernandez were guided by ethical values and the mission of equitable care. In 1991, under the leadership of Dr Evita Fernandez, the institution chose to specialise in respectful maternal care. In 2018, Fernandez formally registered as a not-for-profit and all initiatives now come under the Fernandez Foundation.

📌 Quality Head (Hyderabad)
🏢 FERNANDEZ FOUNDATION
📍 Hyderabad