We are looking for a Quality Executive with relevant hospital experience to support the implementation, monitoring, and continuous improvement of the hospital's Quality Management System (QMS) in accordance with NABH 6th Edition standards.

The candidate will be responsible for monitoring quality indicators, maintaining quality-related documentation, coordinating internal audits, supporting NABH compliance, identifying gaps and facilitating corrective and preventive actions across hospital departments.

Key Responsibilities

- Support the implementation and maintenance of NABH 6th Edition standards across clinical and non-clinical departments.
- Monitor and track Hospital Quality Indicators (HQIs) and department-specific quality indicators.
- Collect, validate, analyse, and present quality indicator data within defined timelines.
- Prepare monthly/quarterly quality reports, dashboards, trend analysis and presentations for management review.
- Coordinate with various departments for compliance with NABH policies, SOPs, protocols and quality objectives.
- Conduct and coordinate internal quality audits, departmental audits and compliance assessments.
- Identify non-conformities, gaps, and areas of improvement and follow up on Corrective and Preventive Actions (CAPA).
- Maintain records and documentation related to quality audits, indicators, CAPA, committee meetings and NABH compliance.
- Assist in conducting Quality Improvement Projects (QIPs) and monitor their effectiveness.
- Support implementation and monitoring of patient safety goals and quality improvement initiatives.
- Coordinate with clinical departments for monitoring of key patient safety and clinical quality parameters.
- Assist in monitoring incident reports, sentinel events, adverse events, near misses, medication errors, falls, infections, patient complaints and other quality-related events.
- Support compliance monitoring for infection prevention and control, medication management, patient identification, clinical documentation, informed consent and other applicable NABH requirements.




- Coordinate with department heads for timely submission and review of quality data.
- Participate in quality and patient safety committee meetings and maintain relevant records/minutes.
- Assist in preparation for NABH assessments, surveillance assessments, internal audits, and external audits.
- Conduct staff awareness and training sessions related to NABH standards, quality systems, patient safety, SOPs, and documentation.
- Ensure proper control, review, and implementation of hospital policies, SOPs, formats, checklists and quality documents.
- Monitor compliance with approved hospital processes and report deviations to the Quality Head.
- Assist in Root Cause Analysis (RCA) for significant incidents and monitor CAPA closure.
- Maintain confidentiality and ensure proper handling of quality-related records and reports.
- Promote a culture of continuous quality improvement and patient safety within the organization.

Key Quality Indicators / Areas of Monitoring The candidate should be familiar with monitoring indicators such as:
- Patient waiting time
- Patient satisfaction and complaints
- Medication errors
- Patient falls
- Hospital-acquired infections
- Hand hygiene compliance
- Surgical site infection indicators
- Readmission rates
- Mortality and morbidity indicators
- OT cancellation rate
- Blood transfusion reactions
- Needle-stick injuries
- Pressure injury/bed sore indicators
- Patient identification compliance
- Consent compliance
- Medical record completion
- Discharge summary completion
- Clinical documentation compliance
- Emergency response indicators
- Code Blue response
- Incident and near-miss reporting
- Laboratory turnaround time
- Radiology turnaround time
- Discharge turnaround time
- Infection control indicators
- Nursing quality indicators




- Department-specific quality indicators

NABH / Quality Skills Required
- Good understanding of NABH 6th Edition standards and implementation requirements.
- Knowledge of Quality Management System (QMS).
- Understanding of Quality Indicators and KPI monitoring.
- Knowledge of RCA, CAPA, PDCA and continuous quality improvement methodologies.
- Ability to conduct internal audits and compliance assessments.
- Good documentation and report-writing skills.
- Proficiency in MS Excel, Word and PowerPoint for quality data analysis and presentations.
- Valuable coordination and communication skills with clinical and non-clinical departments.

Qualification Bachelor's degree in any relevant healthcare/management discipline.

Preferred

- B.Sc. Nursing / BPT / B.Pharm / Allied Health Sciences / Hospital Administration / Healthcare Management or equivalent.
- Certification/course in NABH, Healthcare Quality, Hospital Quality Management or Patient Safety will be an advantage.

Experience
- 2–5 years of relevant experience in hospital quality/quality assurance.
- Candidates with hands-on experience in NABH implementation, quality indicators, internal audits and hospital accreditation will be preferred.
- Experience in a NABH-accredited/pre-accreditation hospital is desirable.

Key Competencies
- NABH Standards & Compliance
- Quality Indicator Management
- Hospital Audit & Monitoring
- CAPA & RCA
- Patient Safety
- Documentation & Record Management
- Data Analysis & Reporting
- Quality Improvement Projects
- Interdepartmental Coordination
- Training & Awareness
- Good Communication and Presentation Skills

Job Profile

Position: Quality Executive

Experience: 2–5 Years – Hospital Quality

Qualification: Graduate / Healthcare Professional

Preferred: NABH / Hospital Quality experience

Industry: Hospital / Healthcare

Location: Faridabad

Interested candidates may share their updated CV to :[email protected]

Pay: ₹25,000.00 - ₹35,000.00 per month

Benefits

- Flexible schedule
- Provident Fund

Work Location: In person

📌 Quality Executive (Faridabad)
🏢 Batra Heart u0026 Multispecialty Hospital
📍 Faridabad