Role & Responsibilities Quality & Accreditation (JCI/ NABH)
Accreditation Participation Requirements | Patient-Centered Standards | Health Care Organization Management Standards | Global Health Impact Standards
To coordinate and monitor activities related to QA Office basic requirements.
To monitor and update QA Department Records (Files/ Register/ Forms/ Soft copy)
To prepare / amend / distribute Documents.
To coordinate with identified Quality coordinators.
To update the QCO list once in a month.
To codify and update Hospital Records and to update it monthly.
To conduct periodical Internal Quality Audit once in 4 months.
To monitor Medical Documentation (Case Sheet) compliance by all concerned.
To carry out the following for standards of ISO / NABL / NABH / JCIA / OTHERS etc (System Study (weekly 5 Standards)/ Gap List preparation/ Document and Records - Preparation / Amendment / Distribution/ Training and follow up/ Implementation/ Internal Quality Audit/ Corrective Action)
To create, implement, collect data and prepare monthly report on Quality Indicators.
To coordinate activities related to various Committees meeting.
To collect data on Minutes of Meeting from all departments.
To identify infrastructure deficiencies, if any
To coordinate Continuous Quality Improvement activities
To prepare and update Facility Manual.
To prepare and update Department Manuals.
To monitor Record keeping audit done by Executive - QA.
Participate in hospital quality improvement activities
Equipment operation and equipment safety