Role & responsibilities

- Develop, implement, and monitor hospital-wide quality management systems and policies.

- Ensure compliance with NABH accreditation standards and applicable healthcare regulations.

- Conduct internal audits, quality assessments, and gap analysis across hospital departments.

- Monitor key performance indicators (KPIs), patient safety indicators, and quality improvement metrics.

- Identify non-conformities and implement corrective and preventive actions (CAPA).

- Coordinate with clinical and non-clinical departments to improve service quality and patient care.

- Monitor patient feedback, complaints, and satisfaction levels and ensure timely resolution.

- Organize quality-related training, awareness sessions, and staff development programs.

- Maintain quality documentation, audit reports, policies, SOPs, and compliance records.





- Conduct Root Cause Analysis (RCA) for incidents, adverse events, and patient safety issues.

- Prepare quality reports and present performance updates to hospital management.

- Promote continuous quality improvement and a culture of patient safety throughout the hospital.

Preferred candidate profile

- Qualification: MHA / Master's in Hospital Administration or a relevant qualification.

- Experience: 3-10 years of relevant experience in hospital quality management.

- Preferred: Experience in a NABH-accredited hospital or medical college.

- Solid knowledge of NABH standards, audits, CAPA, RCA, and quality indicators.

📌 Quality Manager (Gajraula)
🏢 SHRI VENKATESHWARA UNIVERSITY
📍 Gajraula