- Implement and monitor hospital quality policies, procedures, protocols, and work instructions.
- Ensure compliance with applicable NABH standards and hospital accreditation requirements.
- Maintain and update departmental SOPs, policies, manuals, and quality records.
- Coordinate with departments for NABH assessments, surveillance audits, and accreditation activities.
- Monitor compliance with statutory and regulatory requirements applicable to hospital operations.
- Conduct internal quality audits across clinical and non-clinical departments.
- Identify non-conformities, gaps, and opportunities for improvement.
- Prepare audit reports and follow up on corrective and preventive actions (CAPA).
- Maintain quality documentation, audit checklists, registers, and compliance reports.
- Ensure timely review and revision of controlled documents.