Role & responsibilities
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 prospects 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.