Patient / Customer Care

• To comply with the quality process & policies of the respective area.

Job Knowledge

• To demonstrate effective application of technical & professional knowledge.

Process Orientation / Documentation

• Coordination of NABH Committees meetings as per the calendar

• Review Minutes of Councils meetings.

• Ensure effectiveness of committee meetings.

• Provide feedback to operations/clinical departments.

• Collation & Submission of monthly reports & dashboard.

• Preparation of action taken reports on various indicator.

• Annual updation of policies and manuals

• Oversee DNB Accreditations, Surveillance and re-accreditations in various specialties.

Accreditations: NABH /JCI

• Support the planning and implementation of all requirements of accreditation

Audits & QI projects

• Carry out routine audits of clinical areas / departments.

• Provide feedback to departments.

• Support and implement QI projects.

• Closure of Non-conformities.

• Quarterly NABH audit are conducted

• To ensure continued compliance to closure submitted in the previous accreditation audit





• Ensure passive and active medical documents audit

• To ensure SLA monitoring.

Quality Assurance

• Management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety.

• RCA of Incident reporting, adverse incidents followed by corrective action and implementation of Preventive action.

Medical Policies and Standards

• Dissemination, Implementation, Training of Organization policies and regular audits.

Clinical indicators and Performance indicator

- To support the development, periodic review and improvement of NABH performance indicators .
- Collation of CQI data along with RCA & CAPA

People Orientation

- To demonstrate qualified & courteous behavior to patient & co-workers.

Cost & Revenue

- To operate within budget cost.
- Budget for Quality and Infection control is prepared as per the requirement and expenditure

Discipline

- To be well groomed, punctual & adhere to company policies and practices.

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📌 Manager / Deputy Manager - Medical Quality (Vaishali)
🏢 Mhc
📍 Vaishali