Key Responsibilities
• Support implementation and sustenance of NABH 6th Edition standards in accredited and accreditation-seeking hospitals.
• Conduct internal audits, gap assessments, and compliance reviews across hospital departments.
• Assist in developing, reviewing, and implementing hospital policies, SOPs, formats, and quality documentation.
• Monitor compliance with NABH standards, identify gaps, and facilitate corrective and preventive actions (CAPA).
• Coordinate with departmental heads and Quality Teams for implementation of quality improvement initiatives.
• Monitor Quality Indicators (QIs), analyse trends, and facilitate data-driven improvement initiatives.
• Support implementation of patient safety initiatives, including patient identification, medication safety, infection prevention, clinical audits, and incident reporting.
• Facilitate mock assessments, departmental audits, and accreditation preparedness activities.
• Assist in preparation and maintenance of documentation and evidence required for NABH assessments.
• Conduct quality training and awareness sessions for hospital staff.
• Prepare assessment reports, action plans,



and compliance tracking reports.
• Travel extensively to client hospitals across North India as required. Qualifications & Experience
• Master's in Hospital Administration (MHA) / Healthcare Management or equivalent.
• Minimum 3–5 years of experience in hospital Quality Department.
• Experience in NABH 6th Edition accredited hospitals is essential.
• Solid understanding of NABH standards, measurable elements, and assessment methodology.
• Experience in internal audits, quality indicators, documentation, and CAPA.
• Excellent communication, coordination, and analytical skills.
• Ability to work independently and manage multiple assignments.
• Willingness to travel extensively across North India. Preferred Skills
• Experience in conducting internal audits and mock assessments.
• Exposure to NABH 6th Edition accreditation assessments or assessor-led assessment processes.
• Knowledge of hospital patient safety practices and quality improvement methodologies.
• Experience in training hospital staff on quality and patient safety.

📌 Hospital Quality Executive (India)
🏢 AccredEdge
📍 India