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.
Robust 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 Delhi
🏢 AccredEdge
📍 Delhi