Key Results Areas :
- To ensure NABH & NABL standards are reviewed periodically and implemented as per the latest edition.
- To report to the management on periodic basis about the functioning of quality team and status of quality department functions.
- Periodic supervision and monitor the functioning of central and unit specific quality teams.
- Periodically verify and ensure the implementation of Quality Indicator reports and recommendations on deficiencies.
- Periodic verification of the case sheet auditing report, for retrospective and live cases.
- To conduct internal audits in accordance with CQI programme as per defined schedule.
- To conduct mock drills as per schedule and to verify the drills report.
- To plan and conduct various surveys, audits, and studies as per defined schedule and requirement.
- To conduct training classes for hospital staff on quality parameters and relevant hospital policies and procedures.
- To verify and supervise the process of Incident Reporting involving; reporting of incident, analysis of incident and action taken with respect to the incident.
- To plan document preparation and implementation of Quality Management Systems.
- To supervise the process of updation of department manuals as and when policies and procedures are amended / revised.
- To verify the maintenance of all the documents, files and reports related to Quality Assurance department.
- To plan various committee meetings as per Continuous Quality Improvement programme schedule.
- To Interpret and implement quality assurance standards in the hospital.
- To liaise and train all the departments on quality management system.
- To innovate, initiate and implement required QMS standards and related processes.
- Adherence to all mandatory compliances as per the QMS standards.
Team Development :
- Periodic review meetings with quality team across the organization.
- To update the team with new systems and standards of various QMS applicable to the organization.
- Impart / Update QMS knowledge, case studies to the team for better efficiency in process operations and meeting of individual, team and organizational quality goals.
Key Performance Indicators :
- Regular internal audit as per the SOP.
- Periodic review of quality indicators data.
- Periodic committee meetings.
- Organisation policies and procedures, SOPs as per the accreditation guidelines.
- Implementation of Quality Management Systems.
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