Organization: SPS Hospitals

Department: Quality Assurance

Location: Ludhiana, Punjab

Reports To: Head – Quality Assurance

Employment Type: Full-Time

Position Summary

The Executive – Quality Assurance will support the implementation, monitoring, and continuous improvement of quality systems and patient safety initiatives across the hospital. The role involves ensuring compliance with NABH/JCI standards, conducting audits, coordinating quality indicators, managing documentation, and supporting departmental quality improvement activities.

Key Responsibilities

Quality Management & Compliance

Assist in implementation and monitoring of hospital quality assurance programs.
Ensure compliance with NABH, JCI, and internal quality standards.
Coordinate departmental audits and quality assessments.
Maintain quality documentation, SOPs, policies, and protocols.
Support preparation for accreditation and surveillance audits.

Patient Safety & Risk Management

Monitor patient safety indicators and incident reporting systems.
Participate in root cause analysis (RCA) and corrective/preventive actions (CAPA).
Track adverse events, near misses, and quality improvement initiatives.
Promote a culture of patient safety and continuous improvement.

Data Analysis & Reporting

Collect, analyze, and maintain quality metrics and departmental KPIs.
Prepare MIS reports, dashboards, and presentations for management review meetings.
Monitor clinical and non-clinical quality indicators.

Training & Coordination

Coordinate quality-related training programs and awareness sessions.
Support departments in implementation of quality initiatives.
Conduct orientation sessions on quality standards and protocols for staff.

Documentation & Process Improvement

Ensure timely documentation and record maintenance.
Participate in process mapping and workflow improvement activities.
Assist in policy revision and standardization of procedures.

Required Qualifications

MHA / Master's degree in Healthcare Management, Hospital Administration, or a related field.
Certification in NABH/JCI quality standards will be an advantage.
1–3 years of experience in hospital quality assurance or healthcare operations preferred.

Executive - Quality