Job Summary
The Quality Controller will be responsible for implementing, monitoring, and maintaining the hospital's quality management system in line with
NABH (National Accreditation Board for Hospitals & Healthcare Providers) standards. This role ensures compliance with quality and safety protocols, improves patient care processes, and helps in preparing the hospital for NABH accreditation and audits.
Key Responsibilities
- NABH Compliance & Accreditation Process
- Develop and implement quality policies and SOPs as per NABH standards.
- Ensure compliance with NABH guidelines across all departments.
- Conduct periodic internal audits and quality assessments.
- Prepare the hospital for NABH accreditation and renewal audits.
- Quality Monitoring & Improvement
- Monitor clinical and non-clinical quality indicators.
- Identify areas of improvement in patient care and hospital processes.
- Coordinate with departments to implement corrective and preventive actions (CAPA).
- Conduct root cause analysis (RCA) for any patient safety incidents.
- Standard Operating Procedures (SOPs) Development
- Develop, revise, and maintain SOPs as per NABH standards for clinical, administrative, and operational procedures.
- Train staff on SOP implementation and ensure adherence.
- Regularly update SOPs based on changes in NABH guidelines or hospital policies.
- Staff Training & Awareness
- Organize NABH-related awareness programs and training for doctors, nurses, and hospital staff.
- Conduct mock drills and workshops on patient safety, infection control, and emergency preparedness.
- Ensure documentation and records are maintained as per NABH standards.
- Infection Control & Patient Safety
- Work with the infection control team to implement hospital infection prevention protocols.
- Ensure a safe hospital environment by monitoring hygiene, sterilization, and biomedical waste management.
- Review incident reports and ensure patient safety measures are followed.
- Data Analysis & Reporting
- Maintain and analyze hospital quality data related to clinical outcomes, patient safety, and operational efficiency.
- Present periodic reports on quality improvements, risk areas, and NABH compliance.
Qualifications & Experience
- Education:
- Bachelor's/Master's in Hospital Administration, Healthcare Management, Nursing, or any related field.
- Certification in NABH, JCI, or Quality Management is preferred.
- Experience:
- Minimum 3-5 years experience in hospital quality management, NABH accreditation, or healthcare audits.
- Experience in developing SOPs, conducting audits, and training staff on quality protocols.
- Skills & Competencies:
- In-depth knowledge of NABH guidelines & accreditation process.
- Strong analytical and problem-solving skills.
- Excellent communication and training abilities.
- Proficiency in data analysis, quality monitoring tools, and hospital management systems.
