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:
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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
.
