Deputy Manager - Medical Quality

JOB DESCRIPTION

I. Job Title

 Deputy Manager/Manager - Medical Quality

Reporting Supervisor

 Medical Superintendent - Medical Administration

II. JOB PURPOSE

To support the hospital in quality improvement activities.

III. KEY RESPONSIBILITIES

Core Responsibilities:

Patient / Customer Care

• To comply with the quality process & policies of the respective area.

Job Knowledge

• To demonstrate effective application of technical & professional knowledge.

Process Orientation / Documentation

• Coordination for JCI Committees
• Coordination of NABH Committees meetings as per the calendar
• Review Minutes of Council meetings
• Ensure effectiveness of committee meetings.
• Provide feedback to operations/clinical departments.
• Collation & Submission of monthly reports & dashboard. 
• Preparation of action taken reports on various indicator.
• Annual updating of policies and manuals
• Oversee Accreditations, Surveillance and re-accreditations in various specialties.

Accreditations: NABH & JCI

• Support the planning and implementation of all requirements of accreditations

Audits & QI projects

• Carry out routine audits of clinical areas / departments.
• Provide feedback to departments.
• Support and implement QI projects.
• Closure of Non-conformities.
• Internal Audits as per NABH/JCI are conducted
• To ensure continued compliance to closure submitted in the previous accreditation audit
• Ensure passive and active medical documents audit 
• To ensure SLA monitoring.

Quality Assurance

• Management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety.
• RCA of Incident reporting, adverse incidents followed by corrective action and implementation of Preventive action.

Medical Policies and Standards

• Dissemination, Implementation, Training of Organization policies and regular audits.

Clinical indicators and Performance indicator

• To support the development, periodic review and improvement of NABH/JCI Performance indicators.
• Collation of data along with RCA & CAPA

People Orientation

• To demonstrate professional & courteous behavior to patient & co-workers.

Cost & Revenue

• To operate within budget cost.
• Budget for Quality is prepared as per the requirement and expenditure

Discipline

• To be well groomed, punctual & adhere to company policies and practices.
• Willingness to perform other duties as may be reasonably assigned by the reporting manager.

Preferred candidate profile

Candidates with MBBS/ BDS with MBA/ MHA can apply.

8 - 13 years of experience from healthcare industry is required.

Interested candidates can share their CV at [email removed] or can directly contact on [phone removed] (Aniket Gupta - Human Resources).