Manager / Deputy Manager - Medical Quality

Patient / Customer Care

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

J ob Knowledge

- To demonstrate effective application of technical & professional knowledge.

Process Orientation / Documentation

- Coordination of NABH C ommittees meetings as per the calendar

- Review Minutes of C ouncils meetings.

- Ensure effectiveness of committee meetings.

- Provide feedback to o perations/clinical departments.

- Collation & Submission of monthly reports & dashboard.

- Preparation o f action taken reports on various indicator.

- Annual updation of policies and manuals

- Oversee DNB Accreditations, Surveillance and re-accreditations in various specialties.

Accreditations: NABH /JCI

- Support t he planning and implementation of all requirements of accreditation

Audits & QI projects

- Carry out routine audits of clinical areas / departments.

- Provide feedback to departments.

- Support a nd implement QI projects.

- Closure o f Non-conformities.

- Quarterly NABH audit 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 s erious 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