Walk-in || General Manager - Quality

Role & responsibilities

• Lead and oversee the overall Quality Management System (QMS) of the hospital and ensure continuous improvement in healthcare quality and patient safety.
• Develop, implement, review, and monitor quality policies, procedures, SOPs, protocols, and standards across all departments.
• Ensure compliance with applicable NABH, ISO, statutory, regulatory, and hospital quality requirements.
• Plan, coordinate, and monitor NABH accreditation, surveillance, renewal, and assessment activities.
• Conduct regular internal audits, quality audits, clinical audits, and departmental audits and ensure timely closure of observations and non-conformities.
• Establish and monitor Quality Indicators (QIs), Key Performance Indicators (KPIs), and patient safety indicators across departments.
• Analyze quality data, identify trends, and present quality performance reports and dashboards to senior management.
• Lead Root Cause Analysis (RCA), Corrective and Preventive Actions (CAPA) for incidents, complaints, adverse events, and non-conformities.
• Monitor and strengthen patient safety programs, including medication safety, infection prevention, falls prevention, patient identification, surgical safety, and other safety initiatives.
• Coordinate with clinical and non-clinical departments to implement quality improvement projects and process improvements.
• Monitor patient feedback, complaints, grievances, and satisfaction scores and ensure effective corrective actions.
• Coordinate with the Infection Control team and other committees to ensure implementation of quality and safety practices.
• Organize and coordinate quality committee meetings, departmental reviews, management reviews, and accreditation-related meetings.
• Ensure proper documentation, record maintenance, policy control, and evidence readiness for accreditation and regulatory assessments.
• Conduct training and awareness programs for employees on quality standards, patient safety, SOPs, accreditation requirements, and quality improvement practices.
• Develop a strong quality culture and continuous improvement culture across the organization.
• Benchmark hospital performance against established healthcare quality standards and identify areas for improvement.
• Coordinate with senior management and department heads for strategic quality planning and implementation.
• Monitor compliance with statutory and regulatory requirements and ensure timely corrective action wherever required.
• Ensure effective communication of quality objectives, performance, findings, and improvement plans across the hospital.
• Drive continuous improvement initiatives to enhance patient safety, clinical outcomes, operational efficiency, compliance, and patient experience.