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.
