Quality Assurance Officer

• Minimum Qualification: Graduate
• Experience: 3 4 years of experience in Quality Assurance Department

To ensure implementation, monitoring, and continual improvement of quality standards as per NABH (National Accreditation Board for Hospitals Healthcare Providers) 6th Edition guidelines. Responsible for maintaining hospital-wide compliance with accreditation standards and facilitating a culture of quality, patient safety, and operational excellence.

1. NABH Compliance Accreditation

• Ensure strict adherence to NABH 6th Edition standards across all departments.
• Coordinate and conduct gap analysis, and prepare documentation for pre-assessment and final assessments.
• Lead the internal audit program, including audit scheduling, team formation, training, and documentation.
• Conduct mock drills, training, and readiness assessments for NABH compliance.
• Assist in the development and revision of Standard Operating Procedures (SOPs), policies, and manuals.

1. Quality Monitoring Improvement

• Monitor and analyze Key Performance Indicators (KPIs), Clinical Quality Indicators (CQIs), and Patient Safety Indicators (PSIs).
• Maintain records of non-conformities, incident reports, and Corrective Preventive Action (CAPA) reports.
• Implement quality improvement projects (QIPs) in collaboration with clinical and non-clinical teams.

1. Training Awareness

• Organize regular staff training sessions on NABH, infection control, patient safety, biomedical waste management, documentation, and emergency codes.
• Maintain training calendars, attendance, feedback, and competency records.
• Sensitize department heads and nursing staff regarding audit findings and improvement plans.

1. Documentation Records

• Maintain a central repository of all quality documents, manuals, SOPs, and audit reports.
• Ensure version control, periodic review, and proper archiving of quality documents.
• Prepare monthly and quarterly quality reports for management and governing body meetings.

1. Coordination Communication

• Act as the nodal officer for all NABH-related inspections and official correspondence.
• Coordinate with external consultants, NABH assessors, and statutory bodies whenever required.
• Actively participate in Hospital Infection Control Committee (HICC), Quality Steering Committee (QSC), and Safety Committee meetings.

• Strong analytical and documentation skills
• Excellent communication and coordination abilities
• Good knowledge of NABH standards and hospital quality systems
• Ability to conduct audits, training sessions, and quality improvement initiatives
• Proficiency in MS Office and report preparation
• Professional attitude with attention to detail and problem-solving capabilities

Proposed Salary : Commensurate with experience and skill set.