Deputy Manager

Executive/ DM - quality

1. Process formulation, implementation and NABH Accreditation
1. Assist in documentation of hospital policies and procedures as per the

HOD.

2. Assist in preparation of forms and formats as per the discussion and direction of Head quality and the concerned departments
3. Develop processes, systems and procedures for the upcoming departments during the hospital commissioning phase. Developing policies, procedures and manuals based on NABH standards
4. Coordinate and assist the head quality for conducting mock drills on the NABH standards
5. Maintaining all documentation of various Hospital Committees related to the NABH standards.
6. Provide training to medical staff, patients, and housekeeping staff based
7. Responsible for overall NABH Coordination work
8.  Upload of the documents in the P drive of the computer
9. Ensure completion of the document
10.  
1. Coordination of Committee meetings
1. Infection Control Committee
2. Purchase Committee
3. Quality Committee
4. Safety Committee
5. Governing Council
6. Consultant Forum
7. Radiological & Clinicopathological meetings
8. Pharmacotherapeutic Committee
9. Ensure meeting calendars are made. Review Minutes of Committee Meetings.
10.  
2. Audits & Quality projects
1. Carry out routine audits of clinical areas/departments
2.  Coordination for closure of Non conformities
3.  Assist & support quality projects
4.  
3. Quality Indicators
1. Continuous follow ups with the departments for submission of data on
2. Quality indicators and thereafter ensure regular compilation of the same

on a monthly basis.

3. Ensuring trend analysis of the quality indicators on a quarterly basis
4.  
4. Discipline &Communication
1. To demonstrate professional & courteous behavior to patient & co-workers
2. To be well groomed, punctual & adhere to company policies and practices.