Senior Executive : Quality & Systems

The Senior Executive – Quality & Systems will play a key in developing, implementing, and maintaining hospital-wide quality systems to ensure safe, efficient, and patient-centric healthcare delivery. This requires strong analytical skills, knowledge of healthcare quality standards, and the ability to coordinate across departments for system improvements.

Roles and Responsibilities:

• Implement and monitor hospital quality management systems across all departments.
• Ensure compliance with accreditation standards such as NABH, JCI, and other regulatory requirements.
• Develop, update, and maintain standard operating procedures (SOPs), policies, and guidelines.
• Conduct internal audits, process evaluations, and compliance checks regularly.
• Monitor key performance indicators (KPIs) and quality metrics to assess hospital performance.
• Identify gaps in processes and recommend corrective and preventive actions (CAPA).
• Support and coordinate accreditation preparation activities and documentation.
• Analyze patient safety incidents, adverse events, and near misses for improvement actions.
• Ensure implementation of infection control and patient safety protocols.
• Coordinate with clinical and non-clinical departments for quality initiatives.
• Conduct training sessions and awareness programs on quality systems and standards.
• Maintain accurate documentation for audits, inspections, and compliance reports.
• Assist in risk management activities and process improvement initiatives.
• Monitor patient feedback and satisfaction surveys toentify improvement opportunities.
• Support implementation of electronic quality management and reporting systems.
• Participate in multidisciplinary quality committees and review meetings.
• Ensure timely closure of audit findings and non-conformities.
• Promote a culture of continuous improvement and patient safety across the hospital.
• Collaborate with departments to streamline workflows and improve efficiency.
• Stay updated with healthcare quality standards, regulations, and best practices.
• Support biomedical waste management and safety compliance activities.
• Prepare periodic reports on quality performance and system effectiveness.
• Assist in achieving and maintaining hospital accreditation goals.
• Ensure confidentiality, accuracy, and integrity of quality-related data.