Executive -Quality

Role & responsibilities

• Implement and monitor hospital quality policies, procedures, protocols, and work instructions.

• Ensure compliance with applicable NABH standards and hospital accreditation requirements.

• Maintain and update departmental SOPs, policies, manuals, and quality records.

• Coordinate with departments for NABH assessments, surveillance audits, and accreditation activities.

• Monitor compliance with statutory and regulatory requirements applicable to hospital operations.

• Conduct internal quality audits across clinical and non-clinical departments.

• Identify non-conformities, gaps, and opportunities for improvement.

• Prepare audit reports and follow up on corrective and preventive actions (CAPA).

• Maintain quality documentation, audit checklists, registers, and compliance reports.

• Ensure timely review and revision of controlled documents.