Senior Executive Quality Analyst (Dialysis)

Role & responsibilities : Job Purpose

To ensure quality, clinical, operational, and patient-safety standards across assigned dialysis centres by monitoring dialysis quality parameters, compliance with SOPs, infection control, water quality, documentation, training, audits, and corrective/preventive actions.

Key Responsibilities

1. Dialysis Quality & Clinical Parameters

• Monitor and ensure Kt/V >1.2 for at least 80% of total patients per centre.
• Ensure CBV >55L for at least 80% of total patients per centre.
• Ensure achievement of dry weight in at least 70% of patients.
• Monitor dry-weight outliers and ensure cases with a difference of >1 kg between post-dialysis weight and dry weight do not exceed 20%.
• Ensure adequate dialysis duration is achieved for 80% of total patients per centre.
• Monitor dialysis frequency and ensure 80% compliance with prescribed 2x/3x weekly dialysis, with the remaining inadequate cases properly justified.

2. Dialyser Reuse & Documentation

• Ensure the required number of dialyser usages as per approved reuse guidelines.
• Ensure proper maintenance of dialyser reuse registers.
• Ensure correct labelling and documentation corresponding to each patient and centre.
• Identify gaps and take corrective action wherever required.

3. Infection Control & Patient Safety

• Ensure viral marker testing once every 3 months as per the recommended schedule.
• Ensure patient vaccination is completed as per the recommended schedule.
• In case of an infection outbreak:
• Submit a preliminary report within 24 hours.
• Conduct a detailed Root Cause Analysis (RCA).
• Recommend and monitor corrective and preventive actions.

4. Training & Awareness

• Conduct technical training and awareness programmes once every quarter at every assigned centre.
• Ensure all relevant staff participate in the training.
• Prepare and submit training reports in the recommended format to the Project Lead.
• Identify recurring quality gaps and arrange additional training wherever required.

5. RO Water & Dialysate Quality

• Ensure daily monitoring of RO water TDS at every assigned centre.
• Ensure daily TDS entries are updated in Axis and verified on the same day.
• Ensure 100% compliance with the water testing schedule.
• Ensure water testing reports are updated in Axis within 72 hours.
• Ensure a maximum 1-week TAT for corrective and preventive action (CAPA) related to abnormal water parameters and dialysate electrolyte results.
• Monitor and escalate any water-quality concerns immediately.

6. SOP & Process Compliance

• Ensure 100% compliance with approved SOPs across assigned dialysis centres.
• Conduct regular checks to identify deviations.
• Ensure timely corrective action and follow-up for all identified gaps.
• Escalate critical or repeated non-compliance as per the defined escalation matrix.

7. Machine Breakdown & BME Coordination

• Escalate machine breakdown issues to the BME Team within 24 hours of receiving information.
• Ensure CMS is completed within 3 working hours, wherever applicable.
• Follow up on unresolved machine issues and ensure timely closure.
• Escalate any inaction or delay to management as per the escalation matrix.

8. Consumables & Cost Monitoring

• Analyse consumption data for selected consumables as defined in Axis.
• Compare consumable consumption with the number of dialysis sessions/patients.
• Identify abnormal consumption or wastage.
• Take appropriate corrective actions and report significant variations to management.

9. NABH & Quality Audit Compliance

• Support NABH and other quality audits at assigned centres.
• Ensure timely closure of Non-Conformities (NCs) and observations within 2 weeks.
• Track audit action plans and maintain proper documentation.
• Ensure recurring observations are addressed through effective CAPA.

10. Axis Data Monitoring & Corrective Actions

Regularly analyse Axis data and take corrective actions related to:

• Laboratory parameters
• Vascular access status
• Addition of patients
• Patient exits
• Patient dropouts
• Dialysis quality indicators
• Other centre-level quality and operational parameters

11. Event Reporting & RCA

• Ensure all clinical/operational events are reported within 1 working day.
• Ensure RCA is completed within 72 hours.
• Monitor implementation of corrective and preventive actions.
• Track recurring events and recommend preventive measures.

12. Centre Visits & Quality Monitoring

• Ensure a minimum of 1 visit per month to each allocated dialysis centre.
• Conduct centre audits and quality assessments using the approved QA Checklist.
• Identify gaps during centre visits and communicate corrective actions to the concerned team.
• Submit the completed Centre Visit Report/QA Checklist in Axis within 24 hours of the centre visit.

Key Performance Indicators (KPIs)

• Kt/V achievement: >1.2 in 80% patients
• CBV achievement: >55L in 80% patients
• Dry weight achievement: 70% patients
• Dry weight outliers: 20%
• Adequate dialysis duration: 80% patients
• Prescribed dialysis frequency compliance: 80%
• Viral marker testing compliance: 100%
• Vaccination compliance: 100% as per schedule
• RO water TDS daily monitoring: 100%
• Water testing schedule compliance: 100%
• SOP compliance: 100%
• Centre visit: Minimum 1 visit/centre/month
• Event reporting: Within 1 working day
• RCA completion: Within 72 hours
• CAPA closure for abnormal water parameters: Within 1 week
• NABH NC/Observation closure: Within 2 weeks

Preferred Candidate Profile

• Graduate with a Diploma/Certification in Dialysis Technology.
• Minimum 5 to 7 years of relevant experience in dialysis/healthcare quality operations.
• Prior team handling/leadership experience preferred.
• Strong understanding of dialysis processes, infection control, water quality, SOPs and quality standards.
• Good analytical and reporting skills.
• Ability to analyse data and identify quality gaps.
• Good communication and coordination skills.
• Willingness to travel and visit assigned dialysis centres regularly.
• Working knowledge of MS Excel, reporting systems and Axis/software platforms preferred.