Quality Manager
Location: EVEN Hospital, Race Course Road, Bangalore
Department: Quality Patient Safety
Reporting To: Hospital Director / Operations Head
Role Overview
The Quality Manager will be responsible for developing, implementing, and monitoring quality systems that ensure compliance with accreditation standards (NABH), patient safety norms, and internal quality benchmarks. This role requires strong analytical abilities, leadership skills, and self-on experience in hospital quality operations.
Key Responsibilities
1. Accreditation Compliance (NABH / regulatory)
- Lead and manage NABH accreditation and renewal processes.
- Ensure all hospital departments adhere to statutory and regulatory requirements.
- Conduct periodic internal audits, gap assessments, and compliance rounds.
2. Clinical Quality Patient Safety
- Implement and monitor patient safety indicators, clinical protocols, and SOPs.
- Manage incident reporting system (IR, MEs, sentinel events) and conduct RCA CAPA.
- Coordinate Clinical Audit activities with consultants and nursing teams.
3. Quality Improvement
- Drive Continuous Quality Improvement (CQI) projects across clinical and non-clinical departments.
- Conduct root cause analysis and develop action plans for process deviations.
- Monitor KPIs, QIs, and hospital-wide performance dashboards.
4. Policy SOP Management
- Develop, review, and update policies, SOPs, manuals, and guidelines.
- Ensure proper document control as per accreditation standards.
5. Training Capacity Building
- Plan and deliver training on quality standards, patient safety, infection control, and emergency preparedness.
- Conduct mock drills (fire, code blue, disaster, etc.) in coordination with respective teams.
6. Infection Prevention Control (IPC) Coordination
- Support the Infection Control Officer in surveillance, audits, antimicrobial stewardship, and IPC committee activities.
- Ensure compliance to sterilization, biomedical waste, and environmental hygiene standards.
7. Data Management Reporting
- Maintain accurate quality data, QI dashboards, audit findings, and compliance reports.
- Present monthly quality performance to leadership team.
Required Qualifications
Experience
- Bachelor s degree in Nursing / Allied Health / Life Sciences; Master s in Hospital Administration preferred.
- Minimum 3 6 years of experience in hospital quality management.
- Strong understanding of NABH standards , patient safety, incident management, and clinical protocols.
- Familiarity with quality management tools (Six Sigma, Lean, RCA, PDSA cycles).
- Excellent communication, documentation, and stakeholder management skills.
Key Competencies
- Detail-oriented and process-driven
- Strong problem-solving and analytical ability
- Ability to lead cross-functional teams
- Good interpersonal and training skills
- Proactive approach to risk mitigation and patient safety