Quality Associate

About the Role

Quality Associate at Medicover Fertility.

Key Responsibilities

• Establish and implement a quality management system across the hospital, monitoring and analyzing for improvement.
• Ensure compliance with all accreditation and certification standards through close monitoring.
• Liaise with external bodies for accreditation and certification audit programs.
• Prepare and revise hospital policies, procedures, work instructions, and department manuals in coordination with the corporate quality team.
• Conduct process audits as assigned by the corporate quality team using defined tools and report findings monthly.
• Conduct active medical records audits based on NABH sample size requirements.
• Establish a mechanism to identify, manage, and mitigate potential risks in coordination with stakeholders.
• Coordinate and ensure regular facility/safety rounds.
• Implement quality indicators across the hospital, monitoring, analyzing, validating, and utilizing data for process and system improvement. Report findings monthly in a standardized format to the Head-Quality.
• Guide, educate, and support all departments in implementing standard requirements and quality indicators.
• Coordinate with departments for establishing and revising department-oriented objectives.
• Conduct internal audits quarterly and coordinate corrective and preventive actions based on observations and findings, reporting to top management.
• Prepare quality assurance programs in coordination with department heads.
• Conduct a minimum of two quality improvement projects annually in coordination with the Head-Quality, adopting tools like FOCUS-PDCA, FMEA, and Lean management.
• Manage hospital committees and their compliance as per defined TOR, generating quarterly compliance reports for management and Head-Quality.
• Conduct regular quality rounds and take actions based on deviations, reporting to the Center Head and concerned department heads.
• Establish a system to track and monitor all statutory requirements and licenses, reviewing monthly for compliance.
• Coordinate with committees and departments for periodic mock drills and maintain records.
• Manage hospital incidents, ensuring reporting, analysis, and appropriate Root Cause Analysis (RCA) and Corrective and Preventive Actions (CAPA). Report to management and Head-Quality regularly.
• Conduct training and orientation for staff on quality and accreditation standards.
• Undertake any other tasks assigned by the Quality Head and Center Head.