Patient / Customer Care• To comply with the quality process & policies of the respective area. Job Knowledge• To demonstrate effective application of technical & professional knowledge. Process Orientation / Documentation• Coordination of NABH Committees meetings as per the calendar • Review Minutes of Councils meetings.• Ensure effectiveness of committee meetings.• Provide feedback to operations/clinical departments.• Collation & Submission of monthly reports & dashboard. • Preparation of action taken reports on various indicator. • Annual updation of policies and manuals• Oversee DNB Accreditations, Surveillance and re-accreditations in various specialties. Accreditations: NABH /JCI• Support the planning and implementation of all requirements of accreditation Audits & QI projects• Carry out routine audits of clinical areas / departments.• Provide feedback to departments.• Support and implement QI projects. • Closure of Non-conformities.• Quarterly NABH audit are conducted• To ensure continued compliance to closure submitted in the previous accreditation audit• Ensure passive and active medical documents audit • To ensure SLA monitoring. Quality Assurance• Management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety.• RCA of Incident reporting, adverse incidents followed by corrective action and implementation of Preventive action. Medical Policies and Standards• Dissemination, Implementation, Training of Organization policies and regular audits. Clinical indicators and Performance indicatorTo support the development, periodic review and improvement of NABH performance indicators . Collation of CQI data along with RCA & CAPA People OrientationTo demonstrate professional & courteous behavior to patient & co-workers. Cost & RevenueTo operate within budget cost. Budget for Quality and Infection control is prepared as per the requirement and expenditureDisciplineTo be well groomed, punctual & adhere to company policies and practices.