| Detail | For this role |
|---|---|
| Department | Hospital Administration |
| Level | Mid level |
| Reports to | Hospital Quality Manager |
| Direct reports | None |
| Experience | 3 to 6 years in a hospital, with exposure to quality or accreditation |
NABH Coordinator job description template
Copy this job description, replace the text in square brackets and post it on your careers page or a job portal.
Job title: NABH Coordinator
Department: Hospital Administration
Reports to: Hospital Quality Manager
Location: [City], [office, branch or site]
About the role
A NABH Coordinator prepares and maintains a hospital's NABH accreditation. They map hospital practice to the NABH standards, build and update the required documents and policies, run mock audits, and drive departments to close gaps before assessment. The role trains staff on the standards, tracks quality data the assessors will check, and keeps evidence ready through the year. In an Indian hospital the NABH coordinator is the person who turns a large accreditation manual into daily practice, working under the quality manager and coordinating with every department toward assessment.
Key responsibilities
- Map hospital practice against each NABH standard and objective element and identify gaps to close.
- Build and update the policies, procedures and documents NABH requires, and keep version control clean.
- Plan and run mock audits across departments and record findings against the standards.
- Drive departments to close gaps and non-conformities before the assessment, with owners and deadlines.
- Train staff on the NABH standards, patient safety goals and their role during assessment.
- Collect and track the quality indicators and monthly data assessors will review.
- Maintain the accreditation evidence file so records are ready for a surprise or scheduled visit.
- Coordinate the assessment logistics, department schedules and assessor movement during the visit.
- Track corrective actions after assessment and prepare the compliance report for the accreditation body.
- Support committees for infection control, safety and quality with documentation and follow-up.
Requirements
- A clinical, nursing, life sciences or hospital administration degree
- Training in NABH implementation is a strong advantage
- Sound knowledge of accreditation standards and documentation
- 3 to 6 years in a hospital, with exposure to quality or accreditation
KRAs and KPIs for a NABH Coordinator
Key result areas for the appraisal form, each with a KPI you can measure every month or quarter.
| Key result area | How to measure it |
|---|---|
| Standards compliance | Gaps against NABH standards closed before assessment with evidence in place |
| Mock audits | Planned mock audits completed on schedule with findings tracked to closure |
| Documentation | Required policies and records current and version controlled through the year |
| Staff awareness | Target percentage of staff trained and aware of NABH standards before assessment |
| Assessment outcome | Accreditation achieved or maintained with no critical non-conformity |
| Data readiness | Monthly quality indicators collected and ready for assessor review |
Skills and tools
Tools used day to day: NABH documentation, Audit checklists, MS Excel and Word, Quality indicator trackers, Hospital Information System (HIS).
Reporting line and career path
Next roles: Hospital Quality Manager, Accreditation Lead, Head of Quality (Hospital)
Interview questions for a NABH Coordinator
- How do you turn a NABH standard into something a ward can actually follow every day?
- Walk me through how you would run a mock audit of the emergency department.
- A department keeps missing its gap-closure deadlines. How do you get them to comply?
- Which documents and records do you keep ready for a surprise NABH visit?
- How do you train busy clinical staff on the standards without long classroom sessions?
- What is the difference between a non-conformity and an observation, and how do you handle each?
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What does a NABH coordinator do?
A NABH coordinator prepares and maintains a hospital's NABH accreditation. They map practice to the standards, build and update required documents, run mock audits, and drive departments to close gaps before assessment. They train staff, track the quality data assessors check, keep evidence ready through the year, and coordinate the assessment visit and follow-up actions.
What qualifications do you need to become a NABH coordinator?
A clinical, nursing, life sciences or hospital administration degree is the usual base, and training in NABH implementation is a strong advantage. Sound knowledge of accreditation standards and documentation matters most. Many coordinators come from nursing, quality or clinical coordination backgrounds, since the role needs comfort across clinical and non-clinical departments.
What is the difference between a NABH coordinator and a quality manager?
A NABH coordinator focuses on preparing and maintaining NABH accreditation: standards, documents, mock audits and gap closure. A hospital quality manager owns the wider quality and patient safety programme, including indicators, incident management, committees and improvement projects. The coordinator usually reports to the quality manager and concentrates on the accreditation itself.