Quality Team
Roles & Responsibilities
24th July 2025
Dr Vineeta Dhankhar, Consultant
Quality & Patient Safety Division
Learning Objectives
01 02 03 04 05
Key activities Composition Assign Roles & Monthly QA Linkages and
of Quality Responsibilities Meeting Coordination
Team To Each Member
Major activities
QA Monthly meeting and NQAS Baseline or Internal assessment
Review of activities आंतरिक मूल्यंकन
मयशसक बैठक एर्वं मयशसक समीक्षय 08 01
Staff Training and Capacity Building Gap Analysis and
स्ियफ प्रशिक्षण औि क्षमतय ननमयाण Timebound action plan
07 02
सम्बद्ध कय्ा ्ोजनय
Development and Maintenance of
IEC, cleanliness and hygiene,
infection control practices Collection of Client and Patient
06 03
सूचनय, शिक्षय औि पियमिा, स्र्वच्छतय औि Satisfaction Survey
सफयई, संक्रमण नन्ंत्रण ग्रयहक औि िोगी संतुष्टि सर्वेक्षण
05 04
Development of work instructions and Calculation of Monthly Indicators
its adherence मयशसक संकेतकों की गणनय
कय्ा ननर्दे िों कय वर्वकयस औि उनकय पयलन
Composition a Quality Team 01
Auxiliary Nurse
Midwife (ANM)
O1 /Staff Nurse O3 1-2 ASHA
CHO O2 Multipurpose O4
Team leader Worker
(Male/Female)
Highly effective team have clearly articulated roles & responsibilities
Increased Improved
Enhanced
productivity Accountability
quality of care
उत्पयर्दकतय में बेहति
Quality is a team बेहति गण ु र्वत्तय
र्वद्
ृ धध जर्वयबर्दे ही
responsibility
Reduced
गण
ु र्वत्तय एक िीम
ambiguity & Streamlined
Confusion process
की ष्जम्मेर्दयिी है अस्पटितय सव्ु ्र्वष्स्ित
औि भ्रम में प्रक्रक्र्य
कमी
अत्यधिक प्रभावी टीम की भूममकाएं और जिम्मेदाररयां स्पष्ट रूप से नििााररत
होती हैं
Objectives of Quality Team गण
ु र्वत्तय िीम के उद्र्दे श््
Ensure Ensure delivery of people-centred, safe, and standardized quality
of care services through streamlined processes
सनु नष्श्चत जन-केंद्रित, सुिक्षक्षत औि मयनकीकृत गुणर्वत्तय सेर्वयएं
How
Implement Implement NQAS standards at AAM- SC
अमल NQAS मयनकों को लयगू किनय
What
Improve Improve patient satisfaction, community engagement and overall
quality of care
सध
ु यि िोगी संतष्ु टि, सयमर्द
ु यन्क सहभयधगतय औि र्दे खभयल की गण
ु र्वत्तय में सध
ु यि
Then
Monitor Monitor indicators for service delivery and quality
ननगियनी सेर्वय वर्वतिण औि गण
ु र्वत्तय के शलए संकेतकों की ननगियनी
02
Assign Clear Roles & Responsibilities to each
Quality team member
प्रत््ेक गण
ु र्वत्तय िीम सर्दस्् को स्पटि भशू मकयएँ
औि ष़्िम्मेर्दयरि्यँ
CHO Roles & Responsibilities 02
CHO, ANM/ Staff Nurse,
Constitution of a Quality Team MPW, ASHA
गुणर्वत्तय िीम कय गठन
6 Monthly NQAS
3 monthly Kayakalp
Conduction of NQAS and Kayakalp assessment as per schedule
Kayakalp औि NQAS मूल्यंकन के शलए कय्ाक्रम तै्यि किनय
CHO
Team leader
For eg:
Assign NQAS checklist for internal assessment to respective staff AOC C, D, F Staff nurse/ANM,
आंतरिक मूल्यंकन के शलए संबंधधत कमाचयरि्ों को NQAS चेकशलस्ि सौंपें AOC A, E, G, H: CHO
AOC B, C: MPW
CHO Roles & Responsibilities 02
Gap analysis from NQAS assessment and timebound action plan
एनक््ूएएस मूल्यंकन औि सम्बद्ध कय्ा ्ोजनय से अंति वर्वश्लेषण
Provide or arrange Staff Training & capacity building Ensuring adherence to work instructions
कमाचयिी प्रशिक्षण औि क्षमतय ननमयाण प्रर्दयन किनय ्य व््र्वस्िय किनय कय्ा ननर्दे िों कय पयलन सुननष्श्चत किनय
CHO
Team leader
Monthly Meeting and Review of activities Submission of monthly indicators to DQAC
गनतवर्वधध्ों की मयशसक समीक्षय डीक््ूएसी को मयशसक संकेतक प्रस्तुत किनय
ANM/ Staff Nurse Roles & Responsibilities 02
ANM/Staff Nurse
Record Quality team Minutes of Assists CHO in conducting internal
meeting assessments and report preparation
मयशसक समीक्षय बैठक के कय्ार्वत्त
ृ रिकॉडा किें आंतरिक मूल्यंकन औि रिपोिा
Maintaining calendar of activities Calculating monthly Key Performance
monthly and communicating the same indicators and submit to CHO
to all the concerned members मयशसक प्रमुख प्रर्दिान संकेतकों की गणनय
Collection and Analysis of monthly Developing Work instructions
Multipurpose Patient satisfaction survey कय्ा ननर्दे ि वर्वकशसत किनय
मयशसक िोगी संतुष्टि सर्वेक्षण कय वर्वश्लेषण
Worker
ASHA 02
Roles & Responsibilities
Collect client satisfaction surveys periodically with correct sample size
ASHA ग्रयहक संतष्ु टि सर्वेक्षण
Support in developing and maintaining IEC and signages in the facility
सच
ू नय, शिक्षय औि पियमिा, स्र्वच्छतय औि द्रर्दियत्मक संकेत बनयए िखने में सहय्तय
Training to the community on maintaining cleanliness, hygiene and infection prevention activities
स्र्वच्छतय, सफयई औि संक्रमण िोकियम गनतवर्वधध्ों पि समुर्दय् को प्रशिक्षण
Example of Linkage and Coordination of
members in different activities
ASHA/MPW ANM/ Staff Nurse CHO
Assessment for IEC, Signages, Assessment for AOC C, D, E Assessment of E, A, H etc and
AOC B, C etc. etc. final compilation
Collection of Patient and Client Root cause analysis of low-
Calculating PSS and CSS
Satisfaction Survey attributes and Action Plan
Approving and Ensuring its
Drafting Work Instructions
adherence
Formation of Objectives and
Calculation of Monthly indicators
Submission to DQAC
03
Monthly Review of each task and
responsibilities
प्रत््ेक कय्ा औि ष्जम्मेर्दयरि्ों की मयशसक समीक्षय
Monthly Review of each task and responsibilities 03
Monthly review meeting is arranged every month and meeting
timings, date, venue and agenda is communicated 2-3 days
prior to all the members including PHC MO.
हि महीने मयशसक समीक्षय बैठक आ्ोष्जत किनय औि बैठक कय सम्,
नतधि, स्ियन औि एजेंडय PHC MO सद्रहत सभी सर्दस््ों को 2-3 द्रर्दन
पहले सधू चत किनय।
Document the minutes of meeting and ensure the attendance
of all the staff members.
बैठक के कय्ार्वत्त
ृ कय र्दस्तयर्वेजीकिण किें तिय सभी स्ियफ सर्दस््ों की
उपष्स्िनत सुननष्श्चत किें
Monthly Review of each task and responsibilities 03
Discussions on issues and gaps found in the facilities,
followed by prioritization and timebound action plan
सवु र्वधयओं में पयई गई समस््यओं औि कशम्ों पि चचया, तत्पश्चयत
Review meeting shall be
प्रयिशमकतय ननधयािण औि सम्बद्ध कय्ा ्ोजनय
held once in every month
समीक्षय बैठक प्रत््ेक मयह में
Encourage participation of all the attendees in providing of
एक बयि आ्ोष्जत की जयएगी
inputs and suggestions or recommendations.
सभी उपष्स्ित लोगों की इनपि
ु , सझ
ु यर्व ्य शसफयरििें प्रर्दयन किने में
भयगीर्दयिी।
04
Key activities and action plan
प्रमुख गनतवर्वधध्यँ औि कय्ा ्ोजनय
Key activities and action plan 04
Time Frame Major activities to be performed
Weekly साप्ताहहक Patient and Client Satisfaction Survey with defined sample size
Monthly मामसक Conduct Quality team meeting, analyse PSS, Calculate monthly indicators and submit to DQAC,
follow-up of actions decided in last meeting etc.
Quarterly त्रैमामसक Kayakalp Assessment using checklist to ensure cleanliness, hygiene and infection control
practices are followed in facility
Half-Yearly अिावार्षाक Internal assessment using NQAS checklist to identify the gaps and preparation of action plan
Annually वार्षाक Renew of Licenses and Statutory requirements for fire safety and BMW disposal if required
and organizing training program and workshops for staff
05
Linkages & Coordination
संपका औि समन्र्व्
Linkages & Coordination 05
Performance review,
reporting, प्रर्दिान समीक्षय, रिपोद्रििं ग, प्रियसननक
District Quality Assurance Team औि प्रशिक्षण सहय्तय
administrative and
training support
Technical guidance to support in care
PHC Monthly visits by MO coordination and staff issues. Logistic
support for medicines and diagnostics
Performance review of staff, Updating the work plan
Monthly review review of key performance and implementation
AAM-SC meetings indicators, address and report activities
common issues
You tube Video Link: [Link]
THANK YOU
Quality & Patient Safety Team
National Health Systems Resource Centre
