Quality Manager
Right Health
Total years of experience :13 years, 3 Months
# A result-oriented professional with over 9 years of experience in Hospital Administration, HR Operations, Patient Care Services and Quality and Patient Safety Management.
# Expertise at Quality management, implementing policies, handling patient grievances, Incident reports thus creating an amicable & transparent environment hence improved quality outcomes
# Actively participating in preparation of Various Hospital Audit Processes such as Joint Commission International (JCIA), Department of Health, Abu Dhabi, Tasneef, Federal Authority of Nuclear Regulations (FANR), JAWDA, OSHAD etc.
# Initiated the department of quality and patient safety independently across the Right Health Group and made the centers complaint to DOH/DHA/ MOH requirements.
# Successfully passed audit for “Adding Specialty” in one of the RH centers in Al Ain just within two months of joining.
# Succeeded to get ISO 9001:2015 certification across 16 right health facilities within the one year.
# Monitoring delivery of care by developing, implementing and monitoring of strategies and programs that Improve Quality, Patient Safety and Performance Outcomes across the organization.
# Ensuring proper implementation of policies towards promoting & protecting health & safety environment in hospital by continuous improvement and reporting of errors, participating in retrospective (Root Cause Analysis) and prospective reviews (Failure Mode Effect Analysis) of critical patient safety incidents and high risk process issues.
# Assist in interpreting and implementing quality assurance standards in hospital to ensure quality care to patients.
# Assist in reviewing quality assurance standards, study existing hospital policies and procedures, and interview hospital personnel and patients to evaluate effectiveness of quality assurance program.
# Compile statistical data and assist in writing narrative reports summarizing quality assurance findings.
# Coordinate the healthcare review activities (as it relates to physician documentation, coding, transcription and analysis), and supports management team by providing consultation and expertise in the methods of audit and analysis.
# Assist in developing and maintaining departmental quality management program in accordance with organizational guidelines which exceed community standards, including compliance with all laws, regulations and requirements of appropriate licensing and accrediting bodies.
# Assures compliance and full readiness of clinical and non-clinical departments for JCIA, HAAD, OSHAD, TASNEEF surveys.
# Assures compliance with confidentiality policies, Maintains confidentiality of patient and / or business related information.
# Identifies roles and responsibilities in complying with the facility, unit specific, security policies, plans and procedures.
# Identifies potential or actual unsafe situations in patient or office environment, providing appropriate interventions to rectify situations.
# Responds to complaints and inquiries.
OSHMS Responsibilities:
# Comply with Hospitals OSH Policy and safe systems of work.
# Promptly reporting all OSH Hazards, Incidents and Near Misses to their immediate supervisor.
# Using correct, equipment's and Personal Protective Equipment's (PPE) in accordance with safe work practices.
# Abide all Local Laws, Regulations and Guidance.
Participate in all OSH Activities, OSH Training's and Workshops and give feedback.
# Cooperate with medical surveillance programs to assist in the recovery from work related injury or illness.
# Actively participates in Hospital training and skill development initiatives.
Monitoring delivery of care by completing patient rounds; documenting care; identifying progress toward desired care outcomes; intervening to overcome deviations
Reviewing the care plan with patients in conjunction with the direct care providers
Interacting with involved departments to negotiate and expedite scheduling and completion of tests, procedures, and consults
Reporting personnel and performance issues to the unit manager
Maintaining ongoing communication with utilization review staff regarding variances from the care plan or transfer/discharge plan
Ensuring proper implementation of policies towards promoting & protecting health & safety environment in hospital
Scheduling and rescheduling appointment for the patients; performing blocking & unblocking of clinic according to the duty roaster of physicians/therapists
Forwarding the claims forms to insurance companies and following-up with the them for the approval of treatment or replying to the query raised by them
Developing & implementing standards of patient care & services, facilities & resources to meet them & organizational effectiveness
Providing medical care to patients by examining, interviewing and treating clinical patients to meet their medical needs
Supervising proper billing of each patient
Revising information of patients with ensuring their privacy and confidentiality
Answering telephone calls for all patient inquiries and handle complaints professionally
• Supervision of Personnel and all the day to day operations of the hospital.
• Complete management of all administration of Front/Back Office, support services and Empanneled corporates.
• Operational/Administrative management of all the manpower in the hospital including Duty roasters, Attendannce, Leave management etc.
• Maintain overall coordination between staff and Governing Board of the Hospital and provide leadership & Oprational assistance to all within the hospital.
• Develop and document new Policies, Procedures and Practices throughout the facility.
• Planning to develop objectives and goals, and implement the changes needed to achieve them.
• Maintain Patient relationship programs and track Patients satisfaction.
• Development and / or execution of HR related initatives.
• Actively participate in Staff Selection, Recruitment, Salary Negotiation, Orientation and Training in accordance with the hospital policies & procedures.
• Process and review emloyement aplication in order to evaluate qualification or eligibility of applicants.
• Record data for each employee incuding informations such as addresses, weekly attendance, reports on performance, dates and reasons for termination and resignation.
• Manage all verification process and maintain personnel files.
• Operating in full compliance with all provincially and legislated employment standards, guidelines and human rights codes and other applicable legislation related to Human Resouce Management.
• Mobilization and induction of new employees (Offer letter, filling up registration form, creating new file and updation in system).
• Monthly Attendance transfer, Salary Making and Over time Calculation.
Quality Accrediation Process (NABH Accrediation).
• Monitors continuous quality improvement initiatives in various departments of the hospital.
• Assisting the departments in identifying quality indicators.
• Guiding departments towards method of data collection, collation and analysis of data.
• Assisting the departments to analyse areas of improvements based on their own recommendations.
• Implement improvements in collaboration with the Quality team, departmental heads.
• Continuously works upon finding newer ways of improving the quality
• Coordinating for the implementation and monitoring of various policies & procedures.
• working on incident reports and maintains data of the same
Supervision of the whole project
Quality Assurance
Service Delivery
Maintain overall coordination
Documentation
Data Analysis and
Final Reporting
worked as an Occupational Therapist.
Master of Business Administration ( Hospital & Healthcare Management)
.