Sr. Quality specialist
king saud medical city
Total years of experience :14 years, 1 Months
• Overseeing and supervising the various functions and activities of Performance Improvement Projects (PIP), Key performance indicators (KPIs) and Chart review Sections.
• Lead in CBAHI Medical Domain for implementing and monitoring the CBAHI Standards across KSMC
• Core team member for developing departmental Strategic Plan and Quality Management Patient Safety Operational Plan
• Coordinator for Quality Improvement and Patient safety Committee for KFKC, Primary Healthcare and Dental center
• Core team member of Clinical pathways and Guideline Development Program
• Assisting Clinicians in developing CPGs, Clinical Protocols, and Pathways
• Facilitating in implementation and monitoring of hospital-wide clinical practice guidelines/protocols
• Assessing opportunities for improvement and proposing solutions.
• Conducting regular Quality Tracer Rounds for monitoring the compliance of policies and procedures and Accreditation standards.
• Part of Quality education and Training team as Speaker for conducting education, awareness, workshops /training sessions
• Performing other duties as directed by Department Director.
Overseeing and supervising the various functions and activities of
Performance Improvement Projects (PIP), Key performance indicators
(KPIs), Clinical pathways/Guidelines, Medical documentation Compliance
Chart review sections.
• Key contributor in proposing and facilitating Innovation center in KSMC
• Lead in CBAHI Medical Domain for implementing and monitoring the CBAHI
Standards across KSMC
• Supervising and ensuring KPI Compliance Program for Accreditation KPIs
• Core team member for developing Corporate & departmental Strategic Plan
and Quality Management Patient Safety Operational Plan
• Coordinator for Quality Improvement and Patient safety Committee for
KFKC, Primary Healthcare and Dental center
• Project Manager - Clinical pathways and Guideline Development Program
• Assisting Clinicians in developing CPGs, Clinical Protocols, and Pathways
• Facilitating in implementation and monitoring of hospital wide Clinical
practice guidelines/protocols
• Assessing opportunities for improvement and proposing solutions.
• Conducting regular Quality Tracer Rounds for monitoring the compliance of
policies and procedures and Accreditation standards.
• Performing other duties as directed by Department Directo
Reporting to Executive Director/General Manager
Responsible for implementation of Accreditation standards (NABH) to all the branches of RG Stone Urology and Laparoscopy Hospital as pilot project.
Part of Quality team and hospital operations management.
Maintaining ISO 9001:2008 certification
Advisory consultant for expansion plans/projects of other upcoming hospital branches.
Developing the various Hospital committees and their Terms of Reference (TORs).
Formulating Policies and procedures (SOPs) for Quality Improvement of the hospital processes.
Documentation of Manuals.
Setting quality indicators/ key performance indicators and benchmarking of all the departments.
Developing/Preparing and implementation of various formats, schedules, checklists in accordance with National Accreditation for Hospitals & Healthcare Providers..
Developing and implementing the monitoring plans in association with infection control nurse for surveillance of infection control activities and Bio-Medical waste management.
Streamlining the processes of Patient care services.
Developing and implementation of Quality Assurance Programme /EQAS for Pathology Lab, Radiology and other departments.
Assisting, collaborating and involving the consultants to adhere to the policies and procedures set as clinical protocols.
Assisting the safety committee in conducting mock drills on various Hospital codes.
Identification of Training needs for the staff.
Supervising the HR department for carrying out credentialing and Privileging of nursing and Medical staff
Assisting in facility planning by determining the necessary space, equipment, supplies and support systems to ensure effective functioning of unit/department.
Liaisoning with external agencies for MOUs and Agreements.
Putting forward new proposals and projects to the top management.
Ensuring the legal and statutory compliances
Dissertation: Process Reengineering, Productivity Tool in Reducing the Length of Stay (LOS) in Ortho, Spine and Neuro Surgeries, Kamineni Wockhardt Hospital, Hyderabad 1) Objectives of the project: • To study the existing workflow processes of Ortho, Spine and Neuro surgery patients from admission to discharge. • To identify the bottlenecks and time constraints in the whole process that leads to increase in length of stay. • To calculate the existing ALOS in surgeries. • To reengineer and redesign the processes in order to reduce the length of stay in Ortho, Spine and Neuro surgery patients.