Sushant Gattani

Heading Quality Department & Reporting to CEO;
Training and Orienting the new staff on Quality in Healthcare;
Preparing Policies & Procedures for ADNOC Site Clinics (Total 105);
Preparing and implementing Quality Plan & Program;
Monitoring KPIs and Analyzing the KPIs data;
Preparing & implementing the Risk Assessment Policy and procedure;
Ensuring compliance to DOH & JCI standards;
Monitoring and investigating Incidents;
Responding to patient complaints.

Headed Quality Department
Collected and validated Jawda KPIs
Submitted Jawda KPIs on DOH website
Prepared policies & procedures for hospital
Trained staff on Quality Improvement & Patient Safety
Performed quality tracer activities

Quality Assurance
Surveys & Accreditations
Risk Management
Incident Management
Policies & Procedures management

Policy & Procedure preparation for hospital that involves ensuring compliance to International Standards like JCI (Joint Commission International).
Performing RCA (Root Cause Analysis) for the reported incidents/ events by using tools such as Root Cause Analysis using Fish-bone diagram, Cause-effect relationship, etc.
Conducting FMEA (Failure Mode & Effects Analysis) for critical processes.
Preparing organization’s Risk management plan.
Preparing Quality Plan for the hospital.
Document Management & Control
Training the staff on Quality Improvement and Patient Safety Processes.
Providing orientation & induction to the newly recruited staff on Quality Improvement and Patient Safety Processes.
Gathering data on KPIs (Key Performance Indicators) and analyzing as well as presenting them to the management.
Modulating meetings for QIPS (Quality Improvement & Patient Safety) Committee.
Conducting tracer audits in hospital to check the compliance to policies.
Facilitating JCI surveys for accreditation.
Training medical students on importance & process of data collection.
Investigating & making reports on the reported incidents.

• I was recruited in GMC hospital, Ajman during my campus placements where I carried out a project on Gap analysis of the procedures and processes for compliance with JCI standards.
• Prepared hospital’s SOPs (Standard Operating Procedures) in compliance to JCI standards.
• Performed Internal audits

To understand the processes of NHS in United Kingdom.

All genral dental procedures performed in basic practice of dentistry.