Experience

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  Quality council of india(qci)

  Jan 2010 - Aug 2011

  Quality coordinator

  NABH Coordinator for two reputed hospitals of J & K Government. 1. Government Hospital, Gandhi Nagar, Jammu 2. Sub District Hospital, Akhnoor

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  National health systems resource centre (nhsrc)

  Sept 2011 - Aug 2013

  Sr quality consultant (nabh, iso)

  NHSRC- ACMEAugust 2011 – 31st Jan 2013 (2 years) Udgir, MaharashtraRoles & Responsibilities as a Quality Consultant:• Preparing As- Is and Gap Analysis report.• Conducting system study and generating report.• Preparing Action plan and its Implementation.• Preparation TBAP (Time Bound Action Plan) for implementation.• Assistance in preparing documents related to ISO certification.• Assisting in maintaining quality indicators, its analysis with action taken reports.• Assisting in preparing and finalizing hospital policies as per there IPHS requirements.• Assisting in maintaining HIS as per the IPHS standards and inform to higher authorities. • Conducting internal assessment of the hospital and preparing report for the same.• Conducting internal audit including Medical Audit, Nursing Audit and Clinical Audit.• Preparing CAPA and ATR for the entire sentinel/ adverse events and all incidences. Show less

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  Bhi dehradun

  Feb 2013 - Jun 2014

  Manager (quality & operation)

  Manager (Quality and Operation) BHI, Dehradun August 2013 – Present ( 2 months) Dehradun, IndiaOperations• Coordinate with the Medical Doctor in developing and coordinating a Prevention and Infectious Control Program in order to reduce risk of acquiring and transmitting infectious diseases.• Develop and ensure compliance of Quality Improvement and Patient Safety Program consistent with agreed procedures.• Continuous process improvement and its management• Customer focus need and gap analysis• Total quality management and its improvement• Executive leadership and supervision• Medical leadership and Health care management• Dealing with clinical, non-clinical and out sourced department• Maintain legal documents and follow• Physician and nurses enhancement training to improve medical practice and make a good relationship between clinical and non-clinical staff • Performance Improvement Management and training to clinical and non-clinical staff Quality• Department wise Internal Audit and assessment along with department head or individual as per the NABH standard and preparing report.• Reviewing Hospital policies and manuals and distribution them in different departments• Reviewing SOPs and its implementation• Training to the clinical and non clinical staff as per the NABH standard and requirements of Hospital• Implementing Quality Indicators and collecting primary data• Analysis of the quality Indicator and MIS data and generating report• Formation of Committee meeting and its scheduling• Taking rounds on the daily basis of the Hospital along with the Managing director and quality coordinator.• Ensuring the licensing status of the Hospital Show less

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  Paras health

  Jun 2014 - Nov 2016

  Dy manager quality

  • QCI Certified NABH internal auditor (NABH 4th Edition)• ISO 9001:2008 Internal Auditor• Official NABH Coordinator • Certification in Nursing excellence• SOP/Manual preparation and control • Regulatory compliances for Hospital. • Training & Development as per NABH requirement. • NABH Quality Indicator (Data collection & Analysis) • Committee meetings (Formation & Compliance) • Conducting Tumor board meetings. • Rounds to observe the compliance. • Regulatory Compliance • 5 S Internal Auditor• QIP (Hospital)• PCEP@27 (Paras Clinical Excellence Program) towards clinical excellence • Budgeting of department. Show less

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  Shalby limited

  Nov 2016 - Aug 2017

  Regional Quality Head for Shalby Hospital, Indore & Jabalpur and helping other units in quality accreditations (NABH, NABL) Sr Manager quality for Jabalapur unit of Shalby Hospital. Responsible for Quality accreditations (NABH, NABL)

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  Medanta

  Aug 2017 - Aug 2018

  Manager quality

  Quality Accreditations (NABH), Training, Documentation, Policy & Process updates, Regulatory Requirements & DNB Accreditation.

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  Hj hospitals, kinshasa, drc

  Aug 2018 - Aug 2020

  Sr manager quality

  Heading and Quality Department and Accreditation

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  Hj hospitals, kinshasa, drc

  Dec 2020 - now

  Center head & quality head

  Taking care of HJ Clinic, Gombe