Quality Assurance, Hospital oprations management
Resume:
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
D-302, SDMH Campus, Jaipur, Rajasthan
M : 91 – 992-***-****
Email : *******.****@*****.***
Dr. Heena Kausar
OBJECTIVE
Seeking a challenging position with opportunities for career advancement and continuous
learning.
PROFILE SUMMARY
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
With a versatile blend of academics and commitment to professionalism, a student from
IHMR (PGDHM-equivalent to MBA, AICTE approved) Jaipur, with hands-on experience of
managing hospital operations, Quality and a deep understanding of preparing the
organization for quality accreditations.
EXPERIENCE
Worked at SK SONI Hospital, Jaipur since 1 February 2010 till 11 July 2011 and Mittal
Hospital and Research Centre, Ajmer from 18 August 2011 to 14 May 2013 as Assistant
Quality manager and NABH coordinator.
Presently working as “Assistant Medical Superintendent” and “NABH coordinator” in
Santokba Durlabhji Memorial Hospital, Rajasthan’s first and largest private hospital(500
beds).
CAREER SNAPSHOT
Mar’09 May’09 Summer Internship SK SONI, JAIPUR
Sep’09 Nov’09 Trainee in Quality dept. APEX HOSPITAL, JAIPUR
Feb’10 July’11 Assistant Quality Manager SK SONI, JAIPUR
Aug’11 May’13 Assistant Quality Manager MITTAL HOSPITAL,
AJMER
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
May’13 Till date Assistant Medical SANTOKBA DURLABHJI
Superintendent & NABH MEMORIAL HOSPITAL,
Coordinator JAIPUR
EDUCATION
PGDHM, post graduation diploma in hospital and health management (equivalent to MBA,
AICTE approved)
Duration : two-year full-time program
2008 – 2010
Institute of health management and research, Jaipur (Rajasthan)
* First Division-73%
IIHMR is the first of its kind in India, with attention solely focused on health systems
management. Recognized by Department of Science & Technology, Ministry of Finance and
Government of India as a Research Institution. Accredited to International Hospital
Federation & Association of University Programmes in Health Administration.
The Institute undertakes training, research and consultancy in health management in close
collaboration with international organizations such as UNFPA, UNICEF, WHO, World Bank,
ODA, DANIDA, KFW & GTZ, NORAD, CARE and USAID. Working for Ministry of
Health & Family Welfare (GOI), Planning Commission, Indian Council of Medical Research,
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
state governments and others. International Linkages collaborated with University of North
Carolina, USA to offer masters programme to candidates from South-Asia.
BDS
2002-2007
Jaipur dental college, Jaipur
* First Division-66%
B.Sc.
1999–2002
M.S College, Bikaner (M.D.S University, AJMER)
* First Division – 65%
HSC (XII Std.)
1998–1999
M.S school, Bikaner (Board of Secondary Education, Ajmer)
* First Division –64%
SSC (X Std.)
1996–1997
SOPHIA school Bikaner (Board of Secondary Education, Ajmer)
* First Division – 68%
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
CORE CAPABILITIES
Communication Excellent communication skills, developed through dealing regularly with a
variety of different staff, managers, and team members.
Frequently commended on my ability to present concepts and issues in a clear
and concise manner in training and developing staff.
Leadership Demonstrated my leadership skills in my roles to date, as well as being involved
in staff training and coaching in my recent positions.
Training Training and guiding the new staff as well as handling the induction for newly
appointed staff.
Team Work Have been successful in working in a variety of teams, in complex and
demanding environments, that have delivered excellent outcomes.
I enjoy the dynamics of people working successfully and enthusiastically
together and I ensure the celebration of success, am quick to acknowledge
achievement and make a point of thanking for contributions made.
Adaptability Have had a variety of roles and each of these has required a high level of
flexibility and adaptability in order to succeed.
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
KEY AREAS OF WORKING AND SELECTED ACHIEVEMENTS
SK SONI Summer trainee March’09-May’09
GROUP OF
•
HOSPITALS Project on BIOMEDICAL WASTE MANAGEMENT
JAIPUR • Understanding functioning of different departments
APEX Quality trainee SEP’09-NOV’09
•
HOSPITAL, Understanding quality issues concerned with different
JAIPUR departments
• Documentation ( SOPs preparation)
SK SONI Assistant Quality Manager FEB’10-APR’10
•
GROUP OF Project on “measuring operational efficiency of 210
HOSPITALS bedded multi-speciality hospital in Jaipur”
JAIPUR • To assist in the management of the organization
• Understanding quality issues concerned with different
departments
• Documentation of departmental manuals
• Conducted Training Programs
• Work on the implementation of policies and procedures
• Store management
• Laboratory management
• OT management
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
• Awarded for Best Scientific paper presentation at State Level
Awards and
Recognitions IDA (INDIAN DENTAL ASSOCIATION) Conference, Udaipur,
2006.
• Scientific Paper presentation at State Level IDA Conference,
2005.
• Scientific Paper presentation at State Level IDA Conference,
2006.
• Scientific Paper presentation at State Level IDA Conference,
2007.
• Awarded as Best Swimmer (District Level), 1991.
• Awarded as Best Swimmer (District Level), 1995.
• Represented Bikaner district in State Level Aquatic
Championship, 1995.
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
CONFERENCES ATTENDED
• IDA state level conference for three consecutive years 2005, 2006, 2007.
• PRADANYA 2008, held at IHMR Jaipur, Nov. 29-30, 2008.
• PRADANYA 2009, held at IHMR Jaipur, Nov 27-28, 2009.
• State level conference on HIV/AIDS, January 2009.
• FICCI (Federation of Indian chambers of commerce and industry), FICCI HEAL 2009
held on September 14 & 15, 2009 in New Delhi.
• CME on “MANAGING QUALITY IN HOSPITAL SERVICES” organized by dept. Of
hospital administration, AIIMS in collaboration with WORLD HEALTH
ORGANISATION-India office held from 6th to 7th November 2009 at AIIMS, New Delhi
INTERNATIONAL CONFERENCE ORGANIZED
• Successfully contributed efforts in organizing and managing international conference-
NEUROCON -2010 (JAIPUR) with Dr S R Dharkar (Ex principal and head dept of
neurosurgery,SMS medical college Jaipur) Dr Bagaria (Professor & Head dept of
neurosurgery,SMS medical college Jaipur)
AUDIT FACED
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
• Involved in preparing Soni Group of Hospitals Jaipur, for NABH accreditation
(coordinated both pre & final assessment )
• Contributed efforts in preparing Gap closure reports & getting NABH
accreditation for Soni Group of Hospitals in NOV’2011(Now known as Soni
Manipal Hospital).
TASK UNDERTAKEN:
SK SONI HOSPITAL (Now Soni Manipal Hospital):
• Documentation: Preparation of Standard Operating Procedures (SOPs) as per NABH
standards.
• Conducting gap analysis of various hospital departments.
• Implementation and surveillance of SOPs.
• Designing various checklists for organization
• Conducting Audits
• Conduction of Management Review meetings and Committee meetings
• Quality indicators: collection, compilation,analysis, presentations to management
• Providing Strategies for infrastructural modifications to be initiated for NABH
approval – Hospital wide
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
• Conduction of Mock Drills for Emergency Codes, Responsible for Training
&Assessment of Code Drills
• Engaging in meticulous trainings for all medical, Para medical and non-
medical/administrative staff.
• Monitoring Hospital Infections.
• Conducted Quality assurance program of ICU
• Conducted Quality assurance program of Radiology
• Conducted Quality assurance program of OT
• Coordinated NABH pre-assessment Audit
• Coordinated NABH final Assessment Audit
• Store management
• OT management
MITTAL HOSPITAL AND RESEARCH CENTRE (Ajmer):
Preparing hospital for Quality accreditation
1) Initiated:
• Credentialing Privileging
• Quality indicators,
• Performance appraisal documentation,
• Candidate reference check,
• Induction & Training program.
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
• Initiated the vaccination and annual health checkup for staff.
• Management Review meetings and Committee meetings
• Conduction of Mock Drills for Codes,
• Assessment of Code Drills
• Training of staff
• Exit interviews
• Criminal background verification
2) Conducting gap analysis of various hospital departments.
3) Designing SOPs for entire hospital
4) Implementing the NABH (Quality council of India) Standards and institutionalize into
hospital functioning.
5) Continuously assessing the standards of the hospital in comparison to the NABH standards
as an internal auditor
6) Conduction of Safety Rounds for the entire hospital & Reviewing Action Taken Reports
7) Designed the Bilingual Consent Forms, Adverse- Sentinel – Near miss, HR department
forms, initial assessment, Nutritional Assessment- form, Needle Stick Injury form and
various forms for the hospital. Also initiated surgical safety checklist for OT as WHO
initiative of safe Surgery
8) Monitoring and instituting measures to control Hospital Infections. Ensuring compliance
of BMW management.
9) Deftly carrying out the responsibilities such as Planning, Organizing, Coordinating various
training sessions and training material for medical, nursing, paramedical and administrative
staff of Hospital to enhance their performance
10) Responsible for liaisoning with each dept for their CQI(continuous quality improvement)
activities and ensuring smooth functioning of the same
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
11) Responsible for smooth functioning and closure of loops for each sub areas of CQI
activities e.g. Incident Management, Patient & staff Satisfaction Monitoring, Quality
Indicators, Audits etc.
CURRENT JOB DESCRIPTION AS ASSTT. MEDICAL SUPERINTENDENT
SANTOKBA DURLABHJI MEMORIAL HOSPITAL CUM RESEARCH INSTITUTE
(JAIPUR):
Managing hospital operations and Preparing hospital for Quality
accreditation
Medical Administration-
• Recruitment, retention and development of medical professionals
• Credentialing and privileging
Nursing management
Quality assurance and improvement.
Hospital operations management.
Training and development of Staffs
NABH Coordinator
SOPs and Manual Preparation
Coordinating Medical Tourism
Planning new patient care areas.
Hospital Infection control.
Event management for organization.
Ensuring patient satisfaction
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
Grievance handling (employee & Patient)
Supervision of Hospital committees.
TECHNICAL SKILLS
Skilled with a range of applications including:
MS Word
MS Excel
MS PowerPoint
Internet Explorer
INTEREST AND OTHER ACTIVITIES
Drawing I enjoy caricaturing, sketching portraits,
Swimming An ardent swimmer.
Music Like to listen to wide range in music.
REFERENCES
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
DR MOHD KHALIQ
Ex-Technical Director in Clinical biochemistry/pathology lab services under Ministry of
Health and Family Welfare.King Fahad Hospital, Saudi Arabia.
Currently- Professor, Biochemistry
Mahatma Gandhi Medical college, Jaipur.
DR VRAJESH SHAH
Deputy Medical Superintendent,
Bhagwan Mahavir Cancer Hospital, Jaipur
M- 768-***-****
DR SHANKAR BASANDANI
Head of the Dept, Neurosurgery
Soni Manipal Hospital, Jaipur
PERSONAL INFORMATION
14th DECEMBER
Date of Birth –
Marital Status – Married
Husband’s Name - Dr Danish Shaikh Qureshi
Husband’s Profession- MBBS, MD Pharmacology.
APEX HOSPITAL, JAIPUR
SK SONI GROUP OF HOSPITALS JAIPUR
Awards and Recognitions
Permanent address- B – 201, golden heights apartment, flat 502, Rajendra marg,
Bapu Nagar, Jaipur
Contact this candidate