Mahmoud Elrefaey Page *

PROFILE

A results-driven and astute Clinical operations manager/ Medical Administrator/director / Hospital Administrator, possessing over nine-years’ experience in hospital administration and public health roles; knowledgeable of the Accreditation processes by the Joint Commission International, CAP, HAAD and the Saudi Central Board of Accreditation for Healthcare Institutions (CBAHI); a tenacious self-starter, with the energy and desire to succeed, continually embraces new challenges and thrives in highly pressurised and demanding work environments; currently seeking a fulfilling and challenging role in healthcare management field, which will allow career progression and the opportunity to contribute to the overall success of the organisation. KEY SKILLS & EXPERTISE

A positive front-runner, leading a team by example, confident in managing, motivating and influencing others, to a high standard; accountable for staff professional development, identifies in-service training prerequisites followed by administering required training; possesses the managerial self-assurance to make sound operational decisions.

Handles enquiries effectively, taking an analytical and rational approach to deliver a viable solution.

Deep knowledge of the operations of the hospitals and capable of using the available results to achieve the best outcomes according to the vision of the organization.

Mindful of quality control and health & safety, continually maintaining the highest standard of quality healthcare.

A positive communicator, who successfully liaises at all levels, including with clientele and plant colleagues; builds rapport with others, developing trusting relationships effectively and quickly.

Able to work autonomously or collaboratively as part of a team.

First-rate communication skills developed through liaison with various parties.

Excellent time management skills, consistently meeting deadlines, regularly whilst under pressure.

Adept at investigating and troubleshooting operational issues, taking a logical and methodical approach; able to investigate and solve issues, including complex or long-standing problems.

Multi-tasks effectively, handling several assignments simultaneously, with the ability to deal with conflicting priorities.

Proficient user of Microsoft Office: Word, Excel and PowerPoint. KEY ACHIEVEMENTS

Wadi El Neel hospital:

● increased hand hygiene compliance from 45% to 90% among health care workers adopting the six sigma methodology

● Planning and adoption of performance improvement project to increase the nursing satisfaction at Wadi El Neel hospital to 92% and the results of the survey after implementation was 95%.

● Optimizing ER cycle time and decreasing the waiting time from 2 hours to 30 minutes as average.

● Joint Commission International accreditation of Wadi El Neel hospital (Mar 2013).

● Part of the planning team for the partnership between Wadi El Neel Hospital and British university in Cairo nursing school (Apr 2014).

Dr Sulaiman Al Habib medical group:

● Boosted medical record documentation compliance of physicians from 34% to 92% within 8 months, achieved via using various effective strategies

● Conceived and launched the following services at the Olaya medical complex:

- Bariatric surgeries: gastrectomy procedures, unit performs c.15 procedures per month.

- Bariatric endoscopy procedures: endoscopic sleeve gastroplasty c.25 procedures per month, Gastric balloon insertion 215 procedures performed in the year 2017, Botox injection of the stomach average number of procedures performed per month 50.

- Commenced the exchange transfusion service, the only project in Dr Sulaiman Al Habib to start such a service.

● Reduced emergency dept. manpower expenditure by 35% (monthly), achieved by rationalising part time consultant headcount from 7 to 1, and by promoting full time senior specialists to consultants Mahmoud Elrefaey

HEALTHCARE MANAGEMENT

Abu Dhabi, UAE

009*********** adfpb4@r.postjobfree.com

Mahmoud Elrefaey Page 2

● Increased the neonatal hearing screening (WHO recommended), accomplished by implementing a health education team to promote the benefits and advantages, which increased Hearing screening tests performed from 15 to 90 per month

● Reduced Radiology department operating cost by 14% by leading manpower optimisation and redistribution, decreasing overuse of radiology procedures and review and optimisation of the consumables list of each procedure NMC healthcare (Ruwais Hospital owned by ADNOC group):

Planning and execution of the epidural and acute pain services in the hospital.

Expanding the business of occupational health to accommodate 4 times the previous capacity of the hospital in the most efficient way.

Improving the emergency preparedness of the hospital through collaboration with the different entities in Ruwais city.

Expansion of the services of the hospital in the fields of endocrinology, cosmetic procedures, pain management, gastroenterology, IVF and physiotherapy.

Preparing the hospital for DOH inspection and JCI accreditation.

Establishing city wide medical emergency preparedness plan in Ruwais city and running period drills to maintain preparedness.

Response to COVID 19 pandemic by operating 2500 capacity quarantine facilities in the western region UAE.

Planning and execution of stem cell center in Ruwais hospital.

Reducing the radiology department cost by 25 percent within 7 months.

Optimizing the utilization of the operating theatre and increasing utilization by 40 percent in 3 months

Establishing the intensive care unit and the long term care unit in ruwais hospital. PROFESSIONAL EXPERIENCE

MEDICAL ADMINISTRATOR/Director / CLINICAL OPERATIONS MANAGER AUGUST 2018- PRESENT

● NMC (NEW MEDICAL CENTER GROUP), ABU DHABI, UAE (JCI ACCREDITED)

● Responsible for the day to day clinical operations.

● Evaluations of the clinical services on continuous basis and continuously applying necessary changes to improve it.

● Continuous communication with the physicians with regards to the level of their performance and reflecting on the needed changes to be implemented.

● Revenue cycle management of the clinical services

● Procurement management and logistics management for the clinical services.

● Emergency management and ensuing continuous readiness to emergencies.

● Planning and design of new medical services in ruwais hospital.

● Planning and improvement of medical and surgical department’s performance.

● Handling patient’s complaints and concerns.

DEPUTY MEDICAL DIRECTOR / HOSPITAL ADMINSTRATOR Jun 2014 – august 2018 Sulaiman Al Habib Medical Group, Riyadh, KSA (JCI Accredited Hospital Group)

● Establish and exercise clear leadership when overseeing all operational aspects of the Tertiary Care hospital (consisting of 300 beds, 24/7 Emergency Room including a state of the art Trauma Centre, IVF & Maternity Centre, Bone, Joint & Spine, ICU and all Specialities OPD).

● Accountable for a plethora of divisions, including Clinical Resource Management, Case Management and Social Services.

● Conceptualise, develop and implement strategies to improve various functions within acute care.

● Lead the team to develop women health services unit offering screening services and preconception services.

● Initiated the team to progress with the cochlear implantation unit (cultivating a team of audiologist, speech and language pathologist, cochlear implant surgeon and psychiatrist), completing 15 surgical procedures in the last year

● Instigated corneal transplant services, finalising negotiations with corneal grafts bank and with insurance companies

● Attracted further patients at the peripheries of the Riyadh city, by developing community awareness campaigns in collaboration with the medical team.

● Initiate and roll out the Electronic Health Records solution, to promote a paperless methodology.

● Embed compliancy throughout the organisations, ensuring adhered to healthcare protocol.

● Maintain an effective compliance programme, in line with licensing bodies (JCI & CBHAI) and regulatory agencies as demonstrated by audit results.

● Demonstrate governance skills when leading the areas of HIT (EHR/VIDA), Call Centre & EMR Manager, & Insurance Department (Billing & Approval), Quality & Infection Control department.

● Showcase exemplary planning ability when engaging with Medical Directors, cross-functionally, and the Director of Nursing in relation to facilities management, materials management and when allocating staff resource.

● Collaborate cross-departmentally to develop the hospital’s strategic vision, followed by creation of the strategic plan. Mahmoud Elrefaey Page 3

● Conduct hospital committee meetings, addressing issues and ensuring appropriate action is undertaken; promotes interdepartmental communication.

● Responsible for all HR elements i.e. recruitment process, staff induction, training and probationary evaluation; inclusive leadership of the workforce, with accountability for various areas including staff transportation, accommodation and roster scheduling.

QUALITY MANAGER& HEAD OF TRAINING AND DEVELOPMENT May 2013 – Aug 2014 Wadi El Neel hospital Cairo/Egypt

● Led the audit and compliance initiative, as demonstrated when preparing the hospital for JCI accreditation.

● Oversaw quality assurance, ensuring departments within remit were functioning in line with implemented quality control objectives i.e. Case Management, Discharge Planning, Social Services, Safety, Infection Control, Risk Management, Infection Control, Employee Health and Medical Staff Affairs etc.

● Wholly responsible for all stages of the hospital Quality Improvement Plan, including, its conceptualisation, development and implementation; supported the continuous quality improvement teams and facilitated planning sessions.

● Served as a resource for medical personnel and hospital services on quality improvement activities, education, and use of quality principles and tools.

● Proved first-class organisational competency when championing Hospital Committee meetings.

● Exuded meticulous attention to detail when providing reports on patient safety and KPI data for the facility functions. QUALITY SPECIALIST May 2012 – May 2013

Wadi El Neel hospital Cairo/Egypt

● Played a crucial role when ensuring the facility meet specific quality standards as exhibited when working towards the JCI accreditation (collaborative responsibility for laboratory areas, HR, ICUs, OR and IT department).

● Performed frequent audit assessments, and dealt with RCAs, mortality review, modifying medical record formats, preparation of educational posters and conducted committee meetings (POCT and mortality). GENERAL PRACTITIONER

Al Azhar University Medical administration/New student hospital Cairo/Egypt Feb 2011 – April 2012

● Treating acute and chronic cases of the students of the university.

● Offering preventive, vaccinations and health education services to the students of the university.

● Triaging and referral of complex cases to the university hospitals for consultations and admissions.

● Medical Check-up of the new students.

● In addition to having the administrative role of developing the administration policies guiding the work flow as well as conducting improvement projects and training programs to educate the staff of the administration. KEY EDUCATION

MBA International Healthcare Management May 2018

Frankfurt School of Finance and Management

Certificate of public health July 2017 – March 2018 George Washington University

Drph (doctor of public health) August 2019- May 2022 Indianapolis university school of public health

Fellowship of international society for healthcare quality 2017 FISQUA

Green belt lean six sigma certification May 2012

Certification board of healthcare quality (CPHQ) 2011, 2014 – 2017 NAHQ

Total quality management (TQM) diploma (healthcare quality administration) 2010 American University, Cairo

MBBS graduation degree 2009

Al Menoufiya University Medical College, Egypt

PROFESSIONAL DEVELOPMENT

CPHQ recertification valid until 2019

ICDL (international computer driving license) 2010 Mahmoud Elrefaey Page 4

TRAINING COURSES

Sulaiman Al Habib Medical Group, KSA 2016

Patient and Family Education Plan, Introduction to Radiology Standards for International Accreditation, Quality Improvement and Patient Safety, Prevention and Control of Infection, Pain Management Wadi El Neel Hospital, Egypt

Transition to ICD 10 (CM & PCS) Billing & Coding system, Quality Improvement & Assurance in HealthCare 2013 ASSIH (Al Salam International Hospital), Egypt

6 months quality training and residency (Building and running a quality system and adopting six sigma practically as a performance improvement methodology) 2012

Training of manager of quality and organizational excellence from the American society for quality 2017 SEMINARS ATTENDED

Sulaiman Al Habib Medical Group, KSA

Performance Improvement Methodologies, International Patient Safety Goals, Hand Hygiene & Infection Rate, Restrain/Fall & Patient Safety, Emergency Codes in Hospital, Medication Management, Occurrence Variance Report, Management of Information, Patient and Family Rights, Policy on Consent, Electronic Medical Record Documentation, Role of complementary & alternative medicine

Wadi El Neel Hospital, Egypt

Organ donation ethics, Effect of smoking cessation education on teen age Pregnant, Robotic assisted surgery, advantages and disadvantages

PROFESSIONAL AWARD

Arab health award for Olaya medical complex in the category of patient centred care 2015 REFERENCES AVAILABLE UPON REQUEST

Contact this candidate