**.*.*.******@*****.***
+971-********* https://www.linkedin.com/feed/
M R. OMVEER SINGH BAGHEL
M.B.A Hospital Administration, Physiotherapist, Data Analyst, CPHQ OBJECTIVE
To obtain employment within an
organization whereby I will utilize my
Quality skills, experiences, and knowledge
to improve the Quality of delivered care
and strengthens the expectation and
satisfaction of our clients and will help the
organization to archives its mission vision
and goals.
SKILLS/ KEY ATTRIBUTES
Healthcare professional with vast
experience in Quality Improvements
and management, Patient Safety, Risk
Management, Hospital audits, with
JCIA, DOH, TASNEEF, ISO & NABH
Accreditation/certifications experience;
working actively with Health Care
Quality since the last 8 years’.
Strong experience in KPIs development
and management, FMEA, FOCUS PDCA,
Risk assessment, DATA Visualization
and validation, Clinical practices
guidelines audits management, Incident
management, Documents preparation
(Policies, Forms, SOPs, and Hospital
programs, Department Scope of
services and Staffs educational and
Patients educational materials).
Actively involved and facilitating
National and International
Accreditation audits (JCI Standards 6th
& 7th Edition, Health authority ABU
DHABI audits, OSHAD audit, NABH, and
NABL audit, ISO, and in TASNEEF audits.
Flexible with the ability to adapt quickly
to evolving situations and technically
adept; able to learn new processes and
tools quickly.
SOFTWARE/ COMPUTER SKILLS
The R-Statistical Computing
Minitab 18
Qlik Sense
EDUCATION
Master in Hospital Administration (MBA-HA)• 2010-2012 • MADURAI Kamraj University, INDIA
Bachelor in Physiotherapy (BPT) • 2003-2008 • ALLAHABAD deemed university, INDIA Certified Internal Auditor-NABH • 2015 • NABH, INDIA Certified Quality Internal Auditor (ISO 9001- 2015) Quality Management System • 2016
•ISO, UNITED ARAB EMIRATE
Certified Abu Dhabi Occupational Health and Safety practitioners-OSHAD• 2017
•UNITED ARAB EMIRATE
Member of NAHQ
Certified Data Analysis in Healthcare Management•2018• IIM Ahmedabad Certified Course in Healthcare Quality (CCHQ) •2019• Public Health Foundation of India- Delhi, INDIA
Certified Professional Healthcare Quality (CPHQ) •2020• NAHQ EXPERIENCE
Quality Officer, May 2018 - Present
SEHA - Al Dhafra Hospitals, Abu Dhabi, United Arab Emirates Serving as a resource to sustain and enhance quality framework, KPIs management, Risk assessment & management, Incident management, Data collection and analysis, Patient Document Management and added activities including but not limited to:
Working with Clinical and Non-Clinical teams to designs processes for new KPIs and monitor the performance of existing indicators.
Facilitating Clinical and Enterprise Risk Management to improve the quality and safety of services, by identifying the circumstances and opportunities that might put the stakeholders/ Facility at risk of harm and then acting to prevent or control those risks.
Serving as an internal consultant to HODs, staffs and physicians to provide suitable information in regards to performance improvement, statistical analysis and JCI, DOH, ISO’s standard requirements.
Conducting and participating in audits to evaluate the current status of the organizations towards the adherence of DOH, JCI, ISO standards and other regulatory authorizes requirements.
Review, investigate and analyze incidents and recommending interventions, which enhance the safety and well-being of patients, staff, and organization.
Design and implement appropriate data collection process, aggregating and analyzing data and sharing the results to the hospital leaderships/Government authorities.
Managing performance improvement and Quality improvement projects, and align to assure that milestones are met within defined parameters.
Acting as a central information source by maintaining and distributing policies, procedures, and forms. Training end-users, conducting Quarterly audits to ensure the uploaded documents are up to date.
Scheduling regular meetings with members of the policy committee and Quality links. Sharing correspondence, reports, and high-quality presentations. U p d a t e d : N o v e m b e r, 2 0 2 0 P a g e 2 3
MALAFI-Medical record Management
system
DATIX Hospital Incident Reporting
System
PMS-System for Policy Management
KPIs management system
Microsoft Windows 98 / 2000 / 2010
Microsoft Office Suite (Advanced),2013
Microsoft Excel 2007/2010/2016
PowerPoint Presentation
Adobe reader
Quality Executive, January 2016 - April 2018
NMC Royal Hospital, Khalifa City, Abu Dhabi, United Arab Emirates Served as a resource to maintain the facilities system quality programs, including KPIs, CPGs Risk assessment, Incident monitoring, Data collection, Patient Safety, Quality improvements projects, Data visualization, and Document Control. Other activities are but not limited to: Key Performance indicator (KPIs) management
Coordinates with the Head of the Departments in regards to the new KPIs developments or implementation new KPIs.
Validate Data from different sources
Consolidating data and prepare hospital KPIs dashboard, and present in QPS Committee meeting, report it to Local health authority DOH, Corporate, and the Hospital management.
Document Controller
Coordinates with the Head of the Department in regards to the Policies, Forms, Clinical practice Guidelines, Staff or Patients educational materials, SOPs and Scope of services updates or amendments in lines to standards of JCIA, DOH and ISO
Maintains the Hospital Portal (Intranet) including the uploading and obsolete document.
Clinical practice guidelines (CPGs) audit
Involved in the process of selecting CPGs for auditing and selecting audit parameters for this CPGs and analyses data, prepares report/ presentation, and report to Corporate/ to the Hospital management.
Gather feedback and action plan on low compliances Handling Incident Reports
Receiving incident, validate and analyses the incident and forwarding to the concerned supervisor further Investigation, RCAs and Corrective action and then forward to HODs for the action plan and preventive action.
Prepare and Present Statistics and report to the management and in QPS meeting the details reports include valid or not valid incident, Clinical/ Non-clinical incident, Open/ close incident, LAMA cases, Near miss, adverse event, sentinel event, Incident department wise, and day wise and Shift wise on monthly basis. Prepares Quarterly Quality Report for Corporate Office
Consolidate data and prepares the report as per corporate requirement Assists and Facilitates Quality Activities
Coordinates with Quality projects owners (FOCUS PDCA, FMEAs, Risk assessment, and management) and with Quality Champions and reviewing their projects as per the requirements of JCIA.
Participate in Hospital committee, preparing a minute of meeting for Quality and patient safety committee meetings.
Accreditation Coordinator
Assists Head of the Department in assessing the required standards and compliance to National and International Accreditation Bodies (JCIA, DOH, OSHAD, and ISO)
Senior Quality Executive - August 2014-December 2015 MAX Super specialty Hospital NCR, Delhi-India
Served as a resource to improve Quality and patient care systems and to achieve high quality, process efficiency, for safe and reliable patient care. Assist the QI team to establish hospital specific indicators and enhance the process of KPIs monitoring, Data Validation, Risk Management and Incident reporting Management.
Activity involved in the NABH, NABL, ISO and JCI accreditation process and
Served as Document Controller.
Promoted as Senior Quality Executive.
U p d a t e d : N o v e m b e r, 2 0 2 0 P a g e 3 3
(Ready to relocate) (Reference on request)
PERSONAL ATTRIBUTES
Communication Skills
Excellent verbal and written
communication (English and Hindi)
and presentation skills, by working
closely with the team to develop
strong people skills, interacting
with people of different
backgrounds.
Date of Birth: 19th September 1986
Languages Known: English & Hindi
Passport: M5535568
Visa Status in UAE: Residence
Visa Validity: May 2022
International Driving license: Valid up
to 2023
Nationality: Indian
QUALITY OFFICER - March 2013 - June 2014
Jabalpur Hospital and Research Centre, Jabalpur Area, India Served as a Quality officer to improve Quality and patient safety and achieve NABH certification, for safe and reliable patient care.
Involved in NABH final accreditation process, to close the Non -Conformances and implement new policies and procedures.
Responsible for planning, administration, and monitoring of consistent readiness of all regulatory requirements, and quality improvement processes.
Implemented Document Management system.
Launched Incident reporting system
Launched Patient and Customer feedback system.
TRAINEE HEALTHCARE QUALITY CONSULTANT, March-2012 -February-2013, ACME Consulting-Chennai, India
Responsible for providing services for developing India’s first approved Patient satisfaction survey program.
Conduct gaps analysis and initial assessment for hospitals; based on pre-set tools.
Guide and support enrolled hospitals in the development of mandatory documentation (Required by NABH) and implement them under guidance from Regional Coordinators.
PHYSIOTHERAPIST, May-2008 to May 2010
Healing Hand Physiotherapy Clinic-New Delhi, India
Responsible for managing clinics and treating the patients.
Setting patient-specific goals, determining physical therapy treatment plans, in consultation with physicians or by prescription.