Medical Coordinator Quality Manager

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RoopaliShewale contact details : Mobile : 932**-*****

e-mail ID : **.*****@*****.***

Objective

To work in a dynamic Healthcare Organization with emphasis on clinical excellence and superior patient care.

To obtain an eminent position in the field of Healthcare Quality and Administration that will allow me to utilize my experience, skills and knowledge while working with a diverse and challenging population of patients. As an administrator I would want to coordinate and control various activities in the hospital effectively and efficiently and put the best practice in place to improve patient satisfaction and delight.

Personal Skills

Analytical skills and problem-solving abilities

Strong Interpersonal skills, good team player

Can get adapt into the new project and take a task as a leader very quickly

A quick learner

Capable of working under pressure and meeting deadlines as scheduled and ensuring quality in work

Ability to maintain confidentiality

Ability to multitask and manage conflicting demands Professional Experience

Over 10 years of experience in Healthcare Quality and Administration.

Successfully handled NABH Accreditation for the Hospital including Accreditation for Emergency Department, Blood Bank and Nursing Excellence, Laboratory NABL accreditation as well as Quality Certification for Operation Theatre (Green OT) and Pharmacy (PDQ)

Handled ISO 9001:2015 audit for Healthcare

Current Employment

Dr L H Hiranandani Hospital, Powai, Mumbai

Designation: Quality Lead - Sr. Executive, Quality & Processes Since September 2021

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Job Profile

Ensure implementation of NABH Accreditation Standards for HCO (5th edition) & ISO 9001:2015 across the hospital

Monitor compliance with the accreditation standards

Prepare Annual Operational Plan for Quality & Patient Safety

Prepare Quality Budget

Represent the unit for various regional and PAN India quality initiatives, meetings, conferences and campaigns

Review Quality & Patient Safety Program to maintain adequacy, effectiveness & continual improvement

Audits / Surveys

- Plan & schedule Internal Audits across the hospital

- Regional internal audits once in a year

- Review internal audit reports & ensure closures of the same

- Prepare closure report for external audits

- Liaise with & guide respective stakeholder for appropriate closure of external audit observations and non-compliances

- Conduct safety culture survey

- Oversee compliance with various monthly audits

- Analysis of monthly reports of four units in Mumbai, suggest/implement CAPA w.r.t. any common issues/problem areas

Committees

- Prepare annual committee calendar and ensure adherence to it by the committee conveners

- Schedule & convene meetings of Quality & Patient Safety committee, Management Review Committee, Core Safety Committee, Incident Review Committee, Validation Committee

- Prepare the minutes of meeting & circulate to all committee members and the process owners

- Conduct committee review and monitor effectiveness of the committees

- Organize & lead the quarterly regional quality forum

Quality Indicators

- Define the Quality Indicators with Benchmarks and guide the respective stake holders for the same

- Monitor & Analyze the Quality Indicators and guide the stakeholders for appropriate Corrective and Preventive Actions

- Identify the need of Quality Improvement in a particular area / department, Plan and Execute QIPs in those areas in consultation with CEO, MS and respective stake holders 3

- Few QIPs with remarkable improvement – Medication Reconciliation Process, Reducing the TAT for STAT indents in ICU, Blood Transfusion Safety, Antimicrobial stewardship program

Document review & control

- Draft and Review Policies and Procedures

- Ensure effective implementation of Standard Operating procedures with periodic review of SOPs and policies

- Standardize and Control various documents across the hospital

Trainings

- Oversee the annual training program conducted by HR

- Ensure compliance with the mandatory trainings

- Identify quality related training needs and address those accordingly

- Conduct trainings on Quality, Patient Safety including IPSG, Clinical documentation, accreditation standards

- Ensure training effectiveness through surprise rounds & interviews

Oversee compliance with -

- Regulatory requirements

- Mock drills

- Equipment calibration/maintenance program,

- Infection control and AMS program

Operations

- Responsible for routine operations of Emergency Department, Diagnostic Depts. (Radiology, Laboratory, Non-Invasive Cardiology)

- Overseeing various functions and processes of wards & OPD

Events & Programs

- Patient Safety Awareness Week (Twice a year)

- World Quality Month (Annual)

- Medication Safety Week (Annual)

- Infection Control Week (Annual)

4

To

The Head – Human

Resources S L Raheja

Hospital

Mahim, Mumbai -16

Qualification

PG Diploma in Hospital & Healthcare Management

2017, Symbiosis Institute, Pune

PG Diploma in Quality Management of Hospital & Healthcare Organizations 2017, Symbiosis Institute Pune

NABH Certificate Program on Implementation of Hospital Standards August 2017

NABH Certificate Program on Implementation of Blood Bank Standards February 2015

ISO 9001:2015 Certified Internal Auditor - April 2022

NABH Certificate in Quality Tools & Techniques

NABH program on Clinical Audit

Bachelor of Science (MLT) -

2009, YCMOU

Diploma in Medical Lab Technology

1993, SNDT Women’s University, Mumbai

Experience

DR L H HIRANANDANI HOSPITAL, Powai, Quality Lead – Sr. Executive Quality & Processes

S. L. RAHEJA HOSPITAL (A Fortis Associate), Mahim, Quality Head – January 2019 to August 2021 Medical Coordinator – Medical Administration & Quality – June 2018 Quality Manager Transfusion Medicine - 2012

Blood Bank Technical Supervisor - 2005

D. Y. PATIL HOSPITAL & RESEARCH CENTRE, Nerul, Navi Mumbai as Blood Bank Technician – 2004 to 2005

JVP BLOOD & COMPONENT CENTER, Navi Mumbai as Blood Bank Technical Supervisor – 2002 to 2004

As Lab/Blood Bank Technician between 1993-2001 at -

- RAPTAKOS BRETT DIAGNOSTIC LAB, Mumbai

- MGM’s HOSPITAL & MEDICAL COLLEGE, Navi Mumbai

- CHETNA BLOOD & COMPONENTS PVT LTD, Thane

- JVP DIAGNOSTIC LABORATORY, Navi Mumbai

Roopali Shewale

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