Mohini Kumar Jain

· Execution and implementation of Hospital standards and legal documentation of the organisation

· Directing quality improvement projects to improve the

current process of the organisation.

· Quarterly updating of hospital data on the National Accreditation Board for Hospitals & Healthcare Providers (NABH)

· Conducting internal quality audits, organisational cross audits, National Quality Assurance Audits and Clinical Audit

· Updating standards SOPs and Pathways.

· Providing advice, guidance, and training where required to employees relating to Quality Assurance.

· Worked closely with clinical and non-clinical teams to ensure a good quality culture and openness.

· Provided support to the daily operation of the clinical team regarding quality decisions.

• Oversaw all quality-related issues, driving problem-solving techniques and corrective actions to maintain high levels of customer satisfaction.
• Implemented policies and protocols to improve workplace safety.

· Accomplished complete responsibilities of the quality officer and accomplish desktop surveillance in consideration on covid-19 pandemic

· Training of hospital members on Quality standards and safety

· Established clinical audits and operations

· Delegated on a unique project to conduct NABH Surveillance assessment at the Salem unit of Manipal hospital

• Resolved varied quality issues, aiding standard healthcare delivery to the patient.
• Recognised potential quality issues and constraints affecting the quality of healthcare delivery and coordinated for timely resolutions.

• Management of organisational Quality and legal documentation of the organisation
• Legislated quality committee meetings monthly broadcasting objective achieved
• Regulating and directing NABH Audit, organisational cross audit, internal audit
• Introduction to Quality standards of the hospital and training for new joiners in the organisation.
• Identified corrective and preventative action for quality issues through complete failure investigations.
• Presented monthly key metrics to management through detailed, informative technical reports.
• Resolved varied quality issues, aiding project delivery within quality, budget and deadline targets.

· Directed the operational functioning of for Radiology Department along with regional healthcare professionals.

· Provided input on the current process of patient information capturing and electronic health medical record maintenance which can be improved through the Quality improvement project.

· Monitor facility compliance and supervise continuity of workflow as per Hospital Standards.

· Developed action plans for constant operations and provided support in implementing the Policy in daily operations along with facility administrators.

• Aligned team management strategy and tactics with a wider organisational vision to maximise the impacts of company activities.
• Increased knowledge of company policies, protocols and processes proactively.
• Created and gave presentations on various topics to senior management.
• Learned about conflict resolution and shadowed management completing disciplinary hearings.