As one of the directors, steers company towards its mission and goals. Passionate about quality & accreditation, hospital planning & design, 360 degree patient experience, & healthcare technology
Successfully completed the NABH Assessor’s Course from NABH, QCI, Certified Internal Auditor – JCI, QAI Assessor’s Course for WHO Patient Safety & Friendly Hospitals Standards (PSFH), Certified Internal Auditor for QAI – ART Standards, Masters in Hospital Administration (MHA) and experience of over 19 years, has worked with many reputed Multispecialty Hospitals in Gujarat with Quality & Patient Safety as major focus areas.
Has assisted over 300 hospitals for NABH Accreditation/Certification, including large and small healthcare organizations. Having expertise in Quality & Accreditation (NABH & JCI) for hospitals, 360 Degree Healthcare Designing & Planning, Human Resources management, Clinical & Non-clinical Administration, Marketing and Strategic Alliances, Facility Management, Quality Assurance Program, Training & Development Programs for clinical & non-clinical staff, Formulating and Implementation of SOPs & Policies, Managing Legal Compliance, Patient Satisfaction, Gap Analysis (Infrastructural, Human Resources, Equipment), Business Process Re-engineering & Restructuring, conducting Clinical & Non-clinical Audits.
Invited as an Expert Speaker at the “3rd National Conference on Safety & Risk Management for Healthcare Professionals” held in Ahmedabad in February 2017.
Invited as the “Guest of Honor” at the One Day National Workshop on “Harassment of Women at Work Place: Issues & Solutions” held in Patan in February 2017.
Certified JCI Internal Auditor (Joint Commission International) since 2019
NABH Assessor, Quality Council of India (QCI) since 2017
QAI Assessor, WHO Patient Safety & Friendly Hospital Standards (PSFH) (Quality & Accreditation Institute) since 2019
Certified Assessor – ART Standards, QAI, since 2020
Member of ISQua (International Society for Quality in Healthcare), Ireland since 2014
Certified NABH Counselor, NABH, Quality Council of India (QCI) since 2010
Member of Academy of Hospital Administration (MAHA), Noida
Full member of Quality Council of India (QCI), New Delhi since 2014
Appointed as a member – Technical Support & Training, AHPI (Association of Healthcare Providers India), Gujarat Chapter since 2014
Member of Governing Body – CAHO (Consortium of Accredited Healthcare Organization) 2017-2019.
Certified 5S Internal Auditor, Quality Council of India (QCI), New Delhi
Conducted Workshop on Hospital Infection Prevention & Control at GCS Hospital with active participation of more than 100 participants
Conducted Workshop on NABH Implementation & Internal Auditor Program wherein more than 50 participants were trained
Visiting Faculty (Department of Hospital Management) at the Hemchandra North Gujarat University, Patan since January 2017.
Appointed as Paper Setter at the Hemchandra North Gujarat University, Patan for the Department of Hospital Management since January 2017.
Visiting Faculty (Department of Hospital Management) at the Hemchandra North Gujarat University (HNGU), Patan since 2017.
Visiting Faculty (Department of Hospital Management) at Sumandeep Vidyapeeth University, Vadodara since 2019
Visiting Faculty at Gujarat Forensic Sciences University, Gandhinagar since 2019
Visiting Faculty at Indian Institute of Public Health, Gandhinagar since 2019
Apollo Hospitals as Quality Head
Successfully conducted JCI Internal Audit at Indraprastha Apollo Hospital, Delhi
Successfully conducted JCI Internal Audit at Apollo Hospitals, Kolkata
Have been instrumental in preparing and rolling out the first ever 360 Degree Audit plan for the entire Apollo group of Hospitals which included measurable parameters related to Operations, HR, Marketing, Finance and Quality & Safety Standards
Conducted 360 Degree Internal Audits for various Apollo Hospitals in the country
Achieved NABH Nursing Excellence certification
Headed the NABH of Apollo CBCC Cancer Care Hospital (SHCO).
Successfully completed the NABH Reassessment of Apollo Hospitals International Limited, Gandhinagar with very few partial compliances.
Successfully headed the 5S Audit of Apollo Hospitals, Gandhinagar
Conducted Audit at the Apollo Clinic, Satellite for their Q4E (Quality for Excellence) Survey process
Initiated around 6 Quality Initiative projects
Successfully initiated and implemented around 19 Quality Initiatives across the hospital in various departments
Awarded 2nd Winner in the Excellence in Financial Management for Energy Conservation & 3rd Winner in the Excellence in HR Practices across the Apollo Group of Hospitals during the VII Apollo Innovations & Quality awards
HCG Hospitals as Group Head – Quality (Gujarat State)
Successfully completed the NABH Reassessment of HCG Multispecialty Hospital
Successfully headed the NABH Surveillance of HCG Multispecialty hospital
Laid a foundation by establishing policies and procedures for various departments and preparing the setup for HCG Hospital, Bhavnagar
Supervised the Quality processes across all the HCG hospitals in Gujarat including Ahmedabad and Bhavnagar
Retina Foundation as Head – Quality, Administration & HR
Successfully headed Full NABH accreditation ( Full NABH Eye hospital standards ) process as Head – Quality & Accreditation Coordinator
Demonstrating effective leadership skills, headed the organization and lead a staff of more than 80 employees
Developed various organizational policies and procedures and streamlining the HR activities
Handled the challenges of a Small Healthcare Organization in a very professional manner including dealing with everyday transactional issues and troubleshooting
Appointed as Assessor for Niti Aayog assessments for hospitals by Government of India.
As an Assessor for NABH – QCI, have assessed many multispecialty hospitals in India
As an External Auditor, performed third party NABH Internal Audit for Spandan Hospital, a 75 bed multispecialty Hospital in Vadodara, Gujarat and prepared them for NABH Accreditation Process (May 2016 & August 2016).
As an External Auditor, performed Gap Assessment for GCS Hospital & Medical College, a 750 bed Multispecialty Hospital in Ahmedabad, Gujarat and prepared them for NABH Accreditation Process. (April 2016)
External Auditor and Consultant for NABH Accreditation at Nirmal Hospital, Surat, Gujarat. First Hospital in south Gujarat to successfully get accredited for NABH.
External Auditor and Counselor for NABH Accreditation at Mayflower Women’s Hospital, Ahmedabad,
Quality coordinator at Shalby Hospitals, a 200 bed Multi-specialty hospital in Ahmedabad, Gujarat
External Auditor for Medilink Hospital, Ahmedabad, a 150 bed Multi-specialty hospital.
NABH / NABL
360 degree patient experience
Hospital planning & design
International quality & accreditations