Jithesh S K

Expert Healthcare Quality and Operations with 9+ Years of experience in the filed of healthcare industry

Strategic business planning in terms of design & implementation in line with the organization's business plan withclear ownership of the revenue, profitability & resource optimization targets

Forecasting & planning for resource requirements (manpower, materials & funds)

Enhancement of profitability by cost-efficient measures and effective utilization of equipment and resources as perspecified quality and safety parameters

Interpret and implement JCI & NABH quality assurance standards in hospitals to ensure quality care to patients

Preparation and review of departmental policies and procedures in association with the concerned departmentalHODs

Conducting internal audits and provide appropriate feedback to the management, so as to implement the changes inthe processes where required

Analysis of incident reports, find out the RCA and implementation of CAPA

Analysis of customer feedback, collection, monitoring, reviewing and data analysis of all key quality indicators foreach department

Active participation in planning, design, and implementation of continuous quality improvement projects, so as tosystematically evaluate and meet patient care needs

Ensuring that the overall activities in the department meet the requirements of quality management, health andsafety, legal stipulations, environmental policies, and general duty of care

Set up the process for discharge time reduction, pharmacy TAT, LAB TAT, OPD TAT reduction, etc

Analysis of master database of key quality indicators (Clinical and Non-clinical at group level)

Coordinating various committees which are mandatory for smooth JCI & NABH implementation and ensuring thequality of patient care

Review and evaluate patients' medical records, applying quality assurance criteria

Follow up on issues raised by external and internal audit reports

Coordination with HOD of all departments in JCI & NABH implementation

Active participation in the preparation of a disaster management plan

Active participation in Clinical and medical audits

Monitored quality improvement benchmarks, family satisfaction surveys, and performance improvement projects toguarantee exemplary patient, family, and physician services

Evaluate quality performance improvement indicators related to patient safety, risk management, infection control,and utilization management

Facilitated and participated in hospital-wide education programs and performance improvement activities with thequality management department

Engage in project facilitation/management and performance measurement involving organization-wide assessmentand change initiatives within the clinical quality and effectiveness department

Investigate the non-clinical quality of care service complaints

Developed quality care and risk management policies to ensure compliance with regulatory and accreditingorganizations

Collected data on quality indicators, including periodic surveys, prepared data and participates in data analysis toidentify trends

Conduct quality improvement meetings to gather information and to provide data analysis to the qualityImprovement committee

Communicated regulatory information to multiple departments and followed up to ensure the information wasinterpreted correctly to ensure compliance for licensing

Organized hospital-wide quality improvement activities so systems and processes were cost-effective and efficient

Investigated quality of service complaints and implemented quality improvement activities

Master in Hospital Management

Graduate in Microbiology