Dr. Ahmed M ElEmam MSC, TQMD, LSSYB, BSC

Al Nahdah General Hospital (NGH)

Taif, KSA

00966544940705

E-Mail: aelemam.ae@gmail.com Current position: Quality Director

Over the past 5 years, He focused on quality improvement, studying, learning and teaching. He has extensive experience in Performance Improvement, Risk Management, Utilization Management, improving Patient/Customer experience and Quality, while involving teams from the facility, including physicians and administrative staff. He has solid skills at process standardization either medical or non-medical using wide, miscellaneous quality tools and methodologies including lean methodology. He has extensive experience with different accreditations agencies including CBAHI (3RD version ,last updated one 2016) , JCIA accreditation , ACHS (The Australian Council On Healthcare Standards) He has extensive experience with data analysis, validation and process control using statistical analysis and SPSS software, excel. He shared effectively during the JCIA reaccreditation at Dr.Soliman Fakeeh Hospital , he is assigned to be one of the facilitators for Departmental leaders during Australian council on healthcare standards EQuIP5 re-accreditation at DSFH. He was involved extensively at the

CBAHI accreditation for Al-Ameen hospital at Taif. He leaded and Coached successfully the accreditation process for NGH Hospital on CBAHI 3rd, last version to be the 1st hospital at Taif to be accredited on the newest CBAHI version. In addition to high interests with quality management and improvement, he has a lot of interests with scientific research at the medicinal chemistry using advanced computational chemistry software. Currently, Main goals of our researches in cooperation with Temple university(USA) are development of new drugs, optimization, Introduction of an empirical modification plans for HCV agents. Currently, he is contracted (since 4/5/2016) as a Quality Director for NGH Hospital leading the continuous improvement phase after CBAHI Accreditation.

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WORK HISTORY

May 2016 : present

Quality Director

Job Duties & Responsibilities:

Prepare the hospital for CBAHI accreditation 2016.

Roles and activities include (and not limited to):

Develop strategic plan for the hospital & facilitate development of departmental

operational plans and develop SWOT analysis.

develop the performance measurement systems (KPIS) (93indicators) in cooperation

with departmental heads followed by analysis, presentation for Hospital Governing Body.

Develop Risk Management Program &monitoring its activities.

facilitate all meetings and committees within the hospitals.

Tracer team leader on weekly basis to ensure compliance with the policies and

standards.

Identify opportunities for improvement, accordingly develop performance improvements

projects for the hospital.

Changing the Quality Culture within the hospital.

Establishment of electronic Document Gate to centralize and facilitate sharing of the

hospital polices and forms, other required materials. Link : http://nahdahospital.com/nnh/

Establishment of new and well developed website for the hospital. Link: http://Nahdahospital.com

Improvement Projects :

o Reduction &control of the LOS for Caesarean pts.

o Reduction &control of medication errors.

o Electronation of HR department to be paperless department for better control,

efficiency.

o Establishment of new business with BUPA ,Med-gulf, Tawunia insurance

Companies (which the business is stopped for 2 years ago).

o Share at the planning for Hospital marketing and promotion.

o Improvement of the staff compliance with fire drill.

o Restructuring of some important units at the hospital to be compliant with the best

standards for safety.

o Development of new online reservation tool for the hotkey Doctors.

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(600Beds) January 2015 – May 2016

Quality performance improvement Coordinator

Quality performance improvement roles:

Coordination, facilitation of any performance improvement project either medical or non-

medical at DSFH.

Calculation of Return of investment (ROI) for some projects selected by PIC committee

(chairperson is the owner of DSFH).

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Review the indicators data, risk management data, patients complains as main source for

information about areas need to be improved.

Liaises with executive director, risk managers, administrative reviewers departments, chair

performance improvement and patient safety committee, organizational unit leaders and hospital

staff.

Works with directors of assigned clinical departments in preparing meaningful performance

measures, completes associated performance indicator development forms for review and

approval at performance improvement committee.

Provides staff support for the quality improvement, utilization review and risk management

programs.

Provides support for internal audit department during planning for their activities.

Assists assigned areas in planning and quality improvement plans.

Participates in policies formulations.

Participates in the planning and coordination of quality week activities.

Coordinates and monitors compliance with national &international standards.

Tracer team leader which is conducted once every month.

Providing general hospital orientations for the new employees.

Ensure quality culture spread, healthy environment at DSFH by providing quality orientation

before re-contracting for any employee at the hospital.

Selected as a member for some important committees as quality facilitator like projects

development committee, CPR committee.

Quality improvement projects under DSFH:

- Improvement of VIP patient satisfaction.

- No show project.

- Elimination of waiting list of patients with special needs at KAC.

- Increasing the collection amount at legal affairs.

- Improve nursing Patients referral (by the system) to clinical Dietitian

- Improvement of compliance of the dietary department with the documentation of patient

assessment

- reduction of waiting time for outpatient

- improvement of patient's flow at ER

- General consent obtaining improvement.

- Billing delay reduction for some selected insurance company (Tawunia, BUPA, GHOSI

,electric Saudi company).

- Patient discharge time controlling and reduction.

- Incomplete MR Files and discharge summary.

- Reduction of expiration rate for medication.

- Cashier shortage and training project.

- Attendance improvement of on job training.

- Improvement of vaccination rate for the staff.

- Improvement of maintenance work order closure with the specified time frame.

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January 2016-May 2016

Quality consultant–lecturer

Part time

Job Duties ,Responsibilities:

Coordinates in the development and implementation of facility-wide policies and procedures.

Plans, prioritizes, organizes and implements assignments or improvement projects related to

quality standards.

Facilitates and provides faculty and staff ongoing support in quality initiatives.

Prepare the reports and documentations as needed.

Analyzes different data to facilitate the process of decision.

Develops monitors and follows up all related documents including policies, protocols,

Guidelines and quality plans.

Ensures that the departments follow policies, procedures and practices to ensure alignment with

accepted standards.

Maintains updates and files documents related to assigned quality standards.

Maintains confidentiality with regards to any information exchanged or received in the current

Capacity of role in accordance with the policy.

Observes opportunity for improving the quality of performances of the existing system and

Suggest plans for improvement.

Coordinates with staffs of different departments and driving the group to plan and formulate

Comprehensive quality improvement procedures.

Conducts orientation and awareness sessions for staff and students on quality standards.

Teaches an average of 12 credit hours per week and provide office hours each week for

consultation with students according to academic regulations.

Works closely with members of the institution in curriculum and program development, teaching

innovation, student retention, testing, grading and assessment.

Works collaboratively with colleagues to facilitate students’ learning and to promote student

success through evidence-based practice.

Quality facilitator of the 5 ad-hoc committees preparing for self-study review (SSR) evaluation.

He prepared and formulated a manual handbook for policy and procedures of the college to

guide all the colleges’ staff and students by the rules, responsibilities and policies at the college.

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(320beds) Jan 2014– Dec 2014

Deputy Quality Director, Performance Improvement Unit Manager

Identification of areas for continuous improvement, development of performance improvement projects

while involving teams from the facility, including physicians, administrative staff and nurses.

Facilitation, orientation and acting as source of information (for most of clinical departments) for all

activities related to CBAHI accreditation.

Indicators Data analysis, validation and suggestion with process owners corrective recommendations.

Support and encourage error reporting throughout the organization through a non-punitive error

reporting system.

Serves as expert resources to all departments, divisions and units.

Provides day to day coordination and guides medical support service staff in the implementation of

effective monitoring systems.

Works with directors of assigned clinical departments in preparing, development of their own

performance indicators.

Maintains assigned performance indicators database.

Conducts initial clinical evaluation of 100% of all morbidity cases and distributes findings to concerned

departmental directors for review and feedback.

Coordinates qualitative medical record review process.

Quality improvement projects under Al-Ameen hospital:

- Reduction and Control of Disapproved Medical Insurance Claims, AL - Ameen Hospital,

KSA.2014.

- Reduction and Control of nosocomial infection at ICU, AL - Ameen Hospital, KSA.2014.

- Improvement of blood utilization & availability. ALAmeen hospital, taif, KSA.

- Improvement of Patient Satisfaction & Reduction of Patient Complaints. AL- Ameen

Hospital, KSA.2014.

- Medical record Re – engineering. AL- Ameen Hospital, KSA.2014.

- Reduction of turnaround time of routine Lab tests in Hematology AL- Ameen Hospital,

KSA.2014.

Jan 2011 – august 2013

Emergency department deputy head/Deputy quality director/lecturer

Acting as Emergency department deputy head.

Assistance with all activities related to the emergency department.

Self-study review committee member.

Assistance with all activities related to the quality department.

Lecturer for the following subjects:

- Paramedic pharmacology courses I,II, Emergency Department

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- Pharmacology for nursing.

- Pharmacology for radiology department.

- Toxicology and drug monitoring, medical lab department.

- Introduction to chemistry I,II.

- English for medical purpose I,II..

- Analytical chemistry, medical lab department..

- Analytical instrumentation and automation, medical lab department.

2006:2011

Lecturer for the following subjects:

- Drug design (advanced course) Tanta-Egypt

- Computational chemistry theoretical principles, tutorial. Tanta-Egypt .

- Computer Aided Drug Design (CADD), tutorial. Tanta-Egypt.

- Forensic chemistry applicable methods course. Tanta-Egypt .

- Applied chemistry course. Tanta-Egypt .

- Medicinal chemistry course, Tanta-Egypt .

- Organic chemistry course, Tanta-Egypt.

- CBAHI accreditation ,Al-Ameen hospital ,Taif,KSA 2014 (succeeded)

- JCIA Re-Accreditation , Dr.Soliman Fakeeh Hospital,Jeddah ,2015. (succeeded)

- Preparing for the Australian council on healthcare standards EQuIP5 re-accreditation. (succeeded)

- NCAAA accreditation , Fakeeh college for medical sciences,2016. (succeeded)

- CBAHI accreditation 2016 , NGH hospital ,Taif ,KSA. (succeeded)

- Egyptian Syndicate of Pharmacists, Egypt, 2005.

- Saudi commission for health specialties, KSA, 2014.

- Saudi Heart Association National CPR Institute, 2016.

- Saudi Quality Council, 2015.

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- HCV epidemiology ,types, diagnosis and treatment ,AlGhad Colleges,KSA

- Risk management, Root Cause Analysis, AL-Ameen Hospital, Taif, KSA.

- Sentinel events, medical negligence, ALAmeen Hospital,Taif,KSA.

- Medication Errors & role of technology in improving patient safety,ALAmeen Hospi-tal, Taif, KSA.

- General hospital orientation (on monthly basis), DSFH ,KSA ; January 2015 till now.

- Quality Orientation lectures before re-contracting (on weekly basis) ,DSFH.

- Many lectures preparing the hospital for accreditation, NGH Hospital.

- Master of medicinal chemistry, faculty of pharmacy, Tanta University, 2009, Egypt

- Total Quality Management Diploma (American university at Cairo),2014.

- Lean Six Sigma Yellow Belt (LSSYB),2014

- ICDL Certificate ,2014.

- BSc of Pharmaceutical Sciences, Faculty of Pharmacy, Tanta University, 2005, Egypt.

- Professional user of Microsoft Office 2010(Word-Excel-PPT-Access data base).

- Professional practice on some advanced computational software like:

1. Molegro Virtual Dockers 2. IGEMDock 3. Schrödinger software

4. PyRx 5. Spores 6. Autodock tools.

7. Accelyrs Materials Studio. 8. Pymol 9. Autodock Vina.

1. Computational studies to understand and solve the HCV polymerase enz. resistance for

HCV agents.

2. Development of new empirical modification plans (QSAR models) for HCV agents

targeting protease enz.

END

Sponsorship Transfer Is Available