Total Quality Management Director
CurrentTQM DirectorBellevue Medical Center, LebanonDecember 2010 – Present (5 years 8 months)• Lead and coordinate the Joint Commission International Accreditation • Lead task-force groups to prepare for the Lebanese Accreditation by the Ministry of Health (MOH), Coordinate the Hospital Accreditation Committee, • Lead the quality, performance improvement and risk management programs throughout hospital’s departments; • Deep involvement in preparation of all hospital manuals including: hospital policies & procedures with full supervision on the document controller function; • Design the Occurrence Variance Report (OVR) process by developing all related policies & procedures, related forms to be used, coding system for statistics analysis and reporting using excel graphics and charts.• Supervise Clinical Chart Review (Open charts & Closed Charts)• Supervise and coordinate the Occupational Health and Safety officer work to ensure safety of staff • Supervise patient satisfaction surveys and patient complaint mechanism. • Conduct general risk management program education for nursing, medical and administrative staff.• Conduct training on quality tools, Example: Sentinel Events and Root Cause Analysis process. Failure Mode and Effect Analysis (FMEA) Process.• Planning and arrangement for the Facility Management & Environmental Safety survey; prepare checklists needed, review survey reports , and follow up on action plansTQM CoordinatorDr. Erfan & Bagedo Hospital/ JeddahMay 1999 – November 2010 (11 years 7 months)
