Heba Mahmoud Salah Afify
Cairo, Nasr city
Summary
CPHQ (Certified professional healthcare quality) from the NAHQ. Certified Lean Six Sigma Black belt (LSSBB certified course from IASSIC quality body). Certified Quality auditor for integrated managerial systems (IMS) and ISO 9001, ISO14001, ISO18001. Certified ISO auditor for medical and non-medical Laboratories` accreditation. Certified ISO 22000 lead auditor from IRCA (International Register of Certified Auditor). Certified CAP assessor for CAP (clinical association of pathologist) Accrediting body according to CAP requirements for Lab accreditation. Certified data analyst for healthcare quality data management system from Experts Quality Academy. Professional Quality Management Diploma the golden run in BUC graduated Jan 2023 for Quality & Accreditation Experts. Certified GRC Professional from the Financial Regulatory Authority FRA, professional in creating Governance Risk Compliance framework, creating comprehensive governance structure integrated with risk and compliance functions.
Overview
15
15
years of professional experience
Work History
Quality and Internal Control Manager
AXA OneHealth
06.2021 - Current
- Quality Management Role: Serves a key role in ensuring that OneHealth delivers the highest quality of care while lowering costs by reducing ineffective care, waste, and harm to patients adopting lean concepts
- Policy making: Creating a comprehensive policy making framework that guarantees compliance with national, local, and regional standards, selection of the proper stakeholder, well defined objectives, streamlined process flow that maximizes the output with follow up tools and key performance indicators
- CX enhancement: enhanced CX team in complaints` CAPA proper closure within SLA, followed up action plans with operation and medical teams, being proactive in designing new services based on customer centricity and feedbacks
- Helped to reduce per capita expenses and lead the charge in delivering the best care
- Led and participated in committees, task forces related to regulatory compliance and international healthcare standards
- Internal control manager role: Designed an annual road map for assessing controls across all the functional macroprocesses and communicated with staff in Audit Risk and Compliance committee
- Assessed the controls with all stakeholders and reported the results to AXA group
- Madrid office Detected the gaps and designed action plans for gap closure
- Designed new controls & communicated urgent changes immediately with department managers and staff
- Worked with human resources to update policy manuals and other documentation to ensure immediate compliance by all staff involved
- Compliance Role: Oversaw and managed compliance, ethics issues within OneHealth
- Ensured that the organization is in compliance with various regulatory requirements and that employees are in adherence with internal procedures and policies
- Risk Management Role: Led efforts to reduce business risks that put the organization's profitability and productivity at risk and spearheaded efforts related to enterprise risk management
- Responsible to maintain an effective operational risk framework commensurate with the scale, nature, and complexity of the operations and in accordance with the entities’ regulatory environment and specific regulation.
Head of Quality Management
Pearl
01.2020 - 05.2020
- Hospitals
- Responsible for the development, implementation, and strict adherence to quality excellence program
- Developed and/or reviewed standards, policies, and procedures for all functions and departments involved with the production of all products
- Reviewed and resolved quality control problems/concerns with the quality team including vendors, customers and any personnel related to production
- Coordinated and assisted in vendor inspections
- Periodically inspected completed quality control checklists, forms, and other documents; randomly inspected and verified quality control checks for conformance to prescribed standards
- Performed quality audits and reported findings to the management board members, developed corrective action plans and ensured timely resolution of findings
- Received and reviewed all customer satisfaction surveys and customer contacts and complaints
- Reviewed complaint trends and product/component failure analysis, reviews corrective actions with appropriate personnel
- Prepared reports and other documentation required by regulatory agencies and to support the quality function.
Quality & Accreditation Officer
Salam International Hospital
10.2017 - 12.2019
- ASSIH) Honors: 1) September 2018 Prepared the hospital for the Triennial JCI Reaccreditation Survey with an outstanding achievement (zero unmet for JCI standards)
- 2) November 2018 Prepared the hospital for the ISO annual Internal audit according to
- ISO 9001/2015
- 3) December 2018 led and performed an improvement project to decrease and sustain near zero Vascular Access complication In Renal Dialysis Unit which was selected by the IHI to be presented in the international Quality & Safety Forum in
- Glasgow 2019
- Responsible for: 1) Internal Auditing:
- Conducted GAP analysis for ISO and JCI standards with a comprehensive action plan
- Conducted reviews, system tracers, patient shadowing, improvement projects and risk assessments with periodic follow up
- Reviewed compliance of the hospital staff to the policies & standards and ensured service excellence
- Set the Key Performance Indicators with each department process owners and data collection tools and represent the KPIS statistically in clinical & operational dashboards
- Adopted clinical guidelines and lead multidisciplinary teams to initiate a performance improvement project using various toolkits FOCUSPDSA, Kaizen, 5S,
- Spaghetti diagram, VSMs
- Created an auditing checklist for each department as a regular auditing visit `monitoring system
- Overviewed the internal complaints system with deep investigations and taking the proper corrective actions and improvement plans with the process owners
- Conducted risk assessments and ensure high risks mitigation and collect the risk assessments in a risk register to easily monitor the risks mitigation, reduction, or risk transfer
- 2) Accreditation:
- Kept the JCI accreditation performance & improvement activities
- Developed & updated the policies & procedures according to JCI 6th edition new standards
- Responsible for the preparation and implementation of the clinical JCI program
- CCPC for healthcare excellence in the treatment of AMI patients (Acute
- Myocardial Infarction patients)
- Prepare the hospital for ISO 9001, 2015 auditing visits and continuous follow up with a scheduled ISO internal audits plan
- 3) Private Consultation:
- Consultation for Cairo Scan laboratories accreditation according to ISO 15189 standards for EGAC-ILAC accrediting organization
- SASO accreditation for Saudi custom release for linens and textile supplies
- Led the Consultation for military central lab for ISO 15189 certification
- Project leader for GAHAR accreditation for Arab contractor medical center
- ACMC
- External audit consultancy visits to 57357 for quality gap analysis
- Consultation to GAMACA centers linked to ELAG group for GAHAR accreditation.
Quality Specialist
Nozha International Hospital, NIH
05.2015 - 10.2017
- Honors: prepared the hospital for the foundation level according to the Egyptian guidelines for hospital accreditation
- Responsible for: Medication management domain including monthly auditing and taking corrective actions and action plans also review all applicable laws, regulations and compliance issues and check if they are fit to standards
- Implementation of policies and procedures
- Performance improvement projects
- Developing new programs and protocols that lead to improved care
- Training and continuous education for new hired staffs on quality basics
- Daily monitoring for medication errors
SALES AND MARKETING ASSISTANT
TABUK PHARMACEUTICAL COMPANY
10.2008 - 01.2011
- Responsible for Monitoring sales YTD reports
- Collecting marketing scientific data and designing brochures, flyers and data shows
- Collecting staff data, leave requests, sales data, monthly and yearly sales reports, and action plans
- Events organization
- Direct marketing manager assistant
Education
B.Sc. - Pharmaceutical & Clinical Sciences
Cairo University
Skills
Computer skillsundefined
Timeline
Quality and Internal Control Manager
AXA OneHealth
06.2021 - Current
Head of Quality Management
Pearl
01.2020 - 05.2020
Quality & Accreditation Officer
Salam International Hospital
10.2017 - 12.2019
Quality Specialist
Nozha International Hospital, NIH
05.2015 - 10.2017
SALES AND MARKETING ASSISTANT
TABUK PHARMACEUTICAL COMPANY
10.2008 - 01.2011
B.Sc. - Pharmaceutical & Clinical Sciences
Cairo University
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