Dr. Mohammed Magdy Hosni Ismail, CPHQ, LSSGB

JCIA Risk Manager - Quality Deputy Manager As-Salam International Hospital "JCI Accredited" Maadi – Cairo – Egypt Certified Professional in HealthCare Quality (CPHQ) Hospital Management specialist – experienced in JCI Accreditation Preparation Total Quality Management (TQM) specialist Lean Six Sigma Green Belt (LSSGB) Certified Internal Auditor - QMS ISO 9001:2008 OSHA Certified Member - General Industry Safety and Health Member of the National Association of HealthCare Quality (NAHQ) Member of the American Society for Healthcare Risk Management (ASHRM) Mobile (+2) 0100 4 70 72 09 Email Drmmhquality@Gmail.com Address 4 El-Nozha St., El-Safa Tower, Taqseem El-Mesaha, Maadi,

Cairo, Egypt Postal Code 11431 Date of Birth October 1st 1983 Nationality Egyptian Marital status Married Military Service Exempted

RESUME SUMMARY

Risk Manager and Quality Deputy Manager achieved Joint Commission International

Accreditation and leaded ISO 9001-2008 Recertification.

One of (JCIA) Joint Commission International Accreditation team of As-Salam International

Hospital (ASSIH) where joined it since 2008.

Freelancer consultant in the fields of Healthcare Management, Quality and Accreditation.

Co-Developer and Instructor of more than 30% of the curriculum of the only “Practical Quality

Training Program” in the MENA region.

Co-Author of "QMD- Build and Run Quality management system in your hospital” Textbook.

Conducted more than 100 training and educational sessions; either within a structured

training programs or stand-alone lectures and Seminars - with a competitive edge of

“Walking The Talk” through transferring professional and practical experience and practice

not only the theoretical aspects of the topics.

Leaded and mentored many Lean Six Sigma quality improvement projects as well as other

improvement methodologies, etc.

Completed professional postgraduate studies in the School of Business of the American

University of Cairo (AUC) in the fields of Management & Quality.

Certified Professional in Healthcare Quality (CPHQ), Certified Lean Six Sigma Green Belt,

OSHA Certified Member and Certified Internal Auditor of ISO 9001:2008.

Member of the American Society for Healthcare Risk Management (ASHRM) as well as the

National Association of Healthcare Quality (NAHQ).

In addition to Risk Management, JCI Accreditation and ISO Certification; my professional

experience also includes the other Management, Operational and Quality functions like

patient safety, performance measurement, performance Improvement … etc.

Leaded the ISO 9001:2008 Recertification through a comprehensive preparation as

Recertification Project Manager as well as representing the Management in the official

recertification audits.

Developed and leaded many organizational wide initiatives like Preventing Medication Errors,

Dashboard reengineering … etc.

Received many honors and recently had been nominated as the star of ASSIH’s 2011 4th

Quarter for outstanding performance and achievements.

Currently I’m setting for Certified Professional in Healthcare Risk Management (CPHRM)

degree from (ASHRM) of the American Hospital Association (AHA) as well as Certified Lean

Six Sigma Black Belt (CLSSBB) degree.

EDUCATION

CPHQ "Certified Professional in HealthCare Quality"

- Healthcare Quality Certification Commission

- CPHQ Number: 15403

HealthCare and Hospital Management Professional Post Graduate Diploma

- The American University in Cairo (AUC)

Post Graduate Diploma in Total Quality Management for Healthcare Reform

- The American University in Cairo (AUC)

LSSGB "Lean Six Sigma Green Belt"

- World Class Training Institute (WCTI) USA

OSHA "General Industry Safety and Health" 30 hours

- OSHA Number 21-900293795

Certified Internal Auditor - QMS ISO 9001:2008

- Engineering & Quality Experts (EQE) - EGYPT

Bachelor Degree of Pharmaceutical Sciences

- Faculty of Pharmacy - Helwan University

- Cumulative Grade: Very good

- Graduation Date: June 2005

COURSES TAUGHT

Hospital Management Diploma

- Management Functions

- Human Resource Strategies

- Marketing Healthcare Centers & Hospitals

- Finance & Accounting for Healthcare Centers and Hospitals.

Total Quality Management Diploma

- The Basic Six Sigma Breakthrough Improvement Process

- Managing Information in Healthcare

- Planning For Top Quality in Healthcare Services

- Quality / Environmental System Standards in Healthcare

- Improving Organizational Performance

- People Management

CPHQ

- Management and Leadership

- Information Management

- Performance Measurement & Improvement

- Patient Safety

Other Courses and Programs

- Lean Six Sigma Improvement Methodology

- Occupational Health & Safety - General Industry Safety and Health

- Basics of QMS ISO 9001:2008

- Certified Internal Auditor of QMS ISO 9001:2008

- Healthcare Statistics

- Microsoft Courses (Word - PowerPoint - Excel - Access)

PROFESSIONAL EXPERIENCE

Position: Risk Manager / Quality Deputy Manager - Quality Management Department

- Employer: As-Salam International Hospital (JCIA) / From - To: 01/2011 – present

Position: Freelancer HealthCare Management, Quality & Accreditation Consultant and

instructor

- Employer: Self Employed / From - To: 01/2011 – present

Position: Quality Specialist Supervisor - Quality Management Department

- Employer: As-Salam International Hospital (JCIA) / From - To: 06/2010 - 12/2010

Position: Acting pharmacy Deputy Manager - Pharmacy department

- Employer: As-Salam International Hospital (JCIA) / From - To: 03/2010 - 06/2010

Position: Senior Quality and Training - Pharmacy department.

- Employer: As-Salam International Hospital (JCIA) / From - To: 11/2008 - 03/2010

Position: Pharmacy Manager

- Employer: MUHAMMAD Pharmacy / From - To: 06/2006 - 07/2009

Position: Inpatient Pharmacy Manager

- Employer: The New El Qasr El Ainy Teaching Hospital / From - To: 10/2005 - 08/2006

PROFESSIONAL AFFILIATIONS

National Association for Healthcare Quality (NAHQ) / Membership Number: 00153584

American Society for Healthcare Risk Management (ASHRM) / Membership Number:

8022384305

OUTSTANDING ACHIEVEMENTS

(JCIA) Joint Commission International Accreditation of As-Salam International Hospital

(ASSIH) - July 2010

Internal JCI Surveying - August 2011 “Initiative Coordinator & Surveyor”

Establishment of the (Risk Management) strategic business unit in ASSIH

Development of ASSIH Risk Management Model

Development of ASSIH Risk Profile

Development of the hospital Incident Reporting System

Development of the hospital ISO 9001:2008 Internal auditing program

Leaded the ISO 9001-2008 Recertification through a comprehensive preparation as

Recertification Project Manager as well as representing the Management in the official

recertification audits

Mentorship and Leadership for Lean Six Sigma Green Belt Projects’ Teams

Dashboard Re-engineering Initiative – February 2012 “Project Manager”

Effective Project – Re-engineering Departmental Operational Processes “Project Manager”

Renovation Project - January 2012 “Risk/Quality Initiative Coordinator”

Presenter & facilitator of the monthly “BIG Quality Council Committee”

Member in the following Committees:

Governance Board Committee / Senior Management Committee / Quality Council Committee

/ Mortality & Morbidity Committee / Ethics Committee / Six Sigma Committee / Pharmacy &

Therapeutic Committee / Safety Committee / HR Committee / Nursing Leaders Committee. /

Blood Utilization Committee / Medical Record Review Committee

PUBLICATIONS

Co – Author in: “Build and Run Quality management system in your hospital” Textbook

April 2012 Co – Author in: "ASSIH Practical Quality Training Program” Lecture Notes April 2011 & June 2011

INTELLECTUAL CONTRIBUTIONS

Co- Development of the only “Practical Quality Training Program” in the MENA region “QMD-

Build and Run Quality management system in your hospital” of As-Salam International

Hospital (ASSIH)

Co- Development of “QMD- Build and Run Quality management system in your hospital”

Textbook

Development of the Organizational wide Risk Management Model

Development of the Organizational wide Risk Management Profile

Development of the Organizational wide Early Warning System

Development of the innovative “Managerial Performance Evaluation Matrix”

Co- Development of the innovative departmental “Work Performance Index” tool

TRAINING ACTIVITIES

Developer & Instructor

Program: “QMD- Build and Run Quality management system in your hospital” – ASSIH

Description: The only “Practical Quality Training Program” in the MENA region

Speaker in

Conference: “Choose your Career” Faculty of pharmacy – Helwan University

Description: Yearly conference for guiding fresh graduates to choose their careers

Training Record

Conducted more than 100 Training sessions either within a structured training programs or

stand-alone lectures & Seminars, The training topics include:

JCI Accreditation overview, JCI Accreditation Standards, JCI Survey Process Guide &

Application, JCI international patients Safety Goals, JCI Medication Management & Use, JCI

Quality Improvement and Patient Safety, JCI Facility Management & Safety, JCI

Management of Information & Communication, ISO 9000 Family Standards, ISO 9001:2008

Standards, ISO 9001:2008 Internal Auditing, ISO 9001:2008 Checklist Development, ISO

9001:2008 Hospital Preparation, Quality Concepts (Orientation & Overview), Six Sigma

Improvement Methodology (DMAIC), Organizational structure, Performance Improvement

Methodologies, People Management, Team Management, Risk Management,

Organizational Early Warning systems, Organizational Risk Management Profile, ISO 31000

(Risk Management), Risk Assessment, Risk Treatment Options & Techniques, Root Cause

Analysis (FMEA), Patient Safety, Medication Errors, Quality planning, Failure Modes &

Effects Analysis, Gap Analysis, Performance Measurement, Dashboard & Key Performance

Indicators, Quality Tools, Hospital Committees, Marketing strategy, Marketing Researche as

well as CPHQ Curriculum topics which includes: Management and Leadership, Information

Management, Performance Measurement & Improvement, Patient Safety and many other

topics.

SELECTED COMMUNITY CONTRIBUTIONS

RESALA Volunteer instructor in the fields of Management Quality & Human Development

Strategic & Quality Consultant for (the Egyptian Pharmacists’ Coalition - Electoral program

2011) For Egyptian Pharmacists Syndicate (The winner party)

Head of the Red Crescent family (Charity Activity) 2002 -2003 and 2003-2004

Organizer of the Cultural Activities of the Student Union 2001 till 2004

LANGUAGE SKILLS

Arabic: Mother tongue

English: Fluent (AUC Certified: Advanced English Conversation)

TECHNOLOGY

Excellent user of Business management programs as Visio & Mindjet

Excellent user of statistical programs as Minitab

Professional user of Microsoft Office applications (Word – PowerPoint – Excel - Access)

Professional user of HMIS

HONORS RECEIVED

Star of As-Salam International Hospital’s 2011 4th Quarter

Star of As-Salam International Hospital – January 2010

Certificate for being the best cultured student according to questionnaire held by 2005 class

Certificate for being the most Ideal student according to questionnaire held by 2002 class

SELECTED CONFERENCES & TRAINING

Advanced Microsoft Access program - YAT

Supply, Demand and Market Types Seminar - Prof. Dr. Gehan Saleh

Statistics Program – Dr. Osama El-Halawany

Patient Counseling Program - Georgia University/ Misr International University

TPN educational program - ASSIH / Fresenius KAPI

Advanced English Conversation Program - AUC

Microsoft Office applications (Word – PowerPoint – Excel) - AUC

Training of the Trainers (TOT) – ASSIH

First Aid Program - Red Crescent Association

Think Different and Creative Thinking Program - ZEDNY

Professional Selling Skills and Marketing Program – SCOPE

Principles of Leadership Seminar – SCOPE

Economics and Finance program - ZEDNY

Human Development Program - ZEDNY

REFERENCES

Will be furnished upon request

Recent Recommendations from:

Dr. Ossama Mossallam,

Adjunct assistant professor, SPH, Boston University, Former UN agencies international technical advisor Instructor of Hospital and Healthcare Management Program, The American University in Cairo (AUC) Cell Phone: +20122169137 Email: ossama@aucegypt.edu Dr. Azza El Nouman,

Professor of Public Health, Cairo University, Instructor in the Quality Management Institute, AUC, Member in the Quality Assurance Unit at Cairo University Hospitals, Cell Phone: +20123539140 Email: azzanouman@yahoo.com Dr. Enas Mogawer, Professor of Internal Medicine Cairo University Consultant of Endocrinology, Clinical Nutrition and Obesity Head of Clinical Nutrition Department, As-Salam International Hospital Cell Phone: +201112711617 Tel: 0225240250, Fax: 0225240066,