Binal Damania

Accomplished healthcare quality professional with extensive experience in internal audits, SOP development, and performance improvement within accredited healthcare and laboratory settings. Adept in document control, validation management, and process optimization to strengthen quality systems and ensure sustained accreditation readiness. A certified CPHQ, known for leading teams effectively, building staff capability, and driving a culture of continuous improvement. Strong analytical and problem-solving skills with a proven ability to manage multiple priorities and deliver measurable quality outcomes.

• Certified Professional in Healthcare Quality (CPHQ)
  Healthcare Quality Certification Commission
  Certified through December 2027 | Certification ID: 369982

• Lean Six Sigma Yellow Belt
  Anexas Europe
  Certified April 2023

• CQI – Tools and Techniques Programme
  National Accreditation Board for Hospitals & Health Care Providers (NABH)
  Completed December 2019

• Programme on Implementation of NABH Standards – 4th Edition
  National Accreditation Board for Hospitals & Health Care Providers (NABH)
  Completed May 2019

• Played a pivotal role in securing CAP Accreditation and JCI (Ambulatory Care) Accreditation for the IVF Laboratory by coordinating teams, aligning protocols with international standards, and ensuring successful audit outcomes.
• Successfully led the facility through JCI Hospital Accreditation and TEMOS Certification, achieving Low/Limited ratings on the SAFER Risk Matrix and maintaining high compliance across all measurable elements.
• Implemented Good Clinical Practice (GCP) guidelines in the Urgent Care Department for chest pain management, ensuring timely DHA Clinical Audit submissions and recognition for excellence in patient care.
• Established a comprehensive Quality Management System (QMS) covering policy development, documentation, and KPI tracking, enhancing governance and operational consistency.
• Designed and led a Quality Improvement Project – “Good Catch Program”, improving near-miss incident reporting rates by 75% and strengthening the safety culture across departments.
• Actively contributed to the commissioning and accreditation readiness of a new medical centre, ensuring all quality, documentation, and compliance frameworks were in place before launch.
• Managed NABH accreditation projects for a 50+ bedded hospital and multiple satellite units, achieving >80% compliance with fewer than 20 non-conformities per audit.
• Oversaw NABET audit preparation for a consulting organization, attaining 95% compliance with only three minor non-conformities.