DR Abinaya Karthikayani S CPHQ BDS MBA PGDMLS

Multiple Healthcare Facilities – Abu Dhabi
ICON Clinic Primary Care Centre| Royal First Dermatology Clinic | Reyada Home Health Care | Etihad Airways Medical Centre

• Directed Quality Assurance Programs across multiple healthcare facilities—including primary care centers, home healthcare services, specialty clinics, and medical centers—ensuring full compliance with DOH, ADHICS, Tasneef, JAWDA, and international accreditation standards.
• Successfully led DOH New Facility Licensing processes, ensuring all policies, documentation, and operational workflows adhered to stringent regulatory requirements for facility approvals.
• Managed permanent facility licensing, ensuring continuous compliance with evolving accreditation protocols and healthcare laws.
• Served as Quality Lead for JDC Tasneef, DOH Ranking, ACHC, and ADHICS Audits, overseeing clinical audits, patient safety reviews, documentation assessments, and operational evaluations.
• Chaired the Quality & Patient Safety Committee, spearheading organization-wide initiatives to enhance patient care quality, service standards, and regulatory compliance.
• Conducted Root Cause Analyses (RCA) and implemented Corrective and Preventive Actions (CAPA), reducing non-compliance and improving audit readiness.
• Conducted competency evaluations for clinical and non-clinical staff to ensure performance met accreditation and organizational standards.
• Managed clinical and operational tools such as Smartsheets, enabling efficient quality tracking, documentation, and interdepartmental coordination.
• Led comprehensive risk assessments and ensured timely mitigation of clinical and operational risks.
• Monitored external circulars and regulatory updates, ensuring timely dissemination and integration into internal policies and protocols.
• Promoted a culture of continuous improvement using audit data, KPIs, and patient feedback to drive strategic enhancements in quality, safety, and operational performance.

• Leadership in Pre entry level NABH Accreditation for 730 bedded tertiary care Hospital
• Developing SOPS for Full Accreditation
• Convener for the hospital Committee meeting
• Training Doctors and nurses on patient safety and quality
• Maximized performance by monitoring daily activities and mentoring team members
• Controlled resources and assets for department activities to comply with industry standards and government regulations
• Evaluated patient care and initiated procedural changes for increased benefit
• Directed, supervised and evaluated work activities of medical, nursing and technical, clerical and maintenance team
• Reviewed work procedures and operational problems to determine ways to improve service, performance and safety
• Spearheaded and implemented new projects to expand scope of engagement
• Launched quality assurance practices for each phase of development

• Weekend Lecturing Doctors / Nurses/ Healthcare professional on Hospital Management
• Training on Medical Audit / Legal aspects of Healthcare

• Tutoring students of BBA/ Diploma Course on Hospital Administration
• Guiding students on their course assignments and Projects
• Active Participation in designing Syllabus for BBA
• Identified research opportunities for students, assisting with gathering data and drawing conclusions for projects
• Researched and selected course texts and supplemental learning materials

• Leadership for 5th Edition NABH Certification
• Active Team member on launching new emergency department
• Initiated Quality Improvement projects on Kitchen, Endoscopy Sterilization
• Designed and developed dashboards and other innovative data visualization using business intelligence tool
• Co nodal officer for Covid admission for 250 bedded HCO
• Liaised with HR manager to organize and perform quality standard training for new and existing staff
• Liaison officer for MTP license, PTPCNDT License, Organ Transplant Licenses
• Assisted FNB / DNB audit by NBE, New Delhi
• Inspected inbound and outbound products for compliance with established industry standards, company policies, and procedures
• Coordinated and overseen periodic audits to evaluate product quality and safety and address non-conformances

• To research and design effective and innovative improvement and analytics strategies in collaboration with clinical teams
• Ensure that proper standard operated procedures are in place for the efficient admission, care and discharge of the patients
• Streamlining of various committees such as Hospital medical council, CPR analysis committee, MMRC, validation committee, Quality and patient safety committee, PTC, Blood Transfusion committee
• Preparation of medical strategy and operation group report, clinical outcome report
• Internal audits in medical regulatory compliances, clinical outcomes, medical licenses and consents
• To review and ensure compliance to the committee meetings frequency
• Framing and streamlining Sops and Policies
• Collecting Records as well as doing RCA of clinical pathways such as STEMI, FAST
• Analyze medical Equipment utilization rate and improve utilization
• To conduct NABH assessment, gap analysis of the organization, draw action plan for gap closures
• Ensuring that hospital meets all the regulatory compliance such as BMW, AERB and others
• To ensure smooth movement of patient and achieve high Patient Satisfaction Index
• To Strengthen and Consolidate initiatives such as IP/OP billing streamlining/Package Formulation/Cost Controlling and further projects assigned by the Reporting Officer
• To Coordinate with various department for Procurement of Medical consumables and Capex Medical Equipment
• To train the employees as per the Quality standards
• Continuous auditing and initiating quality assurance programs for improving the service and Profit of the Organization

• Coordinated ISO audit and Certified
• Managed 12 dental chair unit hospital with one OT
• Used critical thinking to break down problems, evaluate solutions and make decisions
• Organized and detail-oriented with strong work ethic

• OPD Consultations & Oral Diagnostics OP
• Dental Procedures -Scaling, Root planning, Restorations, Dento Alveolar Extractions, Root Canal Treatment, Prosthodontic Dentures
• Assisted Dental Surgeries
• Prescriptions for antibiotics and other medications used to treat temporary or long-term dental issues
• Conducted routine oral cancer screenings
• Recorded treatment information in patient charts
• Assessed patients' oral health for concerns such as infection pockets and gingivitis
• Treated periodontal disease through scaling and root planning
• Evaluated patients for signs of decay by assessing visually, manually and via radiography to recommend treatment options such as fillings and sealants
• Examined X-rays to detect abnormality in oral cavity