Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Ivy Khristine Salas

Ivy Khristine Salas

Healthcare Quality And Clinical Governance
Dubai

Summary

Certified Professional in Healthcare Quality with nursing background and more than 20 years of experience in clinical nursing and healthcare quality management as a Registered Nurse specializing in Neonatal Intensive Care and Pediatrics, Quality Management (started 2008), Nursing Informatics. Solid knowledge of comprehensive nursing procedure and healthcare JCIA standards. Vast experience in coordinating with all levels of hospital staff and administration. Effective and creative problem solver with ability to work under considerable pressure.

Major strengths include strong leadership, competent, strong team player, attention to detail, and dutiful respect for compliance in all regulated environment. Reputation as a self-directed and results-oriented professional with problem solving, communication, and management skills. Successful in managing time, prioritizing tasks, training, and organizing projects with focus on improving the quality of patient care and accomplishing the organizational goals. Computer and Internet literate with ability to produce PC-generated statistical and narrative reports.

Overview

27
27
years of professional experience

Work History

Healthcare Management Consultant

Ivy Management And Consultancy
01.2023 - Current
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Delivered services to customer locations within specific timeframes.
  • Learned and adapted quickly to new technology and software applications.
  • Gained strong leadership skills by managing projects from start to finish.
  • Passionate about learning and committed to continual improvement.
  • Proven ability to develop and implement creative solutions to complex problems.
  • Organized and detail-oriented with a strong work ethic.

Director Clinical Governance

American Hospital Dubai
03.2021 - 01.2023
  • Managed daily operations while overseeing multiple locations to foster increased productivity.
  • Monitored office workflow and administrative processes to keep operations running smoothly.
  • Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
  • Worked closely with organizational leadership and board of directors to guide operational strategy.
  • Evaluated company documentation to verify alignment with regulatory requirements.
  • Monitored and coordinated workflows to optimize resources.
  • Spearheaded innovative approaches to resource allocation and strategic planning.
  • Oversaw supply chain functions to verify inventory levels and budget adherence.
  • Evaluated live broadcasts to assess signal strength and compliance with FCC standards.
  • Drafted and distributed reports to assist board members with critical business decisions.
  • Collaborated with network executives to define and propel organization's mission and vision.
  • Orchestrated license agreements for music and footage, talent releases, and distribution contracts.
  • Identified and approved equipment and elements required for productions.

Assistant Director Performance Imrpovement

American Hospital Dubai
11.2014 - 03.2021
  • Created and updated physical records and digital files to maintain current, accurate, and compliant documentation.
  • Tracked key business metrics and made recommendations for proactive adjustments to policies and procedures.
  • Created and updated records and files to maintain document compliance.
  • Trained and mentored new employees on industry practices and business operations.
  • Worked closely with management to provide effective assistance for specific aspects of business operations.
  • Led team of [Number] [Type] professionals in special projects and daily operations.
  • Partnered with educators to instruct and mentor students with developmental and physical disabilities.
  • Led teams of up to [Number] personnel, supervising daily performance as well as training and improvement plans.
  • Trained and developed department leaders and management staff for specific projects and ongoing operational needs.
  • Assisted senior leadership in managing all aspects of operations.
  • Managed data transfers and proactively resolved issues at manufacturing sites through effective troubleshooting.
  • Prioritized tasks and allocated resources appropriately to keep teams focused and productive.
  • Supported continuous process and performance improvement for manufacturing issues, robustness and compliance.
  • Provided strategic analysis for manufacturing life cycles, technologies, process validations, and robustness.
  • Engaged analytical subject matter experts outside project teams to drive troubleshooting of critical process-related deviations and enhance process improvements.
  • Assessed risks associated with team activities and implemented appropriate procedures to mitigate potential problems.
  • Reviewed proposed regulatory changes and evaluated potential impacts on business operations.
  • Directed team focused on taking development projects through monetization and mass production.
  • Communicated all capacity, sourcing and technology gaps with upper management.

Nurse Informatics Officer

AMERICAN HOSPITAL
DUBAI
01.2013 - 11.2014
  • Responsible for building and maintaining electronic documentation for all Nursing, Physiotherapy, and Respiratory Staff
  • Creation of new codes as per CPT for Physician and Clerk ordering; management and maintenance of
  • Training nursing and other clinical staff to use the new system, resolving computer system problems, application/process issues
  • Assists in analysis in pre-innovation workflow, impact of new innovations on processes / clinicians and their work flow
  • Post-implementation; participated in the implementation of new technologies in order to facilitate process improvement while adhering to the required policies/guidelines.

Assistant Manager Performance Improvement

AMERICAN HOSPITAL
DUBAI
05.2012 - 01.2013
  • Participates in planning, implementing and management of a Performance Improvement Program incorporating computerized records and tracking with policies and procedures designed to meet the needs of the Hospital
  • Evaluates and recommends changes as required to improve and assure compliance with regulatory requirements, adhering to JCIA standards and DOHMS standards
  • Receives and follows-up Performance Improvement issues referrals, in consultation with the appropriate department head or committee chairman, as necessary; alerts appropriate departments, committees of developing patterns and trends that need additional assessment
  • Acts as a resource person to assigned committees, meetings, departments / services in quality monitoring, assisting them in designing monitoring program/descriptions in order to fulfill their role(s) in Hospital wide Performance Improvement Program and in the JCIA Program
  • Participates in identifying and providing education / orientation to clinical and non clinical staff.

Coordinator Performance Improvement

AMERICAN HOSPITAL
DUBAI
05.2008 - 05.2012
  • Aggregates all the Key Performance Measures of the hospital with an oversight from the Director of PI
  • Assigned in the discussion of Performance Improvement and Patient Safety during the monthly hospital orientation of Staff Members
  • Completes any/or daily tasks as assigned by the Director of PI.

Staff Nurse

AMERICAN HOSPITAL
DUBAI
07.2003 - 05.2008
  • Performed all duties of NICU Nurse on a Level 3 Care Unit
  • Demonstrated competence in neonatal routine and special procedures acquired through knowledge, skills, and job dedication in the care of critically ill neonates.

Staff Nurse / Acting Head Nurse

ARMED FORCES HOSPITAL NAJRAN
01.2001 - 01.2003
  • Performed duties of a NICU Staff Nurse and directed activities for a 15-bed Level 3 Care Unit, including staffing, budgeting, and counseling.

Staff Nurse

MARY JOHNSTON HOSPITAL
01.1997 - 01.2000
  • Provided skilled nursing care to patients in a 10 bed Pediatric Intensive Care Unit
  • Directs skilled nursing procedures, including oxygen therapy, tube feedings peripheral intravenous therapy, and venipunctures
  • Performs and teaches paraplegic and quadriplegic care
  • Assists physicians in invasive procedures and carries out physicians orders as deemed necessary.

Education

Bachelor of Science -

MARY JOHNSTON COLLEGE OF NURSING
Nursing 1997, Recipient, Grant MJCN Scholarship Foundation, 1994 – 1997 Recipient, Leadership Award – Rotary Club of Manila, 1997 Ivy Khristine Candelaria Salas, R.N. Flat

Skills

Organizational change management

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Accomplishments

  • Achieved the highest Joint Commission International Accreditation scored by the hospital (AHD) in 2021.
  • Developed Key Performance Indicators (KPI).
  • Improved clinical documentation in the outpatient setting.
  • Collaborated with Senior Management Team in the development of strategies in the management of Covid.
  • Implemented a new complaints management system.
  • Nursing Informatics
  • Member of the team organized and implemented electronic patient satisfaction, working closely with Information Technology Department.
  • Coordinates and participates in medical case investigations as part of the hospital risk management process.
  • Meets with patients to attend grievances and/or complaints; escalates to management as per the need.
  • Deviced the patient satisfaction questionnaire of the hospital and aggregates and analyze data.
  • Attended the preparation course for Certified Professional in Healthcare Quality.
  • Devised a pocket guide as reference for Staff Members to relevant HPPs and JCIA standards.Conducted sessions regarding the JCIA standards for Staff Members for the preparation for the JCI Accreditation. Conducts incident based educations as per the need.Conducts the Hospital Orientation and Clinical Orientation classes with regards to Patient Safety, Complaints and Incidents.Instructor in the Life Support Courses Program of the hospital, licensed NRP instructor. Member of the hospital’s information technology group that facilitates and executes the organization’s transition from paper medical records to electronic medical record system. Assigned in building the Quality and Risk Management module to meet the needs of the hospital.Assigned in following up the indicators monitored by every department in the hospital to make sure that submission is up to date and complete. Communicates submission from Departments to the Director to ensure that action plans suggested were implemented.
  • Responsible in monitoring the International Patient Safety Goals (IPSG), JCIA Core Measures, and Patient Safety indicators; includes analysis and trending. Coordinates and monitors all electronic key performance measures (hospital-wide).
  • Completed the DHA required statistics (Death and Birth) in 2010. Coordinated with Unit Head Nurses, Clinic Managers, and Directors in the completion and submission of the statistics required by Dubai Health Authority.
  • Assisted in designing an education pamphlet (car seat).
  • Assisted in quality rounds to ensure compliance with JCIA standards, hospital policy, and/or local laws.
  • Completes medical record reviews to assist in medical case reviews.
  • Revise/assists in revisions of hospital policies and procedures.
  • Revised policies and procedures regarding medication management and use (2009).
  • Assisted in the development of the Fall Prevention Program of the hospital by devising a nursing sensitive care performance measurement tool to monitor compliance.
  • Organized the first hand washing campaign of the hospital as part of performance improvement activities.
  • Developed the first Adult Palliative Care Plan of the hospital.
  • Revised the hospital’s Community Resource File.
  • Assisted in revising the Adult 12 Hourly Assessment Form incorporating evidence based Plan of Care.
  • Designed an education pamphlet for the family of newborns admitted in the Neonatal Intensive Care Unit (December 2007).
  • Assisted in revising departmental policy and procedure for neonatal transfer/transportation to focus on the needs of patients and concerns of nursing practitioners.
  • Maintained medical records, receiving commendations for thoroughness and accuracy in completion of reports and patient documentations.
  • Commended for patient/relatives rapport and communication skills.

Timeline

Healthcare Management Consultant - Ivy Management And Consultancy
01.2023 - Current
Director Clinical Governance - American Hospital Dubai
03.2021 - 01.2023
Assistant Director Performance Imrpovement - American Hospital Dubai
11.2014 - 03.2021
Nurse Informatics Officer - AMERICAN HOSPITAL
01.2013 - 11.2014
Assistant Manager Performance Improvement - AMERICAN HOSPITAL
05.2012 - 01.2013
Coordinator Performance Improvement - AMERICAN HOSPITAL
05.2008 - 05.2012
Staff Nurse - AMERICAN HOSPITAL
07.2003 - 05.2008
Staff Nurse / Acting Head Nurse - ARMED FORCES HOSPITAL NAJRAN
01.2001 - 01.2003
Staff Nurse - MARY JOHNSTON HOSPITAL
01.1997 - 01.2000
MARY JOHNSTON COLLEGE OF NURSING - Bachelor of Science,
Ivy Khristine SalasHealthcare Quality And Clinical Governance