Aseel Al-Najar

Performance Measurement and Analysis

• Design and implement a hospital-wide KPI framework covering over 200 clinical and administrative metrics.
• Develop customized data collection tools, and standardize reporting processes.
• Conduct comprehensive data analyses to identify trends, outliers, and improvement opportunities.
• Prepare and present monthly performance reports to department heads and executive leadership, as well as quarterly reports to the governing entity.

Quality Improvement Leadership

Lead 15+ improvement initiatives across clinical and operational areas, managing the full project lifecycle:

• Initiation: Collaborate with cross-functional stakeholders to define project scope, goals, and success metrics.
• Execution: Apply targeted improvement methodologies:
• FOCUS-PDCA: Stroke program – reduced treatment time by 71%.
• Lean/5S: Sterilization process – achieved JD 36K in annual savings.
• DMAIC: Operating room experience – improved patient satisfaction by 31%.
• Risk Reduction: Utilize FMEA to mitigate critical process risks, achieving a 57% reduction in RPN.
• Sustainability: Establish follow-up mechanisms, including KPI tracking dashboards, staff retraining, and standard work documentation.

Accreditation and Compliance

• Spearheaded preparation efforts for JCI, JCI-CCPC, ISO, AHA, and HCAC accreditation surveys.
• Conduct internal audits and daily quality rounds to ensure ongoing compliance.
• Develop and deliver training programs on quality standards to 100+ staff members.

Committee Leadership

• Coordinate meetings for the Quality & Patient Safety Committee, and the Complaints and Suggestions Committee.
• Prepare agendas, presentations, and minutes; track action items, and follow-up activities.