ENTSAR NASSER ALONAZI

Results-driven healthcare professional with extensive experience in organizational strategic planning, operational management, and quality improvement initiatives. Proven track record in leading accreditation processes, enhancing patient-centered care, and driving performance improvements across diverse healthcare settings. Strong expertise in nursing, leadership, and project management, complemented by a commitment to evidence-based practices and stakeholder engagement. Adept at fostering collaborative relationships, resolving conflicts, and managing talent to achieve organizational goals. Proficient in utilizing data analysis and Microsoft Office tools to inform decision-making and optimize operational efficiency. A transformational leader dedicated to innovation, staff development, and continuous quality enhancement in healthcare delivery.

- CBAHI Accreditation Preparation (2010): Actively participated in the preparation for CBAHI accreditation, enhancing hospital standards and practices.

- JCI Accreditation Preparation (2014): Contributed to the successful preparation for JCI accreditation, achieving recognition for quality and safety.

- Patient Experience Project Owner (2016): Led the initiative to improve patient experience, implementing new strategies for engagement and satisfaction.

- Collaborative Projects (2017): Partnered with the nursing department and auditing team to develop patient identification protocols and prevent pressure ulcers, improving patient safety and care quality.

- Strategic Planning (2018): Formulated the KFH nursing department's strategic, staffing, operational, and management plans, laying the foundation for effective nursing operations and workforce management.

- Policy Review & Formulation (2013 - Present): Continuously reviewing and formulating policies and procedures to align with accreditation standards.

- Patient and Family Education Department (2018): Initiated and established a patient and family education department, successfully achieving CBAHI accreditation with a fully met score.

- CBAHI Standards Chapter Membership (2018)* Served as a member of the CBAHI provision of care chapter, contributing to the development of care standards.

- Project Ownership for MOH Patient-Centered Program (2016 - 2018): Directed improvement projects under the Ministry of Health's patient-centered program, significantly enhancing patient care focus.

- Patient-Centered Care Initiative (2019): Spearheaded projects aimed at enhancing patient-centered care practices within the hospital.

- Emergency Room Project Participation (2019): Contributed to the ER project for version 2 of the MOH Ada'a Health Program, focusing on optimizing emergency care.

- PPE Reduction Project Owner (2020): Led a project aimed at reducing PPE consumption during the COVID-19 pandemic, ensuring safety and resource efficiency.

- COVID-19 Disaster Plan Contribution (2020): Participated in formulating KFH's disaster plan for COVID-19, improving institutional readiness and response.

- Volunteer Team Organizer (2020): Organized a volunteer team during the pandemic to deliver medications and services to over 13,000 beneficiaries, showcasing community support.

- Health Care Capacity Planning Coordinator (2021): Served as the KFH coordinator for the Health Care Capacity Planning Project, effectively managing healthcare resources.

- Workshops Participation (2022): Engaged in engineering & operation project management workshops to further develop skills and share best practices.

- Coordinator for the Whole System Quality National project(2024): Leading the national project in Madina focused on the whole system's quality improvement, aiming for nationwide impact.

- Efficiency Improvement Project Leader (2024): leading a national project for efficiency improvement at the point of care within the Madinah Health Cluster, enhancing overall service delivery.

- Performance Improvement Department Policy Implementation(2024): Developed and initiated policies and procedures for the performance improvement department to enhance operational effectiveness.

- Madinah Health Cluster Quality and Excellence Plan Initiator (2025): Initiated the quality and excellence plan for the Madinah Health Cluster, setting strategic objectives for continuous improvement.

- Performance Improvement Manual (2025): Created a comprehensive performance improvement manual to guide best practices and standard operating procedures

ISO 9001:2015 Lead Auditor (Quality Management Systems)
Project management PMP

• Dr. Hussain Ashgar

VP. Quality & Excellent, MHC 

Contact No. : 0553636088

Email Address: hashgar@moh.gov.sa

• Dr. Yasser Aljehani

Corporate CMO, AlSalam Hospital

Contact No. : ‭ 0542253333

• Dr. Ayman Kharaba

Head of Intensive Care Unit, KFHM Former Hospital Director, KFHM

ICU service Line Lead

Contact No.: 0505309457

Email Address: akharaba@moh.gov.sa

• Dr. Mohammed AlNaggar

AVP. Risk & patient safety, MHC

Contact No.: 0552430428

Email Address: Mhelnagar@moh.gov.sa

• Mr. Alaa Alsayed

Head of Excellence in MOH branch, Madina

Contact No.: 0542012377

Email Address: alabalsayed@moh.gov.sa