Kawthar Al Hussain

In my current role as the Sr Nursing Director, I have a wide
range of administrative and operational responsibilities that include.
providing strategic direction; business planning; enterprise risk
management; acquiring and managing resources; organizing,
directing and coordinating person-centered services that adhere to
Saudi government regulations, healthcare policies as well as the
accreditation standards.

Key leadership role in many projects to improve patient satisfaction:

• Led the achievement of the highest outpatient experience units and best Nursing scores for two consecutive years (2022-2023).Overall, patient satisfaction score in 2023 for all Dhahran Clinics in Press Gany was 91.5; this score is 91.5% higher than the entire clinics database in GCC.
• Increase PC Clinic capacity including the extended opening hours, introduction of same day appointments resulting the number of slots exceeds its target of 1,100 appointments a day. Patient satisfaction is at its highest ever at to 89.75 %. And the access metric leap from 62.34 % in October 2022 to vs. 88.73 % in October 2023.
• Successfully led the transition period of opening the new Children Healthcare Center and the following were achieved:

o Created the scope of service for the new department

o Completed staffing plan.

o Set goals for the department.

o Reviewed cross training plan for all units to ensure the adequacy of meeting the operational needs.

o Completed business continuity management plan.

• Improved patient access to specialty clinics appointment by applying single point of contact and achieved stretch in most of the specialty clinics.
• Led and support vaccination campaigns
• Led and support many of Health Awareness Campaigns to increase the public awareness on disease management and prevention.
• Enhanced Heart and Vascular service efficiency through participating in Enhanced Recovery after Surgery ERAS project, and decrease cardiac surgery LOS from 7 to 4.6 days, which is less than target goal of Hospital ALOS to ≤ 5.5%.
• Improve efficiency, minimize delay and enable growth by supporting the back referral to all specialty clinics.
• With CarePlusproject as Primary Care Work Stream Enabler Team Lead worked on the following:

o Reviewed the entire process around scheduling of appointments and identify gaps

o Reviewed current patient panels assigned to each Primary Care Physician to ensure appropriate acuity.

o In conjunction with other workstreams mapped customer feedback about MyChart functionality and provided enhancements suggestions.

o Reviewed current chronic care provided to patients and identify additional ways of enhancing and delivering care including virtual care

o Assisted patients in wayfinding by implementing welcome guide and the Wayfinding App

o Involved in all CarePlus Archetypes, diabetic and prediabetes, the unplanned visit, and managing multiple conditions patients who are aged 60 years and above.

· Led the implementing of Cath PCI database to improve quality of patient care and hospital operation efficiency.

· As member of Primary Care Transformation Program the following was achieved by co-ordinate the delivery and operationalizing the outputs with other discipline:

o Free up Surgical capacity to deliver 10 k and reduce waiting times for surgery by introducing Minor Procedure Clinics in PC

o Reduced onward referrals from EMS and PC to Orthopedics by introducing MSK clinic in PC.

o Worked in optimization process of referrals from Primary care for the following:

• Imaging requests, which was reduced by 27%.
• Referrals to specialty clinics which was reduced by 30% .
• Referrals to physical therapy which was reduced by 60%.
• Staff engagement score in 2023 for Dhahran Outpatient Nursing Department was 4.37; this score is higher than the organization score, and 0.36 higher than Nat'l Healthcare Avg.
• Improve efficiency of utilizing overtime, which was successfully reduced from $344,413 in 2021 to $103,363 with 69% ($241,050) significant reduction.

• Key leadership role in leading successful hospital accreditation
  processes including CBAHI, JCIA, mowaamah, and Planetree.
• Key leadership role in new programs development of Heart and
  Vascular Institute in Johns Hopkins Aramco Healthcare including
  the development of
  o Tele-health monitoring program for Heart Failure Patients.
  o Lipid Target Clinic.
• Led multiple value-based healthcare initiatives including reducing
  unnecessary hospitalizations and length of stay (LOS) and
  increasing utilization of ambulatory services/surgery and home
  healthcare services.
• Established and monitored key performance indicators, gauging organizational success.
• Supervised and developed high-achieving staff, providing orientation, training, support and direction.
• Recruited and developed high-performing teams, with focus on talent retention.
• Developed financial strategies to maximize budget allocations and ROI.
• Managed business operations, financial performance and investments of company.
• Implemented company policies and legal guidelines.
• Managed daily operations by overseeing financials, key performance indicators and employee performance.
• Formulated business plans to increase growth and minimize cost for company.

• Conducted and led the establishment of “Improving Access to Sickle Cell” QI Research Project
• Achieved more than 50% reduction on Sickle cell readmission and emergency visits.
• My research entitled ‘Improving Transition of Care from Inpatient to Outpatient Setting for Adult Patients with Sickle Cell Disease’ has won the first place in the “First Research Day” to be held at JHAH on December 4, 2017.
• Key role in development of Pain Management Services in JHAH including:

o Estimation of labor, equipment, supplies and other resources forecast.

o Ensure service efficiency.

o Established the nurse-led pain management service.

o Developed all pain management related nursing competency.

o Developed all related pain management protocols, and policies, which have a great impact on improving adherence to latest evidence based practice.

• Key role in the development of palliative care program.
• Mentored the new pain management employees and residents in their new roles.
• Developed strong relationship with other pain management services national wide for the purposed of streamlining standards, and policies in Saudi Arabia

• Participates in the review of the division mission, strategic plans, and policies
• Participates in reviewing Business & Operating plans
• Develops measures and monitors operational performance metrics including LOS, overtime costs, and vacancy and turnover rates
• Maintains current knowledge of and ensures compliance with all regulatory and professional standards of care which includes Central Board for Accreditation of Health Care Institutions (CBAHI), Joint Commission International (JCI), Institute Health for Health Care Improvement, (IHI) etc
• Utilizes results from QI data collection to improve patient care outcomes Prepare and deliver business communications, including meeting agendas, presentations, business reports and project communications plans Uses annual appraisal effectively to assess staff performance and achievement of goals throughout the year Provides coaching and counseling to staff and documents as necessary

• Adapts clinic plans and priorities to address resource and operational challenges Ensures care activities are delegated appropriately according to the level of staff education, knowledge, skills and abilities and in accordance to the patients' needs and acuity
• Evaluates care and documentation through daily clinic rounds and ongoing observation of patient care and clinic operations
• Oversees the schedule to ensure needs are met and responds to changes in census, and makes necessary adjustments
• Collaborates with patients in developing treatment plans
• Interacts with JHAH services to facilitate patients' treatments
• Instructs and educates patients about the procedures, and the treatment pan
• Conducts regular follow-ups with patients to evaluate outcomes
• Develops interdisciplinary care plan and coordinating information and care requirements with other care providers.