Umashankar Raj Urs

Co-chairing the International Forum, contributing to international collaborations, healthcare quality frameworks, and professional training initiatives across hospitals. Developed international programs enhancing hospital quality frameworks Facilitated strategic collaborations between healthcare organizations Delivered structured training for quality professionals Contributed to advancing accreditation standards Strengthened compliance and governance at state and national levels Healthcare Quality, Hospital Accreditation, CAHO Standards, Training & Mentoring, Policy Implementation, Strategic Governance

Leading quality initiatives across India and overseas, implementing Lean Six Sigma practices, optimizing discharge and OPD workflows, and embedding continuous improvement culture. Achieved NABH Accreditation and Nursing Excellence across multiple hospitals Implemented process improvements reducing OPD and health check waiting times Developed departmental manuals, SOPs, and operational guidelines Conducted audits to ensure compliance with NABH, ISO, and NABL standards Strengthened patient safety and quality protocols Lean Six Sigma, Operational Excellence, Hospital Quality Systems, NABH Accreditation, Process Optimization, Patient Safety

Supporting healthcare workforce quality enhancement and skill development initiatives, contributing to governance and strategic planning at the state level. Developed competency frameworks for healthcare roles Provided strategic guidance for training and skill development programs Facilitated alignment of hospitals with national healthcare standards Monitored quality of workforce initiatives and training outcomes Supported policy implementation and continuous improvement initiatives Healthcare Workforce Development, Skill Assessment, Strategic Planning, Quality Frameworks, Training Oversight, Governance

Conducting hospital assessments using Malcolm Baldrige Business Excellence Framework to evaluate quality, compliance, and operational performance. Evaluated hospitals for operational excellence and quality compliance Provided actionable recommendations for process improvements Supported adoption of best practices in healthcare management Assisted hospitals in aligning with business excellence standards Conducted structured assessments to enhance organizational performance Malcolm Baldrige Framework, Quality Assessment, Performance Improvement, Hospital Benchmarking, Process Evaluation, Operational Excellence

Shaped state-level healthcare quality policies and accreditation standards, coordinating governance and professional development programs. Guided hospitals in achieving NABH accreditation and compliance Implemented quality standards across multiple institutions Organized training sessions for healthcare professionals Strengthened governance and policy adherence at the state level Supported continuous improvement initiatives across hospitals Hospital Quality Systems, NABH Accreditation, Policy Implementation, Professional Training, Strategic Governance, Compliance Management

Implemented healthcare operational and quality initiatives, ensuring accreditation compliance and performance enhancement across multiple hospital units. Enhanced compliance with NABH and ISO standards Implemented operational process improvements Coordinated training programs for hospital quality teams Supported accreditation and audit readiness initiatives Monitored key quality indicators and reporting Healthcare Operations, Quality Assurance, NABH Compliance, ISO Standards, Process Management, Staff Training

Directed hospital-wide quality systems, accreditation, and compliance across a 500-bed super-specialty hospital, ensuring NABH, NABL, and ISO standards. Implemented NABH 4th edition and Nursing Excellence standards Developed departmental manuals, SOPs, and process maps Monitored performance through quality indicators and audits Coordinated training for clinical and non-clinical staff Supported accreditation readiness and compliance initiatives Hospital Quality Systems, NABH Accreditation, ISO & NABL Compliance, SOP Development, Staff Training, Quality Monitoring

Heads the Quality team in an NABH accredited hospital with 500 beds super specialty tertiary care hospital M S Ramaiah Memorial Hospital is an NABH & NABL accredited, Super-specialty tertiary care hospital located in the heart of Garden City Bangalore. Founded in 2004, today it is one of the largest private hospitals in region, with over 500 beds . M S Ramaiah Memorial Hospitals offers state-of-the-art diagnostic, therapeutic and intensive care facilities in a one-stop medical center Inaugurated in July 2004, the Hospital is a significant social initiative from M S Ramaiah Group of institution. It is designed to raise India's global standing as a healthcare destination, with emphasis on excellence in clinical services, diagnostic facilities and research activities. • Responsible for national & international accreditation i.e. ISO,NABH and JCI Own all quality assurance related issues like documentation and compliance standards as per the guideline of NABH & QCI. • Successfully implemented NABH 4th edition standards. & Nursing Excellence Standards • Monitor functioning of all committees in the hospital • Follow up on action to be taken as per the report of various committees • Co-ordinate training and education of all employees about quality standard (NABH 4th edition ) • Provide support to departments in achieving compliance with established standards • Monitor performance of all departments through Quality Indicators set and agreed beforehand for each department • Devise and implement operating guidelines such as departmental manuals containing core processes, work instructions, process mapping, department procedure, relevant documentation etc. • Recommends and implements operating policies and procedures. • Trains and supervises clinical and non clinical personnel in the daily operations of the department. Orients new staff on NABH, HWP and Emergency codes. • Regular audit to know the compliance related to quality

• Ascertaining and Implementing standards and operational protocols for proper functioning of respective departments. • Timely modification, assistance provided for all departments SOP’s. • Maintaining the master and control of all the hospital policies & Manuals. • Ensure the smooth functioning of the hospital committees • Designing the process enhancing models to comply with high stands of service delivery. • Ensure patient delight drive across all operational service areas through regular audits and training the concerned personnel. • Understand the service GAP Analysis using various numerical models, to ensure the performance deliverance. • Monitoring the Quality Monitoring indicators as per NABH 2011 standards. • Track, monitor, recommend, and support hospital initiatives within the assigned areas of responsibilities to facilitate smooth functioning of the hospital process. • Channelizing operational communication between management & consultants. • Coordinating for continuous training for staffs in terms of soft skills, NABH, NABL, Hospital Wide Policies .etc Transplant Co-Ordinator • Help all transplant patients in the legal documentation process • Application for Renewal of Licenses • Cadavaric Transplant co-ordination. • Work Up for Transplant patients